Using Exoskeletons to Assist Medical Staff During Prone Positioning of Mechanically Ventilated COVID-19 Patients: A Pilot Study

Ivaldi, Serena; Maurice, Pauline; Gomes, Waldez; Theurel, Jean; Wioland, Liên; Atain-Kouadio, Jean-Jacques; Claudon, Laurent; Hani, Hind; Kimmoun, Antoine; Sellal, J.M.; Lévy, Bruno; Paysant, Jean; Malikov, Sergueï; Chenuel, Bruno; Settembre, Nicla

doi:10.1007/978-3-030-80744-3_12

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…Hwang, Yerriboina, Ari, and Kim (2021) recently reported a reduction in back muscle activity during simulated patient transfer tasks performed with three passive back support exoskeletons, but the reduction differed significantly depending on the exoskeleton and the transfer technique. Our group also observed positive trends when using a back support exoskeleton for a patient manipulation task in an Intensive Care Unit (ICU), though with a small cohort (Ivaldi et al, 2021). Importantly, this previous study indicated that passive back support exoskeletons are a readily available technology that can be deployed in a hospital service for months, with positive effects on the perceived help, both physically and mentally.…”

Section: Introductionmentioning

confidence: 54%

Influence of a passive back support exoskeleton on simulated patient bed bathing: results of an exploratory study

2022

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Low-back pain is a major concern among healthcare workers. One cause is the frequent adoption of repetitive forward bent postures in their daily activities. Occupational exoskeletons have the potential to assist workers in such situations. However, their efficacy is largely task-dependent, and their biomechanical benefit in the healthcare sector has rarely been evaluated. The present study investigates the effects of a passive back support exoskeleton in a simulated patient bed bathing task. Nine participants performed the task on a medical manikin, with and without the exoskeleton. Results show that working with the exoskeleton induced a significantly larger trunk forward flexion, by 13 deg in average. Due to this postural change, using the exoskeleton did not affect substantially the muscular and cardiovascular demands nor the perceived effort. These results illustrate that postural changes induced by exoskeleton use, whether voluntary or not, should be considered carefully since they may cancel out biomechanical benefits expected from the assistance.

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Section: Introductionmentioning

confidence: 54%

Influence of a passive back support exoskeleton on simulated patient bed bathing: results of an exploratory study

2022

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“…For example, Laevo exoskeleton is currently being used for patient handling during the second wave of the COVID-19 pandemic. This was possible only after a series of laboratory and real-life assessment of the prone positioning tasks (Ivaldi et al, 2021). Similar evaluations were conducted on push-pull tasks before using the device in pre and postsurgery operations (Tröster et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Towards Reducing Risk of Injury in Nursing: Design and Analysis of a New Passive Exoskeleton for Torso Twist Assist

Kuber

Rashedi

2021

Proceedings of the International Symposium on Human Factors and

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Nursing is among the most physically challenging occupations and involves intensive lifting activities often including twisting of torso while performing tasks such as patient handling. Frequent and repetitive twisting of the body is known to induce large demands on the musculature, which may lead to MSD with direct and indirect costs to the hospital governance. One solution proposed through this article includes an exoskeleton specifically designed to assist in twisting movements of the trunk. This involves a double-actuator fully passive system that assists in rotation of the torso with the help of mechanical springs and cable modules. Our study provides a conceptual design of the mechanism, and a preliminary analysis using the concepts of kinematics, dynamics, usability, wearability, and freedom of movement. Results show that the mechanism could offer freedom of rotation for the wearer’s torso up to 52, 25 and 22 degrees (with stationary hip joint) along the transverse, sagittal and coronal planes, respectively. Moreover, similar force generation (up to 80N) was obtained in both actuators for same rotation on transverse plane in both directions for a combination of spring stiffness (0.5 – 1 N/mm) and damping (0.1 - 0.5 N-sec/mm) parameters. Our proposed design could also be integrated to the current exoskeletons in the form of a module and could be beneficial in more general work settings.

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A Systematic Review on Evaluation Strategies for Field Assessment of Upper-Body Industrial Exoskeletons: Current Practices and Future Trends

et al. 2022

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Using Exoskeletons to Assist Medical Staff During Prone Positioning of Mechanically Ventilated COVID-19 Patients: A Pilot Study

Cited by 6 publications

References 18 publications

Influence of a passive back support exoskeleton on simulated patient bed bathing: results of an exploratory study

Influence of a passive back support exoskeleton on simulated patient bed bathing: results of an exploratory study

Towards Reducing Risk of Injury in Nursing: Design and Analysis of a New Passive Exoskeleton for Torso Twist Assist

A Systematic Review on Evaluation Strategies for Field Assessment of Upper-Body Industrial Exoskeletons: Current Practices and Future Trends

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