[The following is condensed from the full webinar of Dr. Crissy Voigtmann and Dr. CJ Curran.]

The Institute For Advanced Rehabilitation (IFR, Orlando Health) is a CARF accredited inpatient and outpatient rehab unit partnered with Ekso Bionics in 2019. With the utilization of EksoNR (the first FDA cleared exoskeleton) in the rehabilitation of patients, they were able to narrow down the typical patient profile and measure their progression via outcomes from using EksoNR.

Average Stroke Patient Statistics 

The following data represents the “average” scoring of all of their 310 stroke patients. It is provided so that anyone may look over and compare this data with those they tended to put into the exoskeleton. When patients are referred to as going into the exoskeleton, please note that it means at the exoskeleton’s maximum assistance level.

Now, their outcome measures. The postural assessment scale for stroke (PASS) is a stroke specific outcome measure that is determined by movement of the patient: they’re sitting, they’re rolling in bed, they’re standing, and then picking up something off the floor, as well as single limb stance. Typically that score is out of 36. Their average PASS score on admission for all patients with stroke was a 20.7, which indicates significant deficit. 12.4 is the average PASS score for their stroke patients going into Ekso, so they are even more impaired than the average patient they saw on the floor. 

The Berg is out of 56 with the benchmark being 45; you can see the patients come in a lot lower level than that at 16.6. The Berg for the exoskeleton candidates is 4.9, meaning they can sit and maybe be transferred by one person – that’s generally a five out of 56 on the Berg. Some patients who get into the exoskeleton can sit independently and some cannot; again, as you can see reflected in the data, their gait is almost not a gait. It is very, very slow, 0.04 meters per second, if they are even ambulatory.

Average Care Score for Mobility on Admission for all CVA:

Transfers: 2.9

Gait: 2.2 for 50 feet and 1.7 for 150 feet

Stairs: 1.2

Average Outcome Measure Performance on day of evaluation for all CVA

PASS: 20.7

BBS: 16.6

10 MWT: 0.24 m/s Self Selected Speed and .33 m/s Fast Speed

Average Care Score for mobility on admission for patients using ekso:

Transfers: Total (1)

Gait: Total (1) for all ambulation

Stairs: Total (1)

Average Outcome Measure Performance on day of evaluation for patients using Ekso

PASS: 12.4

BBS: 4.9

10 MWT: 0.04 m/s Self Selected Speed and 0.04 m/s Fast Speed

How often is the exoskeleton used on the floor?

Generally, given that their length of stay is about 15 days, they were (on average) getting people into the exoskeleton four times d