Patient Success Story: Tarek Rasouli

We are honored to share an incredible story about our Patient Ambassador, Tarek Rasouli from Munich, Germany.

In the 1990´s, Tarek Rasouli was one of the best professional BMX and mountain bikers in the world. That had always been his goal. At the age of 9, Tarek would ride with his BMX bike and race with his friends at the Olympia park in Munich, with the intention to become the fastest on the BMX track in his age group. Driven by passion and ambition, he became a pro. He was the only European in the legendary Froride crew – the first pro free rider team of the bike brand Rocky Mountain. Tarek put all of his time and energy into being a pro athlete.

In 1999, at the age of 24, Tarek decided to quit BMXing and switch 100% to mountain biking. He joined the Rocky Mountain Freeride Team in the beginning of 2000. But instead of racing or just doing magazine shoots, he wanted to make it into bike movies.

In 2002, Tarek joined the production for the fifth Kranked movie in British Colombia, Canada. At that time, BC was the place to be, where standards were set in the world of mountain bike freeriding. The Kranked series was the benchmark for a professional mountain bike freeride athlete. Tarek had made an appearance in the fourth movie, which had positively impacted his career, so he was excited to head to Canada to film the fifth movie.

They were filming at Sun Peaks, a ski resort that had partnered with the film for one of its segments. After reviewing a few locations, builders began working on creating jumps within a snowboard halfpipe that was made of dirt for the summer. After filming at another location, Tarek and his friend and colleague, Johnny, went over to the halfpipe to check it out and trial it. Tarek was excited to try the jumps first, but he didn’t take enough time and didn’t check his speed in the run in. He overshot the landing and made a split-second, mid-air decision to let go of his bike. He fell from about 20 feet onto his feet. The impact broke his right heel and the first lumbar vertebra, which is in the lower section of the spinal column. He was instantly paralyzed from the waist down.

Foto Philipp Horak fuer Redbulletin Maerz 2021 Muenchen Tarek Rasouli

Despite the tragic incident, Tarek stayed in the bike industry and followed the opportunity to organize events. He co-founded the company “Rasoulution,” an event and sports management company. The company organized mega-events like the RedBull District Ride, while also becoming the most valuable mountain bike athlete-management house there is. With riders like Danny MacAskill, Fabio Wibmer, Emil Johansson, Erik Fedko, and many more, Tarek has quickly made a name for himself once again.

In 2020, former motocross professional Hannes Kimnigadner invited Tarek to visit his rehabilitation sessions. Hannes had also been in an accident and had walked with Ekso several times. Tarek went for the visit and gave Ekso a try. The first time, he says he was very overwhelmed, but he wanted to try again.

Tarek initially used Ekso once per week but has since increased to two or even three times weekly of walking. He notes changes and progress in different areas from using the Ekso. Initially, he noted feeling changes in his glute muscles and low back. Prior to using Ekso, he reported having regular problems with his neck, but since initiating Ekso therapy, these problems have disappeared. Tarek says he feels “in general stronger to endure a long day in the wheelchair” noting that this increased endurance has helped his busy work life.

When asked how it feels to use Ekso, Tarek says “it just feels good, but it is also tiring, but in a positive way.” He now recommends Ekso to others in order to help them stay healthy and live long, happy lives post injury.

In 2021, Tarek joined the Wings for Life World Run wearing Ekso, which produced a lot of media attention. He says his life is now busier then ever, but still finds time to use his handbike either outdoors or inside on a trainer. In October 2022, Tarek was inducted in the Mountain Bike Hall of Fame in Fairfax, California.

At Ekso Bionics, we are proud to support incredible athletes like Tarek and help them regain mobility and endurance. If you’d like to learn how Ekso could benefit you, please connect with us for more information.

Patient Success Story: Megan

A patient story we would like to share with you features one of our Patient Ambassadors, Megan Burns, from Greater Chicago.

Before her injury, Megan was a healthy active adult in her early thirties. Megan enjoyed playing tennis a few times a week at her neighborhood courts in the summer. On Sundays, Megan would play golf with her partner Brian and her Aunt and Uncle. She also went on daily walks with her dog Chip. Megan and Brian also enjoyed hiking in Lake Geneva on the scenic lake path in the spring, summer, and fall in Wisconsin.

