Effects of using passive back- and arm-support exoskeletons for cart pushing and pulling

Though studies have shown both BSEs and ASEs are effective in reducing physical demands for various manual material handling tasks, limited evidence is currently available on their effects in pushing and pulling tasks. We evaluated the impacts of using a passive back-support (BSE) and an arm-support exoskeleton (ASE) on trunk kinematics, and the back and arm musculature for pushing and pulling of a moderately loaded (100 kg) cart. Fourteen volunteers performed cart the tasks, each of whom was randomly assigned one of the exoskeletons (BSE or ASE). Wearing the BSE substantially reduced lumbar muscle activity during both pushing (up to ~39%) and pulling (up to ~35%) compared to not wearing EXOs, while wearing an ASE had no significant impacts. For the anterior deltoid muscle, neither BSE nor ASE had beneficial impacts. Findings from the current study help to understand the effects of BSEs and ASEs in pushing and pulling tasks.