Powered Exoskeleton Combined With Functional Electrical Stimulation in Clinical Practice

Inclusion Criteria: General

• Measure between 5'1" and 6'3" (1.5 and 1.9m)
• Weigh less than 200 pounds (90kg)
• Present a diagnosis of incomplete spinal cord injury
• Have the ability to maintain a standing position and/or have therapeutic walkingability at Stage 1B or more of the Rick Hansen Institute SCI Standing and WalkingAssessment Toolkit
• Present sufficient upper extremity strength and function to use a walker with wheels
• Femur length between 37 and 49cm
• Width of hips when seated <42 cm
• Obtain approval from a physician to participate in the project
• Standing tolerance >15 minutes For FES:
• Respond favourably to functional electrical stimulation (FES) of the main lowerextremity muscle groups: (gluteus, quadriceps, hamstrings, dorsiflexors, etc.) asdetermined by a physiotherapist.
• Have no contraindications to FES according to the guidelines of the Canadianphysiotherapy association (CPA).

Exclusion Criteria: General:

• Poor fit of the exoskeleton as determined by the research team
• Present contraindications to the use of the Indego® exoskeleton as described by thecompany
• Present lower extremity skin lesions or sores
• Any medical condition or co-morbidity that may impair collaboration and participationor making it unsafe to wear the exoskeleton, for example (non-exhaustive list) :
• Disabling pain.
• Significant sensory disturbances in the lower limbs that limit safe walking.
• Cognitive disorders that impair the ability to collaborate.
• Osteoporosis.
• Unconsolidated fractures of the lower limbs.
• Uncontrolled reflex dysautonomia.
• Severe peripheral vascular disease.
• Severe heart failure.
• Severe, active infection FES Exclusion Criteria
• Pregnancy;
• Presence of a malignant tumor
• Deep vein thrombosis
• Hemorrhagic condition
• Infection or osteomyelitis
• Presence of weakened/damaged skin
• Circulatory disorders
• Epilepsy
• Electronic implant