ArticleSpinal cord series and cases2026
Long-term availability of powered exoskeleton for ambulation in domestic context: A cross-sectional study to assess safety, usage pattern, and satisfaction after long-term use.
Article in Spinal cord series and cases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Contextual determinants of long-term home use of powered exoskeletons: commentary on Cutti et al.Spinal cord series and cases · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCross-sectional study.
objectiveTo quantify the safety, usage pattern, and satisfaction of seven subjects with paraplegia after prolonged home use of a commercial powered overground exoskeleton.
settingCentro Protesi Inail, the prosthetic centre of the Italian workers' compensation authority.
methodsThe participants were recalled for a single-day assessment. Five domains were investigated: i. SAFETY: occurrences of adverse events. ii. Active use, usability, and satisfaction: Number of gait steps and stair steps with exoskeleton, System Usability Scale (SUS), Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST). iii. Health status and independence: Short Form-36 (SF-36), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder Scale (GAD-7), VO2 consumption associated to a sub-maximal arm crank ergometer test, Modified Ashworth Scale (MAS), Jobe's test and Speed's test, Spinal Cord Injury Measure (SCIM). iv. Perceived benefits: Self-perceived pain severity (VAS scale), Self-perceived bowel and bladder management (5-Likert scale). v. Performance: 6 min Walking Test (6MWT), 10 Meters Walking Test (10MWT).
resultsMost recruited subjects were able to use the exoskeleton actively and safely throughout the observation period, experiencing an overall improvement across all domains of investigation. In one case, the ambulation time was lower due to the unavailability of the caregiver.
conclusionsHome supply of powered exoskeleton for ambulation could be part of a rehabilitation program to support individuals with paraplegia in their daily life. However, the presence of a qualified caregiver emerged as dominant factor for technology abandonment.
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