School of Health and Social Care, University of Bournemouth, Talbot Campus, Poole, Dorset, UK; and School of Design, Engineering and Computing, University of Bournemouth, Talbot Campus, Poole, Dorset, UK.
Neuromodulation. 2010 Jan;13(1):58-64. doi: 10.1111/j.1525-1403.2009.00250.x.
Introduction. Gait speed is often used as a proxy for gait quality. However, some users of FES devices for correction of dropped foot choose to continue to use the device despite no significant change in speed. The Psychosocial Impact of Assistive Devices Scale (PIADS) was used to evaluate the effects of the Odstock Dropped Foot Stimulator (ODFS) on perceived quality of life (QOL) for people with stroke and multiple sclerosis (MS) and was compared with change in walking speed. Method. A total of 21 people with stroke and 20 with MS completed the PIADS questionnaire after 18 weeks of using the ODFS. Walking speed was recorded more than 10 m with and without stimulation. Results. Both groups recorded positive median scores for all three sections of the PIADS questionnaire: Competence (1.25 stroke, 0.91 MS), Adaptability (1.25 stroke, 0.50 MS), and Self-esteem (0.88 stroke, 0.75 MS). These were significantly greater for the stroke than the MS group for Competence, p= 0.04 and Adaptability, p= 0.006. There was no significant correlation between changes in PIADS and changes in walking speed. Conclusions. FES for correction of dropped foot has a beneficial effect on perceived QOL for people with stroke and MS but this is not correlated with an objective measures of gait.
简介。步速常被用作步态质量的替代指标。然而，一些使用 FES 设备纠正足下垂的用户尽管步速没有明显变化，仍选择继续使用该设备。使用辅助设备心理社会影响量表（PIADS）评估奥多斯特罗克足下垂刺激器（ODFS）对中风和多发性硬化症（MS）患者生活质量（QOL）的影响，并与步行速度的变化进行比较。方法。共有 21 名中风患者和 20 名 MS 患者在使用 ODFS 18 周后完成了 PIADS 问卷。记录了有和没有刺激的 10 米以上的步行速度。结果。两组患者的 PIADS 问卷的所有三个部分（能力、适应性和自尊心）都记录了中位数得分较高：中风组分别为 1.25 和 0.91，MS 组为 0.50 和 0.75。中风组在能力和适应性方面的得分显著高于 MS 组，p=0.04 和 p=0.006。PIADS 变化与步行速度变化之间没有显著相关性。结论。FES 纠正足下垂对中风和 MS 患者的感知 QOL 有有益的影响，但与步态的客观测量无关。
