Predicting lower-leg fracture risk during exoskeleton-assisted walking after spinal cord injury

Identification of New Biomarkers for Determining Risk of Lower Extremity Fracture during Exoskeleton-assisted Ambulation: Developing a Personal Rehabilitation Approach to Optimize Function after SCI

NIH-funded research James J Peters VA Medical Center · NIH-11418692

This project uses scans and movement data to predict which people with recent spinal cord injuries might have a higher risk of leg fractures when walking with a robotic exoskeleton.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionJames J Peters VA Medical Center NIH-funded
Lab location1 site (Bronx, United States)
Project IDNIH-11418692 on NIH RePORTER

What this research studies

If you have a recent spinal cord injury, researchers will collect CT scans, bone density and body-composition measurements, and possible blood markers to look for weak bone below your injury. They will also record 3-D movement and acceleration while you use a robotic exoskeleton to see how walking stresses the knee and nearby bones. The team will combine imaging, sensor, and biomarker data to build personalized models of fracture risk. The aim is to use those models to guide safer rehab plans and exoskeleton prescriptions for people with SCI.

Who could benefit from this research

Good fit: Adults with recent (acute) spinal cord injury who are candidates for or interested in exoskeleton-assisted walking, particularly those with signs of lower-limb bone loss.

Not a fit: People without spinal cord injury, those not planning to use an exoskeleton, or patients with long-standing, stabilized bone changes unlikely to be altered by these measures may not benefit directly.

Why it matters

Potential benefit: Could help clinicians identify who can safely use exoskeletons and tailor rehabilitation to reduce the chance of painful lower-limb fractures.

How similar studies have performed: Prior work shows exoskeletons can improve body composition and quality of life, but using imaging plus movement biomarkers to predict fracture risk is a newer approach with limited prior testing.

Where this research is happening

Bronx, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.