Reduced Muscle Activity Research Articles

Equivalent weight: Application of the assessment method on real task conducted by railway workers wearing a back support exoskeleton

Commonly used risk indexes, such as the NIOSH Lifting Index, do not capture the effect of exoskeletons. This makes it difficult for Health and Safety professionals to rigorously assess the benefit of such devices. The community requires a simple method to assess the effectiveness of back-support exoskeleton's (BSE) in possibly reducing ergonomic risk. The method introduced in this work is termed “Equivalent Weight” (EqW) and it proposes an interpretation of the effect built on the benefit delivered through reduced activation of the erector spinae (ES). This manifests itself as an apparent reduction of the lifted load perceived by the wearer. This work presents a pilot study where a practical application of the EqW method is used to assess the ergonomic risk in manual material handling (MMH) when using a back support exoskeleton (StreamEXO). The results are assessed by combining observational measurements from on-site testing with five different workers and quantitative measures of the muscle activity reduction achieved during laboratory evaluation with ten workers. These results will show that when lifting, lowering, and carrying a 19 kg load the StreamEXO can reduce risk by up to two levels (from “high” to “low”) in the target sub-tasks. The Lifting index (LI) was reduced up to 64% when examining specific sub-tasks and the worker's movement conduction.

Assessment of an arm-support exoskeleton on physical demands, task performance, and usability during simulated agricultural tasks

This laboratory-based study aimed to determine whether an arm-support exoskeleton (ASE) would be an effective intervention to reduce the physical strain associated with manual agricultural work. Twenty-four (gender-balanced) participants performed pruning and harvesting tasks (at four different heights: knee, elbow, shoulder, and overhead), lifting/lowering, and Timed Up & Go (TUG) tasks with and without an ASE. During these tasks, muscle activity (in the upper trapezius, anterior deltoid, biceps brachii, and erector spinae), task completion time, perceived exertion, and usability were assessed. The results indicated a significant reduction (31.7%–60.2%) in muscle activity, particularly in the upper trapezius and anterior deltoid, when using the ASE during tasks at shoulder work height or above. However, there was an observed increase in muscle strain in the erector spinae, suggesting potential risk to the lower back. Given these findings, a more rigorous evaluation of ASEs in agricultural tasks should be pursued before implementing exoskeletons in agricultural tasks to avoid unintended health hazards. Relevance to industryA relatively new application of exoskeleton technology, extensively studied in fields like rehabilitation, manufacturing, and the military, is its use in agriculture. This study details the physical requirements of specific tasks to offer insights into the challenges that exoskeleton technologies for agriculture may encounter.

Human-exoskeleton cooperation for reducing the musculoskeletal load of manual handling tasks in orchid farms

Work-related musculoskeletal diseases of the lower back and shoulders are frequently caused by lifting, carrying and trunk bending. Therefore, a hybrid exoskeleton (HExo) that provides external torque to the upper extremities and back may reduce discomfort in the lower back and shoulder tendinopathies. In this study, we designed and fabricated HExo, a novel upper-limb and lower-back combined exoskeleton, and evaluated its impact in reducing the musculoskeletal load on the shoulder and back during agricultural work in orchid farms. The human motion tracking technique was utilised to collect the joint angles of orchid farmers during their work, and the joint angle data were subsequently used for the design of HExo. Electromyography (EMG) and centre of pressure (CoP) measurements were taken for 5 participants performing farm tasks and 16 participants performing laboratory-standardised tasks both with and without the HExo. The amplitude probability density function and Wilcoxon signed rank test were utilised in the data analysis to verify the advantage in wearing HExo. The use of HExo resulted in a reduction in erector spinae, latissimus dorsi and anterior deltoid muscle activation of up to 36.92 % (p = 0.05), 31.43 % (p = 0.017), and 57.59 % (p = 0.012), respectively. Furthermore, its use did not affect the ability of participants to maintain balance. Hence, HExo could be a promising for reducing solution musculoskeletal load.

