Article

Spastic drop foot is a functional impairment causing significant morbidity and
mortality. Multiple treatments are available for this condition, but it is often
not clear which treatment or combination of treatments is optimal for a given
patient. One relatively recent therapy is the use of functional electrical
stimulation to stimulate the peroneal nerve. Another is the use of botulinum
toxin injections in the spastic ankle plantar flexors. While reasons exist to
think these two treatments might work effectively in combination, there is no
clear consensus in the literature. In this article, I review the background of
the pathophysiology of spastic drop foot and its treatment options. I present
some of the theoretical reasons why functional electrical stimulation and
botulinum toxin injections could work synergistically and present a literature
review on the topic. Recommendations for future research are discussed.

Langue : ANGLAIS