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  4. A Preliminary Assessment of Legged Mobility Provided by a Lower Limb Exoskeleton for Persons With Paraplegia

A Preliminary Assessment of Legged Mobility Provided by a Lower Limb Exoskeleton for Persons With Paraplegia

IEEE Trans Neural Syst Rehabil Eng, 2014 · DOI: 10.1109/TNSRE.2013.2268320 · Published: May 1, 2014

Spinal Cord InjuryAssistive TechnologyBiomedical

Simple Explanation

This study assesses a lower limb exoskeleton's ability to help people with paraplegia walk. It compares walking with the exoskeleton to walking with traditional knee–ankle–foot orthoses (KAFOs). The assessment uses tests like the timed up-and-go, Ten-Meter Walk Test, and Six-Minute Walk Test to measure standing, walking, turning, and sitting abilities. The results showed that the subject could perform these tests faster and with less exertion using the exoskeleton compared to KAFOs, especially during walking.

Study Duration
Not specified
Participants
Single subject with a T10 motor and sensory complete injury
Evidence Level
Single-subject case study

Key Findings

  • 1
    The subject performed the timed up-and-go test 25% faster with the exoskeleton compared to KAFOs.
  • 2
    The subject completed the 10 MWT and 6 MWT 70% and 80% faster, respectively, with the exoskeleton compared to KAFOs.
  • 3
    The exoskeleton required 1.6, 5.2, and 3.2 times less exertion than KAFOs for the timed up-and-go, 10 MWT, and 6 MWT, respectively.

Research Summary

This paper assessed a lower limb exoskeleton for providing legged mobility to people with paraplegia, comparing it to KAFOs using standardized tests. Results indicated the subject performed mobility tests faster and with less exertion using the exoskeleton, particularly in walking tasks. The study concludes that the exoskeleton enhances walking speed and reduces exertion compared to KAFOs, especially during steady-state walking.

Practical Implications

Enhanced Mobility

Exoskeletons can significantly improve walking speed and distance for individuals with paraplegia.

Reduced Exertion

Exoskeletons can decrease the physical effort required for ambulation, potentially improving long-term health outcomes.

Clinical Assessment

Standardized assessment instruments like TUG, 10MWT, and 6MWT can be used to evaluate the efficacy of lower limb orthoses.

Study Limitations

  • 1
    Single-subject case study limits generalizability
  • 2
    KAFO assessments were conducted before exoskeleton assessments, potentially introducing bias
  • 3
    Subject had more experience with KAFOs than the exoskeleton

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