Clinical and electromyographic signals analysis about the effect of space-adjustment splint on overerupted maxillary molars

BackgroundOvererupted maxillary molars is common in adults, which can lead to insufficient intermaxillary vertical space ,great difficulty in prosthetic reconstruction ,and cause occlusal interference in movements.To reconstruct occlusal function, it is necessary to prepare enough space for prostheses. The aim of the present study was to evaluate the effect of space-adjustment occlusal splint on overerupted maxillary molars by clinical and electromyographic signals analysis.MethodsEighteen patients with overerupted maxillary molars were selected to wear space-adjustment occlusal splint suppressing overerupted maxillary molars for three months. Satisfaction was assessed by 5-point Likert; intermaxillary vertical space and the teeth transportation distance were measured in models; clinical periodontal status were evaluated by periodontal probing depth (PPT) and bleeding index (BI); electromyographic recordings of the masseter and anterior temporal muscles were monitored by Cranio-Mandibular K7 Evaluation System.ResultsAll the patients were satisfied with the treatment effect (Likert scale ≧ 4). The intermaxillary space in edentulous areas after treatment showed statistically significant increasing when compared with those before treatment. PPT and BI showed no significant difference. No statistically significant differences were found in electromyographic activity of anterior temporal muscles, while a reduction of muscle activity in masseter in the contralateral side were detected in post-treatment evaluations compared with pre-treatment at mandibular rest position.ConclusionsSpace-adjustment occlusal splint is an efficient treatment option on overerupted maxillary molars by intruding the maxillary molar to obtain adequate intermaxillary space for prostheses.

Biomechanical Effects of Using a Passive Exoskeleton for the Upper Limb in Industrial Manufacturing Activities: A Pilot Study.

This study investigates the biomechanical impact of a passive Arm-Support Exoskeleton (ASE) on workers in wool textile processing. Eight workers, equipped with surface electrodes for electromyography (EMG) recording, performed three industrial tasks, with and without the exoskeleton. All tasks were performed in an upright stance involving repetitive upper limbs actions and overhead work, each presenting different physical demands in terms of cycle duration, load handling and percentage of cycle time with shoulder flexion over 80°. The use of ASE consistently lowered muscle activity in the anterior and medial deltoid compared to the free condition (reduction in signal Root Mean Square (RMS) -21.6% and -13.6%, respectively), while no difference was found for the Erector Spinae Longissimus (ESL) muscle. All workers reported complete satisfaction with the ASE effectiveness as rated on Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST), and 62% of the subjects rated the usability score as very high (>80 System Usability Scale (SUS)). The reduction in shoulder flexor muscle activity during the performance of industrial tasks is not correlated to the level of ergonomic risk involved. This preliminary study affirms the potential adoption of ASE as support for repetitive activities in wool textile processing, emphasizing its efficacy in reducing shoulder muscle activity. Positive worker acceptance and intention to use ASE supports its broader adoption as a preventive tool in the occupational sector.

Reduction and recovery of self-sustained muscle activity after fatiguing plantar flexor contractions.

Persistent inward calcium and sodium currents (PICs) are crucial for initiation and maintenance of motoneuron firing, and thus muscular force. However, there is a lack of data describing the effects of fatiguing exercise on PIC activity in humans. We simultaneously applied tendon vibration and neuromuscular electrical stimulation (VibStim) before and after fatiguing exercise. VibStim induces self-sustained muscle activity that is proposed to result from PIC activation. Twelve men performed 5-s maximal isometric plantar flexor contractions (MVC) with 5-s rests until joint torque was reduced to 70%MVC. VibStim trials consisted of five 2-s trains of neuromuscular electrical stimulation (20 Hz, evoking 10% MVC) of triceps surae with simultaneous Achilles tendon vibration (115 Hz) without voluntary muscle activation. VibStim was applied before (PRE), immediately (POST), 5-min (POST-5), and 10-min (POST-10) after exercise completion. Sustained torque (Tsust) and soleus electromyogram amplitudes (EMG) measured 3 s after VibStim were reduced (Tsust: -59.0%, p<0.001; soleus EMG: -38.4%, p<0.001) but largely recovered by POST-5, and changes in MVC and Tsust were correlated across the four time points (r=0.69; p<0.001). After normalisation to values obtained at the end of the vibration phase to control for changes in fibre-specific force and EMG signal characteristics, decreases in Tsust (-42.9%) and soleus EMG (-22.6%) remained significant and were each correlated with loss and recovery of MVC (r=0.41 and 0.46, respectively). The parallel changes observed in evoked self-sustained muscle activity and force generation capacity provide motivation for future examinations on the potential influence of fatigue-induced PIC changes on motoneuron output.

