Clinical Use | Indego Exoskeleton
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Intensive Gait Therapy at its Best

“The Indego is great because it offers so many different adjustments to apply a patient centric training.” - Sarah Myers, PT - Ability KC, Kansas City

Introduction to Indego Therapy

Indego® Therapy is an adjustable, lower-limb powered exoskeleton that can be custom-sized and perfectly fitted to patients in less than five minutes. A comprehensive software suite unmatched in the industry further enhances training sessions by providing a variety of options, settings, and analytics on patient and device performance that therapists can use to improve treatment plans in real-time. The Indego Therapy enables therapists to deliver task specific, over-ground and individualized gait training.

Indego Therapy enables individualized gait therapy for patients with lower extremity weakness or paralysis (such as complete/incomplete spinal cord injury and stroke). Indego's lightweight, modular, and quick-adjust design allows clinicians to offer intensive gait therapy, custom-tailored to patients across the entire continuum of care from inpatient facilities to in-home sessions and everything in between.

Indego Exoskeleton Clinical Case Study

INDEGO EXOSKELETON HELPS OUTPATIENT FACILITY MEET EXPANDING COMMUNITY NEEDS 
Staff say powered exoskeleton makes sessions for stroke patients more efficient, effective and improves patient outcomes

Read about how Shannon Lepper, PT, MHS, CBIS aims to further Ability KC's mission to fill any care gaps in the community. An important aspect of this is ensuring that they offer their patients – and the inpatient facilities that refer them – access to the best available technologies and therapeutic approaches. In pursuit of this goal, in 2018 Ability KC added to their practice the Indego® Therapy, a powered exoskeleton that offers clinicians the ability to provide highly individualized gait training and neurological re-education to patients who have suffered a spinal cord injury or stroke.

Indego Dashboard

IT’S MORE THAN HARDWARE. IT’S A SOFTWARE, TOO. The Indego App features an intuitive dashboard that provides real-time feedback during a therapy session on parameters such as gait quality, level of support and number of steps. The user-friendly design allows therapists to alter modes and settings with the swipe of a finder. The Indego App can also export session data, which allows clinicians to track patient progress over time. Indego's Variable Assist mode offers clinicians innovative gait therapy options based on motor learning principles, allowing for tailored treatment for each client.

The Indego Therapy Difference

Indego Therapy+

Therapy+ is designed to provide effective gait therapy for patients with lower extremity weakness, such as partially impaired stroke survivors. Patients are required to initiate leg movement and Indego supports when necessary while providing auditory, real-time feedback.

Gravity Reduction Gravity Reduction
Using the Gravity Reduction mode, clinicians can reduce the weight of a patient’s leg, allowing him or her to move their limb more easily and effectively throughout the gait cycle.

Stance Support Stance Support
Adjustable stance support settings allow clinicians to influence a patient's stance phase during walking. Whether the patient tends to buckle or hyperextend their knee, the Indego stance support settings can be adjusted to meet each person’s unique stance goals.

Watch the video

Active Swing Active Swing
Active Swing mode allows patients to practice and learn a more physiological gait pattern. Clinicians are empowered to constantly apply the principles of motor learning by providing individualized assistance to a patient at their hip and knee during the swing phase of their gait.

Auditory Feedback Auditory Feedback
Clinicians can set goals for step length in order to encourage a more symmetric gait pattern. Once the goals have been established, patients receive real-time auditory feedback on their performance, empowering them to recognize incorrect gait patterns and correct and improve their performance.

“The Indego Motion+ and Therapy+ suites enable me to efficiently treat any person with gait-impaired across their entire recovery. It’s a true example of technology enhancing what I can accomplish with my patients during our sessions.” — Casey Kandilakis, PT, DPT, NCS; Shepherd Center, Atlanta, USA


Indego Motion+

Motion+ allows clinicians to practice task-specific gait therapy with patients through a predictable, guided gait pattern. Powerful motors in the hip and knee, customizable within the Indego app, enable patients with little to no gait function to stand and walk with postural controls. The patient leans forward to initiate movement, and Indego responds accordingly.

Pre-gait Training Pre-gait Training
Selecting pre-gait allows clinicians to work with patients during a variety of therapeutic activities. Core strengthening, stepping forward/backward and balance work can be offered while the patient is safely supported by the Indego.

Vibratory Feedback Vibratory Feedback
Vibration provided at the hip delivers variable levels of tactile feedback throughout all phases of standing and walking. This feature lets patients and clinicians know what Indego is about to do and prompts their response, ensuring safe and effective gait training.

Watch the video

Full and Variable Assist Full and Variable Assist
In Full Assist mode, 100 percent support is provided to the right and left hip and knee joints, enabling users (up to 250lbs/113kg) without lower extremity motor or sensory function to stand and walk. Posture-based controls provide an intuitive “lean forward, walk forward” experience. In Variable Assist mode, clinicians can select the amount of support independently at each hip or knee, allowing them to tailor the therapy session based on their goals for the patient.

Advanced Gait Advanced Gait
Advanced Gait is specifically designed to provide faster weight shifting and step transitions for patients who are ready to achieve a higher gait speed. This mode enables a more fluid and continuous gait.

“With Indego, I have a tool that allows me to deliver task specific therapy and remain focused on patient outcomes. My sessions are more efficient because I spend less time on set up and break down and have more time to work on my patient’s goals.” — Clare Hartigan, PT, MPT Program Manager, Shepherd Center

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Indego® is a registered trademark of Parker Hannifin Corporation. © 2019 Parker Hannifin Corporation

Parker Hannifin

Parker Hannifin Corporation, Human Motion & Control
1390 E. Highland Rd.
Macedonia, OH U.S.A.
1.844.846.3446
support.indego@parker.com

FDA Indication For Use

The Indego® orthotically fits to the lower limbs and the trunk; the device is intended to enable individuals with spinal cord injury at levels T3 to L5 to perform ambulatory functions with supervision of a specially trained companion in accordance with the user assessment and training certification program. The device is also intended to enable individuals with spinal cord injury at levels C7 to L5 to perform ambulatory functions in rehabilitation institutions in accordance with the user assessment and training certification program. Finally, the Indego® is also intended to enable individuals with hemiplegia (with motor function of 4/5 in at least one upper extremity) due to cerebrovascular accident (CVA) to perform ambulatory functions in rehabilitation institutions in accordance with the user assessment and training certification program. The Indego is not intended for sports or stair climbing.


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