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  4. A Framework for Measuring the Progress in Exoskeleton Skills in People with Complete Spinal Cord Injury

A Framework for Measuring the Progress in Exoskeleton Skills in People with Complete Spinal Cord Injury

Frontiers in Neuroscience, 2017 · DOI: 10.3389/fnins.2017.00699 · Published: December 12, 2017

Spinal Cord InjuryAssistive TechnologyNeurology

Simple Explanation

The study developed and tested a framework to measure progress in exoskeleton skills for people with spinal cord injury. This framework helps track the ability to perform basic and advanced skills needed for safe exoskeleton use. Twelve participants with paraplegia were trained using the Rewalk exoskeleton over eight weeks. Their skills were assessed using intermediate and final skills tests to measure their progress. The framework uses a hierarchical order of skills, where skills increase in difficulty. This allows for efficient testing and evaluation of exoskeleton skill development during a training program.

Study Duration
8 weeks
Participants
12 participants with paraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Participants showed a significant increase in achieved intermediate skills during the training program, demonstrating progress in their ability to use the exoskeleton.
  • 2
    The framework's hierarchical order of skills was validated by a high coefficient of reproducibility, indicating that the skills were appropriately ordered by difficulty.
  • 3
    The consistency of skill performance was acceptable, suggesting that the framework is reliable for measuring exoskeleton skills.

Research Summary

This study developed and tested a framework for measuring progress in exoskeleton skills in individuals with complete spinal cord injury. The framework includes hierarchical skill tests to assess basic and advanced skills during a training program. The results showed a significant improvement in participants' exoskeleton skills throughout the training, with the framework demonstrating acceptable reliability and the ability to discriminate across different skill levels. The developed framework offers a structured approach to evaluate exoskeleton training programs and can be used to assess an individual's readiness for independent exoskeleton use in the community.

Practical Implications

Structured Training Programs

Provides a structured framework for developing and implementing exoskeleton training programs.

Skill Assessment

Offers a reliable method to assess an individual's exoskeleton skill level and track their progress during training.

Community Readiness

Can be used to determine when an individual with SCI is ready for independent exoskeleton use in the community.

Study Limitations

  • 1
    The sample size was relatively small, which may limit the generalizability of the findings.
  • 2
    The study focused on a single type of exoskeleton (ReWalk), and the results may not be directly applicable to other exoskeleton models.
  • 3
    The long-term impact of exoskeleton training and the sustainability of skill gains were not assessed in this study.

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