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Updated: Mar 17, 2026

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Exoskeletal-Assisted Training in Veterans With Chronic Stroke: A Pilot Study.

Michael Elliott1, Ingrid Lee1, Korishma Patram1,2

  • 1Spinal Cord Damage Research Center, James J. Peters VA Medical Center, Bronx, NY.

Archives of Rehabilitation Research and Clinical Translation
|March 16, 2026
PubMed
Summary
This summary is machine-generated.

This pilot study found that using a robotically powered exoskeleton (KExo) alongside standard care (SOC) for stroke survivors was safe and feasible. The KExo augmentation showed promising results for improving functional outcomes in outpatient rehabilitation.

Keywords:
Cerebrovascular accidentNeurologic ambulation disordersRehabilitationRobotic exoskeletonStroke

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Area of Science:

  • Rehabilitation Medicine
  • Robotics in Healthcare
  • Neuroscience

Background:

  • Stroke survivors often experience mobility impairments affecting daily life.
  • Standard of care (SOC) rehabilitation aims to improve function but may have limitations.
  • Robotically powered exoskeletons offer potential for enhanced therapeutic interventions.

Purpose of the Study:

  • To evaluate the safety and feasibility of using a robotically powered exoskeleton (KExo) in outpatient stroke survivors.
  • To explore the treatment effects and functional outcomes of KExo-augmented rehabilitation.

Main Methods:

  • A pilot study involving 10 stroke survivors with mild-moderate mobility limitations.
  • Participants received either SOC rehabilitation or SOC plus KExo (Keeogo Dermoskeleton) for 12 weeks.
  • Safety assessed via adverse events (AEs); feasibility by retention, adherence, and satisfaction.

Main Results:

  • The SOC+KExo intervention was safe and feasible, with a 63% retention rate and 100% adherence among completers.
  • Participants reported satisfaction with KExo assistance, and trainers required minimal supervision.
  • Exploratory outcomes showed significant pre-post improvements in the SOC+KExo group for 5 Times Sit-to-Stand, gait speed, and paretic step length.

Conclusions:

  • Robotically powered exoskeleton use to augment outpatient stroke rehabilitation is safe, feasible, and well-tolerated.
  • The observed improvements in functional outcomes suggest potential benefits warranting further investigation.
  • A larger, randomized controlled trial is recommended to confirm the efficacy of KExo-augmented stroke rehabilitation.