Thursday, March 26, 2020

Advances in neuroprosthetic management of foot drop: a review

Are you that fucking clueless that you think 'management' rather than curing foot drop is what survivors want?  OR DO YOU NOT CARE WHAT SURVIVORS WANT? Just whatever easy reviews you can do to get published? I'd have you all fired in a heartbeat.

Maybe after you are the 1 in 4 per WHO that has a stroke? Will that finally get you to do your job properly?

Advances in neuroprosthetic management of foot drop: a review


Abstract

This paper reviews the technological advances and clinical results obtained in the neuroprosthetic management of foot drop. Functional electrical stimulation has been widely applied owing to its corrective abilities in patients suffering from a stroke, multiple sclerosis, or spinal cord injury among other pathologies. This review aims at identifying the progress made in this area over the last two decades, addressing two main questions: What is the status of neuroprosthetic technology in terms of architecture, sensorization, and control algorithms?. What is the current evidence on its functional and clinical efficacy? The results reveal the importance of systems capable of self-adjustment and the need for closed-loop control systems to adequately modulate assistance in individual conditions. Other advanced strategies, such as combining variable and constant frequency pulses, could also play an important role in reducing fatigue and obtaining better therapeutic results. The field not only would benefit from a deeper understanding of the kinematic, kinetic and neuromuscular implications and effects of more promising assistance strategies, but also there is a clear lack of long-term clinical studies addressing the therapeutic potential of these systems. This review paper provides an overview of current system design and control architectures choices with regard to their clinical effectiveness. Shortcomings and recommendations for future directions are identified.(So your cop out is further research needed, rather than doing it yourself.)


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