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Foot Drop Stimulators for Foot Drop: A Review of Clinical, Cost-Effectiveness and Guidelines

Last updated: November 21, 2018
Project Number: RC1032-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical-effectiveness of myoelectric orthotics for patients with foot drop?
  2. What is the cost-effectiveness of myoelectric orthotics for patients with foot drop?
  3. What are the evidence-based guidelines regarding myoelectric orthotics for patients with foot drop?

Key Message

In people with foot drop caused by stroke, functional electrical stimulators (FES) seems to lead to the same functional outcome (walking speed) and Body Functions & Structures outcomes compared to ankle and foot orthosis (AFO), and the combination of FES and rehabilitation seems to improve walking speed compared to rehabilitation alone. FES may significantly reduce the perceived exertion compared to AFO in those with multiple sclerosis-related foot drop. There were no relevant cost-effectiveness and guidelines on the use of FES for foot drop identified.