Targeted treatment of weak foot dorsiflexion after a stroke

Peroneal nerve palsy after a stroke

In Germany, around 270,000 people are affected by a stroke (also known as an apoplexy or brain insult) every year: An acute circulatory disorder interrupts the supply of oxygen and nutrients to the brain cells. Severely damaged, these cells die. This results in loss of brain function, often in the form of numbness, loss of speech and vision or signs of paralysis – making a stroke the most common cause of foot drop.

What is a stroke?

As a result of the dopamine deficiency, the brain can no longer control and coordinate the body’s movements. This manifests itself in symptoms such as trembling (tremor), muscle stiffness (rigor) and slowed movement (bradykinesia). Due to the increasing difficulty in controlling motor processes, the patient’s gait pattern also deteriorates – resulting in foot drop. Functional electrical stimulation can replace the lost movement stimuli, so to speak, and thus support movement sequences: The peroneal nerve is controlled directly via electrodes on the skin and is therefore not dependent on signals from the brain – this enables the patient to walk more naturally and safely.

Intelligent foot lifting system - mobile again with the innoSTEP-WL

Applications and benefits of functional electrical stimulation

For which clinical pictures or diagnoses is FES possible?

  • Stroke
  • Multiple sclerosis
  • Craniocerebral trauma
  • Cerebral palsy (infantile)
  • Incomplete spinal injury
  • neurological diseases
  • Accidents (heavy falls or impacts)
  • Herniated disc

Advantages of functional electrical stimulation (FES)

  • Risk of falling is reduced
  • Walking speed is increased
  • Muscle atrophy is reduced
  • Independence is increased

The innoSTEP-WL is an innovative, wireless FES system for functional electrical stimulation in cases of weak foot dorsiflexion and can help patients to improve their mobility and quality of life: Impulses are sent to the peroneal nerve (fibular nerve) via electrodes on the leg and transmitted to the shin muscle (tibialis anterior muscle) so that the foot lifts when walking. The foot lift system thus enables a more natural, safer gait pattern through electrical stimulation. In the long term, the repeated transmission of stimuli through the central nervous system together with effective EMS training can lead to neuronal realignment and a lasting improvement in gait.

Neurologists and specialists play a key role in the comprehensive care of foot drop and multiple sclerosis. A collaborative approach between different specialists ensures holistic care and individualized treatment plans.

How do I get my innoSTEP-WL foot drop system?

The innoSTEP-WL is an aid for functional electrical stimulation in cases of weak foot dorsiflexion, which can be prescribed by a doctor and covered by statutory health insurance. The necessary prescription can be issued by your family doctor or specialist. More and more doctors are giving you the option of requesting your prescription by phone or e-mail without having to visit the practice. Talk to your doctor. Care is then provided in two different ways, depending on the patient’s insurance status:

Legally insured persons
  1. The customer has a prescription issued via the innoSTEP-WL and sends it to HELLER MEDIZINTECHNIK GmbH & Co. KG (Europaplatz 2, 35619 Braunfels).
  2. HELLER MEDIZINTECHNIK prepares a cost estimate for a four-week trial and forwards it to the responsible health insurance company.
  3. After approval by the health insurance company, the insured person receives the innoSTEP-WL electrical cuff and is instructed in how to use it. Comprehensive patient documentation is created in accordance with the GKV guidelines, including a video of the gait pattern with and without the aid.
  4. If the insured person wishes to continue using the device after the four weeks have elapsed, they must send a follow-up prescription from their doctor to HELLER MEDIZINTECHNIK.
  5. HELLER MEDIZINTECHNIK submits a cost estimate to the respective health insurance company for permanent approval.
  1. The customer obtains a prescription for the innoSTEP-WL and orders the device from HELLER MEDIZINTECHNIK.
  2. HELLER MEDIZINTECHNIK prepares a cost estimate or an invoice for the purchase of the foot drop system (if required, also for a trial period of 4 weeks), which the insured person submits to his private health insurance company.
  3. Once the invoice has been settled, the insured person receives the innoSTEP-WL electrical cuff and is instructed in how to use it. Comprehensive patient documentation is created, including a video of the gait pattern with and without the aid.
  4. In the event of a trial, HELLER MEDIZINTECHNIK shall send the customer a cost estimate for the complete supply after the 4 weeks have elapsed.

Do you have any questions?

We will of course be happy to advise you on the supply of the innoSTEP-WL: simply call us on +49 (0)6442 9421-0, send us an e-mail or use our contact form. Further information and materials – such as a sample prescription – can be found here.

Cookie Consent with Real Cookie Banner