Patients' perceptions of the Odstock Dropped Foot Stimulator (ODFS)

Taylor, Paul N.; Burridge, Jane; Dunkerley, Anna L; Lamb, Amanda; Wood, Duncan; Norton, Jonathan; Swain, Ian

doi:10.1191/026921599677086409

Cited by 113 publications

(101 citation statements)

References 7 publications

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“…Clinical advancements made possible by NP technology include those that restore hearing (Clark et al, 1977;Kessler, 1999;Spelman, 1999), respiration (DiMarco, 2001), bladder voiding (Brindley et al, 1982;Grill et al, 2001), and upper and lower extremity control (Kraft et al, 1992;Kralj et al, 1988;Liberson et al, 1961;Prochazka et al, 1997;Taylor et al, 1999;Weingarden et al, 1998). A subset of these prostheses communicates with neural tissue via penetrating multiple-electrode arrays (MEAs), which can provide highly specific and robust activation of the targeted neurons (Branner et al, 2001;Hillman et al, 2003;McDonnall et al, 2004;Tyler and Durand, 2002).…”

Section: Introductionmentioning

confidence: 99%

A lithographically-patterned, elastic multi-electrode array for surface stimulation of the spinal cord

Meacham

Giuly

Guo

et al. 2007

Biomed Microdevices

101

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A new, scalable process for microfabrication of a silicone-based, elastic multi-electrode array (MEA) is presented. The device is constructed by spinning poly(dimethylsiloxane) (PDMS) silicone elastomer onto a glass slide, depositing and patterning gold to construct wires and electrodes, spinning on a second PDMS layer, and then micropatterning the second PDMS layer to expose electrode contacts. The micropatterning of PDMS involves a custom reactive ion etch (RIE) process that preserves the underlying gold thin film. Once completed, the device can be removed from the glass slide for conformal interfacing with neural tissue. Prototype MEAs feature electrodes smaller than those known to be reported on silicone substrate (60 μm diameter exposed electrode area) and were capable of selectively stimulating the surface of the in vitro isolated spinal cord of the juvenile rat. Stretchable serpentine traces were also incorporated into the functional PDMS-based MEA, and their implementation and testing is described.

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Section: Introductionmentioning

confidence: 99%

A lithographically-patterned, elastic multi-electrode array for surface stimulation of the spinal cord

Meacham

Giuly

Guo

et al. 2007

Biomed Microdevices

101

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“…This research has provided evidence of the positive benefits of the application of FES, namely reduction in energy expenditure, increased gait velocity, decreased falls and improved quality of life (Taylor et al, 1999a;1999b;Burridge, 2001;Kottink et al, 2004;Robbins et al, 2006;Laufer et al, 2009; National Institute for Health and Clinical Excellence, 2009). The National Guidelines for Stroke propose that FES should only be considered when an ankle foot orthosis (AFO) does not adequately control the dropped foot and when obvious gait improvements can be demonstrated (Royal College of Physicians, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…A service review by Taylor et al (1999a) in 1999 concluded that their service met the needs of past and present users. Background information was provided on the number of patient appointments, follow-up procedure and inclusion/ exclusion criteria of their service.…”

Section: Introductionmentioning

confidence: 99%

“…Evidence supporting the efficacy of FES in a chronic stroke population has emerged in recent years (Taylor et al, 1999a;1999b;Burridge, 2001;Kottink et al, 2004;Robbins et al, 2006;Laufer et al, 2009;National Institute for Health and Clinical Excellence, 2009). This research has provided evidence of the positive benefits of the application of FES, namely reduction in energy expenditure, increased gait velocity, decreased falls and improved quality of life (Taylor et al, 1999a;1999b;Burridge, 2001;Kottink et al, 2004;Robbins et al, 2006;Laufer et al, 2009; National Institute for Health and Clinical Excellence, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…However, clear information on appointment length, composition and skill mix of professionals involved and levels of staffing was not reported. Service users' perceptions of the value of FES and satisfaction with the clinical service were collected by the clinical team, using a closed questionnaire, on diverse mixed pathologies, with a response rate of 55% (Taylor et al, 1999a). The majority of service users perceived that the clinical team provided good service with value being placed on the explanation and written information provided.…”

