A Powered Lower Limb Orthosis for Providing Legged Mobility in Paraplegic Individuals

Overview

Journal Top Spinal Cord Inj Rehabil

Specialties Emergency Medicine
Rehabilitation Medicine

Date 2012 Jun 19

PMID 22707874

Citations 16

Authors

Hugo A Quintero

Ryan J Farris

Clare Hartigan

Ismari Clesson

Michael Goldfarb

Affiliations

Soon will be listed here.

Abstract

This paper presents preliminary results on the development of a powered lower limb orthosis intended to provide legged mobility (with the use of a stability aid, such as forearm crutches) to paraplegic individuals. The orthosis contains electric motors at both hip and both knee joints, which in conjunction with ankle-foot orthoses, provides appropriate joint kinematics for legged locomotion. The paper describes the orthosis and the nature of the controller that enables the SCI patient to command the device, and presents data from preliminary trials that indicate the efficacy of the orthosis and controller in providing legged mobility.

Citing Articles

Exoskeleton Active Walking Assistance Control Framework Based on Frequency Adaptive Dynamics Movement Primitives.

Qiu S, Guo W, Zha F, Deng J, Wang X Front Neurorobot. 2021; 15:672582.

PMID: 34093160 PMC: 8173117. DOI: 10.3389/fnbot.2021.672582.

A Review of Robot-Assisted Lower-Limb Stroke Therapy: Unexplored Paths and Future Directions in Gait Rehabilitation.

Hobbs B, Artemiadis P Front Neurorobot. 2020; 14:19.

PMID: 32351377 PMC: 7174593. DOI: 10.3389/fnbot.2020.00019.

Questionnaire results of user experiences with wearable exoskeletons and their preferences for sensory feedback.

Muijzer-Witteveen H, Sibum N, van Dijsseldonk R, Keijsers N, van Asseldonk E J Neuroeng Rehabil. 2018; 15(1):112.

PMID: 30470238 PMC: 6260663. DOI: 10.1186/s12984-018-0445-0.

Examining the Effects of a Powered Exoskeleton on Quality of Life and Secondary Impairments in People Living With Spinal Cord Injury.

Juszczak M, Gallo E, Bushnik T Top Spinal Cord Inj Rehabil. 2018; 24(4):336-342.

PMID: 30459496 PMC: 6241230. DOI: 10.1310/sci17-00055.

Supplemental Stimulation Improves Swing Phase Kinematics During Exoskeleton Assisted Gait of SCI Subjects With Severe Muscle Spasticity.

Ekelem A, Goldfarb M Front Neurosci. 2018; 12:374.

PMID: 29910710 PMC: 5992413. DOI: 10.3389/fnins.2018.00374.

References

Vukobratovic M, Hristic D, Stojiljkovic Z . Development of active anthropomorphic exoskeletons. Med Biol Eng. 1974; 12(1):66-80. DOI: 10.1007/BF02629836. View

Butler P, Major R, Patrick J . The technique of reciprocal walking using the hip guidance orthosis (hgo) with crutches. Prosthet Orthot Int. 1984; 8(1):33-8. DOI: 10.3109/03093648409145343. View

Hanson R, Franklin M . Sexual loss in relation to other functional losses for spinal cord injured males. Arch Phys Med Rehabil. 1976; 57(6):291-3. View

Brown-Triolo D, Roach M, Nelson K, Triolo R . Consumer perspectives on mobility: implications for neuroprosthesis design. J Rehabil Res Dev. 2007; 39(6):659-69. View

. Spinal cord injury facts and figures at a glance. J Spinal Cord Med. 2010; 33(4):439-40. View

Baardman G, IJzerman M, Hermens H, Veltink P, Boom H, Zilvold G . The influence of the reciprocal hip joint link in the Advanced Reciprocating Gait Orthosis on standing performance in paraplegia. Prosthet Orthot Int. 1998; 21(3):210-21. DOI: 10.3109/03093649709164559. View

Bernardi M, Canale I, Castellano V, di Filippo L, Felici F, Marchetti M . The efficiency of walking of paraplegic patients using a reciprocating gait orthosis. Paraplegia. 1995; 33(7):409-15. DOI: 10.1038/sc.1995.91. View

IJzerman M, Baardman G, Hermens H, Veltink P, Boom H, Zilvold G . The influence of the reciprocal cable linkage in the advanced reciprocating gait orthosis on paraplegic gait performance. Prosthet Orthot Int. 1997; 21(1):52-61. DOI: 10.3109/03093649709164530. View

Scivoletto G, Mancini M, Fiorelli E, Morganti B, Molinari M . A prototype of an adjustable advanced reciprocating gait orthosis (ARGO) for spinal cord injury (SCI). Spinal Cord. 2003; 41(3):187-91. DOI: 10.1038/sj.sc.3101417. View

10.

TOWNSEND M, Lepofsky R . Powered walking machine prosthesis for paraplegics. Med Biol Eng. 1976; 14(4):436-44. DOI: 10.1007/BF02476121. View

11.

Kawashima N, Sone Y, Nakazawa K, Akai M, Yano H . Energy expenditure during walking with weight-bearing control (WBC) orthosis in thoracic level of paraplegic patients. Spinal Cord. 2003; 41(9):506-10. DOI: 10.1038/sj.sc.3101494. View

12.

Ruthenberg B, Wasylewski N, Beard J . An experimental device for investigating the force and power requirements of a powered gait orthosis. J Rehabil Res Dev. 1997; 34(2):203-13. View

13.

Harvey L, Davis G, Smith M, Engel S . Energy expenditure during gait using the walkabout and isocentric reciprocal gait orthoses in persons with paraplegia. Arch Phys Med Rehabil. 1998; 79(8):945-9. DOI: 10.1016/s0003-9993(98)90092-2. View

14.

Ohta Y, Yano H, Suzuki R, Yoshida M, Kawashima N, Nakazawa K . A two-degree-of-freedom motor-powered gait orthosis for spinal cord injury patients. Proc Inst Mech Eng H. 2007; 221(6):629-39. DOI: 10.1243/09544119JEIM55. View

15.

Harvey L, Newton-John T, Davis G, Smith M, Engel S . A comparison of the attitude of paraplegic individuals to the walkabout orthosis and the isocentric reciprocal gait orthosis. Spinal Cord. 1997; 35(9):580-4. DOI: 10.1038/sj.sc.3100470. View

16.

Tashman S, Zajac F, Perkash I . Modeling and simulation of paraplegic ambulation in a reciprocating gait orthosis. J Biomech Eng. 1995; 117(3):300-8. DOI: 10.1115/1.2794185. View

17.

Yano H, Kaneko S, Nakazawa K, Yamamoto S, Bettoh A . A new concept of dynamic orthosis for paraplegia: the weight bearing control (WBC) orthosis. Prosthet Orthot Int. 1998; 21(3):222-8. DOI: 10.3109/03093649709164560. View

18.

Beillot J, Carre F, Le Claire G, Thoumie P, Cormerais A, Courtillon A . Energy consumption of paraplegic locomotion using reciprocating gait orthosis. Eur J Appl Physiol Occup Physiol. 1996; 73(3-4):376-81. DOI: 10.1007/BF02425502. View