Evaluation of an acceleration-based assistive strategy to control a back-support exoskeleton for manual material handling

Abstract To reduce the incidence of occupational musculoskeletal disorders, back-support exoskeletons are being introduced to assist manual material handling activities. Using a device of this type, this study investigates the effects of a new control strategy that uses the angular acceleration of the user’s trunk to assist during lifting tasks. To validate this new strategy, its effectiveness was experimentally evaluated relative to the condition without the exoskeleton as well as against existing strategies for comparison. Using the exoskeleton during lifting tasks reduced the peak compression force on the L5S1 disc by up to 16%, with all the control strategies. Substantial differences between the control strategies in the reductions of compression force, lumbar moment and back muscle activation were not observed. However, the new control strategy reduced the movement speed less with respect to the existing strategies. Thanks to improved timing in the assistance in relation to the typical dynamics of the target task, the hindrance to typical movements appeared reduced, thereby promoting intuitiveness and comfort.

[1]  A Leardini,et al.  Position and orientation in space of bones during movement: anatomical frame definition and determination. , 1995, Clinical biomechanics.

[2]  J H van Dieën,et al.  Effects of antagonistic co-contraction on differences between electromyography based and optimization based estimates of spinal forces , 2005, Ergonomics.

[3]  Darwin G. Caldwell,et al.  Assessment of an On-board Classifier for Activity Recognition on an Active Back-Support Exoskeleton , 2019, 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR).

[4]  Darwin G. Caldwell,et al.  A wearable device for reducing spinal loads during lifting tasks: Biomechanics and design concepts , 2015, 2015 IEEE International Conference on Robotics and Biomimetics (ROBIO).

[5]  M. de Looze,et al.  Effects of a passive back exoskeleton on the mechanical loading of the low-back during symmetric lifting. , 2019, Journal of biomechanics.

[6]  P. Dolan,et al.  The relationship between EMG activity and extensor moment generation in the erector spinae muscles during bending and lifting activities. , 1993, Journal of biomechanics.

[7]  Joan M Stevenson,et al.  The effect of on-body lift assistive device on the lumbar 3D dynamic moments and EMG during asymmetric freestyle lifting. , 2008, Clinical biomechanics.

[8]  P Brinckmann,et al.  Prediction of the compressive strength of human lumbar vertebrae. , 1989, Clinical biomechanics.

[9]  Darwin G. Caldwell,et al.  Rationale, Implementation and Evaluation of Assistive Strategies for an Active Back-Support Exoskeleton , 2018, Front. Robot. AI.

[10]  Elena De Momi,et al.  Acceleration-based Assistive Strategy to Control a Back-support Exoskeleton for Load Handling: Preliminary Evaluation , 2019, 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR).

[11]  J. C. Davies,et al.  Manual handling injuries and long term disability , 2003 .

[12]  Daniel P Ferris,et al.  Biomechanics and energetics of walking in powered ankle exoskeletons using myoelectric control versus mechanically intrinsic control , 2018, Journal of NeuroEngineering and Rehabilitation.

[13]  M. de Looze,et al.  Assessment of an active industrial exoskeleton to aid dynamic lifting and lowering manual handling tasks. , 2018, Applied ergonomics.

[14]  Mark Halaki,et al.  Normalization of EMG Signals: To Normalize or Not to Normalize and What to Normalize to? , 2012 .

[15]  R. W. Norman,et al.  Quantification of erector spinae muscle fatigue during prolonged, dynamic lifting tasks , 2004, European Journal of Applied Physiology and Occupational Physiology.

[16]  M. Frings-Dresen,et al.  The effect of lifting during work on low back pain: a health impact assessment based on a meta-analysis , 2014, Occupational and Environmental Medicine.

[17]  T P Andriacchi,et al.  Influence of dynamic factors on the lumbar spine moment in lifting. , 1988, Ergonomics.

[18]  Shaoping Bai,et al.  Payload estimation using forcemyography sensors for control of upper-body exoskeleton in load carrying assistance , 2019, Modeling, Identification and Control: A Norwegian Research Bulletin.

[19]  R. Norman,et al.  Mechanically corrected EMG for the continuous estimation of erector spinae muscle loading during repetitive lifting , 2004, European Journal of Applied Physiology and Occupational Physiology.

[20]  Riccardo Muradore,et al.  Impedance control of series elastic actuators: Passivity and acceleration-based control , 2017 .

[21]  Bram Vanderborght,et al.  Passive Back Support Exoskeleton Improves Range of Motion Using Flexible Beams , 2018, Front. Robot. AI.

[22]  Rachelle Buchbinder,et al.  The global burden of low back pain: estimates from the Global Burden of Disease 2010 study , 2014, Annals of the rheumatic diseases.

