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Table 2 Level of Assistance definitions

From: Multicentric investigation on the safety, feasibility and usability of the ABLE lower-limb robotic exoskeleton for individuals with spinal cord injury: a framework towards the standardisation of clinical evaluations

Level of Assistance

Don/Doff

Therapy activity task

Total assistance

Participant performs 0–25% of the effort to don/doff the exoskeleton

Participant is essentially reliant on the trainer to perform all aspects of the donning/doffing

Participant performs 0–25% of the effort to use the exoskeleton

Two therapists are required to support the participant in the device at all times

Maximum assistance

Participant performs 25–50% of the effort to don/doff the device

Participant needs maximum assistance to transfer to device and position legs but may be able to adjust the thigh straps

Participant performs 25–50% of the effort to use the device

Participant needs maximum assistance from the therapist to remain balanced

Moderate assistance

Participant performs 50–75% of the effort to don/doff the device

Participant needs moderate assistance to transfer to device and position legs but may be able to adjust the thigh and shin straps

Participant performs 50–75% of the effort to use the device

The therapist has both hands on the participant or device at all times to provide occasional guidance or balance support

Minimal assistance

Participant performs > 75% of the effort to don/doff the device

Participant can transfer to device and adjust straps but may need help to position legs

Participant performs > 75% or more of the effort to use the device

The therapist has one hand on the participant or device for infrequent guidance or balance support

Supervision

The therapist is not touching the participant but may provide verbal prompts or contact guarding to ensure safety

The therapist is not touching the participant but is close enough to provide support for balance or guidance as needed

Independent

Participant is fully independent donning/doffing device

The participant is fully independent while using the device and the therapist does not provide any assistance

  1. Level of Assistance was defined separately for Donning/Doffing of the device and for the therapy activity tasks