Einsatz von Exoskeletten im beruflichen Kontext zur Primär‑, Sekundär-, und Tertiärprävention von arbeitsassoziierten muskuloskelettalen Beschwerden

Steinhilber, Benjamin; Luger, Tessy; Schwenkreis, Peter; Middeldorf, Stefan; Bork, Hartmut; Mann, Bernhard; Glinski, Alexander von; Schildhauer, Thomas; Weiler, Stephan; Schmauder, Martin; Heinrich, Kai; Winter, Gabriele; Schnalke, Gerhard; Frener, Peter; Schick, Ralf; Wischniewski, Sascha; Jäger, Matthias

doi:10.1007/s41449-020-00226-7

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Some exoskeletons can be programmed to encourage proper movement patterns, potentially further minimizing the risk of joint-related conditions. Research findings indicate that employing an Aerial Porter Exoskeleton could lower the occurrence of MSK injuries among soldiers by enabling them to carry out tasks with reduced physical effort (e.g., lower heart rate, decreased oxygen consumption, and a decreased perception of exertion) [47,48,52]. This may not only reduce the risk of immediate injuries, but also may contribute to long-term MSK health.…”

Section: Health Benefitsmentioning

confidence: 99%

“…Research has shown a reduction in the MSK loads of critical body parts (e.g., back and shoulders) when using exoskeletons during selected static and dynamic tasks [47]. Back support exoskeletons can reduce hip and spinal muscle effort in forward-bending tasks [48], while upper limb exoskeletons can reduce shoulder muscle effort in arm-lifting tasks and prevent the occurrence of shoulder tendinopathies [49][50][51].…”

Section: Health Benefitsmentioning

confidence: 99%

“…Back support exoskeletons can reduce hip and spinal muscle effort in forward-bending tasks [48], while upper limb exoskeletons can reduce shoulder muscle effort in arm-lifting tasks and prevent the occurrence of shoulder tendinopathies [49][50][51]. The utilization of exoskeletons is anticipated to alleviate the burden on soldiers' backs and shoulders, possibly diminishing the likelihood of MSK injuries [47][48][49][50][51]. Improved ergonomics, which exoskeletons may promote, can be particularly beneficial in occupational settings where workers are prone to MSK disorders due to poor posture or repetitive motions.…”

Section: Health Benefitsmentioning

confidence: 99%

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Current State, Needs, and Opportunities for Wearable Robots in Military Medical Rehabilitation and Force Protection

Cooper,

Smolinski,

Candiotti

et al. 2024

Actuators

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Despite advances in wearable robots across various fields, there is no consensus definition or design framework for the application of this technology in rehabilitation or musculoskeletal (MSK) injury prevention. This paper aims to define wearable robots and explore their applications and challenges for military rehabilitation and force protection for MSK injury prevention. We conducted a modified Delphi method, including a steering group and 14 panelists with 10+ years of expertise in wearable robots. Panelists presented current wearable robots currently in use or in development for rehabilitation or assistance use in the military workforce and healthcare. The steering group and panelists met to obtain a consensus on the wearable robot definition applicable for rehabilitation or primary injury prevention. Panelists unanimously agreed that wearable robots can be grouped into three main applications, as follows: (1) primary and secondary MSK injury prevention, (2) enhancement of military activities and tasks, and (3) rehabilitation and reintegration. Each application was presented within the context of its target population and state-of-the-art technology currently in use or under development. Capturing expert opinions, this study defines wearable robots for military rehabilitation and MSK injury prevention, identifies health outcomes and assessment tools, and outlines design requirements for future advancements.

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Section: Health Benefitsmentioning

confidence: 99%

Section: Health Benefitsmentioning

confidence: 99%

Section: Health Benefitsmentioning

confidence: 99%

See 1 more Smart Citation

Current State, Needs, and Opportunities for Wearable Robots in Military Medical Rehabilitation and Force Protection

Cooper,

Smolinski,

Candiotti

et al. 2024

Actuators

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show abstract

“…Passive Exoskelette sind durch ihre rein mechanisch, über Federwirkungen oder Expander, generierte Unterstützung leichter und kostengünstiger [ 36 ]. Speziell beim Heben, Tragen und Umlagern von Lasten und bei statischen Körperhaltungen wie Überschulterarbeiten können Exoskelette wirksam unterstützen [ 32 ]. Durch die Unterstützung reduziert sich die subjektive Belastung der Nutzer, und die Wahrscheinlichkeit, an einer arbeitsbedingten MSE zu erkranken, könnte minimiert werden [ 15 , 17 ].…”

