{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T17:04:15Z","timestamp":1761239055770,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,12]],"date-time":"2023-02-12T00:00:00Z","timestamp":1676160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01EB028105"],"award-info":[{"award-number":["R01EB028105"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Low back disorders (LBDs) are a leading occupational health issue. Wearable sensors, such as inertial measurement units (IMUs) and\/or pressure insoles, could automate and enhance the ergonomic assessment of LBD risks during material handling. However, much remains unknown about which sensor signals to use and how accurately sensors can estimate injury risk. The objective of this study was to address two open questions: (1) How accurately can we estimate LBD risk when combining trunk motion and under-the-foot force data (simulating a trunk IMU and pressure insoles used together)? (2) How much greater is this risk assessment accuracy than using only trunk motion (simulating a trunk IMU alone)? We developed a data-driven simulation using randomized lifting tasks, machine learning algorithms, and a validated ergonomic assessment tool. We found that trunk motion-based estimates of LBD risk were not strongly correlated (r range: 0.20\u20130.56) with ground truth LBD risk, but adding under-the-foot force data yielded strongly correlated LBD risk estimates (r range: 0.93\u20130.98). These results raise questions about the adequacy of a single IMU for LBD risk assessment during material handling but suggest that combining an IMU on the trunk and pressure insoles with trained algorithms may be able to accurately assess risks.<\/jats:p>","DOI":"10.3390\/s23042064","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T02:14:11Z","timestamp":1676254451000},"page":"2064","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["How Accurately Can Wearable Sensors Assess Low Back Disorder Risks during Material Handling? Exploring the Fundamental Capabilities and Limitations of Different Sensor Signals"],"prefix":"10.3390","volume":"23","author":[{"given":"Cameron A.","family":"Nurse","sequence":"first","affiliation":[{"name":"Department of Mechanical Engineering, Vanderbilt University, Nashville, TN 37212, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4977-1845","authenticated-orcid":false,"given":"Laura Jade","family":"Elstub","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Vanderbilt University, Nashville, TN 37212, USA"},{"name":"Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37212, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Volgyesi","sequence":"additional","affiliation":[{"name":"Institute for Software Integrated Systems, Vanderbilt University, Nashville, TN 37212, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl E.","family":"Zelik","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Vanderbilt University, Nashville, TN 37212, USA"},{"name":"Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37212, USA"},{"name":"Department of Physical Medicine & Rehabilitation, Vanderbilt University, Nashville, TN 37212, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,12]]},"reference":[{"key":"ref_1","unstructured":"Bureau of Labor Statistics Back Injuries Prominent in Work-Related Musculoskeletal Disorder Cases in 2016: The Economics Daily."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s10926-012-9375-z","article-title":"Cumulative Low Back Load at Work as a Risk Factor of Low Back Pain: A Prospective Cohort Study","volume":"23","author":"Coenen","year":"2013","journal-title":"J. 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