P332 The role of Handgrip Strength in Nutritional Status Assessment of Patients with Inflammatory Bowel Disease. A cross-sectional study

Abstract Background Inflammatory bowel disease (IBD) has been extremely prevalent in recent years. Multiple factors such as chronic inflammation, insufficient nutrient intake, malabsorption and high energy requirements during disease flares increase the risk of malnutrition and impaired body composition leading to complications such as thromboembolism, prolonged hospital stay and surgery. Nutritional status assessment through screening tools, anthropometry and body composition analysis requires experienced personnel and is time consuming. The purpose of this single center cross-sectional study is to assess nutritional status of patients with IBD and investigate various methods for the early detection of malnutrition. Methods Eligible participants were patients diagnosed with Corhn’s disease (CD) or ulcerative colitis (UC) from August to October 2023. Exclusion criteria comprised corticosteroid or diuretic treatment and high output stoma or fistulas. Nutrition status was assessed with Subjective Global Assessment (SGA). Body composition analysis was performed with bioelectric impedance analysis (BIA, Bodystat Quadscan 4000). Handgrip strength (HGS) was measured to detect reduced muscle activity through Jamar dynamometer. BIA derived values were compared to reference values from epidemiological studies. Quality of life impairment evaluated through Inflammatory Bowel Disease Questionnaire (IBDQ). Data was analyzed with SPSS Statistics 29.0.1. Results 104 patients were included (68 with CD, 36 with UC) with a mean age of 46 years (20-79). Based on body mass index (BMI) of the examined sample: 2% were underweight, 47% normal, 31% overweight and 18% obese. Body composition analysis revealed high level fat mass in 50% of females and in 48% of males. Fat free mass index (FFMI) was found low in 30% of females and in 17.5% of males, respectively. Not significant differences were observed between patients with CD and UC. Malnutrition assessment through SGA revealed 7 (6%) severely and 10 (7%) moderately malnourished patients. HGS was negatively strongly correlated with SGA (R2=0.52) and the percentage of fat mass (R2=0.51), whereas positively moderately correlated with FFMI (R2=0.48) and IBDQ score (R2=0.30). Conclusion A large percentage of patients with IBD appear to have disturbed body composition and higher levels of fat mass compared to healthy population. Handgrip strength measurement is a fast and cost-effective method of muscle function assessment that correlates well with nutritional status and quality of life. Further studies are needed to validate these findings and incorporate handgrip strength measurement in every day clinical practice to detect malnourished patients.

J-Exo: An exoskeleton with telescoping linear actuators to help older people climb stairs and squat

This paper presents a novel lower limb exoskeleton, J-Exo, to help older people climb stairs and squat. Inspired by canes for the elderly, the leg actuators of this exoskeleton use a linear telescoping mechanism that can accommodate wearers of different heights. It avoids the articulated exoskeleton’s inability to align with the user’s anatomical joints accurately. The J-Exo supports the person through a crotch strap, which requires less motor performance. In addition, a low-cost flexible gait detection insole was designed. The insole consists of duct tape and a soft rubber tube. The pressure of the tube can detect the phase of the gait. A practical torque control strategy is proposed for this exoskeleton. The motor compensates for the leg actuator’s weight, friction, and inertia forces during the swing phase. During the stance phase, the compensation is accompanied by applying a force proportional to the plantar pressure. Six subjects performed stair climbing, squatting, and endurance time experiments to validate the effectiveness of the exoskeleton. The results showed that subjects wearing the exoskeleton had reduced muscle activity in the stair climbing and squatting experiments. In the endurance experiment, the exoskeleton extended the subjects’ endurance time by a factor of 7.11. The J-Exo shows great potential for helping older adults reduce their physical load and increase their endurance.

