Sensor-Based Task Ergonomics Feedback for a Passive Low-Back Exoskeleton

Low-back exoskeletons are a wide-spreading technology tackling low-back pain, the leading work-related musculoskeletal disorder in many work sectors. Currently, spring-based (i.e., passive) exoskeletons are the mostly adopted in the industry, being cheaper and generally less complex and more intuitive to use. We introduce a system of interconnected wireless sensing units to provide online ergonomics feedback to the wearer. We integrate the system into our passive low-back exoskeleton and evaluate its usability with healthy volunteers and potential end users. In this way, we provide the exoskeleton with a tool aimed both at monitoring the interaction of the system with the user, providing them with an ergonomics feedback during task execution. The sensor system can also be integrated with a custom-developed Unity3D application which can be used to interface with Augmented- or Virtual-Reality applications with higher potential for improved user feedback, ergonomics training, and offline ergonomics evaluation of the workplace. We believe that providing ergonomics feedback to exoskeleton users in the industrial sector could help further reduce the drastic impact of low-back pain and prevent its onset

Occupational Exoskeletons: Understanding the Impact on Workers and Suggesting Guidelines for Practitioners and Future Research Needs

This paper examines occupational exoskeletons and their effects on workers. The study includes a thorough evaluation of the current literature on occupational exoskeletons, with an emphasis on the impact of these devices on workers’ health and the safety, performance and users’ subjective perceptions. The aim of the study was to gain knowledge of how exoskeletons affect the workers and to identify practical suggestions for practitioners. The findings of the study suggest that exoskeletons can have both positive and negative effects on workers. Some users claimed enhanced comfort and decreased fatigue, whilst others reported discomfort and suffering. The study highlights the importance of considering the individual needs and preferences of workers when selecting and implementing exoskeletons in the workplace, with a focus on health, safety, performance and user acceptance. Based on the findings, the paper presents suggestions for employers and practitioners to ensure the effective and safe use of exoskeletons in occupational settings. These recommendations cover areas such as the assessment of workplace requirements, the selection and fit of exoskeletons, the optimization of design and ergonomics and the evaluation of performance. The paper concludes by highlighting the need for further research in this area, particularly in the areas of long-term use

User-Centered Back-Support Exoskeleton: Design and Prototyping

Exhausting manual labor is still predominant in the industrial context. It typically consists in manipulating heavy parts or working in non-ergonomic conditions. The resulting work-related musculoskeletal disorders are a major problem to tackle. The most-affected body section is the the lumbar spine. Recently, exoskeletons have been identified as a possible non-invasive solution to reduce the impact of low-back pain. State-of-the-art prototypes have been optimized to: follow unconstrained human kinematics, (partially) relieve the load on assisted joints, and allow anthropometric adaptation. Yet, this technology still has limited adoption. Manufacturing optimization may address the following limitations: bulky/heavy resulting designs, complex assembly and maintenance, high manufacturing costs, long procedures for adaptation and wearing, and psychological effects (e.g., cognitive load and usability). In this contribution, the aforementioned issues are tackled improving a previous low-back exoskeleton prototype. In particular, kinematic analysis, Finite-Element-Method, and topological optimization have been combined to obtain a lightweight prototype, testing different materials (Nylon, carbon-fiber reinforced PC/ABS, etc.). We applied both Design for Assembly and Design for Manufacturability. The resulting exoskeleton prototype is described in the paper, ready for end-user field tests

Design methodology of an active back-support exoskeleton with adaptable backbone-based kinematics

Abstract Manual labor is still strongly present in many industrial contexts (such as aerospace industry). Such operations commonly involve onerous tasks requiring to work in non-ergonomic conditions and to manipulate heavy parts. As a result, work-related musculoskeletal disorders are a major problem to tackle in workplace. In particular, back is one of the most affected regions. To solve such issue, many efforts have been made in the design and control of exoskeleton devices, relieving the human from the task load. Besides upper limbs and lower limbs exoskeletons, back-support exoskeletons have been also investigated, proposing both passive and active solutions. While passive solutions cannot empower the human's capabilities, common active devices are rigid, without the possibility to track the human's spine kinematics while executing the task. The here proposed paper describes a methodology to design an active back-support exoskeleton with backbone-based kinematics. On the basis of the (easily implementable) scissor hinge mechanism, a one-degree of freedom device has been designed. In particular, the resulting device allows tracking the motion of a reference vertebra, i.e., the vertebrae in the correspondence of the connection between the scissor hinge mechanism and the back of the operator. Therefore, the proposed device is capable to adapt to the human posture, guaranteeing the support while relieving the person from the task load. In addition, the proposed mechanism can be easily optimized and realized for different subjects, involving a subject-based design procedure, making possible to adapt its kinematics to track the spine motion of the specific user. A prototype of the proposed device has been 3D-printed to show the achieved kinematics. Preliminary tests for discomfort evaluation show the potential of the proposed methodology, foreseeing extensive subjects-based optimization, realization and testing of the device

Effects of Upper-Limb Exoskeletons Designed for Use in the Working Environment : A Literature Review

