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Updated: Aug 31, 2025

Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton
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Functional Mobility Training with a Powered Knee and Ankle Prosthesis.

Suzanne B Finucane1, Levi J Hargrove1,2,3, Ann M Simon1,2

  • 1Center for Bionic Medicine, Shirley Ryan Abilitylab, Chicago, IL, USA.

Frontiers in Rehabilitation Sciences
|August 25, 2022
PubMed
Summary
This summary is machine-generated.

New training protocols enabled amputees with powered lower limb prostheses to regain mobility. Most participants achieved independence in walking and sit-to-stand, demonstrating the effectiveness of these advanced prosthetic devices.

Keywords:
above-knee amputationambulationartificial legphysical therapyrehabilitationrobotic prosthesis

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Biomechanics

Background:

  • Limb loss at the transfemoral or knee disarticulation level significantly impairs mobility.
  • Powered lower limb prostheses offer potential for enhanced functional mobility and return to daily activities.
  • Advanced prosthetic devices necessitate innovative training for both amputees and clinicians.

Purpose of the Study:

  • To develop and evaluate a functional mobility training protocol for individuals with transfemoral or knee disarticulation amputations using powered knee and ankle prostheses.
  • To assess the efficacy of the training protocol in improving mobility across various functional tasks.

Main Methods:

  • A protocol for functional mobility training was developed and implemented with 30 participants with unilateral transfemoral or knee disarticulation amputations.
  • Training included instruction on level ground walking, stair climbing, incline walking, and sit-to-stand transitions.
  • Therapists provided verbal, visual, and tactile cueing, alongside patient education on device functionality.

Main Results:

  • All participants achieved independent level ground walking.
  • 27 out of 30 participants demonstrated modified independence in stair climbing and incline walking (using a handrail).
  • Successful outcomes were achieved within 1-3 training sessions of 1-2 hours each.

Conclusions:

  • The developed training protocol is effective in improving functional mobility for amputees using powered knee and ankle prostheses.
  • Advancements in therapy techniques are crucial to match the evolving capabilities of prosthetic devices.
  • This training approach empowers amputees to maximize the benefits of powered prostheses for improved clinical outcomes.