Standing and Walking

What is it about standing and walking?! We all take it for granted until it’s taken away; like most things, I suppose.  Most of us do it all day long, on autopilot, without thinking twice or paying any attention.  Phrases and sayings about standing and walking are even embedded in our society.

I hear the most amazing words from Ekso™ users and I see the most amazing smiles from them.  I feel like Santa, but the gift doesn’t come in a box. I feel like a labor and delivery nurse, but there is no baby.  I feel like a superhero, but there’s no cape or special power.

People describe being in Ekso in many different ways.  “I feel like a king.”  “I can give a more intimate hug.”  “I can have a conversation eye to eye.”  “I can remember how tall I am.” “I can look down on someone rather than them looking down on me.”  That is just the beginning of the descriptions I hear.

I can’t imagine the emotional storm that arises for people as they stand and walk.  And, yes, some have used braces and some have standing frames, so maybe it’s not the first time, but there is something magical about emulating human gait. Some say it reminds them of a time before their injury.  Some say it allows them to relinquish a little bit of control and feel a different kind of freedom.  It’s not the same as the way they walked before, but it’s the opportunity to participate in an experience pretty close to it.  I feel incredibly honored to be part of this opportunity.  Like I said, it’s like being a labor and delivery nurse — being part of this powerful experience.  It really doesn’t get old.  Every person has a unique and amazing smile that’s worth a thousand words, some have tears, or sometimes it’s their family members.  Then, I have tears too.  It’s nearly impossible not to be jolted into an emotional state.  I can’t and won’t pretend to know what the user is feeling, but all I know is it sheds some light on the simple things in life that may not cross our minds that often.  These things may mean a lot to some and a little to others.  Either way, it makes me happy to have met so many independent and inspiring Ekso users and to share the experience with them and others in the future.

 

The Transition from a Clinical PT to Working for Ekso Bionics

Last summer I was sitting in my hospital’s charting room with beautiful views of the San Francisco Bay and glimpses of the Golden Gate Bridge.  Much time in the life of a physical therapist (PT) is spent documenting in a familiar environment.  One of my unit’s case managers came up to me and stated, “I intercepted this fairly vague phone call.  The caller was looking to speak with the PT supervisor.” She continued on, saying, “I tried to receive the call and answer appropriately, but she was very insistent in speaking with you.  Would you mind calling her back, if it’s not too inconvenient? Unfortunately, all I have is a name and number.”  Without hesitation, I took the limited information and after a brief call, I was introduced to Ekso Bionics™.

After 10 years of clinical work, I found myself frustrated with watching a clock, and counting minutes to assure I was fulfilling Medicare’s expectations of time spent with patients and units of productive service expected by my clinic.  Although I wasn’t actively seeking a change in employment, I found myself excited with the opportunity Ekso Bionics offered.  A series of phone calls and conveniently local headquarters offered the opportunity for me to interview and visit with the company on two separate occasions.  On the second visit, I asked Darrell Musick (the Clinical Director) if an able-bodied person can walk in Ekso and about 10 minutes later I was wearing and walking in Ekso.  I was sold and really wanted the position.

With much excitement, I was offered the position of Clinical Training Specialist.  With appropriate diligence to wrap up my former position and assist with appropriate transitions, it took a couple months to close one chapter of my PT career to open the next.  The clinic was everything I knew and one where I could anticipate what curveballs would head my way.  The challenges of patient or family members, therapy or nursing team dynamics, staffing ratios and productivity were quickly swept away.  I was moving into a world extremely foreign to the clinical-based physical therapist.  A biotech start-up company is entirely different. I was now trying to understand fairly new and evolving technology.  I think of myself as a math and science person, but I’m not very tech-savvy.  Although I feel confident in my knowledge of the body, biomechanics and neuromuscular function, I stepped into a world of technology and discovered how a robot can interface with the highly sophisticated system that is the human body.  The learning curve was eased with training from my colleagues who spent appropriate time to explain and offer opportunities for learning.

