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工业外骨骼的体外、体内和计算机模拟评估和测试方法:批判性评价。

Evaluation and Test Methods of Industrial Exoskeletons In Vitro, In Vivo, and In Silico: A Critical Review.

机构信息

Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Morgantown, WV.

Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH.

出版信息

Crit Rev Biomed Eng. 2021;49(4):1-13. doi: 10.1615/CritRevBiomedEng.2022041509.

DOI:10.1615/CritRevBiomedEng.2022041509
PMID:35695600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9199587/
Abstract

Industrial exoskeletons have been used to assist workers during occupational activities, such as overhead work, tool-use, mobility, stooping/squatting, and/or load carrying in various industries. Despite the promise of reducing the risk of work-related musculoskeletal disorders, there is a lack of sufficient evidence to support the safe and effective use of industrial exoskeletons. To assess the merits and residual risks of various types of exoskeletons in different work settings, more comprehensive evaluation procedures are needed. This review study aims to provide an overview of the existing viable and promising methods for evaluating the effectiveness of industrial exoskeletons. The different evaluation methods are organized into three categories-in vitro, in vivo, and in silico studies. The limitations and challenges in different types of evaluation approaches are also discussed. In summary, this review sheds light on choosing appropriate evaluation approaches and may help with decision-making during the development, evaluation, and application of industrial exoskeletons.

摘要

工业外骨骼已被用于辅助工人进行职业活动,例如在各种行业中进行高空作业、使用工具、移动、弯腰/蹲下和/或负重。尽管有减少与工作相关的肌肉骨骼疾病风险的承诺,但缺乏足够的证据来支持工业外骨骼的安全有效使用。为了评估不同工作环境中外骨骼的优缺点和剩余风险,需要更全面的评估程序。本综述研究旨在提供现有评估工业外骨骼有效性的可行且有前途的方法概述。不同的评估方法分为三类:体外、体内和计算机模拟研究。还讨论了不同类型评估方法的局限性和挑战。总之,本综述阐明了选择合适的评估方法的重要性,并可能有助于在工业外骨骼的开发、评估和应用过程中做出决策。

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本文引用的文献

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Neural and biomechanical tradeoffs associated with human-exoskeleton interactions.与人-外骨骼相互作用相关的神经和生物力学权衡。
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Effectively Quantifying the Performance of Lower-Limb Exoskeletons Over a Range of Walking Conditions.有效量化下肢外骨骼在一系列行走条件下的性能。
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Human pressure tolerance and effects of different padding materials with implications for development of exoskeletons and similar devices.人体压力耐受度与不同填充材料的效果及其对外骨骼和类似设备开发的意义。
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Passive Back Support Exoskeleton Improves Range of Motion Using Flexible Beams.被动式背部支撑外骨骼通过柔性梁改善活动范围。
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The Effects of Upper-Body Exoskeletons on Human Metabolic Cost and Thermal Response during Work Tasks-A Systematic Review.上半身外骨骼对工作任务中人体代谢成本和热反应的影响——系统评价。
Int J Environ Res Public Health. 2020 Oct 9;17(20):7374. doi: 10.3390/ijerph17207374.
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Design and Evaluation of Torque Compensation Controllers for a Lower Extremity Exoskeleton.下肢外骨骼的扭矩补偿控制器的设计与评估。
J Biomech Eng. 2021 Jan 1;143(1). doi: 10.1115/1.4048572.
7
Assessing the potential for "undesired" effects of passive back-support exoskeleton use during a simulated manual assembly task: Muscle activity, posture, balance, discomfort, and usability.评估在模拟手动装配任务中使用被动背部支撑外骨骼可能产生的“不良”影响:肌肉活动、姿势、平衡、不适和可用性。
Appl Ergon. 2020 Nov;89:103194. doi: 10.1016/j.apergo.2020.103194. Epub 2020 Jul 18.
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Biomechanical Model-Based Development of an Active Occupational Upper-Limb Exoskeleton to Support Healthcare Workers in the Surgery Waiting Room.基于生物力学模型的主动式上肢作业型外骨骼的开发,旨在为手术等候区的医护人员提供支持。
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The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19.在新冠肺炎疫情期间,使用外骨骼辅助重症监护病房中的俯卧位摆放。
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Discomfort/Pain and Tissue Oxygenation at the Lower Limb During Circumferential Compression: Application to Soft Exoskeleton Design.下肢周向加压时的不适/疼痛与组织氧合:在软外骨骼设计中的应用。
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