ArticleSpinal cord series and cases2019
Case Report: Description of two fractures during the use of a powered exoskeleton.
Article in Spinal cord series and cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Exoskeleton-based exercises for overground gait and balance rehabilitation in spinal cord injury: a systematic review of dose and dosage parameters.Journal of neuroengineering and rehabilitation · 2024Pooled it
- Overground robotic training effects on walking and secondary health conditions in individuals with spinal cord injury: systematic review.Journal of neuroengineering and rehabilitation · 2022Pooled it
- Systematic review on wearable lower-limb exoskeletons for gait training in neuromuscular impairments.Journal of neuroengineering and rehabilitation · 2021Pooled it
- Occurrence and Type of Adverse Events During the Use of Stationary Gait Robots-A Systematic Literature Review.Frontiers in robotics and AI · 2020Pooled it
- Retrospective safety evaluation of the atalante exoskeleton in a clinical setting in patients with tetraplegia and high paraplegia.Spinal cord series and cases · 2026Article
- Hip, knee, and ankle joint forces during exoskeletal-assisted walking: Comparison of approaches to simulate human-robot interactions.PloS one · 2025Article
- Effects of an active ankle exoskeleton on the walking biomechanics of healthy men.Frontiers in bioengineering and biotechnology · 2025Article
- Improvement of quality of life after 2-month exoskeleton training in patients with chronic spinal cord injury.The journal of spinal cord medicine · 2024Article
- Bilateral tibial fractures associated with powered exoskeleton use in complete spinal cord injury - a case report & literature review.Spinal cord series and cases · 2024Review
- Influence of Varied Load Assistance with Exoskeleton-Type Robotic Device on Gait Rehabilitation in Healthy Adult Men.International journal of environmental research and public health · 2022Article
- Preliminary training volume and progression algorithm to tackle fragility fracture risk during exoskeleton-assisted overground walking in individuals with a chronic spinal cord injury.Spinal cord series and cases · 2022Review
- Assessing effects of exoskeleton misalignment on knee joint load during swing using an instrumented leg simulator.Journal of neuroengineering and rehabilitation · 2022Article
- Physiotherapy using a free-standing robotic exoskeleton for patients with spinal cord injury: a feasibility study.Journal of neuroengineering and rehabilitation · 2021Article
- Safety Assessment of Rehabilitation Robots: A Review Identifying Safety Skills and Current Knowledge Gaps.Frontiers in robotics and AI · 2021Review
- Exoskeleton home and community use in people with complete spinal cord injury.Scientific reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Powered robotic exoskeletons are a promising solution to enable standing and walking in patients with spinal cord injury (SCI). Although training and walking with an exoskeleton in motor complete SCI patients is considered safe, the risks of unexpected (technical) adverse events and the risk of fractures are not fully understood. This article reports the occurrence of two different cases of bone fracture during exoskeleton usage. Furthermore, advice is given for extra safety training and instructions. Case presentation: The first case concerns a 47-year-old woman with T12 AIS A SCI. Her exoskeleton shut down unexpectedly probably causing a misalignment of the joints of her lower extremities relative to the joints of the exoskeleton, which resulted in a fracture of her left tibia. The second case involves a 39-year-old man with L1 AIS B SCI. An unexpected fracture of the right distal tibia occurred without a specific prior (traumatic) incident. Discussion: Exoskeleton training instructors, SCI patients and their buddies should be instructed how to handle emergency situations. Furthermore, they should be aware of the risk of stress fractures of the lower extremities. Proper alignment of the exoskeleton relative to the body is of utmost importance to reduce fracture risk. In the case of swelling and discoloring of the skin, radiographic examination should be performed in order to exclude any fracture.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.