b'Symptom ManagementAssistive Devices for MS Assistive Devices for MS Tech support can ease mobility and bladder issues. Tech support can ease mobility and bladder issues. By Dr. Ben ThrowerFor those living with multiple sclerosis andaround a few years, but the technology has the healthcare providers that serve them, theadvanced and there is one newer option. The dream is for therapies that reverse disability.three most used FES devices for foot drop are While research is moving us one step closerthe Bioness L300 Go, the WalkAide, and to this dream, currently available assistivethe newer Cionic Neural Sleeve. With MS, devices may help people adapt to the presentdemyelinationinthebrainorspinalcord challenges exhibited by their MS.may limit the ability of an electrical signal to MoobbiilliittyyDDeevviicceess reach the muscles in the leg. These devices MGait dysfunction and mobility issues areprovide an external electrical signal to alert common for those living with MS. Gait may bethe muscle to walk, which improves the gait. a cause of weakness in the ankle dorsiflexorEach of these devices has pros and cons, and muscles or foot drop. However, foot drop mayaphysicaltherapistcanhelpdetermine not be the only issue affecting walking. Losswhich one might be best suited for you. of sensation, incoordination, and spasticityAnother newer development in technology may also be contributing factors. Given theto improve walking is the Helius Portable complex nature of gait dysfunction, it is highlyNeuromodulation Stimulator device. This advisable to work with a physical therapist todevice hopes to promote neural plasticity or a determine what is affecting your individualisticrerouting of electrical information to improve gait issues. Part of that evaluation may includefunction. The PoNS device is worn around trying devices to help with foot drop.the neck and has a small electrode that sits comfortably on the tongue. The device is worn Foot drop has been traditionally managedonlyduringphysicaltherapyorexercise. with braces, such as an ankle foot orthotic, whichStudies in MS have shown improvements in still may be appropriate for some. Functionalwalkingwiththedevice.Therearesome electricalstimulationdeviceshavebeenchallenges in seeing widespread use of this msfocusmagazine.org 6'