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This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton- assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060 Slideshow Project DOI:10.1682/ JRRD.2014.02.0060JSP Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia Pierre Asselin, MS; Steven Knezevic, MS; Stephen Kornfeld, DO; Christopher Cirnigliaro, MS; Irina Agranova-Breyter, PT; William A. Bauman, MD; Ann M. Spungen, EdD

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

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This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. Slideshow Project DOI: /JRRD JSP Method 8 nonambulatory persons with paraplegia were trained to ambulate with powered exoskeleton. Measurements of oxygen uptake (VO2) and HR were recorded for 6 min each during each maneuver while sitting, standing, and walking.

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Page 1: This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060

Slideshow ProjectDOI:10.1682/JRRD.2014.02.0060JSP

Heart rate and oxygen demand of powered exoskeleton-assisted walking

in persons with paraplegia

Pierre Asselin, MS; Steven Knezevic, MS; Stephen Kornfeld, DO; Christopher Cirnigliaro, MS; Irina Agranova-Breyter, PT;

William A. Bauman, MD; Ann M. Spungen, EdD

Page 2: This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060

Slideshow ProjectDOI:10.1682/JRRD.2014.02.0060JSP

• Aim– Investigate energy expenditure and heart rate (HR)

during powered exoskeletal-assisted use during sitting, standing, and walking.

• Relevance– Recent technological advances have led to

development of powered exoskeletal devices that enable gait in persons with paralysis.• However, energy expenditure required to use powered

exoskeleton has not been reported.

Page 3: This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060

Slideshow ProjectDOI:10.1682/JRRD.2014.02.0060JSP

Method

• 8 nonambulatory persons with paraplegia were trained to ambulate with powered exoskeleton.

• Measurements of oxygen uptake (VO2) and HR were recorded for 6 min each during each maneuver while sitting, standing, and walking.

Page 4: This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060

Slideshow ProjectDOI:10.1682/JRRD.2014.02.0060JSP

Results

• HR and VO2 responses to exoskeletal-assisted walking in persons with motor-complete paraplegia were mildly increased from sitting and standing but well below maximal predicted value for both variables.

Page 5: This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA,

This article and any supplementary material should be cited as follows: Asselin P, Knezevic S, Kornfield S, Cirnigliaro C, Agranova-Breyter I, Bauman WA, Spungen AM. Heart rate and oxygen demand of powered exoskeleton-assisted walking in persons with paraplegia. J Rehabil Res Dev. 2015;52(2):XX–XX. http://dx.doi.org/10.1682/JRRD.2014.02.0060

Slideshow ProjectDOI:10.1682/JRRD.2014.02.0060JSP

Conclusion

• Persons with paraplegia were able to ambulate efficiently using powered exoskeleton for overground ambulation, providing potential for functional gain and improved fitness.