Abstract
The rapid growth in nursing demand in P.R.China and the slow increase in the number of qualified nurses has led to a serious increased in workload of existing nurses. Most of their works include heavyweight handling which causes low back pains. Thus a mobile, flexible, comfortable and wearable waist assist device, the Mobile Wearable Waist Assist Robot using pneumatic artificial muscles as power actuators has been developed. The wearer wears the device like a backpack, which can provide wearer the necessary assistance when he lifts loads or performs a static maintenance work, which will reduce the risk of lower back pain. The device is evaluated through an experiment which include three tests - heavy load handling, maximum weight lifting test, and Center of gravity (CoG) trajectory test during static weight lifting. Surface electromyography of erector spinae was recorded during the first test. The iEMG is significantly reduced by about 39% and 27%, respectively (p < 0.05). The angular velocity significantly decreases until the load reaches 35 kg (p < 0.05). When the device is in use, the CoG moving distance is significantly lower than not in use (p < 0.05). These three tests well verified the effectiveness of the Mobile Wearable Waist Assist Robot, which provides waist assists and reduces the risk of lower back pain.
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Zhou M, Zhao L, Kong N, Campy K, Qu S (2018) What caused seriously shortage of Chinese nurses? Iran J Public Health 47:1065–1067
Higmett S (1996) Work-related Back pain in nurses. J Adv Nurs 23:1238–1246
Eriksen W (2003) The prevalence of musculoskeletal pain in Norwegian Nurses’Aides. Int Arch Occup Environ Health 76:625–630
Smith DR, Ohmura K, Yamagata Z (2003) Musculoskeletal disorders among female nurses in a rural Japanese hospital. Nurs Health Sci 5:185–188
Vasiliadou A, Karvountzis GG, Soumilas A (1995) Occupational low-Back pain in nursing staff in a Greek hospital. J Adv Nurs 21:125–130
Wu A, Dong W, Liu S, Cheung JPY, Kwan KYH, Zeng X, Zhang K, Sun Z, Wang X, Cheung KMC, Zhou M, Zhao J (2019) The prevalence and years lived with disability caused by low Back pain in China, 1990 to 2016: findings from the global burden of disease study 2016. Pain 160:237–245
Adams MA, Bogduk N (2013) The biomechanics of Back pain, 3rd ed, vol 22. Elsevier, New York, p 4
Hara H, Sankai Y (2012) HAL Equipped With Passive Mechanism. 2012 IEEE/SICE international symposium on system integration. Fukuoka, Japan, pp 1–6
Panjabi MM (1992) The stabilizing system of the spine. Part I. function, dysfunction, adaptation, and enhancement. J Spinal Disord 5:383–389
Taal SR, Sankai Y (2011) Exoskeletal spine and shoulders for full body exoskeletons in health care. Adv Appl Math 2:270–286
Nelson BW, Carpenter DM, Dreisinger TE (1999) Can spinal surgery be prevented by aggressive strengthening exercises? A prospective study of cervical and lumbar patients. Arch Phys Med Rehabil 80:20–25
Gregorczyk KN, Hasselquist L, Schiffman JM, Bensel CK, Obusek JP, Gutekunst DJ (2010) Effects of a lower-body exoskeleton device on metabolic cost and gait biomechanics during load carriage. Ergonomics 53:1263–1275
Guo Z, Yu HY and Yin YH (2014) Developing a Mobile Lower Limb Robotic Exoskeleton for Gait Rehabilitation J Med Devices 8
Stopforth R (2012) Customizable rehabilitation lower limb exoskeleton system. Int J Adv Robot Syst 9:1–7
Zoss AB, Kazerooni H (2006) Biomechanical Design of the Berkeley Lower Extremity Exoskeleton (BLEEX). IEEE/ASME Trans Mechatronics 11:128–138
Ishii M, Yamamoto K, Hyodo K (2005) Stand-alone wearable power assist suit - development and availability. J Robot Mechatron 17:575–583
Nabeshima C, Shingu M, Kawamoto H, Sankai Y (2014) Risk management for wearable walking assistant robot: a case study of robot suit HAL for well-being. J Robot Soc Japan 32:380–385
Sankai Y (2011) HAL: hybrid assistive limb based on cybernics, Robotics Research. Springer, Berlin Heidelberg, pp 25–34
Kobayashi H, Shiiban T, Ishida Y (2004) Realization of all 7 motions for the upper limb by a muscle suit. J Robot Mechatron 16:504–512
Muramatsu Y, Kobayashi H (2014) Assessment of local muscle fatigue by NIRS-development and evaluation of muscle suit. Robomech J 1:1–11
