Seated Balance Using the Indego™

Inclusion Criteria:

1. Traumatic or non-traumatic SCI ≥6 months duration of SCI;
2. Wheelchair-user for indoor and outdoor mobility;
3. Level and completeness of injury T4 and below with complete or incomplete SCI (ISNCSCI A to D);
4. Able to hold the crutches in hands with or without modifications; and
5. Able to provide informed consent.

Exclusion Criteria:

1. Diagnosis of neurological injury other than SCI;
2. Progressive condition that would be expected to result in changing neurological status;
3. Severe concurrent medical disease, illness or condition judged to be contraindicated by the Site Physician;
4. Anthropocentric incompatibility to be fitted with the device;
5. Traumatic or high impact lower extremity fracture within the past 2 years;
6. Fragility, minimal trauma or low impact fracture of the lower extremity since spinal cord injury;
7. Knee BMD \< 0.60 gm/cm2;
8. Total hip BMD T-scores \< -3.5;
9. Untreatable severe spasticity judged to be contraindicated by the Site Physician;
10. Flexion contracture that is incompatible with the device;
11. Limitations in ankle range of motion that cannot be adapted with an orthotic device (plantar flexion \> 00);
12. Fracture of the foot by x-ray and confirmed by CT;
13. Untreated or uncontrolled hypertension (systolic blood pressure \>140 mmHg; diastolic blood pressure \>90 mmHg);
14. Unresolved orthostatic hypotension (systolic blood pressure \<90 mmHg; diastolic blood pressure \<60 mmHg) as judged to be contraindicated by the Site Physician;
15. Current pressure ulcer of the arms, trunk, pelvic area, or lower extremities;
16. History of seizure;
17. Use of medications that significantly lower seizure threshold, such as tricyclic antidepressants, amphetamines, neuroleptics, dalfampridine, and bupropion;
18. History of stroke, brain tumor, brain abscess, or multiple sclerosis;
19. History of moderate or severe head trauma (loss of consciousness for greater than one hour or evidence of brain contusion or hemorrhage or depressed skull fracture on prior imaging);
20. History of implanted brain/spine/nerve simulators, aneurysm clips, ferromagnetic metallic implants, or cardiac pacemaker/defibrillator;
21. Psychopathology documentation in the medical record or history that may conflict with study objectives; and/or
22. Pregnancy or women who plan to become pregnant during the study period.