Exoskeleton‑based exercises for overground gait and balance rehabilitation in spinal cord injury: a systematic review of dose and dosage parameters

Exoskeletons are increasingly being used in rehabilitation to help people with neurological impairments improve their gait and balance. However, there's no clear consensus on the best way to use them. This review looks at existing studies to figure out the most effective 'dose' (session length, total sessions) and 'dosage' (frequency, total time) of exoskeleton therapy for people with spinal cord injuries. The review suggests that a 60-minute session, three times a week, for nine weeks is a good general recommendation. Specific protocols for functional restoration and cardiorespiratory rehabilitation are also identified.

• 1
  A general protocol of 60-minute sessions, three times a week, for nine weeks (27 sessions total) is a good starting point.
• 2
  For functional restoration (improving daily living activities), a protocol of 60-minute sessions, three times a week, for eight weeks (24 sessions total) is suggested.
• 3
  For cardiorespiratory rehabilitation, a protocol of 60-minute sessions, three times a week, for twelve weeks (36 sessions total) is suggested.