TY  - BOOK
AU  - Dromerick, Alexander W
TI  - Effect of a foot-drop stimulator and ankle-foot orthosis on walking performance after stroke: a multicenter randomized controlled trial
SN  - 1545-9683
KW  - *Ankle/ir [Innervation]
KW  - *Electric Stimulation Therapy
KW  - *Foot Orthoses
KW  - *Gait Disorders, Neurologic/et [Etiology]
KW  - *Gait Disorders, Neurologic/th [Therapy]
KW  - *Stroke/co [Complications]
KW  - Adult
KW  - Aged
KW  - Cross-Over Studies
KW  - Female
KW  - Foot Joints/ir [Innervation]
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Physical Therapy Modalities
KW  - Stroke/th [Therapy]
KW  - Time Factors
KW  - Treatment Outcome
KW  - Walking
KW  - MedStar National Rehabilitation Network
KW  - Clinical Trial
KW  - Journal Article
KW  - Multicenter Study
KW  - Randomized Controlled Trial
KW  - Research Support, Non-U.S. Gov't
N1  - Available online from MWHC library: 2006 - 2009, Available in print through MWHC library: 1999 - March 2006
N2  - BACKGROUND: Studies have demonstrated the efficacy of functional electrical stimulation in the management of foot drop after stroke; CONCLUSIONS: Both devices produce equivalent functional gains; METHODS: Individuals with stroke within the previous 12 months and residual foot drop were enrolled in a multicenter, randomized controlled, crossover trial. Subjects were assigned to 1 of 3 parallel arms for 12 weeks (6 weeks/device): arm 1 (WA-AFO), n = 38; arm 2 (AFO-WA), n = 31; arm 3 (AFO-AFO), n = 24. Primary outcomes were walking speed and Physiological Cost Index for the Figure-of-8 walking test. Secondary measures included 10-m walking speed and perceived safety during this test, general mobility, and device preference for arms 1 and 2 for continued use. Walking tests were performed with (On) and without a device (Off) at 0, 3, 6, 9, and 12 weeks; OBJECTIVE: To compare changes in walking performance with the WalkAide (WA) foot-drop stimulator and a conventional ankle-foot orthosis (AFO); RESULTS: Both WA and AFO had significant orthotic (On-Off difference), therapeutic (change over time when Off), and combined (change over time On vs baseline Off) effects on walking speed. An AFO also had a significant orthotic effect on Physiological Cost Index. The WA had a higher, but not significantly different therapeutic effect on speed than an AFO, whereas an AFO had a greater orthotic effect than the WA (significant at 12 weeks). Combined effects on speed after 6 weeks did not differ between devices. Users felt as safe with the WA as with an AFO, but significantly more users preferred the WA
UR  - http://dx.doi.org/10.1177/1545968313481278
ER  -