This new and dynamic experience is ever-changing and exciting.  I see the Clinical Training Specialist as a 3-dimensional role.  We are first and foremost physical therapists working with patients and analyzing gait, but we also act as clinical educators/instructors and tap into a sales and marketing component.

Throughout each week we have test pilots come to headquarters.  These appointments help on multiple levels.  It offers the clinical staff opportunity to gain exposure to learning styles and teaching opportunities, while still maintaining a clinical opportunity of patient and family interaction.  The test pilots have the opportunity to use the product, ambulate and gain benefits of walking in Ekso.  The product development team gains opportunities to test and trial new hardware, soft goods and software changes.  It’s a win-win situation for all parties involved.

The Ekso Clinical Training Specialist is also responsible to assist with sales demonstrations.  It is a rare opportunity for PTs to travel for work.  Outside a home healthcare scenario, it is the clinical model in the US healthcare system for patients to travel to the clinic due to equipment and logistical constraints.  I have been offered the opportunity to travel across the country to demonstrate and expose people and clinicians to Ekso.  It is a priceless experience to watch people witness our ambassadors and test pilots walking in Ekso each time.

The ultimate goal of many of these demonstrations is to place Ekso in the rehabilitation clinics.  When these sales are complete, the clinical PTs have the opportunity to train up to four of the clinical site’s PTs on how to safely use the device.   As a clinical instructor, it is such a pleasure to have the opportunity to get back into teaching.

This career change was certainly unexpected and an opportunity that is unmatched.  Every day I work side-by-side with some of the world’s most innovative engineers, top-notch executives, brilliant marketing and customer relations representatives and an elite group of clinicians.  I find myself very fortunate to have this opportunity and excited for the many lives we will touch in the future.

Bringing Hope Back: Interview with Jason Gieser, Ekso Ambassador

“Some People Have Lost Hope, & Ekso Really Brings That Back”

I met Jason in 2010 as Ekso Bionics (formerly Berkeley Bionics) was preparing to launch their bionic exoskeleton to the world (which was then known as eLEGS). Jason had a quiet calming demeanor and I instantly knew that he had experienced life. Jason never ceased to surprise with his joie de vivre and little gems of wisdom that seeped through into our conversation. I found myself not only intrigued with his story, but with his spirit. I wanted to know more. Read More +

Ekso Ambassador Profile: Jason Gieser


I want to be a good role model to my family and to reach out to as many people through sharing my life’s experiences to help others increase their quality of life.”


Date of Birth:  March 28, 1980

Disability Type:
 T-3 ASIA A Spinal Cord Injury

Date of Injury:
 October 14, 2008

Residence:
 Discovery Bay, CA

Interests:
 Enjoying the outdoors; handcycling; anything on the water; spending time with family; camping; watching movies; vacations; traveling overseas; learning how to downhill ski.

 

All my life I have been a fighter! I’ve never given up hope to what most people would call the impossible.  I knew I would walk again—there was never a doubt in my mind.  It was just a matter of time.  I felt that was God’s promise to me.  I am excited to say that His promise was fulfilled.  While my legs still do not work, it has not stopped me from walking in Ekso. Read More +

Ekso Bionics Interviews Sarah Anderson, Ekso Ambassador

BACK ON MY FEET AGAIN

As Sarah Anderson rises up in Ekso, her six-foot stature stands tall. She casts her eyes across the room and observes the world from her natural height, a perspective so different from what she’s become accustomed to – living her life in a wheelchair. We wanted to share a little more of her story with you. Sarah imparts some honest truths about when she sustained her chronic spinal chord injury, and her thoughts and feelings since.

If you haven’t yet read Sarah’s Profile or watched her video, here are some insights into Sarah’s background.

