Principles of Efficiency and Safety Assessment in Using Exoskeletons for Patients with Lower Limb Paralyses (Review)
In rehabilitation of patients who have lost their ability to move independently due to the paralysis of lower limbs, using exoskeletons is a perspective direction. In recent years a great number of robotic devices improving walking of people with lower paraparesis have been developed. However, their comparison is hindered since there are no standardized approaches to the assessment of their efficiency and safety. In this review, general principles of evaluating external robotic devices have been presented, and methods of determining safety and convenience of exoskeleton usage have been analyzed. Assessment of qualitative and quantitative parameters of exoskeleton-assisted walking has also been considered. The characteristic of the questionnaires, standard tests and biochemical investigations, which are used in approbation of exoskeletal devices in people with paraplegia has been presented. Possible ways of evaluating energy expenditure when moving in exoskeletons are shown. The need of elaborating a unified evaluation strategy of walking in exoskeletons has been substantiated.
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