{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:13:06Z","timestamp":1793319186790,"version":"4.5.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T00:00:00Z","timestamp":1698969600000},"content-version":"unspecified","delay-in-days":306,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Wearable Technol."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Musculoskeletal disorders have the highest prevalence of work-related health problems. Due to the aging population, the prevalence of shoulder pain in workers in physically demanding occupations is increasing, thereby causing rising costs to society and underlining the need for preventive technologies. Wearable support structures are designed to reduce the physical work load during physically demanding tasks. Here, we evaluate the physiological benefit of the DeltaSuit, a novel passive shoulder exoskeleton, using an assessment framework that conforms to the approach proposed in the literature.<\/jats:p>\n\t  <jats:p>In this study, 32 healthy volunteers performed isometric, quasi-isometric, and dynamic tasks that represent typical overhead work to evaluate the DeltaSuit performance. Muscle activity of the arm, neck, shoulder, and back muscles, as well as cardiac cost, perceived exertion, and task-related discomfort during task execution with and without the exoskeleton were compared.<\/jats:p>\n\t  <jats:p>When working with the DeltaSuit, muscle activity was reduced up to 56% (<jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.001) in the Trapezius Descendens and up to 64% (<jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.001) in the Deltoideus<jats:sub>medius<\/jats:sub>. Furthermore, we observed no additional loading on the abdomen and back muscles. The use of the exoskeleton resulted in statistically significant reductions in cardiac cost (15%, <jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.05), perceived exertion (21.5%, <jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.001), and task-related discomfort in the shoulder (57%, <jats:italic>p\u00a0&lt;<\/jats:italic>\u00a00.001).<\/jats:p>\n\t  <jats:p>These results suggest that passive exoskeletons, such as the DeltaSuit, have the potential to meaningfully support users when performing tasks in overhead postures and offer a valuable solution to relieve the critical body parts of biomechanical strains for workers at high risk of musculoskeletal disorders.<\/jats:p>","DOI":"10.1017\/wtc.2023.21","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T09:05:14Z","timestamp":1699002314000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":21,"title":["Effect of passive shoulder exoskeleton support during working with arms over shoulder level"],"prefix":"10.1017","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0497-2207","authenticated-orcid":false,"given":"Annina","family":"Brunner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7939-7554","authenticated-orcid":false,"given":"Rachel","family":"van Sluijs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Luder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherilyn","family":"Camichel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Kos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Bee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Bartenbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Lambercy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,11,3]]},"reference":[{"key":"S263171762300021X_r8","doi-asserted-by":"publisher","DOI":"10.3390\/s22010180"},{"key":"S263171762300021X_r12","first-page":"1","article-title":"The effect of arm support exoskeletons in realistic work activities: A review study","volume":"9","author":"De Vries","year":"2019","journal-title":"Journal of Ergonomics"},{"key":"S263171762300021X_r6","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1815"},{"key":"S263171762300021X_r32","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-17"},{"key":"S263171762300021X_r14","doi-asserted-by":"publisher","DOI":"10.1109\/TNSRE.2020.3014408"},{"key":"S263171762300021X_r31","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2023.111489"},{"key":"S263171762300021X_r28","first-page":"8","article-title":"Standards for surface electromyography: The European project surface emg for non-invasive assessment of muscles (SENIAM)","volume":"10","author":"Stegeman","year":"2007","journal-title":"Enschede: Roessingh Research and Development"},{"key":"S263171762300021X_r7","first-page":"188","volume-title":"International Workshop on Medical and Service Robots","author":"Brunner","year":"2023"},{"key":"S263171762300021X_r13","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-021-04747-9"},{"key":"S263171762300021X_r27","doi-asserted-by":"publisher","DOI":"10.1080\/00140130601133800"},{"key":"S263171762300021X_r11","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2015.1081988"},{"key":"S263171762300021X_r22","doi-asserted-by":"publisher","DOI":"10.1109\/TNSRE.2019.2945368"},{"key":"S263171762300021X_r30","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2022.103800"},{"key":"S263171762300021X_r20","unstructured":"Kok, J , De Vroonhof, P , Snijders, J , Roullis, G , Clarke, M , Peereboom, K and Isusi, I (2019) Work-related MSDS: Prevalence, costs and demographics in the EU (European risk observatory executive summary). Publications Office of the European Union."},{"key":"S263171762300021X_r19","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2018.02.025"},{"key":"S263171762300021X_r23","doi-asserted-by":"publisher","DOI":"10.3389\/frobt.2022.858893"},{"key":"S263171762300021X_r3","doi-asserted-by":"publisher","DOI":"10.1080\/10447310802205776"},{"key":"S263171762300021X_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2018.08.004"},{"key":"S263171762300021X_r4","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-021-04482-4"},{"key":"S263171762300021X_r18","doi-asserted-by":"publisher","DOI":"10.1080\/24725838.2018.1551255"},{"key":"S263171762300021X_r29","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2017.10.008"},{"key":"S263171762300021X_r10","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2021.103582"},{"key":"S263171762300021X_r24","doi-asserted-by":"publisher","DOI":"10.1109\/MRA.2019.2954105"},{"key":"S263171762300021X_r15","doi-asserted-by":"publisher","DOI":"10.1186\/s40945-021-00119-w"},{"key":"S263171762300021X_r2","doi-asserted-by":"publisher","DOI":"10.1080\/1463922X.2020.1758831"},{"key":"S263171762300021X_r25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2013.05.003"},{"key":"S263171762300021X_r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.robot.2019.103309"},{"key":"S263171762300021X_r17","first-page":"205","article-title":"The accuracy of fitness watches for the measurement of heart rate and energy expenditure during moderate intensity exercise","volume":"61","author":"Jagim","year":"2020","journal-title":"Journal of Sports Medicine and Physical Fitness"},{"key":"S263171762300021X_r21","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/81.5.1096"},{"key":"S263171762300021X_r26","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16234792"},{"key":"S263171762300021X_r33","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2019.07.023"},{"key":"S263171762300021X_r5","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20675"},{"key":"S263171762300021X_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2022.103903"}],"container-title":["Wearable Technologies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S263171762300021X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T09:05:23Z","timestamp":1699002323000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S263171762300021X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":33,"alternative-id":["S263171762300021X"],"URL":"https:\/\/doi.org\/10.1017\/wtc.2023.21","relation":{},"ISSN":["2631-7176"],"issn-type":[{"value":"2631-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e26"}}