At 31, Sarah has truly lived life, and more than most at her young age. 8 ½ years ago on a warm summer’s day in June, a drunk driver struck the vehicle Sarah was a passenger in. Sarah sustained a chronic spinal cord injury and was paralyzed from the waist down (T10 ASIA C Spinal Cord Injury-Incomplete). Read More +

eLEGS Ambassador Thax Gets His Walk On

Paul Thacker

“Live every day like it’s your last!”

~ Paul Thacker A.K.A. Thax ~

Thax walks in eLEGS (Photo courtesy of Paul Thacker)


Full Name:

Paul Thacker
Nickname:
Thax
Date of Birth:
October 23, 1974
Disability Type:
T4 Spinal Cord Injury (AIS A Complete)
Date of Injury:
November 18, 2010
Residence:
Anchorage, AK – USA
Favorite Activities:
Snowmobiling, dirt biking, fly-fishing


My Background

I was born and raised in the great state of Alaska. I went to college at Concordia College in Moorhead, Minnesota and graduated with a degree in biology pre-med. I grew up playing all kinds if sports and fell in love with hockey, which helped put me through college. After college, I played a couple years of professional hockey before going to work for Wells Fargo Financial. I spent nearly seven years with the company before leaving to explore a career as a professional snowmobiler – yes, call me crazy but I left a District Manager position with a six-figure salary, full benefits, with a full retirement package to JUMP snowmobiles for a living! Ha ha

Pivotal Moment

Not sure I have reached a main one yet. All decisions so far have gotten me to this point.

Life as it is now…

Life now hasn’t changed much as far as I am concerned. It takes me a little bit longer to do a few things but I am not much for excuses and am always up for a good challenge… and Lord knows this [walking in eLEGS] is up there on the list :)

eLEGS is a fantastic invention that allows people to get up and see the world at eye level again.
It’s food for a ‘paras’ body, mind and soul…


Visit Paul Thacker’s Official Site:  http://paulthacker11.com

 

BIG AIR! Thax lives his passion (Photo courtesy of Paul Thacker)

 

Thax sits with his buddy TJ Lavin (Photo courtesy of Paul Thacker)

 

Thax driving his boat prior to his accident (Photo courtesy of Paul Thacker)

 

Dirt biking. Thax just can't help but get HUGE AIR! (Photo courtesy of Paul Thacker)

 

Up-side-down aerial shot (Photo courtesy of Paul Thacker)

 

Welcome Thax to our eLEGS Ambassador Team!

Power Up!

 

 

 

eLEGS: When Would I Really Want It?

Picture of Gary Karp, "From Where I Sit"

I’ve written here that I don’t need to stand for standing sake. Once I get past the initial emotional hit of how incredible I’m sure it would feel to be mobile on my legs, then I’d begin to find out when I would actually need to stand for practical reasons.

So, what would those be? Allow me to speculate.

The first situation that comes to mind is when I’m in a crowd. I recently went to see the reggae band Toots and the Maytals at my local county fair. There were very poor arrangements for an accessible seating area; nothing, in fact, with a guaranteed view. Instead, although they placed my friend and me a few rows from the front, we were behind people who were on their feet dancing the entire time. My view was limited to what I could spot between the bodies, and the brief times I could lift myself in the chair to see a little better. And my friend felt bad for me, shifting the emotional dynamic of the time we were spending together.

I certainly got into the groove of the music and had a lot of fun, but it would have been great to be able to stand up for that.

Likewise at basketball games. When the crowd is on their feet, I might as well be paralyzed and blind. Sporting events are much worse than concerts, because the crowd is on their feet exactly when the most dramatic stuff is going on, exactly when the most astounding athletic moment is likely to happen. Hearing it but not seeing it is a huge bummer.

Fourth of July parades. Weddings. Spiritual gatherings. These are the times when not being able to stand not only blocks me from seeing what’s going on, but cuts me off from feeling connected with the collective, the community around me. It cuts me off from the shared experience everyone else gets to have. It compromises the experience, denies me the joy and unity everyone else gets to feel.

