Neurocare Ltd

"The North West Specialist Foot Drop Clinic"

A new specialist foot drop clinic has been established in the Northwest Region. The service is specifically tailored to specialist assessment and treatment of clients with a dropped foot. Clients are advised as to the most appropriate method of management in order to relieve some of their symptoms and maximise their walking potential. Services include:

• Assessment and provision of the dropped foot stimulator
• Walking re-education
• Assessment and provision of lightweight ankle supports / splints
• Specialised physiotherapy treatment
• Individualised home exercise programmes
  

What is a Dropped Foot ?

A dropped foot is when you are unable to lift the foot up from the ankle. This results in catching the toes, tripping and the need to lift the leg higher from the hip during walking. This can make walking effortful and unsteady

One of the most effective methods of managing a dropped foot is with the use of a dropped foot stimulator. The Royal College of Physicians have recommended this treatment in the National Clinical Guidelines for Stroke but it is also of great benefit to foot drop sufferers from other upper motor neuron lesions for example, M. S and Head Injury. This evidenced-based treatment has been extensively researched and articles can be viewed at www.salisburyfes.com.

What Is A Dropped Foot Stimulator ?

The dropped foot stimulator is a device which activates the nerve to allow the foot to lift during walking. It comprises of a small box about the size of a pack of cards which discretely fits onto the waistband. Leads connect the stimulator to two electrodes on the shin and a switch under the insole of the shoe. The switch is pressure sensitive and triggers the foot to lift to clear the floor as you take a step. The stimulator is comfortable to use and can be worn with all your normal clothing and footwear

Benefits of Using a Dropped Foot Stimulator During Walking Include …..

• Reduced frequency of tripping and falling
• Improved steadiness
• Reduced effort
• Ability to walk further and faster with less fatigue
• Improved confidence
• Reduced need for a stick or other walking aids
• Improved walking style and posture
• Muscle strengthening
• Improved circulation
• Reduced swelling
• Reduction in pain
• Improved quality of life
  

The clinic is run by a chartered physiotherapist with over 10 years experience in Neurological Rehabilitation, who has undergone training in the use of functional electrical stimulation. She has now become a qualified practitioner in the assessment and provision of the foot drop stimulator.

Previously clients in the North West region could only access this service by travelling to clinics in Birmingham or Salisbury.

On referral to the clinic you will be given an initial assessment to determine if you respond well to the stimulation. If it is felt to be of benefit a stimulator can be ordered and programmed for your individual specific needs. You would be instructed in how to apply the stimulator independently to ensure safe and effective use. It is recommended that you attend the clinic at regular intervals for monitoring and you can always contact the clinic if any questions / problems arise.

If the stimulator is not appropriate you will be assessed for the suitability of other lightweight ankle supports/splints available to make your walking as easy and efficient as possible. You may also be advised regarding suitable home exercises and if any follow up physiotherapy treatment would be beneficial.

If you would like to discuss the suitability of a stimulator for yourself or require any further information, please do not hesitate to contact the clinic.