"Back at the same level as everyone else"-user perspectives on walking with an exoskeleton, a qualitative study

Area of Science:

• Rehabilitation robotics
• Human-computer interaction
• Qualitative research

Background:

• The Ekso™ exoskeleton offers new mobility possibilities for individuals with impairments.
• Understanding user experiences is crucial for optimizing rehabilitation technologies.

Purpose of the Study:

• To explore user experiences of standing and walking with the Ekso™ exoskeleton.
• To generate novel insights into the lived realities of using advanced mobility devices.

Main Methods:

• Qualitative, in-depth interviews using a theme-based guide.
• Systematic inductive content analysis with a pattern theory of self framework.
• Study conducted in an in-patient rehabilitation hospital in Norway.

Main Results:

• Participants reported a spectrum of emotions, from positive to challenging, regarding Ekso™ use.
• Four key themes emerged: bodily sensations, loss and hope, freedom and restriction, and control dynamics.
• Ekso™ use influences self-perception and can lead to either a coherent self-understanding or body objectification.

Conclusions:

• Using the Ekso™ exoskeleton involves complex contrasts and touches fundamental aspects of human experience.
• Further research with diverse populations and contexts is needed to fully understand lived experiences with Ekso™ walking.