New device steps up fight against foot drop

9/2/2008

By Susan Christensen
Special to the Advocate

Yvonne Porter used to be nervous about every step. But now the Madison retiree walks with confidence, thanks to a new electronic device that helps her overcome the crippling effects of a condition called foot drop.

“I’ve told a lot of people I’m going to be the Bionic Woman,” she said. “Now I can walk without the fear of falling.”

The muscles that lift Porter’s foot were weakened by multiple sclerosis. Foot drop also can be caused by stroke, cerebral palsy, Parkinson’s disease, brain injury or incomplete spinal cord injury.

Until recently, the only remedy was a rigid foot brace – hardly a favorite accessory for a woman who loves fashionable shoes. So when Porter heard of a device that stimulates weakened or paralyzed muscles, she immediately wanted to know more.

Her neurologist referred her to Methodist Outpatient Neurological Rehabilitation in Flowood, where she was able to try out the Ness L300 Foot Drop System. A similar device called the WalkAide is available at Methodist Rehabilitation Center’s Orthotics & Prosthetics clinics.

The devices aren’t for everyone with foot drop. Because they employ an electrical current, they’re inappropriate for people with cardiac pacemakers or defibrillators. Nor are they recommended for people who have fractures, dislocations or cancer in the leg.

But for those who meet the criteria, the devices provide a variety of benefits, said Rhonda Fetcko, a physical therapist at Methodist Rehab. “I like that the device stimulates muscles that are weak or paralyzed while the person is walking,” she said. “It is like getting therapy when you’re just walking around.”

The devices work like this: Electrodes contained in a cuff worn just below the knee provide gentle stimulation to the peroneal nerve. Located on the outside of the lower leg, this nerve activates the muscles that lift the foot during walking. Specially trained staff at Methodist Rehab fine-tune the electrical stimulation to create the most effective walking pattern for each user.

Once the settings are determined, users can make some adjustments on their own, Fetcko said. “Yvonne can change the intensity if she is going up stairs and needs more ankle flexion. And she can increase it in the afternoon when she is fatigued, which often happens with people who have MS.”

The electrodes can evoke a light tingling sensation, which can be disconcerting for some. Jennifer Long, clinical manager for Methodist Orthotics & Prosthetics in Flowood, well remembers Steve Appelbee’s reaction when he tried the WalkAide for the first time.

“He got very emotional,” she said. “He said it had been seven years since he had a stroke and he hadn’t felt anything in his right leg since then. When he actually felt the nerve impulses – it was a big thing for him.”

“It was like wow – my leg is like it is supposed to be,” said the Madison resident. “It feels natural just walking.”

Porter said the device has restored her confidence. “Before, I had a fear of falling. Now I can go in the yard without my husband watching me or walk around the block without someone having to go with me. It’s freedom.”

Now that she’s more steady on her feet, Porter has plans to return to favorite activities like shopping and going to the gym. And she already has next year’s Multiple Sclerosis Walk on her calendar. “I said if I had my machine this year I probably wouldn’t have come in last.”
 
Appelbee also is enjoying his new capabilities, particularly the chance to look “more normal” as he escorted his daughter Jill to the altar during her June wedding on the Biloxi Schooner Pier. “It was a long walk down the pier, but I was able to make it easily with the help of my WalkAide,” he said.
 
LEARN MORE
For more information on devices for foot drop, call Methodist Outpatient Neurological Rehabilitation at 601-936-8889 or Methodist Orthotics & Prosthetics at 601-936-8899 or 1-866-306-9933.