Using robotic exoskeletons for over-ground locomotor training

Once designed to augment the capability of soldiers in combat, robotic exoskeletons are now emerging as promising assistive technologies in neurorehabilitation. Exoskeletons have the potential to help individuals maintain or regain neuromuscular health and to provide personal mobility or over-ground locomotor training for individuals recovering from stroke, spinal cord injury (SCI), or other neurological injuries. Preliminary data suggest that these individuals may benefit from the use of exoskeletons, either alone or as a compliment to traditional rehabilitation strategies. Further research in this emerging field, including clinical trials to assess the therapeutic benefits and limitations of exoskeletons, is required to achieve a greater understanding of how to use these devices inside and outside of the clinic. Use of exoskeletons as clinical tools requires clinicians to understand how to operate and monitor the device, which patient population(s) are appropriate and would most benefit from the device, and the limitations and safety measures required for each device.