Walking the Walk

Dear Impossible Readers,

The one Hollywood sci-fi character who gives me chills is Gazelle from Kingsman: The Secret Service. And it is not because she is the villain with disabilities. It is because, despite her disabilities, she is a f* awesome lady. Her razor-sharp prosthetic legs make her seemingly unstoppable, raising a provocative question: what if technology could safely give humans augmented abilities, level the playing field in physical performance, regardless of disability, illness, or everyday physical limitations, and enable us to move freely without fatigue?

Exoskeletons, wearable devices designed to support or enhance human movement, are already helping people regain mobility after injury and enabling workers to lift heavier loads with less strain. The next step could be personal augmentation for everyone, genuinely levelling the playing field. Exoskeletons have evolved from bulky, rigid frames to streamlined, user-friendly devices. Medical exoskeletons, such as ReWalk and Ekso Bionics, help individuals with spinal cord injuries (SCI) regain mobility. These devices utilise powered joints and sensors to assist with standing and walking, thereby promoting neuroplasticity and improving cardiovascular health. Clinical studies show that exoskeleton-assisted rehabilitation can enhance gait, balance, and overall quality of life for SCI patients. Meanwhile, soft exosuits (e.g., from Harvard’s Wyss Institute) are lightweight, fabric-based devices that aid walking and running. They utilise textile-based actuators and sensors to augment lower-limb movement, providing a more comfortable and less intrusive alternative to traditional exoskeletons. These advancements aim to improve mobility for people with conditions like stroke or multiple sclerosis, as well as boost endurance in healthy individuals.

Despite notable progress, several challenges remain in developing exoskeletons. A key obstacle is actuator optimisation, as traditional actuators are bulky and energy-inefficient. Recent research focuses on rotary series elastic actuators (RSEA) to improve efficiency and reduce device weight. Developing compact, lightweight energy storage is also crucial to extending operational time without compromising comfort. Brain-machine interface (BMI) research aims to link neural signals directly to the exoskeleton, enabling intuitive, thought-controlled movement and expanding potential applications. Advances in materials science are further enhancing efficiency and comfort. Structural batteries, integrating energy storage into the frame, reduce weight and improve energy use, while soft, flexible materials allow more natural movement.

Although exoskeleton technology has progressed significantly, ongoing research is vital to create lightweight, energy-efficient devices that integrate seamlessly with natural movement, ultimately improving mobility and quality of life for all individuals.

Ready for a walk in the park?
Yours Possibly

The new bionics that let us run, climb and dance – Hugh Herr (TED)

How we’ll become cyborgs and extend human potential – Hugh Herr (TED)

Further Reading

Awad, L.N., Bae, J., O’donnell, K., De Rossi, S.M., Hendron, K., Sloot, L.H., Kudzia, P., Allen, S., Holt, K.G., Ellis, T.D. and Walsh, C.J., 2017. A soft robotic exosuit improves walking in patients after stroke. Science translational medicine9(400), p.eaai9084.
Banyai, A.D. and Brișan, C., 2024, August. Robotics in physical rehabilitation: Systematic Review. In Healthcare (Vol. 12, No. 17, p. 1720). MDPI.
Charette, C., Dery, J., Blanchette, A.K., Faure, C., Routhier, F., Bouyer, L.J. and Lamontagne, M.E., 2023. A systematic review of the determinants of implementation of a locomotor training program using a powered exoskeleton for individuals with a spinal cord injury. Clinical Rehabilitation37(8), pp.1119-1138.
Ford Motor Company (2018) Ford rolls out exoskeleton wearable technology globally to help lessen worker fatigue, injury. Ford Media Center, 7 August. [Accessed 18 Aug. 2025].
Hasan, S. and Alam, N., 2025, July. Comprehensive Comparative Analysis of Lower Limb Exoskeleton Research: Control, Design, and Application. In Actuators (Vol. 14, No. 7, p. 342). MDPI.
He, Y., Xu, Y., Hai, M., Feng, Y., Liu, P., Chen, Z. and Duan, W., 2024. Exoskeleton-assisted rehabilitation and neuroplasticity in spinal cord injury. World Neurosurgery185, pp.45-54.
Hyundai Motor Europe (2025) Robotics – Wearable robotics and the future of mobility. Hyundai.com. [Accessed 18 Aug. 2025].
Khan, A.S., Livingstone, D.C., Hurd, C.L., Duchcherer, J., Misiaszek, J.E., Gorassini, M.A., Manns, P.J. and Yang, J.F., 2019. Retraining walking over ground in a powered exoskeleton after spinal cord injury: a prospective cohort study to examine functional gains and neuroplasticity. Journal of neuroengineering and rehabilitation16(1), p.145.
Leow, X.R.G., Ng, S.L.A. and Lau, Y., 2023. Overground robotic exoskeleton training for patients with stroke on walking-related outcomes: a systematic review and meta-analysis of randomized controlled trials. Archives of Physical Medicine and Rehabilitation104(10), pp.1698-1710.
Lin, W., Dong, H., Gao, Y., Wang, W., Long, Y., He, L., Mao, X., Wu, D. and Dong, W., 2025. A Systematic Review of Locomotion Assistance Exoskeletons: Prototype Development and Technical Challenges. Technologies (2227-7080)13(2).
MedTechNews (2025) Exoskeletons: A comprehensive review of design, control, applications, and future directions. Research Reports, MedTechNews. [Accessed 18 Aug. 2025].
Morris, L., Diteesawat, R.S., Rahman, N., Turton, A., Cramp, M. and Rossiter, J., 2023. The-state-of-the-art of soft robotics to assist mobility: a review of physiotherapist and patient identified limitations of current lower-limb exoskeletons and the potential soft-robotic solutions. Journal of neuroengineering and rehabilitation20(1), p.18.
Ralfs, L., Hoffmann, N., Glitsch, U., Heinrich, K., Johns, J. and Weidner, R., 2023. Insights into evaluating and using industrial exoskeletons: Summary report, guideline, and lessons learned from the interdisciplinary project “Exo@ Work”. International Journal of Industrial Ergonomics97, p.103494.
Supriyono, C.S.A., Dragusanu, M. and Malvezzi, M., 2025. A Comprehensive Review of Elbow Exoskeletons: Classification by Structure, Actuation, and Sensing Technologies. Sensors25(14), p.4263.
Volkswagen Group Italia (2020) Improving ergonomics and efficiency with exoskeletons. MoDo, 9 January. [Accessed 18 Aug. 2025].

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