Section: Theoretischer Hintergrund Und Fragestellungunclassified

Assoziation, Erwartungen und Barrieren eines Exoskeletteinsatzes in kleinen mittelständischen Unternehmen

et al. 2022

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Zusammenfassung Hintergrund Arbeitsbedingte Muskel-Skelett-Erkrankungen (MSE) führen in der herstellenden Industrie zu Krankheitstagen und haben erhebliche wirtschaftliche Folgen für die Unternehmen und die Volkswirtschaft. Exoskelette können den Körper im Umgang mit schwerer Last oder in Zwangshaltungen unterstützen. Besonders in großen Unternehmen der Automobilindustrie werden Exoskelette pilotiert. In kleinen und mittelständischen Unternehmen (KMU) werden Exoskelette bisher jedoch wenig eingesetzt, und ihre Anwendung dort wurde wissenschaftlich bisher kaum untersucht. Ziel dieser Arbeit war es, die Barrieren der Exoskelett-Implementierung und die Erwartungen an deren Einsatz im produzierenden Gewerbe zu ermitteln. Methode In sechs produzierenden Unternehmen wurden teilstrukturierte Leitfadeninterviews durchgeführt und analysiert. Ergebnisse In den Unternehmen werden vielfältige Tätigkeiten bis an die Belastungsgrenze ausgeführt. Allgemein erwartet man durch die Anwendung von Exoskeletten Arbeitserleichterungen sowie wirtschaftliche Vorteile. Bedenken bestehen hinsichtlich des Einsatzes aufgrund des Kostenfaktors, eines ungewissen Nutzens und mangelnden Tragekomforts. Insbesondere werden mangelnde Kenntnisse über den Effekt eines Exoskeletts deutlich. Fazit Die vorgestellten Interviewergebnisse sind ein Schritt im interdisziplinären Prozess der Weiterentwicklung und Implementierung von Exoskeletten in der herstellenden Industrie. Bedenken und Unwissenheit potenzieller Unternehmen und Anwender müssen adressiert werden, auch um eine hohe Nutzerakzeptanz zu schaffen. Folgestudien, die die Ermittlung des Bedarfs mit einer besseren Trennschärfe erheben, könnten weitere Erkenntnisse liefern.

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“…According to the German guidelines on “The use of exoskeletons in an occupational context for prevention of work-related musculoskeletal complaints,” there is no substantiated preventive effect of exoskeletons on work-associated musculoskeletal complaints or disease based on the current state of scientific knowledge. 10 …”

Section: Introductionmentioning

confidence: 99%

Effect of an upper body exoskeleton for surgeons on postoperative neck, back, and shoulder complaints

Nutz,

Jarvers,

Theopold

et al. 2024

Journal of Occupational Health

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Objectives: Surgeons are exposed to high levels of physical stress while working in the operating room. In industry, so-called exoskeletons are used to support the back and shoulder area. The aim of this study was to investigate the feasibility and effects of an upper body exoskeleton on postoperative physical complaints of surgeons. Methods: Surgeons from a university hospital in the fields of orthopaedics, trauma- and visceral surgery performed two operations of the same type and planned length on two different days. The first operation was performed without an exoskeleton, the second with an exoskeleton. The participants completed questionnaires on shoulder pain (SPADI), neck pain (VAS and NDI) and back pain (VAS and ODI) before and after the procedure. Results: A total of 25 participants were included and performed 50 surgeries with a mean surgery duration of 144 min without and 138 min with exoskeleton. Without the exoskeleton, the activity of the operation resulted in a significant increase of the VAS neck by 1.0 points (SD 1.2, p < 0.001), NDI by 4.8 (SD 8.6; p = 0.010), VAS back by 0.7 (SD 1.0, p = 0.002), and ODI by 2.7 (SD 4.1, p = 0.003). With the exoskeleton the the participants reported about significant less complaints after the surgery (VAS neck: p = 0.001, NDI: p = 0.003, VAS back: p = 0.036, ODI: p = 0.036, SPADI: p = 0.016) Conclusion: An upper body exoskeleton can significantly reduce the discomfort in the neck, shoulder and back caused to surgeons by surgery.

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Einsatz von Exoskeletten im beruflichen Kontext zur Primär‑, Sekundär-, und Tertiärprävention von arbeitsassoziierten muskuloskelettalen Beschwerden

Cited by 5 publications

References 31 publications

Current State, Needs, and Opportunities for Wearable Robots in Military Medical Rehabilitation and Force Protection

Current State, Needs, and Opportunities for Wearable Robots in Military Medical Rehabilitation and Force Protection

Assoziation, Erwartungen und Barrieren eines Exoskeletteinsatzes in kleinen mittelständischen Unternehmen

Effect of an upper body exoskeleton for surgeons on postoperative neck, back, and shoulder complaints

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