Saturday, June 7, 2014

Review of therapeutic electrical stimulation for dorsiflexion assist and orthotic substitution from the American congress of rehabilitation medicine stroke movement interventions subcommittee.

Even if eStim assists in walking are proven superior to AFOs I doubt our insurance carriers with gladly pay for them as compared to cheap AFOs.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J68278&phrase=no&rec=124231
NARIC Accession Number: J68278.  What's this?
ISSN: 0003-9993.
Author(s): Bosch, Pamela R.; Harris, Jocelyn E.; Wing, Kay.
Publication Year: 2014.
Number of Pages: 7.
Abstract: Article provides clinicians with information to guide them in the use of electrical stimulation orthotic substitute devices (ESOSDs). It discusses current research about the use of electrical stimulation orthotic substitute devices for therapeutic and orthotic purposes, and compares the use of ESOSDs and ankle-foot orthoses (AFOs). Current evidence suggests that there is both a therapeutic and an orthotic role for ESOSDs after stroke; in spite of no evidence of superiority over an AFO for improving gait speed, ESOSDs are often preferred by patients. Despite such encouraging preliminary evidence, comparing the benefits of an ESOSD to other therapies or to an AFO is hindered by lack of research. There is insufficient evidence thus far to conclude that walking with an ESOSD is superior to walking with an AFO, but ESOSDs may be the optimal choice for some patients.

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