Exoskeletons

Robotic Exoskeletons: Helping Wheelchair Users Stand, Walk, and Move Forward

At the Rehabilitation Institute of Michigan (RIM), we’re proud to offer advanced technology to support recovery and independence. One of the most exciting advancements in neurorehabilitation is the robotic exoskeleton—a wearable, battery-powered suit that helps individuals with spinal cord injuries or neurological conditions stand, walk, and move again.

What Is a Robotic Exoskeleton?

Robotic exoskeletons are motorized devices worn over clothing, designed to assist with basic movements like standing, walking, and sitting. Using a combination of sensors, motors, and real-time feedback, these suits help retrain the body and improve function.

Users typically need some upper-body strength and may use crutches or a walker for additional support during training.

Proven Benefits of Exoskeleton Use

Research shows that using robotic exoskeletons can lead to a variety of health benefits, including:

Improved circulation
Increased oxygen intake
Reduced pain
Enhanced bowel and bladder function
Better joint alignment and maintenance

These devices are not just about movement—they support whole-body wellness.

Clinical Use at RIM: Ekso Bionics

RIM is proud to offer the Ekso Bionics exoskeleton as part of our outpatient therapy program. Ekso is used under medical supervision for:

Gait training in individuals with various levels of paralysis
Neurological rehabilitation in patients with conditions affecting walking ability

One of the key features of Ekso is its “Variable Assist” mode, allowing our therapists to adjust the level of support based on the patient’s needs. This customization makes it ideal for both those beginning to walk again and those looking to improve the quality and control of their gait.

Home Use: ReWalk & Ekso Indego Training

Some exoskeletons such as the ReWalk Personal Exoskeleton and the Ekso Indego have been FDA approved for daily, independent use at home or in the community. Both devices are supported by RIM’s Certified Training Program, ensuring patients are fully prepared to use their exoskeleton safely and effectively in daily life.

RIM offers training and support for these two leading models:

1. ReWalk Personal Exoskeleton

Provides powered motion at the hip and knee joints
Enables upright walking, turning, stair climbing, and more
Mimics natural gait patterns with customizable walking speeds

2. Ekso Indego

A lighter, more compact option for personal mobility
Adjustable assistance based on user strength and function
Includes Functional Electrical Stimulation (FES) to activate paralyzed muscles

Both devices are covered by Medicare and the Veterans Health Administration.

Get Started with Exoskeleton Therapy at RIM

Whether you’re recovering from a spinal cord injury or managing a neurological condition that affects mobility, exoskeleton therapy could be a vital part of your rehabilitation journey.