A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons

Cumulative back muscle fatigue plays a role in the occurrence of low-back injuries in occupations that require repetitive lifting of heavy loads and working in forward leaning postures. Lift-support exoskeletons have the potential to reduce back and hip muscle activity, thereby delaying the onset of...

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Main Authors: Rachel M. van Sluijs, David Rodriguez-Cianca, Clara B. Sanz-Morère, Stefano Massardi, Volker Bartenbach, Diego Torricelli
Format: Article
Language:English
Published: Cambridge University Press 2023-01-01
Series:Wearable Technologies
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2631717622000329/type/journal_article
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author Rachel M. van Sluijs
David Rodriguez-Cianca
Clara B. Sanz-Morère
Stefano Massardi
Volker Bartenbach
Diego Torricelli
author_facet Rachel M. van Sluijs
David Rodriguez-Cianca
Clara B. Sanz-Morère
Stefano Massardi
Volker Bartenbach
Diego Torricelli
author_sort Rachel M. van Sluijs
collection DOAJ
description Cumulative back muscle fatigue plays a role in the occurrence of low-back injuries in occupations that require repetitive lifting of heavy loads and working in forward leaning postures. Lift-support exoskeletons have the potential to reduce back and hip muscle activity, thereby delaying the onset of fatigue in these muscles. Therefore, exoskeletons are being considered a potentially important tool to further reduce workload-related injuries. However, today no standards have been established on how to benchmark the support level of lift-support exoskeletons. This work proposes an experimental protocol to quantify the support level of a lift-support exoskeletons on instant changes in muscle activity and fatigue development while maintaining a static forward leaning posture. It then applies the protocol to experimentally assess the effect of the support provided by a commercially available lift-support exoskeleton, the LiftSuit 2.0 (Auxivo AG, Schwerzenbach, Switzerland), on the user. In a sample of 14 participants, the amplitude of the muscle activity of the back muscles $ \left({\Delta}_{\mathrm{erectorspinae},\mathrm{thoracic}}\hskip0.35em =\hskip0.35em 33.0\%,{\Delta}_{\mathrm{erectorspinae},\mathrm{lumbar}}\hskip0.35em =\hskip0.35em 13.2\%\right) $ and hip muscles ( $ {\Delta}_{\mathrm{gluteusmaximus}}\hskip0.35em =\hskip0.35em 16.3\% $ ) was significantly reduced. Wearing the exoskeleton significantly reduced the amount of fatigue developed during the task ( $ {\Delta}_{\mathrm{quadratuslumborum}}\hskip0.35em =\hskip0.35em 10.1\%,{\Delta}_{\mathrm{gluteusmaximus}}\hskip0.35em =\hskip0.35em 44.0\% $ ). Changes in muscle fatigue can be objectively recorded and correlated with relevant changes for exoskeleton users: the time a task can be performed and perceived low-back fatigue. Thus, including such measures of fatigue in standardized benchmarking procedures will help quantify the benefits of exoskeletons for occupational use.
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spelling doaj.art-81e37419509e418e91c394f38b2351192023-03-09T12:43:46ZengCambridge University PressWearable Technologies2631-71762023-01-01410.1017/wtc.2022.32A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletonsRachel M. van Sluijs0https://orcid.org/0000-0001-7939-7554David Rodriguez-Cianca1Clara B. Sanz-Morère2Stefano Massardi3Volker Bartenbach4Diego Torricelli5Auxivo AG, Zurich, SwitzerlandCajal Institute, Spanish National Research Council, Madrid, SpainCenter for Clinical Neuroscience – Hospital Los Madroños, Madrid, SpainCajal Institute, Spanish National Research Council, Madrid, SpainAuxivo AG, Zurich, SwitzerlandCajal Institute, Spanish National Research Council, Madrid, SpainCumulative back muscle fatigue plays a role in the occurrence of low-back injuries in occupations that require repetitive lifting of heavy loads and working in forward leaning postures. Lift-support exoskeletons have the potential to reduce back and hip muscle activity, thereby delaying the onset of fatigue in these muscles. Therefore, exoskeletons are being considered a potentially important tool to further reduce workload-related injuries. However, today no standards have been established on how to benchmark the support level of lift-support exoskeletons. This work proposes an experimental protocol to quantify the support level of a lift-support exoskeletons on instant changes in muscle activity and fatigue development while maintaining a static forward leaning posture. It then applies the protocol to experimentally assess the effect of the support provided by a commercially available lift-support exoskeleton, the LiftSuit 2.0 (Auxivo AG, Schwerzenbach, Switzerland), on the user. In a sample of 14 participants, the amplitude of the muscle activity of the back muscles $ \left({\Delta}_{\mathrm{erectorspinae},\mathrm{thoracic}}\hskip0.35em =\hskip0.35em 33.0\%,{\Delta}_{\mathrm{erectorspinae},\mathrm{lumbar}}\hskip0.35em =\hskip0.35em 13.2\%\right) $ and hip muscles ( $ {\Delta}_{\mathrm{gluteusmaximus}}\hskip0.35em =\hskip0.35em 16.3\% $ ) was significantly reduced. Wearing the exoskeleton significantly reduced the amount of fatigue developed during the task ( $ {\Delta}_{\mathrm{quadratuslumborum}}\hskip0.35em =\hskip0.35em 10.1\%,{\Delta}_{\mathrm{gluteusmaximus}}\hskip0.35em =\hskip0.35em 44.0\% $ ). Changes in muscle fatigue can be objectively recorded and correlated with relevant changes for exoskeleton users: the time a task can be performed and perceived low-back fatigue. Thus, including such measures of fatigue in standardized benchmarking procedures will help quantify the benefits of exoskeletons for occupational use.https://www.cambridge.org/core/product/identifier/S2631717622000329/type/journal_articlebiomechanicsexoskeletonsexosuitsindustry
spellingShingle Rachel M. van Sluijs
David Rodriguez-Cianca
Clara B. Sanz-Morère
Stefano Massardi
Volker Bartenbach
Diego Torricelli
A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
Wearable Technologies
biomechanics
exoskeletons
exosuits
industry
title A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
title_full A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
title_fullStr A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
title_full_unstemmed A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
title_short A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons
title_sort method to quantify the reduction of back and hip muscle fatigue of lift support exoskeletons
topic biomechanics
exoskeletons
exosuits
industry
url https://www.cambridge.org/core/product/identifier/S2631717622000329/type/journal_article
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