When standing doesn’t matter so much is at the grocery store when I can’t reach something. There are always plenty of people around to ask, and shopping in eLEGS would mean I wouldn’t be able to carry a basket or push a cart. Sitting wins out for that one.

So far, this is all about standing. Walking is not what counts at concerts or sporting events or the supermarket. So when would walking matter to me?

I’ve always hated that I have such limited choice in theater and arena seating. I get out of my chair, because the seat is more comfortable, and it’s a lot easier to have a conversation, whisper in the ear, or hold hands with the person I’m with. The only options are the aisles (which typically means letting my wheelchair be taken away – which I dislike intensely), or the designated accessible spaces, which might not be such great seats (though sometimes are). Usually I can only sit with one companion, which means that if I’m there with a group of people, we have to split apart. Being able to get to any seat in the house would be a dream come true.

I often experience extreme limitation at parties, especially at a private home. Once I get there, I’m often stuck in the same spot all night, relying on people to come over and hang out, or for others to go get me drinks or food. Oh, to be able to move through the crowd, approach someone I’d like to meet, or make my way to say hi to (and share a standing hug with) someone I know rather than wait for them to find me! I’m not sure I’d be able to dance in eLEGS (which I can do just fine on wheels), but maybe someday they’ll design custom programs for robotic boogying down! (MS Word’s dictionary apparently approves of the word “boogying,” to my own surprise.)

Walking would come in handy on surfaces that are difficult to wheel on. I live in Northern California, where there are a lot of gorgeous trails and scenery within minutes of my front door, most of which I can’t partake. Plus I co-parent two fantastic Labrador retrievers, and there are only certain paved trails that I can take them out on. Even the unpaved trails that are wheelable are difficult because they’re strewn with potholes, stretches of gravel, tree roots, or sandy portions. These are really exhausting on wheels, so I just don’t go there. I love the prospect that eLEGS could improve my contact with nature.

So, for starters, these are the actual, practical uses of eLEGS that come to mind for me.

Anything else come to mind for you? Let’s get the discussion going here and contemplate what other real, daily life applications we can imagine for eLEGS.

What are our test pilots saying? Profile on Jerry McClain

Jerry McClain

Jerry McClain walks in eLEGS

"I knew things were going to be hard and frustrating, but I’ve always been a good problem solver, so I figured I was ready for any challenge."

Date of Birth:
August 10, 1980
Disability Type:
C-6 Incomplete ASIA C
Current Residence:
Pacifica, CA
Interests/Hobbies:
Anything outdoors, the ocean, surfing, fishing, traveling. 

“It’s not whether you get knocked down, it’s if you get back up.”—Vince Lombardi

I grew up in Pacifica California, a small coastal town about ten miles south of San Francisco. After graduating from high school I started working at a construction company as a laborer and soon fell in love with the idea of earning money while working outdoors with my hands. When I was twenty-five my girlfriend and I decided to pack up and move to San Diego where I still continued my career in the construction business. In 2007 after almost ten years in my trade I accomplished one of my goals: getting my general contractor’s license and starting my own business. My life in San Diego was pretty much perfect, I was doing everything that I wanted to be doing and then on July 18, 2009 everything changed.

As with most spinal cord injuries, mine was a totally unexpected accident doing something that I have done a million times before. My girlfriend and I took a little weekend trip to visit with friends for a couple of days; little did I know this fun little trip would turn into a nightmare. Saturday night after a full day of walking around and having some fun, we decided to go back to the condo and go for a swim in the pool. I’ve always loved the water so naturally I grabbed a pair of shorts and ran out to the pool to be the first one in. I dove right on in without any hesitation as usual, and I hit my head on the bottom of the pool. I knew instantly what had happened but didn’t want to believe it. I fractured the sixth cervical vertebrae in my neck and it pinched my very fragile spinal cord. Luckily I didn’t knock myself out unconscious and was able to swim to the edge of the pool and yell for friends. My fun little weekend trip turned into six days in the ICU and five weeks in a rehabilitation facility.