Section: Introductionmentioning

confidence: 99%

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A mixed methods service evaluation of a pilot functional electrical stimulation clinic for the correction of dropped foot in patients with chronic stroke

Shiels

Wilkie

Bulley

et al. 2011

Prim Health Care Res Dev

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Aim: To undertake a service evaluation of the pilot Lothian functional electrical stimulation (FES) clinic using both quantitative and qualitative methods and clinical practice reflection. Background: Clinical guidelines recommend that FES, for the management of dropped foot after stroke, is delivered by a specialist team. However, little detail is provided about the structure and composition of the specialist team or model of service delivery. A pilot Lothian FES clinic was developed to explore the clinical value of providing such a service to stroke patients with dropped foot and identify any service modifications. Methods: Mixed methods were used to evaluate the service and included quantitative, qualitative and reflective components. Phase 1: Before and after service evaluation of patients attending the FES clinic between 2003 and 2007. Outcomes of gait velocity and cadence were recorded at initial clinic appointment and 6 months after application of FES. Phase 2: Qualitative research exploring patients with stroke and carers' experiences of the FES clinic. Data were collected via semi-structured interviews. Phase 3: A reflection on the service delivery model. Participants: Phase 1: 40 consecutive out-patients with stroke; Phase 2: 13 outpatients with stroke and 9 carers; Phase 3: Three specialist physiotherapists engaged in running the FES clinic. Findings: Statistically significant improvements (p , 0.001) were demonstrated in gait velocity and cadence. Qualitatively, one super-ordinate theme 'The FES clinic met my needs' emerged. Within this were four sub-themes, namely 1. 'Getting to grips with FES wasn't difficult'; 2. 'It's great to know they're there'; 3. 'Meeting up with others really helps' and 4. 'The service is great but could be better'. On reflection, minor modifications were made to the service delivery model but overall the service met user needs. This dedicated FES clinic produced positive physical outcomes and met the needs of this chronic stroke population.

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Functional Electrical Stimulation (FES) for Stroke Rehabilitation

Tong

2006

Wiley Encyclopedia of Biomedical Engineering

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Functional electrical stimulation (FES) is generally referred to as the artificial electrical stimulation of a muscle that has diminished nervous control, with the aim of providing a muscular contraction and producing a functionally useful movement. FES is a technique that uses bursts of short electrical pulses to generate muscle contractions by stimulating motor‐neurons or reflex pathways. FES aims to generate functional movements that mimic normal voluntary movements and to restore functions that have been lost after the impairment on the nervous system. From the first successful FES application on the peroneal nerve of patients with hemiplegia for walking by Liberson et al. in 1961, various types of FES have been applied in stroke rehabilitation. The common FES applications for the rehabilitation of lower limbs and upper limbs are the drop foot stimulator and hand grasp system, respectively. The general aim of applying FES on patients after stroke is to help the person by optimizing functional motor performance and facilitating neurorehabilitation.

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Patients' perceptions of the Odstock Dropped Foot Stimulator (ODFS)

Abstract: The ODFS was perceived by the users to be of considerable benefit. A comprehensive clinical follow-up service is essential to achieve the maximum continuing benefit from FES-based orthoses.

Cited by 113 publications

References 7 publications

A lithographically-patterned, elastic multi-electrode array for surface stimulation of the spinal cord

A lithographically-patterned, elastic multi-electrode array for surface stimulation of the spinal cord

A mixed methods service evaluation of a pilot functional electrical stimulation clinic for the correction of dropped foot in patients with chronic stroke

Functional Electrical Stimulation (FES) for Stroke Rehabilitation

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