A man walking in the Atalante X exoskeleton with a physical therapist by his side at a Wandercraft walking center

Clinical Resources

Published evidence regarding Atalante X and Eve, and the supporting documents

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Clinical Foundations

The principles guiding rehabilitation with Atalante X.

Early care

Early mobilization improves functional recovery and reduces the risk of complications.

Atalante X's self-balancing, hands-free design allows patients to stand and walk from the earliest stages of rehabilitation.

Intensity

A higher number of repetitions and greater effort per session lead to measurable improvements in motor function, walking speed, balance, endurance, and daily independence.

Atalante X enables users to take hundreds to thousands of steps per session (averaging 600, with patients in active mode 37% of the time).

Backed by research

The findings are based on peer-reviewed studies and the 2022 INSPIRE study.

Wandercraft is launching its first international multicenter trial to confirm these results.

Clinical evidence

What the Evidence Shows

Rehabilitation using Atalante X may support patients' physical improvement—including endurance, walking ability, balance, and trunk postural control.1

Atalante X is safe for use in diverse populations and patients living with stroke and spinal cord injury.1

Patients who used Atalante X report extremely high satisfaction rates, up to 100%.1

Key Takeaways, Benefits of Atalante X One-Pager, December 2024

Two nurses helping a patient stand up while wearing the Atalante X exoskeleton on a hospital ward

After a stroke

Workouts are getting longer, and the step count is rising

After 5 sessions of Atalante training, patients showed an improvement in gait speed of 0.05 ± 0.08 m/s (p=0.002), their endurance by 11.6 ± 18 meters (p=0.001), their ambulatory capacity (FAC score) by 0.6 ± 1.0 points (p=0.002), and their balance (BBS score) by 6.2 ± 8.1 points (p=0.0001).1

87% of patients were satisfied with the program and would recommend it to other stroke patients.1 The peer-reviewed INSPIRE safety study provides a full account of the same program.2

INSPIRE — 31 patients, 6 centers. Results measured without the device.

Three bar charts showing session duration, standing time, and the number of steps, all of which increased across the five INSPIRE rehabilitation sessions
Rehabilitation session data on session duration (A), standing time (B), and number of steps (C).3

What Patients Report

Beyond Walking

The satisfaction rate at the end of the program was 86%.1

Patients with paraplegia also reported improved sitting balance, psychological well-being, and endurance.4

Post-Market Clinical Follow-up Report — 18 patients, 16 centers

Five figures: 78% control over their sitting balance, 72% psychological well-being, 39% bowel function, 67% overall endurance during daily activities, 62% overall health
Percentage of patients who experienced an improvement in each area.1

Tetraplegia and high paraplegia

Safe and feasible even in the most challenging patient population

We can conclude that the use of the Atalante X exoskeleton is safe and feasible for this population.5

One adverse event occurred during 547 Atalante sessions.6 The peer-reviewed retrospective study adds: following an individual benefit-risk assessment, the Atalante exoskeleton can be safely used in a clinical setting for patients with high-level spinal cord injuries.7

QUATRO — 33 patients with spinal cord injury, 3 centers

Session data: average of 17.1 sessions, 32.4 minutes per session, 24.3 minutes of standing, 635.9 steps per session, 78.4% exoskeleton assistance
Session data from the QUATRO study.5

In the intensive care unit

Getting up sooner

Physiotherapy using Atalante in the acute neurosurgery setting is safe and feasible. Staff organization is a key factor in success.18

The average time to stand was 16 minutes, and 100% of patients were satisfied and expressed a desire to repeat exoskeleton sessions.1 ICU-acquired weakness is equivalent to a 40% loss of muscle strength after one week of immobility.9

17 patients, 1 center. The newest area of application, and the smallest body of evidence to date.

Six early mobility techniques: respiratory exercises, passive and active mobilization, in-bed cycling, tilt tables, electrical muscle stimulation, early mobilization
Early-mobility techniques used in intensive care. Atalante X is at the walking end of that spectrum.9

Outside a trial

In everyday clinical practice

Registry and program data from centers running Atalante X as part of their regular clinical practice, rather than under study conditions.

820

patients at 34 rehabilitation centers in Europe and the United States, February 2021 through November202310

1.02M

number of steps walked in one year by more than 60 patients at a single rehabilitationinstitute11

12 months

of weekly sessions in ALERT, with both sitting balance and walking distanceshowing improvement12

An exoskeleton is not intended to replace the work of a physical therapist; it is a tool that can be used to improve patient outcomes through a high-tech, innovative collaboration between physical therapists and patients.13

Franco Molteni, Villa Beretta Rehabilitation Research and Innovation Institute

A patient walking in the Atalante X exoskeleton down a rehabilitation corridor with a physical therapist by their side

Document Library

Browse the evidence

Every study, poster, one-pager, and case report we publish in English, listed with the newest first. When you download a document, you'll be asked to provide your information once—and never again on this device.