Megan also liked a little adventure. Shortly before her injury she hiked up the Devils Doorway at Devil’s Lake in Wisconsin, enjoyed zip lining down mountains in the Jamaican rainforest, and walked up the 600-foot-long landmark Dunn’s River waterfall. Every May, Megan and her cousin Mindy would go for an adrenaline rush and ride all the big roller coasters at Six Flags Great America; rain or shine!

Megan’s entire life changed in December of 2015 when she had a stroke in her spinal cord caused by a ruptured arteriovenous malformation (AVM). A spinal AVM is a rare, abnormal tangle of blood vessels on, in, or near the spinal cord. Due to the spinal cord stroke, Megan underwent a resectioning of her spinal cord which was performed in February of 2016. After her AVM and resectioning surgery, Megan was diagnosed with a T-12- incomplete spinal cord injury (iSCI).

Post-injury, Megan used a wheelchair to get around. Over time with physical therapy and lots of hard work, she was able to progress to walking with a wheeled walker and eventually a straight cane and AFO (ankle foot orthoses) braces. Doctors were thrilled with this progress since her original prognosis was that she would always need to use a wheelchair. Although the progress was great, Megan did not accept that she had reached the end of her journey towards walking independently. She would rely on her cane for stability and drag her legs through the motions of walking. For Megan, this was not the best solution and was not the peak of her progress!

Megan was introduced to Ekso in the fall of 2017 which was two years after her injury. Still not satisfied with the quality of her gait, she went to the Shirley Ryan AbilityLab website to look for rehabilitation help. Megan saw they were seeking participants for a study called WISE (Walking Improvement for SCI with Exoskeleton) which was looking at comparing Ekso rehab with traditional rehab for incomplete spinal cord injured patients. She fit the study criteria and signed up immediately. Luckily, Megan started as a participant of the trial in the first quarter of 2018. She would end up using Ekso three days per week for twelve weeks and here is what happened next:

First session – Megan found her balance with the help of the preGait functions and her posture began to recover.

Third session – She became very comfortable and confident in the device. Megan learned how to work together with the exoskeleton, that Ekso was not walking for her, and stopped fighting it. At this point she really started to learn from it.

“It was here that I realized I need to take the information I learned in Ekso and carry it over into real life. This is where I realized the importance of Ekso and the steps. I was taking 500+ steps in my first few sessions of 45 minutes each. That was more steps than I was taking in days. Not only was I thrilled at the step quantity, but also the quality. The step pattern in Ekso is natural and would not allow me to drag my toes. You can only take quality steps in the device.”

Fifth session – Together with her therapist, Megan realized she had not used her calves in two years. She finally started pushing with her calves again to clear the toes that were curled under from foot drop. Even today, Megan says, “I still hear my PT when I am walking to PUSH.”

Session twelve – Megan stopped using her AFO because she was engaging her calves with every step. By the twelfth session she was taking 900+ steps in Ekso each time, including backward and forward walking.

By session twenty Megan was walking in the community completely unassisted—no more cane!

And the best news of all, by the thirty-sixth session in Ekso Megan was back to golfing, a goal of hers since her injury back in late 2015.

“Now, in outpatient, my therapists are kind and patient, but also challenge me. MidAmerica Rehabilitation Hospital is now my family.”

Today, Megan still can’t feel her legs from the waist down but has been able to build up her muscles in her legs in order to keep walking.  She has carried on with all the lessons from her Ekso training and has been walking unassisted for nearly two years! She has returned to using Ekso in the outpatient setting, for what she calls “tune ups”.  As a busy professional and someone who travels for pleasure as often as she can, Megan tends to get busy with life moving quickly and returns to some old habits—short steps, not weight-shifting, and dragging her toes.

“Every time I use Ekso I learn something new and take it with me. I do have to think of every step I am going to take, but now it is so much easier.” 

Megan would like to stress how much she believes in Ekso. So much so, that she would drive more than two hours round-trip for the twelve-week duration of the study to get into the device to keep learning to walk. We are so thrilled with Megan’s progress and her incredible return to the full life she was enjoying prior to her injury. Since regaining her balance and strength she has been able to get back to her adventurous side and has been parasailing, scuba diving, cliff jumping, and hiking at the Grand Canyon.  She also has returned to joining friends for concerts and still makes her annual trip to Six Flags to ride the roller coasters with her cousin.

Megan’s success with Ekso has also led to her joining Ekso Bionics as a Patient Ambassador so she can continue to share her story with as many people as possible and spread hope.

