About this trial
Conduct a clinical field trial at CHOA's Day Rehab Program using the clinical exoskeleton in conjunction with visual biofeedback with pediatric patients who present with genu recurvatum or crouch gait over 5 rehabilitation visits.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 4-21 years
Clinical presence of genu recurvatum or crouch gait during walking
Ability to walk nonstop for at least 6 minutes
Willing to participate in 5 sessions of therapy with the device with each session lasting no more than 2 hours
Disqualifiers
Inability to take commands from research staff
Receipt of Botox injection during study trial will disqualify the participant from participating further
Presence of uncontrolled seizures
Non-English speaking
Trial design
Single group
Treatments tested in this trial
Pediatric Knee Exoskeleton
DeviceThe current knee exoskeleton is designed specifically for use in children. The device can be operated either bilaterally or unilaterally and is capable of providing 10- 17.4 Nm of torque assistance at the knee joint which is \~60% of the average biological joint torque for an American 15 year old child. It is adjustable in height such that the passive hip joint and powered knee joint can be placed at the correct anatomical location for each child. Thigh and calf cuffs are interchangeable to accommodate varying leg sizes. The device is autonomous, allowing a child to move freely and can even be used outdoors. The device can accommodate for varying lower limb alignment presentations, adjusting to accommodate for varying femoral rotations and varum and valgum alignments at the knee. The device can be worn independently of the visual biofeedback video game, but is intended for participants to use in conjunction with the knee exoskeleton.
Treatment groups
Trial outcomes
Primary outcomes
10 meter walk test
The participant walks a 10 meter distance while their speed is recorded. Higher speeds are indicative of a more positive outcome.
2 minute walk test
The participant walks as far as they can walk in a period of 2 minutes and the distance is recorded. Greater distances are indicative of improved performance.
Modified Timed Up and Go
Participants are seated in a stable stool selected according to the height of subjects. The stool is positioned such that it does not move when the participant moves from sitting to standing. Participant is seated with feet flat on the floor in such a way that hip and knee remained in 90° of flexion. A marking tape was used to stick a star mark on the wall at a distance of 3 m from the chair. Participant is instructed to stand up, walk, touch the star and sit back down while being timed. Shorter times are indicative of improved performance.
Secondary outcomes
Gillette Functional Assessment Questionnaire
Family/patient reported survey which asks questions about their perception of the child's mobility.
Sponsors and contacts
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Georgia Institute of Technology
Lead sponsor
Children's Healthcare of Atlanta
Collaborator