Launch offer: -15% on your first order with code FREEDOM15 — Expires in 02:47:33

Exoskeletons in Ireland: complete guide, support and reimbursement

What is an exoskeleton? Definition and how it works

Simple, accessible definition

An exoskeleton is a mechanical structure worn on the body, a bit like an external skeleton, that assists or amplifies natural movements. The term is directly inspired by nature: insects and crustaceans have a rigid shell on the outside of their bodies, which protects them and supports their movement. Humans have taken this principle and used it to create devices capable of supporting their own joints.

In practice, exoskeletons fall into two main categories: passive models, which are purely mechanical, and active models, which are motorised and often driven by artificial intelligence. Both pursue the same goal: reducing physical effort, protecting joints and, in some cases, restoring lost mobility.

They are now found in a wide range of settings: along the Wild Atlantic Way, in logistics warehouses in Dublin, on industrial assembly lines and in functional rehabilitation centres across the country. These are no longer science-fiction prototypes: they are concrete, accessible tools that are becoming increasingly widespread.

How does it work? Sensors, motors and assistance

An exoskeleton works on a simple loop: detect, analyse, assist. In active models, sensors (joint angles, plantar pressure, accelerometers, gyroscopes) continuously measure the body's position and detect the user's intention to move. This data is processed within milliseconds by a microcontroller or onboard AI.

Then comes the assistance phase. Depending on the technology, electric motors, actuators or spring and damper systems apply a force synchronised with the movement. The user does not feel this force imposed on them: it accompanies their movement, like an invisible hand giving a gentle push at the right moment.

Onboard artificial intelligence plays a growing role. It adjusts assistance in real time according to the effort exerted, the gradient of the terrain, walking speed or the weight carried. The result: personalised assistance that adapts to each user rather than applying a fixed setting.

To give a concrete sense of scale: a well-calibrated leg exoskeleton can reduce muscular effort by up to 30% when walking uphill. On a long climb up Croagh Patrick or the Wicklow Mountains, that radically changes the experience.

The different types of exoskeletons: passive, active and by body area

Passive vs active exoskeletons

The first distinction to understand concerns the mode of assistance.

  • Passive exoskeletons: these contain neither motor nor battery. They use springs, elastic bands or dampers to store and release the energy of movement. Their advantages are numerous: lightweight, affordable, unlimited autonomy and no recharging required. They are particularly well suited to hiking, carrying moderate loads and repetitive movements.
  • Active exoskeletons: these incorporate motors and a battery. The assistance is more powerful and, above all, adjustable, driven by algorithms. On the other hand, they are heavier, more expensive and require regular recharging (generally 4 to 8 hours of battery life). They are found mainly in rehabilitation and heavy industry.

Companies such as Exyvex offer both passive and active solutions suited to each use, allowing you to choose according to your actual needs rather than the technology available alone.

Exoskeletons for legs, back and arms

The second distinction concerns the area of the body being assisted. Each area serves very specific purposes.

  • Leg exoskeleton: assists walking, running or climbing. It is used in hiking, running and rehabilitation to relearn the walking motion. This is the most widely publicised category and the most accessible to the general public.
  • Back exoskeleton: supports the lumbar region when carrying loads. Widely used in logistics, construction and manual handling, it reduces stress on the vertebrae and discs.
  • Arm exoskeleton: helps to hold loads or perform repetitive movements at height. It is found in the automotive industry, aerospace and agriculture.

Some models combine several areas, but the current trend is towards specialisation: a good hiking exoskeleton will not be designed like an industrial handling exoskeleton.

Practical applications: hiking, work and rehabilitation

Hiking exoskeleton: walk longer without fatigue

Hiking is probably the most relatable use for the general public. A leg exoskeleton reduces muscle fatigue both uphill and downhill, allowing you to extend your outing, push your limits and enjoy the scenery more. Models designed for the outdoors are lightweight, compact and built to withstand moisture, mud and the changeable Irish weather.

Brands such as Exyvex have developed solutions specifically designed for the outdoors, with an appealing balance between assistance, weight and comfort. The goal is not to turn the hiker into a superhero, but to enable them to finish their hike pain-free and with a smile.

Work exoskeleton: preventing MSDs and carrying loads

In the professional world, exoskeletons address a public health issue: musculoskeletal disorders (MSDs) are a leading cause of occupational illness. Repetitive handling, awkward postures and carrying heavy loads gradually damage the joints.

A back or arm exoskeleton reduces strain on the lumbar region and joints, improves employee comfort and reduces sick leave. Companies also see it as a way to improve staff retention and quality of working life. Exyvex also supports companies in integrating these solutions, from analysing the workstation to training teams.

Rehabilitation exoskeleton: relearning to walk

In medical settings, exoskeletons are a game-changer for patients who have suffered a stroke, spinal cord injury or trauma. They enable more intensive and earlier rehabilitation sessions, which significantly improves motor recovery. The patient can repeat the walking motion hundreds of times without exhaustion, with support that stabilises their posture.

Some models are used in hospital, others at home. An important point: several of these devices are classified as medical devices and may, under certain conditions, be reimbursed. We return to this later in this article.

Concrete benefits of exoskeletons for mobility

Reduced fatigue and increased endurance

This is the most immediately noticeable benefit. By assisting with effort, an exoskeleton can reduce energy expenditure by up to 40% depending on the model and conditions of use. In practice, this means a hike that used to exhaust you becomes achievable, a day of manual handling ends without a wrecked back, or a rehabilitation session continues without exhausting the patient.

This increased endurance is not a gimmick: it changes the relationship you have with your body and with physical effort.