Liao Y, Zhou ZH and Wang QN (2015) Bio KEX: a bionic knee exoskeleton with proxy-based sliding mode control. Proceedings of the 2015 IEEE Int Conf Ind Technol:125-130
Rus D, Tolley MT (2015) Design, fabrication and control of soft robots. Nature 521:467–475
Pfeifer R, Marques HG and Iida F (2013) Soft robotics: the next generation of intelligent machines. Proc 23rd Int Joint Conf Artificial Intell:5–11
Pfeifer R, Lida F, Lungarella M (2014) Cognition from the bottom up: on biological inspiration, body morphology, and soft materials. Trends Cogn Sci 18:404–413
Bae J, Siviy C, Rouleau M, Ménard N, Odonnell K (2018) A lightweight and efficient portable soft exosuit for paretic ankle assistance in walking after stroke. IEEE Int Conf Robotics Automation (ICRA) 2018:2820–2827
Wehner M, Quinlivan B, Aubin PM (2013) A lightweight soft exosuit for gait assistance. Proc 2013 Int Conf Robot Automation (ICRA):3362-3369
Imamura Y, Tanaka T, Suzuki Y, Takizawa K, Yamanaka M (2011) Motion-based-design of elastic material for passive assistive device using musculoskeletal model. J Robot Mechatron 23:978–990
Imamura Y, Tanaka T, Suzuki Y, Takizawa K, Yamanaka M (2014) Analysis of trunk stabilization effect by passive powerassist device. J Robot Mechatron 26:791–798
Abdoli EM, Agnew MJ, Stevenson JM (2006) An on-body personal lift augmentation device (PLAD) reduces EMG amplitude of erector spinae during lifting tasks. Clin Biomech 21:456–465
Lotz CA, Agnew MJ, Godwin AA, Stevenson JM (2009) The effect of an on-body personal lift assist device (PLAD) on fatigue during a repetitive lifting task. J Electromyogr Kinesiol: Off J Int Soc Electrophysiol Kinesiol 19:331–340
Matthew RP, et al (2015) Introduction and initial exploration of an active/passive exoskeleton framework for portable assistance. Intelligent robots and systems (IROS). 2015 IEEE/RSJ Int Conf IEEE
Pamungkas DS et al (2019) Overview: types of lower limb exoskeletons. Electron Commun Japan Part Iii-Fundamental Electron Sci 8:1283
Axel SK, Näf M, Sakia JB, Kingm I (2020) Biomechanical evaluation of a new passive back support exoskeleton. J Biomech, 105
Chaffin DB, Andersson GBJ, Martin BJ (2006) Occupational biomechanics, 4th edn. Wiley, New York
Schecter WS, Florian B, Margareta N (2012) Biomechanics of the lumbar spine. Basic Biomech Musculoskeletal Syst (4th edition):254-285
Abdoli-Eramaki M, Damecour C, Christenson J. (2012) The effect of perspiration on the sEMG amplitude and power spectrum. J Electromyogr kinesiol: Off J Int Soci Electrophysiol Kinesiol, 22
Liebenson C (2012) Musculoskeletal myths. J Bodyw Mov Ther 16:165–182
Cholewicki J, Reeves NP, Everding VQ, Morrisette DC (2007) Lumbosacral orthoses reduce trunk muscle activity in a postural control task. J Biomech 40:1731–1736
Gnahoua Z, Pierre A, M. (2008) Magnetic resonance imaging of the erector spinae muscles in Duchenne muscular dystrophy: implication for scoliotic deformities. Carl-éric Aubin 31:21
Boos N, Aebi M (2008) Spinal Disorders: Fundamentals of Diagnosis and Treatment. Psychophysical bases of perceived exertion
Jiaxin J, Wanrong S Fadi Al T (2020) Activity pattern Mining for Healthcare. Ieee Access
Eisinger DB, Kumar R, Woodrow R (1996) Effect of lumbar orthotics on trunk muscle strength. Am J Phys Med Rehab 75:194–197
Huysamen K, de Looze M, Bosch T, Ortiz J, Toxiri S, O. (2018) Assessment of an active industrial exoskeleton to aid dynamic lifting and lowering manual handling tasks. Appl Ergon 68:125–131
Acknowledgments
The work presented in this paper was supported by the Inner Mongolia First Machinery Group Co., Ltd. State Key Laboratory of Special Vehicles and Drive Systems Intelligent Manufacturing Project Open Project (GZ2019KF001). Special thanks are also extended to Ximei Zhou, Zhipeng Zhang, and Bing Liu for their contributions to this research study.
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Yin, P., Yang, L., Du, S. et al. The Effect of Mobile Wearable Waist Assist Robot on Lower Back Pain during Lifting and Handling Tasks. Mobile Netw Appl 26, 988–996 (2021). https://doi.org/10.1007/s11036-020-01667-4
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DOI: https://doi.org/10.1007/s11036-020-01667-4