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Low back disorders are more predominant among construction trade workers than their counterparts in other industry sectors. Floor layers are among the top artisans that are severely affected by low back disorders. Exoskeletons are increasingly being perceived as ergonomic solutions. This study aims to compare the efficacy of passive and active back-support exoskeletons by measuring range of motion, perceived discomfort, usability, perceived rate of exertion and cognitive load during a simulated flooring task experiment.

In this study eight participants were engaged in a repetitive timber flooring task performed with passive and active back-support exoskeletons. Subjective and objective data were collected to assess the risks associated with using both exoskeletons. Descriptive statistics were used for analysis. Scheirer-Ray-Hare test and Wilcoxon signed-rank test were adopted to compare the exoskeleton conditions.

The results show no significant differences in the range of motion (except for a lifting cycle), perceived level of discomfort and perceived level of exertion between the two exoskeletons. Significant difference in overall cognitive load was observed. The usability results show that the active back-support exoskeleton made task execution easier with less restriction on movement.

The flooring task is simulated in a laboratory environment with only eight male participants.

This study contributes to the scarce body of knowledge on the usage comparison of passive and active exoskeletons for construction work.

Work-related musculoskeletal disorders constitute a severe problem in the construction industry. Workers' lower backs are often affected by heavy or repetitive lifting and prolonged awkward postures. Exoskeletal interventions are effective for tasks involving manual lifting and repetitive movements. This study aims to examine the potential of a postural-assist exoskeleton (a passive exoskeleton) for manual material handling tasks.

From an experimental observation of participants, the effects of postural-assist exoskeleton on tasks and workers were measured. Associated benefits of the exoskeleton were assessed through task performance, range of motion and discomfort.

Findings suggest that the exoskeleton influenced discomfort significantly, however range of motion decreased with lifting tasks. The reduced back flexion and increased hip flexion were also indicatives of the participants' responsiveness to the feedback from the exoskeleton. In addition, task completion time increased by 20%, and participants' back pain did not reduce.

The work tasks were performed in a controlled laboratory environment and only wearable inertia measurement units (IMUs) were used to assess the risk exposures of the body parts.

This study opens a practical pathway to human-exoskeleton integration, artificial regeneration or enablement of impaired workforce and a window toward a new order of productivity scaling. Results from this study provide preliminary insights to designers and innovators on the influence of postural assist exoskeleton on construction work. Project stakeholders can be informed of the suitability of the postural assist exoskeletons for manual material handling tasks.

Little has been reported on the benefits and impact of exoskeletons on tasks' physical demands and construction workers' performance. This study adds value to the existing literature, in particular by providing insights into the effectiveness and consequences of the postural-assist exoskeleton for manual material handling tasks.

Exoskeletons are moving into industries with the potential to reduce muscle strains and prevent occupational injuries. Although exoskeletons have been designed and tested in laboratory settings, rare empirical studies of their application in construction have been reported. Therefore, the purpose of this study is on in a real-life setting testing the applicability of adopting exoskeletons in the construction industry.

A feasibility study of exoskeletons in construction is conducted by testing a passive exoskeleton, designed for shoulder support. Five bricklayers tested in a two-month period the exoskeleton, each wearing it for a three-day period while carrying out normal work activities. Test data in terms of interviews were collected and analyzed using qualitative content analysis.

The application of exoskeletons in construction revealed several limitations, where the two primary ones are the exoskeleton is not designed while considering the tasks of a bricklayer causing several challenges and the exoskeleton only supports a single upward motion while limiting other movements and even counteracted when a downward movement was necessary.

The identified challenges could easily have been revealed by coupling the design and testing of exoskeletons to actual application. Thus, the design approach needs to be reversed. Instead of designing an exoskeleton to support a specific body part or motion and then identifying where it is applicable, it should target specific industries and focus on the actual work and movements and the necessary support. As part of the change, the design metrics should be reevaluated to reflect the work to support.

This paper aims to optimize the stiffness coefficient of the elastic element for a passive waist assistive exoskeleton (WAE). There is a tradeoff between stiffness coefficient of elastic element of the exoskeleton and work efficiency of the wearer, because elastic element affects original bending motion of the wearer and the force requirement of erector spinae is compensated by the other muscles. However, there is no accepted conclusion on how to determine the proper stiffness coefficient, especially with respected to the effort of groups of muscles, not only erector spinae.

