What evidence is there for using an exoskeleton in the community?

Author: Sharon Jang | Reviewer: Riley Louie | Published: 7 April 2021 | Updated: ~

Currently, there are only two exoskeleton models that have been approved for community use in North America. As such, there is limited evidence for using an exoskeleton in the community. In order to use an exoskeleton independently, individuals should be able to put on and take off the exoskeleton without professional help. Weak evidence has shown that individuals with paraplegia are able to independently put on and take off these devices, although those with tetraplegia are not. Additionally, weak evidence has shown that the time it takes to put on and take off an exoskeleton can be reduced with practice. Regarding walking speed in indoor versus outdoor environments, one weak evidence study has found that there are no significant differences in speed.

Some studies have looked at home- and community-based skills that can be completed using an exoskeleton. One weak evidence study found that the majority of participants could walk independently without a trainer in an exoskeleton, and perform tasks such as reaching high cupboards, using a stove, and using a sink, but were not able to walk on carpet and ramps. However, the authors note that some tasks were more difficult to complete in an exoskeleton, including reaching low cupboards and opening a fridge and getting items. Other (weak evidence) studies have found that a small proportion of people were able to do more advanced community-based tasks, such as entering/exiting elevators, operating automatic doors, navigating revolving doors, and ordering at a café. More research is required to determine how quickly individuals can pick up these skills.