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Longitudinal Performance of a Surgically Implanted Neuroprosthesis for Lower- Extremity Exercise, Standing, and Transfers After Spinal Cord Injury  Ronald.

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Presentation on theme: "Longitudinal Performance of a Surgically Implanted Neuroprosthesis for Lower- Extremity Exercise, Standing, and Transfers After Spinal Cord Injury  Ronald."— Presentation transcript:

1 Longitudinal Performance of a Surgically Implanted Neuroprosthesis for Lower- Extremity Exercise, Standing, and Transfers After Spinal Cord Injury  Ronald J. Triolo, PhD, Stephanie Nogan Bailey, BSE, Michael E. Miller, MS, Loretta M. Rohde, DPT, James S. Anderson, MD, John A. Davis, DDS, MD, James J. Abbas, PhD, Lisa A. DiPonio, MD, George P. Forrest, MD, David R. Gater, MD, PhD, Lynda J. Yang, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 5, Pages (May 2012) DOI: /j.apmr Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 A schematic of the standing neuroprosthesis with photos of both the internal and external components. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 The levels of (A) knee extension strength and (B) fatigue resistance that were established from the reconditioning exercise program and standing training with the neuroprosthesis were maintained at the follow-up visit. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 Maximum standing times remained relatively constant or decreased slightly when comparing the follow-up value with that at discharge. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

5 Fig 4 Body weight distribution data were collected for 7 subjects at follow-up, but only 3 subjects had paired data at discharge. A trend of decreased body weight supported by the lower extremities was seen, but was not statistically significant from the discharge values. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

6 Fig 5 The majority of both epimysial and IM electrodes were stable over time as supported by small threshold changes (<10μs) between the 2 intervals studied. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

7 Fig 6 Kaplan-Meyer estimates of the probability of the device survival. At 30 months postsurgery, probability of survival was 93.0% for IRS-8s, 97.1% for IM electrodes, and 90.4% for epimysial electrodes. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions


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