In this study, a consumption indicator based on muscle fatigue of seven muscles is proposed and a Bayesian-based human-in-the-loop optimization approach is adopted to optimize the stiffness coefficient. Pneumatic artificial muscles are used to replace the mechanical elastic part to adjust the assistive force automatically. The proposed optimization method is verified by the way of load-lifting experiments with three different conditions: without exoskeleton, with fixed air pressure and with optimized air pressure. Six subjects participated in the experiment and each experiment is performed in different day.

Compared with No-Exo condition and static assistance condition, the parameter-optimized waist exoskeleton averagely reduces muscle fatigue of the six subjects by 45.30 ± 29.14% and 30.94 ± 30.29%, respectively. The experimental results indicate that the proposed method is effective to reduce muscle fatigue during stoop lifting task.

This paper provides a novel cost function construction method based on muscle fatigue and muscle synergy for passive WAE stiffness optimization.

In certain industrial operations, workers are required to stand for a prolonged duration. This leads to muscular fatigue in the legs, posing a threat to the productivity and well-being of the workers. This paper aims to address this problem of women in the clothing industry with an exoskeleton designed for lower extremities and improve productivity.

Ulrich’s product design approach has been followed with suitable modifications. The methodology involves a study to justify the need for this product and terminating at the physical and virtual evaluations of the product. Required anthropometric parameters are considered along the design process.

The exoskeleton discussed in this paper is an innovative product made of Aluminium 6061 alloy. During the simulation phase of the product, total von-mises stresses to a part bearing 1 leg were 31.5 MPa, 94.7 MPa and 284 MPa for aluminium, SS308 and springs, respectively. These values are below the yield limit by a great margin. Based on a user survey of this product, 72% of the targeted customers were interested in buying. Also, comparing electromyography (EMG) mean value of the voltage between workers’ leg with and without exoskeleton revealed that there was an improvement in the voltage by 2.5% when exoskeleton was used.

This paper emphasizes, for the first time – the necessity of an exoskeleton indigenized for the Indian population and the process of realizing it by designing an exoskeleton.

Exoskeletons are characterized as wearable, mechanical orthoses that augment the physical performance of the wearer, enhance productivity and employee well-being when used in value producing contexts. However, limited research involving exoskeleton usage by service employees in frontline contexts has been undertaken within service research. The purpose of this paper is to provide an overview of exoskeleton research undertaken within the context of value-producing roles, introduce exoskeletons conceptually to the service research domain, provide new conceptualizations of service exchange interactions involving physically augmented service actors and propose future avenues of exoskeleton research in alignment with key service theories.

A multi-disciplinary structured literature review based on the preferred reporting items for systematic reviews and meta-analyses method was undertaken across a variety of literature fields. A final selection of n = 25 papers was selected for analysis from an initial sample of N = 3,537. Given the emergent nature of exoskeleton research and the variety of methodology types used between literature fields, a thematic analysis approach was used for analysing identified papers.

The literature review identified four main themes within role-focused exoskeleton research. These themes informed proposals for future exoskeleton research with respect to key service theories and typologies. The findings demonstrate that the presence of an exoskeleton changes the behaviours and interactions of service employees. The augmented social presence AugSP typology is conceptualized to explain the influences of human enhancement technologies (HETs) within service actor interactions.

This research introduces the AugSP typology to conceptualize the impacts that exoskeletons and HETs impose within technologically mediated service interactions and provides a service-specific definition of exoskeleton technology to guide future service research involving the technology.

The purpose of this paper is to evaluate three categories of four-degrees of freedom (4-DOFs) upper limb rehabilitation exoskeleton mechanisms from the perspective of relative movement offsets between the upper limb and the exoskeleton, so as to provide reference for the selection of exoskeleton mechanism configurations.

