Cost-effectiveness analysis of overground robotic training versus conventional locomotor training in people with spinal cord injury

. 2023 Jan 21;20:10. doi: 10.1186/s12984-023-01134-7

Component	Cost/unit	Assumptions/sources
Locomotor devices^a
Overground exoskeleton device	$18.36/session	Capital cost of robot—purchase price ($150,000), annual maintenance contract ($10,000) * 5-year lifespan
Litegait—overground training system	$0.47/session	Rehab hospital purchasing department * 10-year lifespan
body weight supported treadmill and harness system	$6.86/session	Rehabilitation-hospital quality treadmill cost $35,000 + annual maintenance contract ($8,500) * 5-year lifespan
Track-based overground training and harness system	$7.52/session	$225,000 + annual maintenance contract ($7,500) * 20-year life span
Stationary robotic system	$38.95/session	$350,000 + annual maintenance contract ($15,000) * 5-year lifespan
Personnel
PT	$51.58–$58.08	US Bureau of Labor Statistics (BLS) website mean hourly rate * 30% benefits adjusted for regional location of Spinal Cord Injury Model System (SCIMS) center
PT Assistant	$33.66–$43.68	BLS website mean hourly rate * 30% benefits adjusted for regional location of SCIMS center
Exercise specialist	$28.90–$34.46	BLS website mean hourly rate * 30% benefits adjusted for regional location of SCIMS center
PT Aide/tech	$16.76–$20.15	BLS website mean hourly rate * 30% benefits adjusted for regional location of SCIMS center

^aDevice utilization assumptions for calculating per session cost: 7 sessions/day Monday-Friday, 4 on Saturday, 4 on Sunday (with 2 weeks off)—2150 sessions per annum