Reduced injuries and joint protection

Less pressure on the knees, hips and back means mechanically less risk of injury. Exoskeletons reduce the repetitive strain that, accumulated over years, eventually causes MSDs or joint damage. In the workplace, this translates into fewer accidents related to repetitive effort. On hikes, it means fewer cases of tendonitis and less pain afterwards.

Improved quality of life

The benefits go beyond simple mechanics. For a patient, regaining the ability to walk a few steps unaided is an immense psychological victory: renewed independence, confidence and social connection. For a worker, less pain means better sleep, a better mood and a longer working life. For a hiker, it is the pleasure of prolonging a passion without fearing fatigue.

How to choose your exoskeleton: criteria and advice

Main use: hiking, work or rehabilitation

The first question to ask yourself is simple: what will the exoskeleton be used for? For hiking, prioritise lightness, compactness and battery life. For professional use, prioritise robustness, resistance to harsh environments and load-carrying assistance. For medical use, a medical device certification and support from a healthcare professional will be required.

Each use has its dedicated models. Brands such as Exyvex cover hiking and work, with ranges designed for these specific demands.

Level of assistance, weight and battery life

These three criteria are linked and must be weighed up together.

Criterion Passive exoskeleton Active exoskeleton
Assistance Fixed, mechanical Adjustable, motorised
Weight Light (1 to 3 kg) Heavier (3 to 8 kg)
Battery life Unlimited 4 to 8 hours
Indicative price €500 to €2,000 €3,000 to over €10,000

Total weight is an often underestimated criterion: an exoskeleton that is too heavy cancels out part of the benefit. Always check the carried weight and how the mass is distributed across the body.

Comfort, adjustability and price

An exoskeleton is worn for several hours: comfort is not a minor detail. Check the size, the adjustments (lengths, angles, straps), the materials (breathable, washable) and how easy it is to put on. A poorly adjusted model can create pressure points and become counterproductive.

In terms of budget, expect from €500 for a simple passive model to over €10,000 for a high-end active medical exoskeleton. In between, there are some very worthwhile mid-range options, such as those offered by Exyvex, which offer good value for money for hiking and work.

Outlook and innovations: the future of exoskeletons

Miniaturisation and artificial intelligence

The next generations will be lighter, more discreet and more intelligent. Onboard AI will enable personalised, predictive assistance: the exoskeleton will anticipate movement even before the user makes it, drawing on history and context. We can imagine models that slip under trousers, invisible to the eye, and activate only when needed.

Falling costs and mainstream adoption

Mainstream adoption is under way. Consumer models under €1,000 are starting to appear, driven by outdoor demand. Rental and refurbished options are also growing, making the technology accessible without a heavy investment. Eventually, the exoskeleton could become as commonplace as a pair of hiking boots.

Regulation and reimbursement: what you need to know

Medical framework and medical devices

Not all exoskeletons are regulated in the same way. Models intended for rehabilitation are often classified as medical devices and must obtain the corresponding CE marking. Their use may require a medical prescription and support from a physiotherapist or rehabilitation doctor. Hiking or work models, on the other hand, fall more under personal protective equipment (PPE) regulations when used in the workplace.

Possible grants and reimbursements

For medical exoskeletons, partial coverage by the HSE (Health Service Executive) is possible in certain cases, particularly when they are prescribed and listed under the relevant reimbursement schemes. For professional or personal use, other forms of support exist:

  • HSE community services and local authority supports for disability-related situations, with personal budgets and grants.
  • Private health insurance (VHI, Laya, Irish Life Health) and cash plans, which may contribute depending on the policy.
  • Employer, as part of occupational risk prevention and improving working conditions.

The process is often complex: the best approach is to speak to your GP, an occupational health professional or an occupational therapist, who will point you towards the right contacts.

FAQ: your questions about exoskeletons

What is an exoskeleton and how does it work?

An exoskeleton is a structure worn on the body that assists movement. It works using sensors that detect the intention to move and motors or springs that apply an assisting force. Active models use AI to adjust assistance in real time.

What are the different types of exoskeletons?

There are passive exoskeletons (mechanical, without a motor) and active ones (motorised). They can target the legs, back or arms. Uses vary: hiking, work, rehabilitation. Brands such as Exyvex offer models suited to each need.

Can an exoskeleton help you walk for longer?

Yes, by reducing muscular effort and fatigue, a leg exoskeleton allows you to walk for longer, particularly uphill. Passive or lightweight active models are ideal for hiking and increase end

Order my Exyvex
Exyvex

Équipe Exyvex

Experts en exosquelettes et technologies de mobilité augmentée. Nous testons, analysons et partageons nos connaissances pour vous aider à faire le meilleur choix.

FAQ

What is an exoskeleton and how does it work?
An exoskeleton is a structure worn on the body that assists movement using sensors and motors or springs. Active models use AI to adjust assistance in real time.
What are the different types of exoskeleton?
There are passive exoskeletons (mechanical, without motors) and active ones (motorised, with sensors and AI). They can be intended for medical, professional or personal use.
What support is available to fund an exoskeleton?
Depending on its use, you may be able to get support from the French health insurance system (if reimbursable), the MDPH (PCH), your health insurer or your employer for risk prevention.
Is an exoskeleton reimbursed by the French health insurance system?
Partial reimbursement may be possible for prescribed medical exoskeletons listed on the reimbursable products and services list. Ask your doctor for advice.
How can I get an exoskeleton suited to my needs?
Consult your GP, an occupational physician or an occupational therapist. They will direct you to the right contacts and help you with the paperwork.