| I have a pacemaker or severe cardiac disease. |
6 points |
| I have a history of seizures |
5 points |
| I often lose my balance and fall several times a day or week |
5 points |
| I am pregnant or expecting to become pregnant. |
5 points |
| I have significant contractures (i.e. extreme muscle tightness) at the ankle, knee and/or hip |
5 points |
| I have discussed the possibility of using functional electrical stimulation with my physician and was told it was not indicated because of other medical conditions. |
5 points |
| I do little to no walking. I only stand to transfer from the bed to a chair or the chair to the toilet. |
4 points |
| I have been diagnosed with foot drop by my doctor. |
0 points |
| My foot drop is related to a stroke, brain injury, multiple sclerosis, incomplete spinal cord injury, cerebral palsy or other neurological condition. |
0 points |
| I am unable to lift my foot effectively during walking, which forces me to drag the foot or engage in a high-stepping gait. |
0 points |
| I occasionally stumble because my foot does not always lift up at the correct time during walking. |
0 points |
| I have discussed the possibility of using functional electrical stimulation for waling with my physician and they support my interest. |
0 points |
| Walking with my current orthopedic devices (AFOs, canes, walkers, etc.) is very tiring, requiring me to rest often or not participate in many activities |
0 points |
| If your score is 4 or LESS, the WalkAide may be right for you............TOTAL |
_______ |
| |
|
| •The WalkAide has been cleared for market by the FDA and is effective for some people with certain types of physical limitations |
| •Insurance companies presently do not cover the cost of this new medical technology. |
| •You can also learn more about the WalkAide by visiting the WalkAide web site at www.walkaide.com |