My injury has completely changed my life.  My life is no longer simple and easy, now I have to work hard just to keep my body healthy and feeling good. Since my injury I have been going to physical therapy three days a week at SCI-FIT in Pleasanton, CA where I work hard on trying to strengthen weak muscles and make a better connection between my nerves and my muscles. I’ve always been a very active person from the time I wake up to the time I go to sleep. Just my work alone kept me very fit, and surfing everyday or hiking with my dog was just a daily routine that I miss very much. When I first got injured I was very depressed and hard on myself. I felt like if I couldn’t do anything that I loved to do, then I wondered what was the point of trying to do anything at all?  After a few months of being sad and feeling sorry for myself, I realized that I was affecting everybody around me in a very negative way. So one day I decided to just live my life and be happy and figure out new different ways to do the things that I loved to do. I knew things were going to be hard and frustrating, but I’ve always been a good problem solver, so I figured I was ready for any challenge.

Jerry McClain walks in eLEGS

Jerry McClain steps out in eLEGS

At first I was skeptical about the whole eLEGS thing. It sounded to me like another very expensive piece of technology that most people dealing with a spinal cord injury would not be able to afford or even experience. When one of my physical therapists told me he was working with Berkeley Bionics and thought that I would be a good candidate to test it out, I made the decision to give it a try. Within the first two minutes of being up in eLEGS, I knew this was an awesome piece of equipment that lots of people would not only receive health benefits from but it could change people’s entire lives. After talking with the amazing engineers who created and built eLEGS I now understand that this is just the beginning and years from now being upright and walking may not even be an issue with some spinal cord injuries.

What are our eLEGS test pilots saying? Profile on Sarah Anderson

eLEGS Test Pilot Sarah Anderson in her wheelchair

"I am a firm believer in never giving up on hope and for fighting for what you want in life." -- Sarah Anderson

Date of Birth:
November 6, 1980
Disability Type:
T10 ASIA C Spinal Cord Injury-Incomplete
Date of Injury:
June 30, 2003
Current Residence:
Pinole, California
Interests:
Traveling, being in the sun, the NFL, muscle cars, reading gossip magazines, spending time with my family & friends, hanging out at the lake, waterskiing, going to the theater, watching movies, playing old school video games, any equestrian related sport, going to museums, black & white photography, four wheeling, fishing, and anything that will make me laugh! 

“I am literally, without a doubt, the most stubborn and feisty individual on this planet! It’s definitely one of my faults, but at the same time it’s what makes me the strong willed and ambitious person that I am. When people tell me that I can’t do something or that I should just give up, it’s my stubborn will and tenacity that push me to keep on going. I am a firm believer in never giving up on hope and for fighting for what you want in life. Like George Bernard Shaw once said, “The people who get on in this world are the people who get up and look for the circumstances they want, and, if they can’t find them, make them.””

  

What was…
I grew up surrounded by horses and agriculture. My mom trained race horses, so I spent my entire youth at the stables. I learned from a young age the value and importance of hard work. My love for horses and agriculture continued on into my early adulthood, so after high school I attended Cal Poly, San Luis Obispo where I majored in Animal Science. I had finally reached a point in life where I was truly pursuing my dreams, but then things suddenly changed.

After four amazing years at Cal Poly, San Luis Obispo I decided to make a quick trip home for the weekend to visit my mom and to see the brand new baby foal that my mare had just given birth to. It was that warm summer weekend that my life was forever altered. On my way out to the ranch to see my horses I was struck by a drunk driver and was paralyzed from the waist down. The next thing that I remembered was waking up in ICU where the doctor promptly informed me that I was paralyzed and that not only would I never walk again, but that my personal independence that I had cherished so much was forever going to be a thing of the past…

eLEGS Test Pilot Sarah Anderson

eLEGS test pilot Sarah Anderson takes her first steps with the assistance of Darrell Musick PT and Adam Zoss, Senior Engineer

My doctor had no idea who he was dealing with when he met me! That good old stubbornness of mine kicked into full drive and every day, no matter how down or depressed I was feeling, I refused to let anyone tell me what I couldn’t do with my future. I worked my butt off every day in physical and occupational therapy. With that mindset and an immense amount of hard work I was able to regain my independence and make a new life for myself.  

