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ADVANCING OUR PRACTICE
EXOSKELETON AT MORE REHAB
POWERED
LOWER
EXTREMITY
ORTHOSIS
INDEGO
EXOSKELETON
WHAT IS THE INDEGO FOR..
APPLICATIONS
PRODUCT POSITIONING
INDEGO EXOSKELETON
BASIC FACTS
• Motors at hips and knees
• Flexible, height adjustable,
carbon fibre AFOs
• Modular, ligh...
NOT JUST SPINAL CORD INJURED
IDEAL INDEGO USERS
• Individuals with gait impairments due to neurological conditions (spinal...
ENHANCED CONTROL AND OBSERVATION
THE INDEGO “APP”
REAL TIME INFORMATION
INDEGO DASHBOARD
• Number of steps taken
• Walking time
• Stride length
• Step symmetry
• Gait speed...
ADJUSTABLE LEVELS OF
ROBOTIC ASSISTANCE
CONTROL STRATEGY
SOFTWARE
USING THE SAME HARDWARE AND APP
TWO SOFTWARE SUITES
INDEGO FOR THERAPY & PERSONAL USE
FEATURES OF MOTION +
• Full Assist Indego provides 100% assistance at all
joints. Users ...
WALKING WITH MOTION +
FEATURES OF THERAPY +
• Gravity Reduction–Indego grossly decreases the
weight of the User’s whole leg, allowing users to
m...
WALKING WITH THERAPY +
THERAPY + WITH NON-TRAJECTORY BASED
SUPPORT
• Why non-trajectory based support?
• Allows for high patient engagement
• All...
CONTROL STRATEGY
PATIENT
IS IN
CONTROL
NON-TRAJECTORY
BASED (THERAPY
+)
THERAPY “SWEET
SPOT”
FIGURE ADAPTED FROM
GUADAGNOLI & LEE
(2004): CHALLENGE
POINT: A FRAMEWORK
FOR CONCEPTUALIZING
THE EFF...
Indego Exoskeleton in Therapy
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Indego Exoskeleton in Therapy

Our partners More Rehab purchased the Indego Therapy kit for deployment in their therapy practice. They did this because they recognised that the Indego isn't just a personal user exoskeleton but a very powerful therapy tool. The Motion + and Therapy + software suites provide completely adjustable levels of robotic assistance which allows persons recovering from stroke or dealing with MS, post trauma or other situations to get support which enhances recovery. Earlier generations of exoskeleton were not restorative in that sense as they basically "did all the work". Of course there are benefits from standing and much of the early work with these systems was with complete spinal cord injury. However, as the application of these systems widens we are seeing the benefit of these more adaptable systems for restorative therapy.

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Indego Exoskeleton in Therapy

  1. 1. ADVANCING OUR PRACTICE EXOSKELETON AT MORE REHAB
  2. 2. POWERED LOWER EXTREMITY ORTHOSIS INDEGO EXOSKELETON
  3. 3. WHAT IS THE INDEGO FOR.. APPLICATIONS
  4. 4. PRODUCT POSITIONING
  5. 5. INDEGO EXOSKELETON BASIC FACTS • Motors at hips and knees • Flexible, height adjustable, carbon fibre AFOs • Modular, lightweight construction • 5 pieces (hip section, 2 upper legs and 2 lower legs) • small, medium and large • 12 kg weight
  6. 6. NOT JUST SPINAL CORD INJURED IDEAL INDEGO USERS • Individuals with gait impairments due to neurological conditions (spinal cord injury, stroke, MS, Parkinson’s) • Good Range of Motion at hips, knees, and ankles • Upper body strength • Tolerates standing without getting lightheaded / dizzy • Height: 155cm to 195cm • Weight: less than 113 kg • NO open skin areas where Indego touches skin • Minimal to Moderate levels of spasticity (Modified Ashworth 3 or below) • Healthy Bones
  7. 7. ENHANCED CONTROL AND OBSERVATION THE INDEGO “APP”
  8. 8. REAL TIME INFORMATION INDEGO DASHBOARD • Number of steps taken • Walking time • Stride length • Step symmetry • Gait speed • Data can be saved and exported
  9. 9. ADJUSTABLE LEVELS OF ROBOTIC ASSISTANCE
  10. 10. CONTROL STRATEGY
  11. 11. SOFTWARE
  12. 12. USING THE SAME HARDWARE AND APP TWO SOFTWARE SUITES
  13. 13. INDEGO FOR THERAPY & PERSONAL USE FEATURES OF MOTION + • Full Assist Indego provides 100% assistance at all joints. Users with or without any leg function can stand and walk. • Variable Assist–The level of Indego assistance can be decreased in 10% increments at the right and left hip and knee joints • Pre-Gait Training–Indego stabilises Users’ hips and knees during static or dynamic standing exercises like weight shifts • Advanced Gait–Advanced Indego users can walk faster and with a more natural gait pattern • Vibratory Feedback–Indego communicates information on the User’s position
  14. 14. WALKING WITH MOTION +
  15. 15. FEATURES OF THERAPY + • Gravity Reduction–Indego grossly decreases the weight of the User’s whole leg, allowing users to move more easily • Active Swing–Indego actively assists with swing phase at the hip and/or knee • Stance Support–Indego actively assists at the knee during stance, decreasing the risk of knee buckling or hyperextension • Auditory Feedback–Indego provides Users with an auditory cue regarding step length and symmetry • 9
  16. 16. WALKING WITH THERAPY +
  17. 17. THERAPY + WITH NON-TRAJECTORY BASED SUPPORT • Why non-trajectory based support? • Allows for high patient engagement • Allows for error augmented learning • Allows for most individualised gait therapy approach • Allows for goal-oriented gait therapy • Allows for real-time performance feedback
  18. 18. CONTROL STRATEGY
  19. 19. PATIENT IS IN CONTROL NON-TRAJECTORY BASED (THERAPY +)
  20. 20. THERAPY “SWEET SPOT” FIGURE ADAPTED FROM GUADAGNOLI & LEE (2004): CHALLENGE POINT: A FRAMEWORK FOR CONCEPTUALIZING THE EFFECTS OF VARIOUS PRACTICE CONDITIONS IN MOTOR LEARNING, JOURNAL OF MOTOR BEHAVIOR, 36:2, 212-224

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