Saskia Baltrusch

33 Chapter 2 They confirmed the statement of the patients that pain always remains, stressing that identifying the root cause is more important than using an exoskeleton to treat the after-effect. Vulnerability and Dependency Healthcare professionals considered the influence of the exoskeleton on the patient’s behaviour as critical, indicating that wearing such a device can make the patient think: “[…] with this thing you are safer […] But without this thing you’re more vulnerable […]” (Robin, Physiotherapist). Providing patients with a “ pseudo-safety ” will make them use the device more frequently, leading to dependency on the device, and cause a “[…] decrease in confidence in your own body […]” (Bram, Movement Therapist) The psychologist remarked that the problem of behavioural change can be avoided if the device is used in combination with a behavioural coaching. “I see it a bit like somebody keeps on moving. Can in principle be helpful.” (Myrthe, Psychologist) Healthcare professionals reached consensus on the fact that supervision is essential to guarantee the correct use of the exoskeleton in terms of frequency and regarding “[…] the choice […] to wear or not to wear it […] So it can never be like here you go, this is the device, you are taken care of.” (Robin, Physiotherapist) Patients did not bring up fear of dependency during their discussion. After asking them directly, they explained they would not use the exoskeleton during the whole day. Hence they did not expect to get dependent on it. 2