Clinical use of the odstock dropped foot stimulator: Its effect on the speed and effort of walking
Abstract
Objective To assess the clinical effectiveness of the Odstock dropped foot stimulator by analysis of its effect on physiological cost index (PCI) and speed of walking. This functional electrical stimulation (FES) device stimulates the common peroneal nerve during the swing phase of gait. Design A retrospective study of patients who had used the device for 4 1/2 months. Subjects One hundred fifty-one patients with a dropped foot resulting from an upper motor neuron lesion. Setting A medical physics and biomedical engineering department of a district general hospital specializing in the clinical application of FES and a neurophysiotherapy department at a separate hospital. Main outcome measures Changes in walking speed and effort of walking, as measured by PCI over a 10-meter course. Results There was a 92.7% compliance with treatment. Stroke patients showed a mean increase in walking speed of 27% (p Conclusions The measured differences in walking with and without stimulation were statistically significant in the stroke and multiple sclerosis groups. In this study use of the stimulator improved walking. Those with stroke demonstrated a short-term "carry-over" effect.
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Surface electrodes are used in FES systems for correction of foot drop in hemiplegic patients.
“They are also used in more sophisticated FES systems for correction of foot drop in hemiplegic patients”
From A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems (2005) · cites this paper as Taylor et al., 1999
Surface electrodes can also supply a perceivable sensation to the skin or excite nerve tracts or muscles underneath the skin.
“they can also be employed to supply a perceivable sensation to the skin or to excite nerve tracts or muscles underneath the skin”
From A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems (2005) · cites this paper as Taylor et al., 1999
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References 13 · Cited by 275
- Authors
- Taylor, P. N., Burridge, J. H., Dunkerley, A. L., Wood, D. E., Norton, J. A., Singleton, C., & Swain, I. D.
- Affiliations
- Salisbury District Hospital (GB)
- University College London (GB)
- Birmingham City Hospital (GB)
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 80
- Issue
- 12
- Pages
- 1577-1583
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2038344442
- Cited by
- 275
- References
- 13
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 2 · 2021: 8 · 2020: 9 · 2019: 6 · 2018: 11 · 2017: 10 · 2016: 10 · 2015: 18 · 2014: 22 · 2013: 19 · 2012: 16
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
- Keywords
- functional electrical stimulation, common peroneal nerve stimulation, walking speed, walking effort, physiological cost index, stroke, multiple sclerosis, upper motor neuron lesion, residual effects, medication adherence
- MeSH terms
- Adult, Aged, Electric Stimulation Therapy, Physical Exertion, Gait, Humans, Middle Aged, Multiple Sclerosis, Retrospective Studies, Spinal Cord Injuries, Range of Motion, Articular, Walking, Treatment Outcome, Peroneal Neuropathies, Stroke
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