Taking my first steps in eLEGS

Words cannot even begin to describe what it was like for me when I took my very first steps in eLEGS. It was just so surreal that I had to literally pinch myself to make sure that I wasn’t dreaming. I was definitely amazed at what I was able to accomplish in one short session with eLEGS. I went from the girl that hadn’t walked in almost eight years, to the girl that was strutting her stuff in eLEGS with a big giant smile on her face. I am so grateful to the team at Berkeley Bionics for giving me the opportunity to achieve my dreams of walking again.

24 Minutes Standing. 6 Minutes Walking. 135 Unforgettable Steps. Australian, Alan Bloore Speaks Out

“I always believed I would find some way to walk again and even though it isn’t exactly what I had in mind when I first started out…I’ll take it with both hands and smile all the way.  
It was fantastic.”

—Alan Bloore after walking in eLEGS for the first time on March 22, 2011.

Watch Alan walk in this emotive video clip – Berkeley Bionics video plays first. Fast forward to Alan’s segment at 4:35 minutes into the video. Click below:

Alan Bloore walks in eLEGS

Alan Bloore, a.k.a. Hammer, is pure inspiration. On November 16, 2006 Alan sustained a complete spinal cord injury shattering his thoracic vertebrae at T4 from a jet-ski accident.  He is subsequently paralyzed from the chest down and suffers unbearable pain 24 hours a day.  Yet to meet Alan face-to-face and witness his effervescent and infectious smile one would never know the real implications of how his spinal cord injury affects his everyday life.  Not long after his injury, Alan made a promise to his friends that he would find a way to walk again…he just didn’t imagine that his first steps would be in a bionic exoskeleton named eLEGS.

 

Alan Bloore with Jim Wirth

Alan Bloore sits with long-time friend Jim Wirth at Berkeley Bionics.

24 minutes standing.
6 minutes walking.
135 steps.

135 steps later and with a slight hesitation in his voice and moist eyes, Alan’s overwhelm said it all in a very poignant moment.  We all choked up as we listened to Alan express his innermost feelings after walking in eLEGS for the first time:

“I always believed I would find some way to walk again and even though it isn’t exactly what I had in mind when I first started out…I’ll take it with both hands and smile all the way. It was fantastic. 

How I feel right now is how I’ll be able to let other people at home feel. And that is the real magic behind it. It’s not actually for me, but for all the other people [who have spinal injuries] who are so devastated.  They want hope and something to believe in…and now they really will have something to believe in. 

If I can somehow share and bring them the opportunity to feel what I just felt now, I’ll take the injury all day long. My life before the injury I could never have had that kind of effect on anyone or changed anyone’s life. This will absolutely change so much for so many and to be a part of that is overwhelming.”

Alan Bloore stands in eLEGS

Alan Bloore stands in eLEGS as he prepares to take his first steps.

The staff at Berkeley Bionics made a personal dream come true for Alan. I know exactly how he is feeling after such a profound life-changing experience of standing tall and taking his first real steps in 4 1/2 years since his spinal cord injury. Alan is a beautiful soul and he will do his utmost to speak about his eLEGS experience positively and from his heart. He was beaming after his walk, his eyes teared up with such emotion and he told me the next day that he couldn’t get to sleep until 4 o’clock in the morning.

It was moving to witness a sheer exhilarating instance as our dear Aussie friend became speechless for just a moment after stepping out in eLEGS for the first time. Berkeley Bionics is making walking a reality, and Alan, this is just the beginning for you and everyone else. We can all look forward to a lifetime of hope.