Featured Technology: The Bionic Power Agilik™
The Bionic Power Agilik™ is a first-of-its-kind smart orthosis that helps people with gait impairments walk more naturally and comfortably. This powered microprocessor-controlled knee-ankle-foot orthosis (MPKAFO) is designed to assist mobility—not by walking for the patient, but by actively supporting natural gait. The lightweight actuator integrates into a custom-fabricated knee-ankle-foot-orthosis (KAFO), creating a personalized system that moves with the patient.
The Agilik is a powered MPKAFO that can be used on one or both legs. It features smart onboard microprocessors that monitor a person’s muscle activity and walking pattern in real time. Based on this information, it delivers motor‑assisted support to help compensate for weakened or fatigued muscles. This technology is especially beneficial for those with knee flexion or extension weakness and those presenting with crouch gait.
How does the Agilik work?
- Functions by assisting or resisting knee extension and flexion throughout the gait cycle.
- Monitors key aspects of leg movement during each step and uses this information to adjust the amount of assistance or resistance based on individual needs.
- Targeted assistance helps improve knee extension, reduce fatigue, support upright posture, and promote strength.
- Also collects gait metrics like range of motion, maximum flexion, and extension and angle speed to help clinicians make informed, data-driven decisions.
Who can benefit from the Agilik?
In general, the Agilik is appropriate for individuals aged 5 years and older who experience:
- Difficulty straightening the knee because of muscle weakness
- Trouble standing up straight or walking with knees straight—especially over longer distances
- Instability or risk of falling while walking due to weak thigh muscles
- Walking patterns that cause strain or pain in the hips, back, or trunk over time
- Reduced walking endurance—not able to walk as far as before because of muscle weakness
- Challenges practicing repetitive, consistent walking needed to improve posture and movement
Patient Benefits
- Improved quality of life
- Improved stamina and endurance
- Improved balance
- Improved muscle strength
- Reduced fall risk
- Reduced gait compensation
Locations Fitting the Agilik
Hanger Clinic’s Approach to Care
Hanger Clinic orthotists have advanced training in movement-related conditions and innovative bracing technologies like the Agilik. Through a structured care model, our team integrates expert evaluation, personalized care, and ongoing support at every step.
Our approach centers on communicating with patients and their families, partnering with broader healthcare teams, and applying innovative technologies to ensure the best possible care today and into the future.
What to Expect on the Agilik Treatment Journey
Evaluation/Measurement
- At the first appointment (which typically takes 60-90 minutes), your orthotist will evaluate, measure, and use tools and questionnaires to assess if the Agilik may be an appropriate solution for you.
- Once candidacy is determined, the office staff will work to verify insurance coverage, with the goal of providing you with an understanding of their out-of-pocket costs (due to deductible and coinsurance).
Trial
- You will start with the Agilik trial device. This adjustable system is designed to fit a range of heights and sizes, with various thigh cuffs and footplates for customization. During the trial, you can experience how the Agilik affects your walking, including comfort, stability, and the level of assistance provided. Your Hanger Clinic orthotist will monitor your gait and adjust the device’s settings to determine if the Agilik is the best solution for you.
Fit/Delivery
- Upon completing fabrication of your customized Agilik, you will return to the clinic for fit and delivery. This appointment typically lasts 90 minutes. At that time, your orthotist will evaluate and adjust the brace to ensure a comfortable fit and the proper function. They will review the break-in schedule and cleaning instructions, show you how to take the brace on and off, advise how to care for your skin, and will schedule necessary follow-up appointments.
Follow-Up
- You will return 1-3 weeks following delivery for a follow-up appointment with your orthotist. At your appointment, the focus will be on ensuring the device is functioning properly, fits comfortably, and is helping you meet your mobility goals. Your orthotist will check that the brace fits well and doesn’t cause discomfort or skin irritation, analyze gait, and make any necessary adjustments to optimize settings. You’ll discuss how the device feels during daily activities, including any challenges and what is working well. Additionally, your orthotist will also take the time to answer questions and celebrate your accomplishments. Subsequent follow-up appointments will be made to continue ensuring proper care, function and servicing to best support your mobility goals.
Published Research
The Hanger Institute recently completed a pediatric clinical study of the Bionic Power Agilik™, which demonstrated significant improvements in quality of life, along with clinically observed improvements in gait quality, knee extension, and upright posture during use.
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