Young Mother Finds Her ‘New Normal’ After Stroke

As a mother of three active boys and working three jobs, it’s no secret that Amelia Clark, at 38, is a hard worker.

With no time left in her day to be ill, it was an unwelcome surprise when she started to feel sick at her local salon. Developing a sudden headache, she was soon unable to stand or walk. Emergency services were called, as Amelia remained baffled as to what was happening to her.

After she arrived at the emergency room, Amelia learned she had suffered a right-sided stroke. The process of stabilization began right away, preparing her for a move to rehabilitation a week later. Amelia chose to go to MidAmerica Rehabilitation Hospital because it had earned The Joint Commission Disease-Specific Care Certification in Stroke Rehabilitation.

Upon admission for rehabilitation, Amelia’s MidAmerica team and staff members welcomed her with warmth and care. As she moved forward on her new journey, Amelia’s therapists went to extra lengths to make sure she felt safe and comfortable. For extra motivation, she leaned on support from her mother, children, church family and friends. She remained positive and smiled, inspiring other patients to do the same. She even created a rap song about her experiences and MidAmerica to help her and others feel empowered on the road to recovery.

Certified Rehabilitation Registered Nurses took the time to explain the changes she was experiencing after her stroke and assured her she was in the best place for recovery.

As part of a comprehensive rehabilitation program, therapists used advanced technologies like Biodex FreeStep and Bioness to elevate her progress. They also used the cutting-edge Ekso to promote early mobilization.

“The technology at MidAmerica Rehabilitation Hospital was amazing,” Amelia said.

After 38 days of her commitment to a positive outcome, Amelia was discharged home, walking on her own with a hemi walker. She can now drive and is active in educating others on her story. Amelia has started a stroke support group called SSS, which means stroke surviving sisters.

“Now, in outpatient, my therapists are kind and patient, but also challenge me. MidAmerica Rehabilitation Hospital is now my family.”

Amelia is the newest Ambassador for Ekso Bionics, using both EksoNR and EksoUE in her stroke recovery. Learn more about Amelia’s story in this video

To learn more about EksoNR, request a demo today.

From Wheelchair-Bound, to Golfing Again

My story began in December 2015, when I had a stroke in my spinal cord, caused by a ruptured AVM. I had a resectioning of my spinal cord preformed in February 2016. I have a T-12  incomplete spinal cord injury. Post-injury, I used a wheelchair, then went to a wheeled walker, then to a straight cane and AFO braces.  Doctors were thrilled with this progress, since my original prognosis was a wheelchair. But, I was really just dragging my legs with me where I went. I would plant with the cane and drag my leg, using my hips and quads. This was not the best solution in my mind.

I was introduced to Ekso in the fall of 2017 (two years post-injury), when I went to the Shirley Ryan AbilityLab website to look for rehabilitation help. I saw the WISE study criteria and signed up immediately. Luckily, I started the trial in quarter one of 2018. I would end up using Ekso three days per week for twelve weeks.

Session #1 — I found my balance, with the help of the pre-gait functions, and my posture recovered.

Session #3 — I became very comfortable and confident in the device. I learned, by then, what we were doing together: Ekso was not walking for me. I stopped fighting it and really started to learn from it. It was here that I realized I need to take the information learned and carry it over into real life. This is also when I realized the importance of Ekso and the steps. I was taking 500+ steps in my first few sessions of 45 minutes each. That was more steps than I was taking in days on my own. Not only was I thrilled by the step quantity, but more by the quality. The step pattern in Ekso is natural and would not allow we to drag my toes.  I can only take quality steps in the device.

Session #5 — We realized I had not used my calves in 2 years. I started pushing with my calves again to clear the toes that were curled under from foot drop. When I am walking, I still hear my PT telling me to push.

Session #12 — I  stopped using my AFO because I was engaging my calves with every step. At this time, I was taking 900+ steps in Ekso, including backward and forward walking.

Session #20 — I was walking in the community unassisted — no more cane!

Session #36 — I was golfing again! This brought my social life back, which I had been desperately missing over the past two years. Ekso brought me back to life!

“I want to stress how much I believe in Ekso: I would drive 2 hours round trip for 12 weeks to get into the device to keep learning to walk.”

Today, I still can’t feel my legs from the waist down, but  I have carried on with all the lessons from my Ekso training and I have been walking unassisted for over two years! I have returned to use Ekso in the outpatient setting, for what I call “tune-ups.” I tend to get busy when life is moving quickly and I return to my old habits—short steps, not weight-shifting, and dragging my toes. Every time I use Ekso, I learn something new and take it with me. I do have to think of every step I am going to take, but now it is so much easier.