Evaluation of antigravitational support levels provided by a passive upper-limb occupational exoskeleton in repetitive arm movements

Upper-limb occupational exoskeletons to support the workers' upper arms are typically designed to provide antigravitational support. Although typical work activities require workers to perform static and dynamic actions, the majority of the studies in literature investigated the effects of upper-limb occupational exoskeletons in static and quasi-static activities, while only a few works focused on dynamic tasks. This article presents a systematic evaluation of the effects of different levels of antigravitational support (from about 60% to 100% of the arm gravitational load) provided by a passive upper-limb occupational exoskeleton on muscles’ activity during repetitive arm movements. The effect of the exoskeleton on muscle activity was evaluated by the comparison of muscle activations with and without the exoskeleton. The average muscle activation was computed considering shoulder full flexion-extension cycles, and sub-movements, namely the arm-lifting (i.e., flexion) and arm-lowering (i.e., extension) movements. Results showed a quasi-linear correlation between antigravitational support and muscle activity reductions, both when considering the full flexion-extension cycle and in the arm-lifting movement (reductions were up to 64 and 61% compared to not wearing the exoskeleton, respectively). When considering the arm-lowering movement, providing antigravitational support close to or higher than 100% of the arm gravitational load led to increased muscle activations of the extensors (up to 127%), suggesting that such an amount of antigravitational support may be not effective for a complete biomechanical load reduction on the shoulder district in dynamic tasks.

Effects of vibration-based biofeedback on multifidus muscle activity and pelvic tilt angle in subjects with hip flexion limitation.

Sedentary work may lead to low back pain. In particular, a slumped sitting position may exacerbate low back pain because of tissue damage caused by excessive lumbar flexion and posterior pelvic tilting. Subjects with low back pain may have excessive changes in the lumbopelvic posture and back muscle activity in the sitting position. The purpose of this study was to compare the effects of vibration-based biofeedback using a motion sensor belt and no biofeedback on multifidus (MF) muscle activity and pelvic tilt angle during typing. Thirty subjects with low back pain accompanied by hip flexion limitation (15 each in the biofeedback and non-biofeedback groups) were enrolled. Electromyography was used to investigate MF muscle activity before and after typing for 30 min. Pelvic tilt was measured after typing in a sitting position for 30 min. Independent t-tests were used to compare MF muscle activity, and pelvic and second sacrum tilt angles, between the biofeedback and non-biofeedback groups. After typing for 30 min, changes in MF muscle activity (11.45% and -7.19% for the biofeedback and nonbiofeedback groups, respectively) and pelvic and second sacrum tilt angles (3.15∘ and 4.12∘ for the biofeedback group and -11.05∘ and -18.16∘ for the non-biofeedback group, respectively) were significantly smaller in the biofeedback than non-biofeedback group (p< 0.05). Vibration-based biofeedback minimizes the reduction in MF muscle activity and changes in pelvic and second sacrum tilt angles during typing in individuals with low back pain accompanied by hip flexion limitation.

A Novel Bilateral Underactuated Upper Limb Exoskeleton for Post-Stroke Bimanual ADL Training.

This paper introduces a lightweight bilateral underactuated upper limb exoskeleton (UULE) designed to assist chronic stroke patients with distal joint (Elbow-Wrist) impairments during bimanual activities of daily living (ADL). The UULE aims to assist patients in shoulder flexion/extension, elbow flexion/extension, forearm pronation/supination, and wrist flexion/extension. Notable features include (i) a cable-driven mechanism maintaining a lightweight structure (1.783 kg); (ii) passive joints conforming to less-impaired proximal joints, reducing restrictions on their movements; (iii) a compact design with passive ball joints enabling bilateral configuration for scapula protraction/retraction; and (iv) implementation of the master-slave joint assistance training strategy in an underactuated exoskeleton, achieving symmetric robot joint motion in bimanual ADL. Experiments with ten healthy subjects demonstrated the UULE's effectiveness by revealing significant reductions in muscle activity in a symmetric bimanual ADL task. These advancements address critical limitations of current exoskeletons, showcasing the UULE as a promising contribution to lightweight and effective robotic rehabilitation strategies for chronic stroke patients.

Benchmarking commercially available soft and rigid passive back exoskeletons for an industrial workplace.

