Evaluation of the support provided by a soft passive exoskeleton in individuals with back pain
本研究通过35名轻中度背痛患者的前倾和提举任务实验，发现软性被动外骨骼可降低背部肌肉活动、减轻急性疼痛和运动恐惧，且对运动影响小。
Physically straining occupations involving repetitive lifting and forward leaning increase risk of back pain. In response, back exoskeletons have been developed to alleviate strain on back muscles and potentially prevent such pain. In people experiencing back pain, these may also help decrease the pain-related activity limitations during work or leisure. This experimental study evaluated the effects of a soft passive back exoskeleton on muscle activity, acute pain, kinesiophobia, and movement kinematics. Individuals experiencing mild to moderate back pain (n = 35) performed forward leaning and lifting tasks, both with and without the support of the back exoskeleton. Electromyography data were collected for trunk and hip muscles, alongside hip and spine kinematics, reported pain levels and concerns regarding daily activities. Back exoskeleton support reduced back muscle activity during forward leaning by up to 35% (p Exo < 0.001) and during lifting tasks by up to 24% (p Exo < 0.001). Participants reported reduced lumbar pain (p < 0.01) and decreased kinesiophobia (p < 0.001) across all tasks when supported by the exoskeleton. Minimal influence on movement kinematics was observed and there were no observable changes in abdominal co-activation compared to tasks performed without exoskeleton support. These results indicate that the LiftSuit, a passive back exoskeleton, can effectively reduce back muscle activity, acute pain, and kinesiophobia among individuals with back pain during forward leaning and repetitive lifting tasks. These findings suggest that passive back exoskeletons may be beneficial during physically demanding tasks in workers experiencing mild to moderate back pain. • Passive soft back exoskeletons offer support to workers in physically demanding jobs. • Muscle activity, pain, and kinesiophobia were measured in 35 participants with back pain. • Exoskeleton support reduced back muscle activity during lifting and leaning tasks. • The support reduced lower back pain and fear of movement with minimal impact on motion.