Is WalkAide for You?

WalkAide Screening Questionnaire

I have a pacemaker or severe cardiac disease.	6
I have a history of seizures.	5
I often lose my balance and fall several times a day or week.	5
I am pregnant or expecting to become pregnant.	5
I have significant contractures (i.e. extreme muscle tightness) at the ankle, knee and/or hip.	5
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
I do little to no walking. I only stand to transfer from the bed to a chair or the chair to the toilet.	4
I have been diagnosed with foot drop by my doctor.	0
My foot drop is related to a stroke, brain injury, multiple sclerosis, incomplete spinal cord injury, cerebral palsy or other neurological condition.	0
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
I occasionally stumble because my foot does not always lift up at the correct time during walking.	0
I have discussed the possibility of using functional electrical stimulation for walking with my physician and they support my interest.	0
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
Total Score… If your score is 4 or LESS, the WalkAide may be right for you.	_______

þ     The WalkAide has been cleared for market by the FDA and is effective for some people with certain types of physical limitations. 

þ     Insurance companies presently do not cover the cost of this new medical technology.

þ     You can also learn more about the WalkAide by visiting the WalkAide website at www.Walkaide.com