Low-back pain is a common occupational hazard for industrial workers. Several studies show the advantages of using rigid and soft back-support passive exoskeletons and exosuits (exos) to reduce the low-back loading and risk of injury. However, benefits of using these exos have been shown to be task-specific. Therefore, in this study, we developed a benchmarking approach to assess exos for an industrial workplace at Hankamp Gears B.V. We assessed two rigid (Laevo Flex, Paexo back) and two soft (Auxivo Liftsuit 1.0, and Darwing Hakobelude) exos for tasks resembling the workplace. We measured the assistive moment provided by each exo and their respective influence on muscle activity as well as the user's perception of comfort and exertion. Ten participants performed four lifting tasks (Static hold, Asymmetric, Squat, and Stoop), while their electromyography and subjective measures were collected. The two rigid exos provided the largest assistance during the Dynamic tasks. Reductions in erector spinae activity were seen to be task-specific, with larger reductions for the two rigid exos. Overall, Laevo Flex offered a good balance between assistive moments, reductions in muscle activity, as well as user comfort and reductions in perceived exertion. Thus, we recommend benchmarking exos for intended use in the industrial workplace. This will hopefully result in a better adoption of the back-support exoskeletons in the workplace and help reduce low-back pain.

Development and Adaptive Assistance Control of the Robotic Hip Exoskeleton to Improve Gait Symmetry and Restore Normal Gait

Neurological disorders and aging induce abnormal gait kinematics such as asymmetric gait, reduced stride length, and walking speeds. Gait asymmetry increases musculoskeletal pain and joint impairment in the affected leg, increases the risk of patients falling, and induces higher energy expenditure. This paper presents a novel assistive control framework for the series elastic actuator-driven robotic hip exoskeleton that improves gait symmetry and restores normal gait. The proposed assistive control depends on virtual stiffness compensation with a series elastic actuator (SEA)-driven hip exoskeleton to assist without needing estimation, prediction of the gait phase, or human intent. In addition, adaptive adjustment of the virtual stiffness based on the approximate dynamic programming method is used to improve gait symmetry. The proposed control strategy is successfully implemented, and experiments are validated with human subjects’ gait assistance using a SEA-driven wearable hip exoskeleton. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Note to Practitioners</i> —This paper was motivated by the problem of hip exoskeleton assistive control. The goal of hip exoskeleton assistance is to improve gait symmetry and restore the normal gait of the patient with neurological disorders and the elderly. Existing approaches to fixturing such parts generally need to estimate or predict the gait phase or human intent. And the existing approaches generally adopted fixed control parameters. The hip exoskeleton’s assistance cannot adapt to various walking conditions and human gait differences. The proposed assistive control is based on virtual stiffness compensation with a SEA-driven hip exoskeleton to assist with walking under various walking conditions without estimating or predicting the gait phase or human intent. And the proposed method is online adjusted control parameters with human-in-the-loop to improve the gait symmetry. The human walking experiment results showed that the hip exoskeleton assistive controller not only reduced muscle activation and human effort but also improved the interjoint coordination of the impaired joint online. We also showed how the assistance controller changes the control parameters according to the gait symmetry with a human-in-the-loop strategy.

A Novel Passive Occupational Shoulder Exoskeleton With Adjustable Peak Assistive Torque Angle For Overhead Tasks.

Overhead tasks are a primary inducement to work-related musculoskeletal disorders. Aiming to reduce shoulder physical loads, passive shoulder exoskeletons are increasingly prevalent in the industry due to their lightweight, affordability, and effectiveness. However, they can only handle specific tasks and struggle to balance compactness with a sufficient range of motion effectively. We proposed a novel passive occupational shoulder exoskeleton designed to handle various overhead tasks at different arm elevation angles, ensuring sufficient ROM while maintaining compactness. By formulating kinematic models and simulations, an ergonomic shoulder structure was developed. Then, we presented a torque generator equipped with an adjustable peak assistive torque angle to switch between low and high assistance phases through a passive clutch mechanism. Ten healthy participants were recruited to validate its functionality by performing the screwing task. Measured range of motion results demonstrated that the exoskeleton can ensure a sufficient ROM in both sagittal (164°) and horizontal (158°) flexion/extension movements. The experimental results of the screwing task showed that the exoskeleton could reduce muscle activation (up to 49.6%), perceived effort and frustration, and provide an improved user experience (scored 79.7 out of 100). These results indicate that the proposed exoskeleton can guarantee natural movements and provide efficient assistance during overhead work, and thus have the potential to reduce the risk of musculoskeletal disorders. The proposed exoskeleton provides insights into multi-task adaptability and efficient assistance, highlighting the potential for expanding the application of exoskeletons.

