Musculoskeletal (Exoskeleton) Workshop:
Tracks
Risso 8
| Thursday, November 7, 2019 |
| 8:50 AM - 10:20 AM |
| Risso 8 |
Overview
To walk or not to walk: the current state of the use of exoskeletons in patients with spinal cord injury.
Speaker
Dr Marije Vos
Md (rehabilitation Physician), Phd
Sint Maartenskliniek Nijmegen, The Netherlands
To walk or not to walk: the current state of the use of exoskeletons in patients with spinal cord injury
Abstract
One of the major consequences of a spinal cord injury (SCI) is the loss of mobility. People with a complete SCI have lost the opportunity to walk and patients with an incomplete SCI often need assistive devices. Due to the current technological innovations, possibilities for improvement of walking capacity have increased. A powered exoskeleton is such an intervention. By the use of an exoskeleton people can overcome obstacles like stairs and there may be a positive psychological effect of standing upright. The use of an exoskeleton may also have a positive effect on health issues like spasticity, bladder and bowel function and back pain.
Currently, powered exoskeletons are used for the training of walking function in patients with incomplete SCI and for compensation of walking in patients with complete SCI. Previous studies have shown that the training is feasible and safe (Miller et al, 2016; Baunsgaard et al, 2017; van Dijsseldonk et al, 2017). During this workshop we will present the experiences and results of these training programs in both complete and incomplete SCI from several European sites. Furthermore, some advices for use in daily clinical practice will be given.
So far, various improvements are needed for exoskeleton use at home during daily routines. One of the most mentioned improvements, both by users and clinicians, is the ability to use an exoskeleton without crutches. In the last part of this workshop we will therefore focus on the balance control of powered exoskeletons and what is necessary to make a next step in the future of wearable exoskeletons.
Presentations:
Prof Biering-Sorensen: Gait training after spinal cord injury: safety, feasibility and gait function after training with the exoskeletons from Ekso Bionics- results of a multicenter study
Dr Molinari: Advanced technology in the clinic for everyday neurological rehabilitation, use of exoskeletons, translation to clinical use
Drs van Dijsseldonk/ Dr van Nes: Feasibility and functional use of exoskeleton in complete SCI- results of use at home
Dr van Asseldonk: Towards improved support of balance in exoskeletons technical innovations end development
Currently, powered exoskeletons are used for the training of walking function in patients with incomplete SCI and for compensation of walking in patients with complete SCI. Previous studies have shown that the training is feasible and safe (Miller et al, 2016; Baunsgaard et al, 2017; van Dijsseldonk et al, 2017). During this workshop we will present the experiences and results of these training programs in both complete and incomplete SCI from several European sites. Furthermore, some advices for use in daily clinical practice will be given.
So far, various improvements are needed for exoskeleton use at home during daily routines. One of the most mentioned improvements, both by users and clinicians, is the ability to use an exoskeleton without crutches. In the last part of this workshop we will therefore focus on the balance control of powered exoskeletons and what is necessary to make a next step in the future of wearable exoskeletons.
Presentations:
Prof Biering-Sorensen: Gait training after spinal cord injury: safety, feasibility and gait function after training with the exoskeletons from Ekso Bionics- results of a multicenter study
Dr Molinari: Advanced technology in the clinic for everyday neurological rehabilitation, use of exoskeletons, translation to clinical use
Drs van Dijsseldonk/ Dr van Nes: Feasibility and functional use of exoskeleton in complete SCI- results of use at home
Dr van Asseldonk: Towards improved support of balance in exoskeletons technical innovations end development
Biography
Organizer/research coordinator: Dr Marije Vos-van de Hulst, MD/PhD, Research /Rehabilitation Centre Sint Maartenskliniek Nijmegen, The Netherlands
Chairperson: Noël Keijsers, PhD , Research /Rehabilitation Centre Sint Maartenskliniek Nijmegen, The Netherlands
Speakers:
1. Prof. Fin Biering-Sørensen, MD, DMSc -Clinical professor, University of Copenhagen, Denmark, Clinic for Spinal Cord Injuries, NeuroScience Centre; Havnevej 25, DK-3100 Hornbæk, Denmark
Subject: Gait training after spinal cord injury: safety, feasibility and gait function after training with the exoskeletons from Ekso Bionics- results of a multicenter study
Conflicts of interest: Eksobionics supported the Multicenter European study financially in the protocol phase and with creation of the database developed for the project.
2. Dr. Marco Molinari MD PhD - Director Neurorehabilitation and Spinal Center, Director Clinical Translational Research, Head Neuro-Robot Rehabilitation Lab; IRCCS Fondazione Santa Lucia Via Ardeatina 306 00179 Roma Italy
Subject: Advanced technology in the clinic for everyday neurological rehabilitation, use of exoskeletons, translation to clinical use
Conflicts of interest: none
3. Drs. R. van Dijsseldonk, PhD student/ Dr I van Nes, Rehabilitation PhysicianRehabilitation Centre (Spinal cord injury) and research Sint Maartenskliniek Nijmegen, The Netherlands
Subject: Feasibility and functional use of exoskeleton in complete SCI- results of use at home
Conflicts of interest: none
4. Dr. E H.F. van Asseldonk, associate professor
University of Twente, Enschede, The Netherlands
Subject: Towards improved support of balance in exoskeletons technical innovations end development
Conflicts of interest: none
