Abstract

Background: Foot drop is a common impairment seen in patients with incomplete spinal cord injury and other neurological conditions. This impairment causes disturbances in gait that can lead to decreases in gait speed, increased energy costs, higher risk of falls, and restrictions in participation in ADLs, which can negatively affect quality of life. Treatment for drop typically involves the use of some type of orthotic device that increases foot clearance during the swing phase of gait. Purpose: To determine whether the use of functional electrical stimulation for the treatment of drop foot in patients with incomplete spinal cord injury produces greater improvements in mobility than other orthotic devices and therapeutic interventions. Case Description: The patient is a 71 year old male with a diagnosis of cauda equina syndrome. Patient presents with bilateral foot drop and has a history of falls related to insufficient limb swing during gait. Patient is interested in increasing the amount of walking he is able to do but is concerned about the frequent amount of falls he experience when attempting to walk at home. Outcomes: Patient was seen in physical therapy for 6 weeks for gait training with NESS L300 systems on both lower extremities, core and UE strengthening, balance and neuro re-education, and increasing tolerance for activity. The patient demonstrated improved foot clearance, stride length, gait speed, and has reported a reduction in number of falls experienced. Discussion: The evidence for use of FES for treatment of drop foot in individuals with incomplete SCI is limited and the quality of the studies that are available are poor. Based on the evidence there is support for the use of FES to improve walking ability in the SCI population, however due to small sample sizes and varying methodologies between studies there was insufficient evidence to be able to draw definitive conclusions about the effectiveness of FES.

Provenance

Submitted by Alicia Elene Cunningham (acunnin6@salud.unm.edu) on 2015-06-22T17:23:07Z No. of bitstreams: 2 Capstone _Alicia Cunningham.pdf: 165230 bytes, checksum: b73ac1ae77317371c79e3c4187892fea (MD5) Capstone Poster_Alicia Cunningham.pdf: 301762 bytes, checksum: 704134a413a179a9b1f66c49cdcfa592 (MD5), Made available in DSpace on 2015-06-22T17:23:07Z (GMT). No. of bitstreams: 2 Capstone _Alicia Cunningham.pdf: 165230 bytes, checksum: b73ac1ae77317371c79e3c4187892fea (MD5) Capstone Poster_Alicia Cunningham.pdf: 301762 bytes, checksum: 704134a413a179a9b1f66c49cdcfa592 (MD5) Previous issue date: 2015

Document Type

Capstone

Keywords

Incomplete spinal cord injury, functional electrical stimulation, treatment for drop foot, gait, physical therapy

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