[23]  M. de Looze,et al.  The effect of control strategies for an active back-support exoskeleton on spine loading and kinematics during lifting. , 2019, Journal of biomechanics.

[24]  W S Marras,et al.  Biomechanical risk factors for occupationally related low back disorders. , 1995, Ergonomics.

[25]  S. Kumar,et al.  Theories of musculoskeletal injury causation , 2001, Ergonomics.

[26]  G. Andersson,et al.  Quantitative Studies of Back Loads in Lifting , 1976 .

[27]  A Garg,et al.  Revised NIOSH equation for the design and evaluation of manual lifting tasks. , 1993, Ergonomics.

[28]  Jack P Callaghan,et al.  Elimination of electrocardiogram contamination from electromyogram signals: An evaluation of currently used removal techniques. , 2006, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[29]  L. Punnett,et al.  Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. , 2004, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[30]  Idsart Kingma,et al.  Effects of a passive exoskeleton on the mechanical loading of the low back in static holding tasks. , 2019, Journal of biomechanics.

[31]  S. McGill,et al.  MVC techniques to normalize trunk muscle EMG in healthy women. , 2010, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[32]  M Solomonow,et al.  Muscular dysfunction elicited by creep of lumbar viscoelastic tissue. , 2003, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[33]  M. de Looze,et al.  The effects of a passive exoskeleton on muscle activity, discomfort and endurance time in forward bending work. , 2016, Applied ergonomics.

[34]  A. Woolf,et al.  Burden of major musculoskeletal conditions. , 2003, Bulletin of the World Health Organization.

[35]  Luigi Monica,et al.  Back-Support Exoskeletons for Occupational Use: An Overview of Technological Advances and Trends , 2019, IISE Transactions on Occupational Ergonomics and Human Factors.

[36]  ZuradaJozef Classifying the risk of work related low back disorders due to manual material handling tasks , 2012 .

[37]  Joan M Stevenson,et al.  PLAD (personal lift assistive device) stiffness affects the lumbar flexion/extension moment and the posterior chain EMG during symmetrical lifting tasks. , 2009, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[38]  Robert Riener,et al.  Control strategies for active lower extremity prosthetics and orthotics: a review , 2015, Journal of NeuroEngineering and Rehabilitation.

[39]  S. McGill Electromyographic activity of the abdominal and low back musculature during the generation of isometric and dynamic axial trunk torque: Implications for lumbar mechanics , 1991, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[40]  Jacek M. Zurada,et al.  Classifying the risk of work related low back disorders due to manual material handling tasks , 2012, Expert Syst. Appl..

[41]  W. Marras,et al.  An EMG-assisted model of trunk loading during free-dynamic lifting. , 1995, Journal of biomechanics.

[42]  M. de Looze,et al.  Effects of an Inclination-Controlled Active Spinal Exoskeleton on Spinal Compression Forces , 2018, Biosystems & Biorobotics.

[43]  A. Hof An explicit expression for the moment in multibody systems. , 1992, Journal of biomechanics.

[44]  Dong Jin Hyun,et al.  Waist-assistive exoskeleton powered by a singular actuation mechanism for prevention of back-injury , 2018, Robotics Auton. Syst..

[45]  Donald S. Bloswick,et al.  The Effect of Lifting Speed on Cumulative and Peak Biomechanical Loading for Symmetric Lifting Tasks , 2013, Safety and health at work.

[46]  Frank Krause,et al.  Exoskeletons for industrial application and their potential effects on physical work load , 2016, Ergonomics.

[47]  Yoshiyuki Sankai,et al.  Development of HAL for Lumbar Support , 2010 .

[48]  H. Kobayashi,et al.  Improvement and quantitative performance estimation of the back support muscle suit , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[49]  J. V. van Dieën,et al.  The effect of a passive trunk exoskeleton on functional performance in healthy individuals. , 2018, Applied ergonomics.

[50]  Lorenzo Grazi,et al.  A Real-Time Lift Detection Strategy for a Hip Exoskeleton , 2018, Front. Neurorobot..

[51]  T. Waters,et al.  Evaluation of spinal loading during lowering and lifting. , 1998, Clinical biomechanics.

[52]  P. Dolan,et al.  Passive tissues help the back muscles to generate extensor moments during lifting. , 1994, Journal of biomechanics.

[53]  R. Norman,et al.  A comparison of peak vs cumulative physical work exposure risk factors for the reporting of low back pain in the automotive industry. , 1998, Clinical biomechanics.

[54]  I. Kingma,et al.  Validation of a full body 3-D dynamic linked segment model , 1996 .

[55]  Xiaopeng Ning,et al.  Low back pain development response to sustained trunk axial twisting , 2013, European Spine Journal.