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October 16, 2018; 91 (16) Video NeuroImages

Dermoskeletics to preserve mobility and function in inclusion body myositis

Océane Landon-Cardinal, François Prince, Stéphane Bédard, Olivier Benveniste, Marie Hudson
First published October 15, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006365
Océane Landon-Cardinal
From the Hôpital Pitié-Salpêtrière (O.L.-C., O.B.), AP-HP, Department of Internal Medicine and Clinical Immunology, Inflammation-Immunopathology-Biotherapy Department (I2B), East Paris Neuromuscular Diseases Reference Center, Inserm U974, France; Departments of Kinesiology and Surgery (F.P.), University of Montreal, B-Temia Inc. (S.B.), Québec City, and Division of Rheumatology (M.H.), Department of Medicine, Jewish General Hospital, Lady Davis Institute, Montréal, Québec, Canada.
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François Prince
From the Hôpital Pitié-Salpêtrière (O.L.-C., O.B.), AP-HP, Department of Internal Medicine and Clinical Immunology, Inflammation-Immunopathology-Biotherapy Department (I2B), East Paris Neuromuscular Diseases Reference Center, Inserm U974, France; Departments of Kinesiology and Surgery (F.P.), University of Montreal, B-Temia Inc. (S.B.), Québec City, and Division of Rheumatology (M.H.), Department of Medicine, Jewish General Hospital, Lady Davis Institute, Montréal, Québec, Canada.
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Stéphane Bédard
From the Hôpital Pitié-Salpêtrière (O.L.-C., O.B.), AP-HP, Department of Internal Medicine and Clinical Immunology, Inflammation-Immunopathology-Biotherapy Department (I2B), East Paris Neuromuscular Diseases Reference Center, Inserm U974, France; Departments of Kinesiology and Surgery (F.P.), University of Montreal, B-Temia Inc. (S.B.), Québec City, and Division of Rheumatology (M.H.), Department of Medicine, Jewish General Hospital, Lady Davis Institute, Montréal, Québec, Canada.
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Olivier Benveniste
From the Hôpital Pitié-Salpêtrière (O.L.-C., O.B.), AP-HP, Department of Internal Medicine and Clinical Immunology, Inflammation-Immunopathology-Biotherapy Department (I2B), East Paris Neuromuscular Diseases Reference Center, Inserm U974, France; Departments of Kinesiology and Surgery (F.P.), University of Montreal, B-Temia Inc. (S.B.), Québec City, and Division of Rheumatology (M.H.), Department of Medicine, Jewish General Hospital, Lady Davis Institute, Montréal, Québec, Canada.
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Marie Hudson
From the Hôpital Pitié-Salpêtrière (O.L.-C., O.B.), AP-HP, Department of Internal Medicine and Clinical Immunology, Inflammation-Immunopathology-Biotherapy Department (I2B), East Paris Neuromuscular Diseases Reference Center, Inserm U974, France; Departments of Kinesiology and Surgery (F.P.), University of Montreal, B-Temia Inc. (S.B.), Québec City, and Division of Rheumatology (M.H.), Department of Medicine, Jewish General Hospital, Lady Davis Institute, Montréal, Québec, Canada.
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Dermoskeletics to preserve mobility and function in inclusion body myositis
Océane Landon-Cardinal, François Prince, Stéphane Bédard, Olivier Benveniste, Marie Hudson
Neurology Oct 2018, 91 (16) 760; DOI: 10.1212/WNL.0000000000006365

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A 45-year-old man developed gradual onset of finger flexors and quadriceps weakness. Anti-NT5C1A antibody was positive, and muscle biopsy was consistent with inclusion body myositis. Options to preserve his mobility were explored. The Dermoskeleton uses high-end sensors and advanced artificial intelligence to detect the user's mobility intentions and generate synchronized assistance at the motorized knees. The device considerably improved the patient's 6-minute walk test (720–790 m) and stair climbing capacity (69–140 steps per minute) (videos 1 and 2), as a result of both assistance (primary) and bracing (secondary) factors. Advancing biomechanical technology provides novel options to preserve mobility and function for patients with neuromuscular diseases.

Video 1

Patient climbing stairs without the Dermoskeleton.Download Supplementary Video 1 via http://dx.doi.org/10.1212/006365_Video_1

Video 2

Patient stair climbing capacity improved with the activated Dermoskeleton.Download Supplementary Video 2 via http://dx.doi.org/10.1212/006365_Video_2

Author contributions

O. Landon-Cardinal, F. Prince, S. Bédard, and M. Hudson: conceptualization and design. O. Landon-Cardinal, F. Prince, and M. Hudson: acquisition of data. O. Landon-Cardinal, F. Prince, O. Benveniste, and M. Hudson: analysis and interpretation of data. O. Landon-Cardinal, F. Prince, S. Bédard, O. Benveniste, and M. Hudson: critical revision of the manuscript for important intellectual content.

Study funding

No targeted funding reported.

Disclosure

The authors report no disclosures relevant to the manuscript. Go to Neurology.org/N for full disclosures.

Acknowledgment

The authors specially thank the PERFORM Centre, Concordia University, for providing the ideal spaces for shooting these videos and for providing an ideal research environment.

  • © 2018 American Academy of Neurology

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