Introduction: Many employees report high physical strain from overhead work and resulting musculoskeletal disorders. The consequences of these conditions extend far beyond everyday working life and can severely limit the quality of life of those affected. One solution to this problem may be the use of upper-limb exoskeletons, which are supposed to relieve the shoulder joint in particular. The aim of this literature review was to provide an overview of the use and efficacy of exoskeletons for upper extremities in the working environment. Methods: A literature review was conducted using the PICO scheme and the PRISMA statement. To this end, a systematic search was performed in the PubMed, Web of Science and Scopus databases in May 2020 and updated in February 2022. The obtained studies were screened using previously defined inclusion and exclusion criteria and assessed for quality. Pertinent data were then extracted from the publications and analyzed with regard to type of exoskeleton used as well as efficacy of exoskeleton use. Results: 35 suitable studies were included in the review. 18 different exoskeletons were examined. The majority of the exoskeletons only supported the shoulder joint and were used to assist individuals working at or above shoulder level. The main focus of the studies was the reduction of muscle activity in the shoulder area. Indeed, 16 studies showed a reduced activity in the deltoid and trapezius muscles after exoskeleton use. Kinematically, a deviation of the movement behavior could be determined in some models. In addition, study participants reported perceived reduction in exertion and discomfort. Discussion: Exoskeletons for upper extremities may generate significant relief for the intended tasks, but the effects in the field (i.e., working environment) are less pronounced than in the laboratory setting. This may be due to the fact that not only overhead tasks but also secondary tasks have to be performed in the field. In addition, currently available exoskeletons do not seem to be suitable for all overhead workplaces and should always be assessed in the human-workplace context. Further studies in various settings are required that should also include more females and older people

IISE Trans Occup Ergon Hum Factors

Background:In the literature, efficacy of passive upper limb exoskeletons has been demonstrated in reduced activity of involved muscles during overhead occupational tasks. However, there are fewer studies that have investigated the efficacy of active upper limb exoskeletons or compared them with their passive counterparts.Purpose:We aimed to use an approach simulating human-exoskeleton interactions to compare several passive and active assistance methods in an upper limb exoskeleton and to evaluate how different assistance types affect musculoskeletal loadings during overhead lifting.Methods:An upper-extremity musculoskeletal model was integrated with a five degree-of-freedom exoskeleton for virtual human-in-the-loop evaluation of exoskeleton design and control. Different assistance methods were evaluated, including spring-based activation zones and active control based on EMG, to examine their biomechanical effects on musculoskeletal loadings including interaction forces and moments, muscle activations, and joint moments and reaction forces.Results:Our modeling and simulation results suggest the effectiveness of the proposed passive and active assistance methods in reducing biomechanical loadings\u2014the upper-limb exoskeletons could reduce maximum loading on the shoulder joint by up to 46% compared to the no-exoskeleton situation. Active assistance was found to outperform the passive assistance approach. Specifically, EMG-based active assistance could assist over the whole lifting range and had a larger capability to reduce deltoid muscle activation and shoulder joint reaction force.Conclusions:We used a modeling and simulation approach to virtually evaluate various exoskeleton assistance methods without testing multiple physical prototypes and to investigate the effects of these methods on musculoskeletal loadings that cannot be measured directly or noninvasively. Our findings offer new approaches for testing methods and improving exoskeleton designs with \u201csmart\u201d controls. More research is planned to further optimize the exoskeleton control strategies and validate the simulated results in a real-life implementation.CC999999/ImCDC/Intramural CDC HHSUnited States/2022-01-27T00:00:00Z34254566PMC878993412107vault:4075

Upper limb soft robotic wearable devices: a systematic review

Introduction: Soft robotic wearable devices, referred to as exosuits, can be a valid alternative to rigid exoskeletons when it comes to daily upper limb support. Indeed, their inherent flexibility improves comfort, usability, and portability while not constraining the user’s natural degrees of freedom. This review is meant to guide the reader in understanding the current approaches across all design and production steps that might be exploited when developing an upper limb robotic exosuit. Methods: The literature research regarding such devices was conducted in PubMed, Scopus, and Web of Science. The investigated features are the intended scenario, type of actuation, supported degrees of freedom, low-level control, high-level control with a focus on intention detection, technology readiness level, and type of experiments conducted to evaluate the device. Results: A total of 105 articles were collected, describing 69 different devices. Devices were grouped according to their actuation type. More than 80% of devices are meant either for rehabilitation, assistance, or both. The most exploited actuation types are pneumatic (52%) and DC motors with cable transmission (29%). Most devices actuate 1 (56%) or 2 (28%) degrees of freedom, and the most targeted joints are the elbow and the shoulder. Intention detection strategies are implemented in 33% of the suits and include the use of switches and buttons, IMUs, stretch and bending sensors, EMG and EEG measurements. Most devices (75%) score a technology readiness level of 4 or 5. Conclusion: Although few devices can be considered ready to reach the market, exosuits show very high potential for the assistance of daily activities. Clinical trials exploiting shared evaluation metrics are needed to assess the effectiveness of upper limb exosuits on target users