{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:06:39Z","timestamp":1790787999324,"version":"4.1.0"},"reference-count":34,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this study was to assess, for both men and women, the consequences of using different back-support exoskeletons during various manual material tasks (MMH) on the activity of back muscles and trunk kinematics. Fifteen men and fourteen women performed MMH involving a 15 kg load (a static task, a symmetric lifting task, and an asymmetric lifting task). Four exoskeleton conditions were tested: without equipment (CON) and with three exoskeletons passive (P-EXO), and active (A-EXO1 and A-EXO2)). The electromyographic activity of the lower trapezius (TZ), latissimus dorsi (LD), erector spinae (ES), gluteus maximus (GM), and biceps femoris (BF) muscles was recorded. Trunk kinematics were evaluated to provide average thoracic, lumbar, and hip angles. The use of the P-EXO decreased the activity of LD, GM, and BF from \u221212 to \u221227% (p &lt; 0.01) compared to CON, mostly during the static task. The A-EXO1 and A-EXO2 reduced the muscle activity of all studied muscles from \u22127 to \u221262% (p &lt; 0.01) compared to CON and from \u221210 to \u221252% (p &lt; 0.005) compared to the P-EXO, independently of the modalities of the experimental tasks. A statistical interaction between the sex and exoskeleton was only observed in a few rare conditions. Occupational back-support exoskeletons can reduce trunk extensor muscle activity compared to no equipment being used. However, these reductions were modulated by the exoskeleton technology (passive vs. active), design (weight and anthropomorphism), and the modalities of the task performed (static vs. dynamic). Our results also showed that the active exoskeletons could modify the trunk kinematics.<\/jats:p>","DOI":"10.3390\/ijerph20156468","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T07:58:52Z","timestamp":1690531132000},"page":"6468","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Biomechanical Consequences of Using Passive and Active Back-Support Exoskeletons during Different Manual Handling Tasks"],"prefix":"10.3390","volume":"20","author":[{"given":"Mathilde","family":"Schwartz","sequence":"first","affiliation":[{"name":"Working Life Department, French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54500 Vand\u0153uvre-les-Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9627-6295","authenticated-orcid":false,"given":"K\u00e9vin","family":"Desbrosses","sequence":"additional","affiliation":[{"name":"Working Life Department, French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54500 Vand\u0153uvre-les-Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Theurel","sequence":"additional","affiliation":[{"name":"Working Life Department, French National Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54500 Vand\u0153uvre-les-Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5756-9642","authenticated-orcid":false,"given":"Guillaume","family":"Mornieux","sequence":"additional","affiliation":[{"name":"D\u00e9veloppement Adaptation et Handicap (DevAH), Universit\u00e9 de Lorraine, 54000 Nancy, France"},{"name":"Faculty of Sport Sciences, Universit\u00e9 de Lorraine, 54000 Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Russo, F., Papalia, G.F., Vadala, G., Fontana, L., Iavicoli, S., Papalia, R., and Denaro, V. 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