Evaluation of the Effectiveness and Safety of Keeogo™ Dermoskeleton in Subjects With Mobility Impairments Due to Stroke
Stroke, Ischemic, Stroke Hemorrhagic, Stroke
About this trial
This is an interventional supportive care trial for Stroke, Ischemic focused on measuring Keeogo™, Dermoskeleton, Powered dermoskeleton, Lower limb dermoskeleton, Assistive exoskeleton, Orthotic dermoskeleton
Eligibility Criteria
Inclusion Criteria:
To be eligible to participate in this study, an individual must meet all of the following criteria:
- Provide signed and dated informed consent form;
- Willing to comply with all study procedures and be available for the duration of the study [2-3 days per week, 3-5 consecutive weeks];
- Adults 18 years of age and older;
- Confirmed Cerebrovascular Accident (CVA) with hemiparesis;
- Stable stroke (≥ 6 months post-incident)
- Sufficient cognition to follow simple instructions and understand the content and purpose of the study (MMSE > 20);
Capable of standing and walking independently for an extended period of time (MMT
- 3 hip flexors and extensors, and ≥ 2 knee flexors and extensors with BBS ≥ 45);
Presence of any gait deficit, as defined by one or more of the following clinical observations:
- Hip hike
- Hip circumduction
- Knee spasticity (MAS 2 to 3) as per Modified Ashworth Scale (MAS)
- Mid-foot striking (aka 'flat foot landing')
- Poor foot clearance (toe/foot drop or foot drag)
- Narrow steps (< 1 shoe-width or < 8 cm)
- Manual Muscle Test (MMT) of 4/5 for the unaffected upper extremity;
- Able to sit on a bench for more than 5 minutes;
- Is physically and mentally compatible with device to demonstrate ability to safely activate the Keeogo™ user interface;
- Able to understand and follow instructions with assistance if needed.
Exclusion Criteria:
An individual who meets any of the following criteria will be excluded from participation in this study:
- Legally blind
- Pregnant, lactating, or postpartum sacroiliac joint recovery is ongoing (recent childbirth, not yet cleared for vigorous exercise)
- Skin condition that contraindicates use of orthotics or support braces
- Recent (<6 mo) lower-body hospitalizations or active treatments due to a joint, muscle, bone, nerve or vascular injury or condition
- Scheduled for major surgery within next 4 months
- Lower-extremity amputation above or below the knee
- Have uncontrolled hypertension
- Recent (<1 year) heart attack
- Have uncontrolled diabetes
- Diagnosed with other health condition(s) that affect mobility and balance; chronic obstructive pulmonary disease; peripheral arterial disease; vestibular disorders; cerebellar disease; cerebral palsy; muscular dystrophy spinal cord injury; other brain injury aside from the reported CVA;
Sites / Locations
- Shirley Ryan Ability Lab (SRA)
- Human Performance and Engineering Research (HPER)
- James J Peters VA Medical Center - Center for the Medical Consequences of Spinal Cord Injury
- Assistive Technology Clinic (ATC)
Arms of the Study
Arm 1
Experimental
Keeogo™ Dermoskeleton
Keeogo™ Dermoskeleton is a low-profile, assistive exoskeleton (or 'dermoskeleton') that orthotically fits to the lower limbs. Keeogo™ is worn on the user's lower body using a belt and contact areas attached around the thighs and calves.