Eve and Atalante X are separate devices with separate regulatory approvals, and evidence for one does not apply to the other.

Meet Our Clinical Experts

Real human expertise, every step of the way.

Dr. Rebecca Sauvagnac

Gait training exoskeletons, such as the Atalante X, are innovative tools for managing people with walking impairments. They maximize rehabilitation training in the hope of improving recovery following a neurological injury and preventing complications resulting from prolonged immobilization.

Dr. Rebecca Sauvagnac
Physiatrist and Clinical Director at Wandercraft

References

Sources cited on this page

Numbered in the order they appear above. Most can be downloaded here; if one cannot be downloaded, the reason is listed next to it.

Two sources describe exoskeleton-assisted walking using devices from several manufacturers rather than ours—a 2020 study on mobility skills involving ReWalk andEkso¹⁴ and our own review of rehabilitation practices for spinal cordinjury¹⁵. Their findings pertain to the modality, not to Atalante X or Eve.

  1. 1.

    Wandercraft. Benefits of Atalante X — one-pager. ATA_EU_EN_CLI_017A, December 2024.

    Download PDF
  2. 2.

    Lejeune T, et al. The Hands-Free Atalante Exoskeleton in Post-Stroke Gait and Balance Rehabilitation: A Safety Study (INSPIRE), 2025.

    Download PDF
  3. 3.

    Wandercraft. Assessment of the Use of the Atalante Exoskeleton in Patients with Hemiplegia: INSPIRE Results. ATA_EU_EN_CLI_007A.

    Download PDF
  4. 4.

    Burgos-Tirado N, et al. Patient-reported outcomes: a study on the use of the Atalante self-balancing exoskeleton in paraplegic patients. ACRM Congress poster, 2024.

    Download PDF
  5. 5.

    Wandercraft. QUATRO Study One-Pager. ATA_US_EN_CLI_019A, 2025.

    Download PDF
  6. 6.

    Durand A, et al. Safety evaluation of the Atalante exoskeleton in patients with tetraplegia and high paraplegia (QUATRO). AAPM&R Congress poster, 2025.

    Download PDF
  7. 7.

    Prévinaire J-G, Baillet H, Bel J-F, Péan V, Cuenot C. Retrospective safety evaluation of the Atalante exoskeleton in a clinical setting in patients with tetraplegia and high paraplegia. Spinal Cord Series and Cases (2026) 12:17.

    Download PDF
  8. 8.

    El Kaim A, Serra M, De Noray H, Lallemant A, Gobatto C, Degos V, Carpentier A, Riche M, Apra C. A study on the safety and practicality of using an exoskeleton in patients undergoing acute neurosurgery. Acta Neurochirurgica (2024).

    Independent publication. The authors declare no conflict of interest.

    Download PDF
  9. 9.

    Wandercraft. Benefits of Early Mobilization in the ICU. ATA_US_EN_CLI_018A, January 2025.

    Download PDF
  10. 10.

    Combes G, et al. Use of Atalante in neurological rehabilitation: insights from real-world data across Europe and the U.S. (SUPERSET). ACRM Congress poster, 2024.

    Download PDF
  11. 11.

    Wandercraft. Customer Success Story: Villa Beretta Rehabilitation Research Innovation Institute. ATA_WW_EN_CLI_016A, 2024.

    Download PDF
  12. 12.

    Nuic D, et al. Long-term self-balanced exoskeleton rehabilitation to treat lower limb weakness in adults (ALERT). ACRM Congress poster, 2024.

    Download PDF
  13. 13.

    Molteni F, et al. Advancing Neurologic Rehabilitation: First-Year Outcomes and Insights from VBRII's Exoskeleton Program. RehabWeek Congress poster, 2025.

    Download PDF
  14. 14.

    Hong D, et al. Mobility Skills with Exoskeleton-Assisted Walking in People with Spinal Cord Injury, 2020.

    Cited only. This study evaluated ReWalk and Ekso—devices made by other manufacturers—so it is not published as Wandercraft content.

    Cited, not hosted
  15. 15.

    Wandercraft. Rehabilitation Practices for Patients with Spinal Cord Injury. ATA_EU_EN_CLI_012A.

    Cited only. The review focuses primarily on devices from other manufacturers, so it is not available as a Wandercraft download.

    Cited, not hosted