Megan is an Ekso Bionics Patient Ambassador. She joined Team Ekso in 2019, when in recovery for her stroke.

To learn more about EksoNR, request a demo today.

After a Serious Fall, College Student is Back on Her Feet: Sasha’s Story

On a day that started like any other, 20-year-old Sasha Pavlenko went to an early morning class to give a presentation. She had just transferred to the University of Dayton two months prior and was excited to spend time after class with her childhood friend, Cortni, who was in town visiting her.

It was St. Patrickʼs Day, and students started their celebrations early. That afternoon, Sasha and Cortni went to a house party and were talking with a group of friends on a second-floor balcony. Suddenly, a party guest ran into Sasha, causing her to fall 25 feet to the ground below. She was knocked unconscious.

Cortni sprang into action to call Sashaʼs parents and to be by her friendʼs side. Sasha recalls waking up below the balcony. “I tried to stand up, but paramedics told me to be still.”

An hour later at the hospital, the pain struck and after many tests, it was determined that Sasha suffered a burst fracture in her spine and was diagnosed with an L1 incomplete spinal cord injury. She needed an 11-hour surgery the next morning.

“The doctors explained to me that my spinal cord didnʼt break in half — it was still intact but a very exaggerated S-shape. I also had a very large bruise and swelling where my spinal cord ends and meets the peripheral nerves,” recalls Sasha. “Bone fragments were all over the tissue in my back since it was a burst fracture — thatʼs why it took so long, they had to get all of the bone fragments out and then they straightened my spine and put two rods in. They did the best that they could.”

Sasha spent the first few days after surgery in the intensive care unit in a blur of pain and medication. It was after moving to the trauma unit that she had her first glimmer of hope. While still on bed rest, Sasha lifted her left foot, the first movement she made since her fall. Her surgeon was shocked — he wasn’t expecting that so soon.

Two weeks after surgery, Sasha was transferred into the hospitalʼs inpatient rehabilitation unit. The first thing her care team did was get her out of bed to stand – but she couldn’t do it on her own without the help of people holding her. Sasha then started using Ekso almost daily. “Thatʼs when I began gaining more mobility and was able to stand longer,” Sasha explains. “Especially when my accident first happened — I loved getting up to walk.”

After a month, it was time to head home and start outpatient rehab to work towards her goals of getting stronger and walking independently again. During this time she used a walker in her house, a wheelchair in the community, and she continued using Ekso in physical therapy. Sasha noticed how the SmartAssist feature helped to train her weaker leg. “My PT would remove power from my left leg, my stronger side, so it wasnʼt helping me and then I would just work on my right leg.”

“My favorite feature on Ekso is where it shows you how much work you’re actually doing compared to the machine… “We’re always looking at how we can make their lives easier.” …I wasn’t just able to feel that I was getting better, I had actual proof.”

Throughout the four months that she used Ekso she was able to chart her progress, not only by the improvements she felt but in numbers, too.

“My favorite feature on Ekso is where it shows you how much work youʼre actually doing compared to the machine. At the beginning, it was helping me 95% and by the end it was 0% or close to 0%,” Sasha explains. “Iʼm a very numbers oriented person — I love having numbers to show my progress whenever I get reevaluated; thatʼs how I like to judge it. Having that on Ekso, I wasnʼt just able to feel that I was getting better, I had actual proof.”

Today, just over a year after her injury, Sasha can walk. She still wears a brace on her foot but her balance has improved. She walks unassisted at home and uses a walking stick to help her get around outside.

Her message to others who suffer from a spinal cord injury: “Regardless of how you recover, the injury does get easier. I donʼt want people to get too sad in the beginning. The last thing Iʼd want is for someone to fall into depression. Itʼs hard but look at all the good you have and try to appreciate that.”

“There is so much technology and if you work at it, things do happen. Try to achieve your goals. Maybe you wonʼt walk again on your own — each injury is different, but you may make gains in other areas. Keep trying and donʼt lose hope.”

Sasha has returned to college part-time, with plans to increase her course load this fall. Her rehab journey continues with five days of treatment per week, helping her toward her goals of improving her balance and speed and getting rid of the walking stick completely.

To learn more about EksoNR, request a demo today.