The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting

While active back-support exoskeletons can reduce mechanical loading of the spine, current designs include only one pair of actuated hip joints combined with a rigid structure between the pelvis and trunk attachments, restricting lumbar flexion and consequently intended lifting behavior. This study...

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Main Authors: Niels P. Brouwer, Ali Tabasi, Feng Hu, Idsart Kingma, Wietse van Dijk, Mohamed Irfan Mohamed Refai, Herman van der Kooij, Jaap H. van Dieën
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Wearable Technologies
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Online Access:https://www.cambridge.org/core/product/identifier/S2631717624000070/type/journal_article
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author Niels P. Brouwer
Ali Tabasi
Feng Hu
Idsart Kingma
Wietse van Dijk
Mohamed Irfan Mohamed Refai
Herman van der Kooij
Jaap H. van Dieën
author_facet Niels P. Brouwer
Ali Tabasi
Feng Hu
Idsart Kingma
Wietse van Dijk
Mohamed Irfan Mohamed Refai
Herman van der Kooij
Jaap H. van Dieën
author_sort Niels P. Brouwer
collection DOAJ
description While active back-support exoskeletons can reduce mechanical loading of the spine, current designs include only one pair of actuated hip joints combined with a rigid structure between the pelvis and trunk attachments, restricting lumbar flexion and consequently intended lifting behavior. This study presents a novel active exoskeleton including actuated lumbar and hip joints as well as subject-specific exoskeleton control based on a real-time active low-back moment estimation. We evaluated the effect of exoskeleton support with different lumbar-to-hip (L/H) support ratios on spine loading, lumbar kinematics, and back muscle electromyography (EMG). Eight healthy males lifted 15 kg loads using three techniques without exoskeleton (NOEXO) and with exoskeleton: minimal impedance mode (MINIMP), L/H support ratio in line with a typical L/H net moment ratio (R0.8), lower (R0.5) and higher (R2.0) L/H support ratio than R0.8, and a mechanically fixed lumbar joint (LF; simulating hip joint-only exoskeleton designs).
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institution Kabale University
issn 2631-7176
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publisher Cambridge University Press
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series Wearable Technologies
spelling doaj-art-c786143ef4bf48509ef898a3db0964fa2025-01-16T21:51:41ZengCambridge University PressWearable Technologies2631-71762024-01-01510.1017/wtc.2024.7The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during liftingNiels P. Brouwer0https://orcid.org/0000-0001-7613-9947Ali Tabasi1Feng Hu2Idsart Kingma3Wietse van Dijk4https://orcid.org/0000-0002-5735-4446Mohamed Irfan Mohamed Refai5https://orcid.org/0000-0002-3617-5131Herman van der Kooij6Jaap H. van Dieën7Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The NetherlandsDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The NetherlandsDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The NetherlandsDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The NetherlandsTNO, Leiden, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The NetherlandsWhile active back-support exoskeletons can reduce mechanical loading of the spine, current designs include only one pair of actuated hip joints combined with a rigid structure between the pelvis and trunk attachments, restricting lumbar flexion and consequently intended lifting behavior. This study presents a novel active exoskeleton including actuated lumbar and hip joints as well as subject-specific exoskeleton control based on a real-time active low-back moment estimation. We evaluated the effect of exoskeleton support with different lumbar-to-hip (L/H) support ratios on spine loading, lumbar kinematics, and back muscle electromyography (EMG). Eight healthy males lifted 15 kg loads using three techniques without exoskeleton (NOEXO) and with exoskeleton: minimal impedance mode (MINIMP), L/H support ratio in line with a typical L/H net moment ratio (R0.8), lower (R0.5) and higher (R2.0) L/H support ratio than R0.8, and a mechanically fixed lumbar joint (LF; simulating hip joint-only exoskeleton designs).https://www.cambridge.org/core/product/identifier/S2631717624000070/type/journal_articleOccupational exoskeletontrunk-support exoskeletonmanual material handlingmusculoskeletal disorderslumbo-pelvic rhythm
spellingShingle Niels P. Brouwer
Ali Tabasi
Feng Hu
Idsart Kingma
Wietse van Dijk
Mohamed Irfan Mohamed Refai
Herman van der Kooij
Jaap H. van Dieën
The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
Wearable Technologies
Occupational exoskeleton
trunk-support exoskeleton
manual material handling
musculoskeletal disorders
lumbo-pelvic rhythm
title The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
title_full The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
title_fullStr The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
title_full_unstemmed The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
title_short The effect of active exoskeleton support with different lumbar-to-hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
title_sort effect of active exoskeleton support with different lumbar to hip support ratios on spinal musculoskeletal loading and lumbar kinematics during lifting
topic Occupational exoskeleton
trunk-support exoskeleton
manual material handling
musculoskeletal disorders
lumbo-pelvic rhythm
url https://www.cambridge.org/core/product/identifier/S2631717624000070/type/journal_article
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