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Functional electrical stimulation and ankle foot orthoses provide equivalent therapeutic effects on foot drop: A meta-analysis providing direction for future research.
CONCLUSION: Functional electrical stimulation and ankle foot orthoses have an equally positive therapeutic effect on walking speed in non-progressive central nervous system diagnoses. The current randomized controlled trial evidence base does not show whether this improvement translates into the user's own environment or reveal the mechanisms that achieve that change. Future studies should focus on measuring activity, muscle activity and gait kinematics. They should also report specific device details, capture sustained therapeutic effects and involve a variety of central nervous system diagnoses. PMID: 29227525 [PubMe...
Source: Journal of Rehabilitation Medicine - December 13, 2017 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Functional electrical stimulation versus ankle foot orthoses for foot-drop: A meta-analysis of orthotic effects.
CONCLUSION: Data suggest that, in contrast to assumptions that predict FES superiority, ankle foot orthoses have equally positive combined-orthotic effects as FES on key walking measures for foot-drop caused by stroke. However, further long-term, high-quality RCTs are required. These should focus on measuring the mechanisms-of-action; whether there is translation of improvements in impairment to function, plus detailed reporting of the devices used across diagnoses. Only then can robust clinical recommendations be made. PMID: 27563700 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - August 27, 2016 Category: Rehabilitation Tags: J Rehabil Med Source Type: research