Foot drop, a common consequence of stroke and other neurological conditions, presents a significant mobility challenge for so many survivors, including me. Traditional management often relies on ankle-foot orthoses (AFOs) and/or compensatory walking strategies, which can be restrictive or increase metabolic cost during ambulation. The development of adaptive footwear, such as the Cadense shoe, represents an innovative approach to mitigating the functional deficits associated with foot drop: via hrough its patented Variable Friction Technology, Cadense aims to reduce tripping hazards and facilitate a smoother, more efficient gait pattern for individuals with neuromuscular weakness.
The core of the Cadense technology lies in its unique outsole design. The sole features two elevated nylon pucks on either side of the shoe’s forefoot, creating a low-friction surface that facilitates a gliding motion during the swing phase of the gait cycle. This allows the foot to slide over obstacles and uneven surfaces more easily, addressing the primary cause of tripping in individuals with foot drop. As the foot comes into contact with the ground during the stance phase, pressure on the shoe activates a recessed, high-friction rubber section of the sole, which provides a stable platform for stopping and toe-off, ensuring users maintain control and confidence throughout the walking process.
For stroke survivors, user testimonials and early reports suggest a positive reception. Reviewers frequently praise the shoe’s ability to reduce their fear of tripping and falling, leading to increased confidence and independence. Many users note that the shoe’s design, which includes an easy-on, easy-off Velcro closure disguised as laces, simplifies their daily routines. The aesthetic is also frequently mentioned, with users appreciating that the shoe looks like fashionable, regular trainers rather than overt medical or orthopaedic footwear. For some, the use of the Cadense shoe has even enabled them to decrease their reliance on or forgo an AFO altogether, although it is important to note this varies based on the individual’s specific needs and the severity of their foot drop.
Early research, including an NIH-funded study at the Shirley Ryan Ability Lab, is investigating the clinical impact of this variable friction technology on gait mechanics and training outcomes.
Cadense adaptive footwear is indeed available for purchase in the UK. The shoes can be bought directly from the Cadense UK website, Cadense.co.uk. The price for a pair of the adaptive trainers is approximately £199.99. Shoppers are often offered free delivery and a 30-day risk-free trial period, allowing users to test the shoes’ effectiveness before committing to the purchase. The availability of different styles and sizes, including wide-fit options, further enhances accessibility for individuals with diverse needs.
While the Cadense shoe offers a promising, non-invasive intervention for foot drop, survivors considering this or any adaptive footwear should consult with a ARNI instructor or other physio to ensure it is appropriate for their specific rehabilitation goals and walking impairments.
