HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

10th Edition of International Conference on Neurology and Brain Disorders

October 21-23, 2024

October 21 -23, 2024 | Baltimore, Maryland, USA
INBC 2018

Nicola Postol

Speaker at Neurology Conferences - Nicola Postol
University of Newcastle, Australia
Title : Determining the merits of the REX Bionics Exoskeleton in neuro-rehabilitation post stroke


Background: Access to high intensity weight-bearing exercise for those with severe mobility impairment post stroke is very limited. Technological advancements have led to the development of a variety of overground lower limb robotic exoskeletons. Only the REX Bionics Exoskeleton is free-standing, which may therefore offer a potential option for upright exercise in those with hemiplegia, as they do not need to use a walking aid with the device. To date, there is no published research in the stroke population with this device.

Method: Four stroke patients with ≤3 on the mobility section of the Motor Assessment Scale were recruited to a 12-week waitlist controlled trial. The treatment phase included twice weekly robotic treatment in the REX Bionics exoskeleton, for 12 weeks. The primary outcome of interest was function, measured by the Motor Assessment Scale. Secondary outcomes were balance, spasticity, strength, quality of life, mood, level of impairment, fatigue, fitness and perceptions of the device.

Results: Four participants completed the trial, with no adverse events occurring. One participant was lost to follow up. The questionnaire on perceptions of the device yielded favourable responses, with all four participants enjoying the opportunity to exercise in a supported upright position. There were however no meaningful changes in any outcome measure.

Conclusion: These are the preliminary findings of this ongoing pilot feasibility study to determine the potential merits of this device. Future studies would require bigger samples to make any valid conclusions about the use of this device as an adjunct tool in neuro-rehabilitation.


Nicola Postol graduated from a Bachelor of Science (Physiotherapy) with Honours in 2000. Having originally qualified in the UK, she has over 17 years of clinical experience in both public and private healthcare in both the UK, and Australia. The majority of Nicola’s clinical experience is in general rehabilitation and neurology. Nicola commenced her PhD (Physiotherapy) in Robotics in Neuro-rehabilitation in September 2016, with the University of Newcastle, Australia. The focus of her research is robotic exoskeletons in neuro-rehabilitation. The research team Nicola is a part of are assessing the potential benefit of the REX Bionics robotic exoskeleton with those who have severe mobility impairment due to Stroke or Traumatic Brain Injury, and Multiple Sclerosis.