According to the configuration synthesis and optimum principles of 4-DOFs upper limb exoskeleton mechanisms, three categories of exoskeletons compatible with upper limb were proposed. From the perspective of human exoskeleton closed chain, through reasonable decomposition and kinematic characteristics analysis of passive connective joints, the kinematic equations of three categories exoskeletons were established and inverse position solution method were addressed. Subsequently, three indexes, which can represent the relative movement offsets of human–exoskeleton were defined.

Based on the presented position solution and evaluation indexes, the joint displacements and relative movement offsets of the three exoskeletons during eating movement were compared, on which the kinematic characteristics were investigated. The results indicated that the second category of exoskeleton was more suitable for upper limb rehabilitation than the other two categories.

This paper has a certain reference value for the selection of the 4-DOFs upper extremity rehabilitation exoskeleton mechanism configurations. The selected exoskeleton can ensure the safety and comfort of stroke patients with upper limb dyskinesia during rehabilitation training.

Concrete workers perform physically demanding work in awkward postures, exposing their backs to musculoskeletal disorders. Back-support exoskeletons are promising ergonomic interventions designed to reduce the risks of back disorders. However, the suitability of exoskeletons for enhancing performance of concrete workers has not been largely explored. This study aims to assess a passive back-support exoskeleton for concrete work in terms of the impact on the body, usability and benefits of the exoskeleton, and potential design modifications.

Concrete workers performed work with a passive back-support exoskeleton. Subjective and qualitative measures were employed to capture their perception of the exoskeleton, at the middle and end of the work, in terms of discomfort to their body parts, ease of use, comfort, performance and safety of the exoskeleton, and their experience using the exoskeleton. These were analyzed using descriptive statistics and thematic analysis.

The exoskeleton reduced stress on the lower back but caused discomfort to other body parts. Significant correlations were observed between perceived discomfort and usability measures. Design modifications are needed to improve the compatibility of the exoskeleton with the existing safety gears, reduce discomfort at chest and thigh, and improve ease of use of the exoskeleton.

The study was conducted with eight concrete workers who used the exoskeleton for four hours.

This study contributes to existing knowledge on human-wearable robot interaction and provides suggestions for adapting exoskeleton designs for construction work.

Upper-limb joint kinematics are highly complex and the kinematics of rehabilitation exoskeletons fail to reproduce them, resulting in hyperstaticity and human–machine incompatibility. The purpose of this paper is to design and develop a compatible exoskeleton robot (Co-Exos II) to address these problems.

The configuration synthesis of Co-Exos II is completed using advanced mechanism theory. A compatible configuration is selected and four passive joints are introduced into the connecting interfaces based on optimal configuration principles. A Co-Exos II prototype with nine degrees of freedom (DOFs) is developed and still owns a compact structure and volume. A new approach is presented to compensate the vertical glenohumeral (GH) movements. Co-Exos II and the upper arm are simplified as a guide-bar mechanism at the elevating plane. The theoretical displacements of passive joints are calculated by the kinematic model of the shoulder loop. The compatible experiments are completed to measure the kinematics of passive joints.

The compatible configuration of the passive joints can effectively reduce the gravity influences of the exoskeleton device and the upper extremities. The passive joints exhibit excellent compensation effect for the GH joint movements by comparing the theoretical and measured results. Passive joints can compensate for most GH movements, especially vertical movements.

Co-Exos II possesses good human–machine compatibility and wearable comfort for the affected upper limbs. The proposed compensation method is convenient to therapists and stroke patients during the rehabilitation trainings.

The purpose of this paper is to design an exoskeleton robot and present a corresponding rehabilitation training method for patients in different rehabilitation stages.

This paper presents a lightweight seven-degrees-of-freedom (DOF) cable-driven exoskeleton robot that is wearable and adjustable. After decoupling joint movement caused by a cable-driven mechanism, active rehabilitation training mode and passive rehabilitation training mode are proposed to improve the effect of rehabilitation training.

Simulations and experiments have been carried out, and the results validated the feasibility of the proposed mechanism and methods by a fine rehabilitative effect with different persons.

This paper designed a 7-DOF cable-driven exoskeleton robot that is suitable for patients of different body measurements and proposed the active rehabilitation training mode and passive rehabilitation training mode based on the cable-driven exoskeleton robot.