Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles

In workplaces with prolonged or repetitive stooping, disc herniation due to excessive pressure at the lumbar L5/S1 joints has been a difficult condition to prevent and treat in the field of lower back pain. Previous research on lumbar exoskeletons mainly focused on the impact of assistive torque on...

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Main Authors: Kaicheng Qi, Zhiyang Yin, Chao Li, Jianjun Zhang, Jingke Song
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Bioengineering and Biotechnology
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Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2025.1530034/full
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author Kaicheng Qi
Kaicheng Qi
Kaicheng Qi
Zhiyang Yin
Zhiyang Yin
Zhiyang Yin
Chao Li
Chao Li
Chao Li
Jianjun Zhang
Jianjun Zhang
Jianjun Zhang
Jingke Song
Jingke Song
Jingke Song
author_facet Kaicheng Qi
Kaicheng Qi
Kaicheng Qi
Zhiyang Yin
Zhiyang Yin
Zhiyang Yin
Chao Li
Chao Li
Chao Li
Jianjun Zhang
Jianjun Zhang
Jianjun Zhang
Jingke Song
Jingke Song
Jingke Song
author_sort Kaicheng Qi
collection DOAJ
description In workplaces with prolonged or repetitive stooping, disc herniation due to excessive pressure at the lumbar L5/S1 joints has been a difficult condition to prevent and treat in the field of lower back pain. Previous research on lumbar exoskeletons mainly focused on the impact of assistive torque on muscle activation, overlooking the fact that providing assistive torque is not the optimal approach when bending over with a low load. Instead, using traction force to reduce disc pressure is a more adaptable method to mitigate the risk of intervertebral disc herniation. In this paper, a novel lumbar exoskeleton mechanism is proposed. The exoskeleton principle is similar to a lever arranged on the torso, which provides two types of traction forces using a single compression spring with a lower support moment and higher traction performance. Subsequently, a kinetic simulation model covering passive physiologic tissues and spring stiffness was developed to determine the optimal range of traction forces for a given load, to predict the disc pressure and muscle activation at optimal traction forces. Eight subjects were invited to wear the exoskeleton for stooping and lifting tests under extreme loads, using myoelectric sensors to measure muscle activation. The results confirm that optimal traction force effectively reduces L5/S1 disc pressure without additionally increasing muscle activation. The exoskeleton in this study provides an alternative idea for the design of lumbar exoskeletons adapted to light load stooping.
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spelling doaj-art-d0657689e490446cbfe07622378ca7702025-08-20T02:41:14ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-03-011310.3389/fbioe.2025.15300341530034Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and musclesKaicheng Qi0Kaicheng Qi1Kaicheng Qi2Zhiyang Yin3Zhiyang Yin4Zhiyang Yin5Chao Li6Chao Li7Chao Li8Jianjun Zhang9Jianjun Zhang10Jianjun Zhang11Jingke Song12Jingke Song13Jingke Song14School of Mechanical Engineering, Hebei University of Technology, Tianjin, ChinaHebei Provincial Key Laboratory of Robot Sensing and Human-Machine Integration, Tianjin, ChinaEngineering Research Center of the Ministry of Education for Intelligent Rehabilitation Devices and Testing Technology, Tianjin, ChinaSchool of Mechanical Engineering, Hebei University of Technology, Tianjin, ChinaHebei Provincial Key Laboratory of Robot Sensing and Human-Machine Integration, Tianjin, ChinaEngineering Research Center of the Ministry of Education for Intelligent Rehabilitation Devices and Testing Technology, Tianjin, ChinaSchool of Mechanical Engineering, Hebei University of Technology, Tianjin, ChinaHebei Provincial Key Laboratory of Robot Sensing and Human-Machine Integration, Tianjin, ChinaEngineering Research Center of the Ministry of Education for Intelligent Rehabilitation Devices and Testing Technology, Tianjin, ChinaSchool of Mechanical Engineering, Hebei University of Technology, Tianjin, ChinaHebei Provincial Key Laboratory of Robot Sensing and Human-Machine Integration, Tianjin, ChinaEngineering Research Center of the Ministry of Education for Intelligent Rehabilitation Devices and Testing Technology, Tianjin, ChinaSchool of Mechanical Engineering, Hebei University of Technology, Tianjin, ChinaHebei Provincial Key Laboratory of Robot Sensing and Human-Machine Integration, Tianjin, ChinaEngineering Research Center of the Ministry of Education for Intelligent Rehabilitation Devices and Testing Technology, Tianjin, ChinaIn workplaces with prolonged or repetitive stooping, disc herniation due to excessive pressure at the lumbar L5/S1 joints has been a difficult condition to prevent and treat in the field of lower back pain. Previous research on lumbar exoskeletons mainly focused on the impact of assistive torque on muscle activation, overlooking the fact that providing assistive torque is not the optimal approach when bending over with a low load. Instead, using traction force to reduce disc pressure is a more adaptable method to mitigate the risk of intervertebral disc herniation. In this paper, a novel lumbar exoskeleton mechanism is proposed. The exoskeleton principle is similar to a lever arranged on the torso, which provides two types of traction forces using a single compression spring with a lower support moment and higher traction performance. Subsequently, a kinetic simulation model covering passive physiologic tissues and spring stiffness was developed to determine the optimal range of traction forces for a given load, to predict the disc pressure and muscle activation at optimal traction forces. Eight subjects were invited to wear the exoskeleton for stooping and lifting tests under extreme loads, using myoelectric sensors to measure muscle activation. The results confirm that optimal traction force effectively reduces L5/S1 disc pressure without additionally increasing muscle activation. The exoskeleton in this study provides an alternative idea for the design of lumbar exoskeletons adapted to light load stooping.https://www.frontiersin.org/articles/10.3389/fbioe.2025.1530034/fulllumbar exoskeletontraction forcesintervertebral disc pressurestiffness optimizationelectromyography
spellingShingle Kaicheng Qi
Kaicheng Qi
Kaicheng Qi
Zhiyang Yin
Zhiyang Yin
Zhiyang Yin
Chao Li
Chao Li
Chao Li
Jianjun Zhang
Jianjun Zhang
Jianjun Zhang
Jingke Song
Jingke Song
Jingke Song
Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
Frontiers in Bioengineering and Biotechnology
lumbar exoskeleton
traction forces
intervertebral disc pressure
stiffness optimization
electromyography
title Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
title_full Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
title_fullStr Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
title_full_unstemmed Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
title_short Effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
title_sort effects of a lumbar exoskeleton that provides two traction forces on spinal loading and muscles
topic lumbar exoskeleton
traction forces
intervertebral disc pressure
stiffness optimization
electromyography
url https://www.frontiersin.org/articles/10.3389/fbioe.2025.1530034/full
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