Parallel Elastic Self-Alignment Mechanism Enhances Energy Efficiency and Reduces Misalignment in a Powered Knee Exoskeleton.

This paper aims to enhance exoskeleton compliance during locomotion assistance by reducing misalignment and to improve energy efficiency by overcoming the limitations posed by the bulky structure of powered rigid exoskeletons. A novel compliant knee exoskeleton, featuring a parallel elastic self-alignment mechanism, has been developed and structurally optimized. The exoskeleton uses adaptive oscillators to determine the wearer's gait phase and provides real-time assistance to the knee joint. Bench tests demonstrate that the parallel elastic mechanism significantly reduces the driving torque of the knee exoskeleton. Performance evaluations reveal that, compared to a commercial orthosis, the root-mean-square of knee angle error, joint misalignment, and unexpected interaction forces are reduced by 16.5 ± 11.3%, 23.3 ± 4.9%, and 17.7 ± 1.3%, respectively. Gait intervention experiments show reductions in average and maximum muscle activity of the knee joint by 7.6 ± 4.9% and 23.2 ± 5.7%, respectively. Additionally, the exoskeleton decreases negative work performed by the knee joint and the total lower limb by 22.7% and 8.6%, respectively. The parallel elastic self-alignment mechanism effectively mitigates joint misalignment, while the parallel springs offer partial gravity compensation, thereby enhancing both the energy efficiency and locomotion assistance of the exoskeleton. The parallel elastic self-alignment mechanism effectively addresses both misalignment and energy efficiency challenges in powered exoskeletons, providing valuable insights for future design improvements.

The role of amino acids in skeletal muscle health and sarcopenia: A narrative review.

The skeletal muscle is the largest organ present inside the body and is responsible for mechanical activities like maintaining posture, movement, respiratory function, and support for the health and functioning of other systems of the body. Skeletal muscle atrophy is a condition associated with a reduction in muscle size, strength, and activity, which leads to an increased dependency on movement, an increased risk of falls, and a reduced quality of life. Various conditions like osteoarthritis, osteoporosis, and fractures are directly associated with an increased muscle atrophy. Additionally, numerous risk factors, like aging, malnutrition, physical inactivity, and certain disease conditions, through distinct pathways negatively affect skeletal muscle health and lead to muscle atrophy. Among the various determinants of the overall muscle health, the rate of muscle protein synthesis and degradation is an important parameter that eventually alters the fate of overall muscle health. In conditions of excessive skeletal muscle atrophy, including sarcopenia, the rate of muscle protein degradation usually exceeds the rate of protein synthesis. The availability of amino acids in the systemic circulation is a crucial step for muscle protein synthesis. The current review aimed to consolidate the existing evidence of amino acids, highlight their mechanisms of action, and assess their roles and effectiveness in enhancing skeletal muscle health.

Acute Effects of Brevetoxin-3 Administered via Oral Gavage to Mice.

Brevetoxins (BTXs) constitute a family of lipid-soluble toxic cyclic polyethers mainly produced by Karenia brevis, which is the main vector for a foodborne syndrome known as neurotoxic shellfish poisoning (NSP) in humans. To prevent health risks associated with the consumption of contaminated shellfish in France, the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) recommended assessing the effects of BTXs via an acute oral toxicity study in rodents. Here, we investigated the effect of a single oral administration in both male and female mice with several doses of BTX-3 (100 to 1,500 µg kg-1 bw) during a 48 h observation period in order to provide toxicity data to be used as a starting point for establishing an acute oral reference dose (ARfD). We monitored biological parameters and observed symptomatology, revealing different effects of this toxin depending on the sex. Females were more sensitive than males to the impact of BTX-3 at the lowest doses on weight loss. For both males and females, BTX-3 induced a rapid, transient and dose-dependent decrease in body temperature, and a transient dose-dependent reduced muscle activity. Males were more sensitive to BTX-3 than females with more frequent observations of failures in the grip test, convulsive jaw movements, and tremors. BTX-3's impacts on symptomatology were rapid, appearing during the 2 h after administration, and were transient, disappearing 24 h after administration. The highest dose of BTX-3 administered in this study, 1,500 µg kg-1 bw, was more toxic to males, leading to the euthanasia of three out of five males only 4 h after administration. BTX-3 had no effect on water intake, and affected neither the plasma chemistry parameters nor the organs' weight. We identified potential points of departure that could be used to establish an ARfD (decrease in body weight, body temperature, and muscle activity).

