How to choose exoskeleton robots for elderly care homes

For many residents in elderly care homes, limited mobility isn't just an inconvenience—it can chip away at independence, self-esteem, and even physical health. Simple tasks like standing, walking to the dining hall, or reaching for a book become daily challenges, often leading to feelings of frustration or isolation. Caregivers, too, face the physical strain of assisting with transfers, lifts, and mobility support, increasing the risk of injury over time. This is where robotic lower limb exoskeletons step in: as innovative tools designed to bridge the mobility gap, empower residents, and lighten the load for care teams.

These wearable devices, often resembling a frame or suit worn over the legs, use motors, sensors, and smart technology to support or enhance movement. Whether helping a resident take their first steps after a fall, assisting with daily walks to maintain muscle strength, or aiding in rehabilitation after a stroke, exoskeletons are transforming how elderly care homes approach mobility and rehabilitation. But with so many options on the market—from lightweight assistive models to advanced rehabilitation systems—choosing the right one for your care home can feel overwhelming. This guide will walk you through the key steps to ｓｅｌｅｃｔ an exoskeleton that aligns with your residents' needs, staff capabilities, and care goals.

Selecting an exoskeleton isn't just about picking a "top-rated" model—it's about finding a solution that fits your care home's unique environment. Here are the critical factors to weigh:

1. Understand Resident Needs First
No two residents have identical mobility challenges. Start by assessing the specific needs of your community. Are most users recovering from surgery and need rehabilitation support? Do some residents have chronic conditions like arthritis or Parkinson's that affect balance? Or are you looking for devices to help active seniors maintain independence? For example, a resident with partial paralysis may benefit from a lower limb rehabilitation exoskeleton , while someone with mild mobility issues might thrive with a lightweight assistive model.

2. Prioritize Safety Above All
Safety is non-negotiable, especially when working with elderly adults who may have fragile bones, balance issues, or cognitive impairments. Look for features like automatic fall detection (which stops the device if a stumble is detected), adjustable speed settings, and padded, non-slip straps to prevent discomfort or injury. Also, check if the exoskeleton has undergone safety testing—reputable models often reference compliance with standards like ISO 13485 (medical device quality) or include data on incident rates from real-world use.

3. Ease of Use for Both Staff and Residents
A high-tech exoskeleton won't help if your staff can't set it up quickly or residents find it intimidating to wear. Opt for models with intuitive controls—think simple touchscreens or voice commands— and quick donning/doffing mechanisms (e.g., magnetic closures or Velcro straps instead of complicated buckles). Some brands also offer training videos or on-site demos to help staff feel confident using the device.

4. Durability and Maintenance
Elderly care homes are busy environments, so the exoskeleton needs to withstand daily use. Ask about the device's weight capacity, resistance to wear and tear (e.g., water-resistant materials for accidental spills), and battery life (aim for at least 4-6 hours of use per charge to cover a full day of activities). Also, clarify maintenance requirements: How often does it need servicing? Are replacement parts readily available? A reliable manufacturer should offer a clear warranty and responsive technical support.

5. Cost and Long-Term Value
Exoskeletons can range from tens of thousands to over $100,000, so budget is a key consideration. But focus on value , not just upfront cost. A slightly pricier model with better durability, longer battery life, or built-in rehabilitation tracking might save money in the long run by reducing replacement or repair costs. Some companies also offer leasing options or grants for care facilities, which can ease the financial burden.

Not all exoskeletons are created equal. Understanding the different types available will help you narrow down options that match your care home's needs. Below is an overview of the most common categories, along with their strengths and ideal use cases:

For example, the "Robotic Lower Limb Exoskeletons" category includes models like Ekso Bionics' EksoNR, a rehabilitation-focused device used in clinics to help patients relearn to walk. On the other hand, assistive models like the ReWalk Personal are designed for home use, allowing users to navigate indoor spaces independently. Sport-specific exoskeletons, such as the CYBERDYNE HAL, are less common in care homes but may benefit active seniors in fitness programs.

Once you've shortlisted a few models, the next step is to test them in your care home environment. Here's a step-by-step approach to ensure you make the right choice:

1. Involve Your Team and Residents in Trials
Don't make the decision in a vacuum—invite caregivers, nurses, physical therapists, and even residents to participate in demo sessions. Ask staff: "How easy is this to adjust for different body types?" or "Would you feel comfortable assisting a resident with this device during a meal rush?" For residents, focus on comfort: "Does the exoskeleton feel heavy on your legs?" or "Can you see yourself using this to walk to the garden?" Their feedback will highlight practical issues you might miss on paper.

2. Check Independent Reviews and Real-World Data
Manufacturer claims are helpful, but independent reviews and user forums can reveal hidden pros and cons. Look for feedback from other care homes—did they mention frequent breakdowns? Was customer support responsive? For lower limb rehabilitation exoskeletons , pay special attention to discussions about safety issues (e.g., "Did residents report pain after prolonged use?") or effectiveness ("Did mobility scores improve after 3 months of use?").

3. Verify Regulatory Approvals
If you're in the U.S., check if the exoskeleton is FDA-cleared for its intended use (e.g., "rehabilitation of lower limb mobility"). In Europe, look for CE marking. These certifications indicate the device meets basic safety and efficacy standards, though they don't guarantee perfection. For example, the FDA has cleared several rehabilitation exoskeletons, including the Indego by Parker Hannifin, for use in clinical settings.

4. Assess Training and Support
Even the most user-friendly exoskeleton requires training. Ask manufacturers: "What training do you provide for staff?" Some offer on-site workshops, while others provide online courses. Also, inquire about ongoing support—will a technician visit if the device malfunctions? Is there a 24/7 helpline for urgent issues? A company that invests in training is more likely to stand behind its product long-term.

Choosing an exoskeleton for your elderly care home isn't just about buying a piece of technology—it's about investing in the dignity, independence, and well-being of your residents. By prioritizing safety, ease of use, and alignment with your community's needs, you can ｓｅｌｅｃｔ a device that becomes a tool for connection, not just mobility.

Remember, the best exoskeleton is one that feels like a natural extension of your care—subtle enough to fade into the background when residents are using it, but powerful enough to transform their daily lives. With careful research, hands-on testing, and input from your team, you'll find a solution that helps your residents take steps toward a more active, engaged future.