The Ethics of Mandatory Exoskeleton Use in Commercial and Industrial Settings

Research shows exoskeletons can reduce muscle activity and decrease the risk of injury for workers. Exoskeletons, therefore, are becoming more prevalent in industrial workplaces, and their use in some circumstances has already been mandated. It is probable that additional employers will mandate the use of exoskeletons as a means of mitigating injuries to their employees. This presents ethical concerns because employers hold power over the employees wages and employment. Some employees who are required to wear exoskeletons may not be able to, while others may not wish to. How should workers privacy and preferences be weighted? Should employees be prohibited from jobs that use exoskeletons if the exoskeletons do not fit them or if they do not wish to disclose their bodys measurements? Should companies using exoskeletons be permitted to require workers to perform additional work with an exoskeleton? In this paper, we examine these and other ethical considerations related to mandatory exoskeleton use through the Six Pillars of Character framework of the Josephson Institute of Ethics (2002) and the Universal Moral Values for Corporate Codes of Ethics framework by Schwartz (2005). We provide a discussion of possible solutions following ethical tenets, including executing pilot studies before mandatory use policies, offering several self-adjustable models of exoskeletons, and allowing existing workers to transfer jobs if they are ill at ease with new exoskeleton policies. The best course of action may depend on specific individual circumstances.

A wearable system to assist impaired-neck patients: Design and evaluation.

Patients with neurological disorders, such as amyotrophic lateral sclerosis, Parkinson's disease, and cerebral palsy, often face challenges due to head-neck immobility. The conventional treatment approach involves using a neck collar to maintain an upright head position, but this can be cumbersome and restricts head-neck movements over prolonged periods. This study introduces a wearable robot capable of providing three anatomical head motions for training and assistance. The primary contributions of this research include the design of an optimized structure and the incorporation of human-robot interaction. Based on human head motion data, our primary focus centered on developing a robot capable of accommodating a significant range of neutral head movements. To ensure safety, impedance control was employed to facilitate human-robot interaction. A human study was conducted involving 10 healthy subjects who participated in an experiment to assess the robot's assistance capabilities. Passive and active modes were used to evaluate the robot's effectiveness, taking into account head-neck movement error and muscle activity levels. Surface electromyography signals (sEMG) were collected from the splenius capitis muscles during the experiment. The results demonstrated that the robot covered nearly 85% of the overall range of head rotations. Importantly, using the robot during rehabilitation led to reduced muscle activation, highlighting its potential for assisting individuals with post-stroke movement impairments.

High-Stroke, High-Output-Force, Fabric-Lattice Artificial Muscles for Soft Robots.

Artificial muscles, providing safe and close interaction between humans and machines, are essential in soft robotics. However, their insufficient deformation, output force, or configurability usually limits their applications. Herein, this work presents a class of lightweight fabric-lattice artificial muscles (FAMs) that are pneumatically actuated with large contraction ratios (up to 87.5%) and considerable output forces (up to a load of 20kg, force-to-weight ratio of over 250). The developed FAMs consist of a group of active air chambers that are zigzag connected into a lattice through passive connecting layers. The geometry of these fabric components is programmable to convert the in-plane lattice of FAMs into out-of-plane configurations (e.g., arched and cylindrical) capable of linear/radial contraction. This work further demonstrates that FAMs can be configured for various soft robotic applications, including the powerful robotic elbow with large motion range and high load capability, the well-fitting assistive shoulder exosuit that can reduce muscle activity during abduction, and the adaptive soft gripper that can grasp irregular objects. These results show the unique features and broad potential of FAMs for high-performance soft robots.