Evaluation of a Passive Arm-Support Exoskeleton for Surgical Team Members: Results from Live Surgeries

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dc.contributor.authorCha, Jackie S.en
dc.contributor.authorAthanasiadis, Dimitriosen
dc.contributor.authorAsadi, Hameden
dc.contributor.authorStefanidis, Dimitriosen
dc.contributor.authorNussbaum, Maury A.en
dc.contributor.authorYu, Dennyen
dc.date.accessioned2024-07-10T19:28:54Zen
dc.date.available2024-07-10T19:28:54Zen
dc.description.abstractBackground: Musculoskeletal symptoms and injuries adversely impact the health of surgical team members and their performance in the operating room (OR). Though ergonomic risks in surgery are well-recognized, mitigating these risks is especially difficult. In this study, we aimed to assess the impacts of an exoskeleton when used by OR team members during live surgeries. Methods: A commercial passive arm-support exoskeleton was used. One surgical nurse, one attending surgeon, and five surgical trainees participated. Twenty-seven surgeries were completed, 12 with and 15 without the exoskeleton. Upper-body postures and muscle activation levels were measured during the surgeries using inertial measurement units and electromyography sensors, respectively. Postures, muscle activation levels, and self-report metrics were compared between the baseline and exoskeleton conditions using non-parametric tests. Results: Using the exoskeleton significantly decreased the percentage of time in demanding postures (>45° shoulder elevation) for the right shoulder by 7% and decreased peak muscle activation of the left trapezius, right deltoid, and right lumbar erector spinae muscles, by 7%, 8%, and 12%, respectively. No differences were found in perceived effort, and overall scores on usability ranged from “OK” to “excellent.” Conclusions: Arm-support exoskeletons have the potential to assist OR team members in reducing musculoskeletal pain and fatigue indicators. To further increase usability in the OR, however, better methods are needed to identify the surgical tasks for which an exoskeleton is effective.en
dc.description.versionAccepted versionen
dc.format.extentPages 322-330en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.jsr.2024.02.003en
dc.identifier.eissn1879-1247en
dc.identifier.issn0022-4375en
dc.identifier.orcidNussbaum, Maury [0000-0002-1887-8431]en
dc.identifier.otherS0022-4375(24)00017-3 (PII)en
dc.identifier.pmid38858056en
dc.identifier.urihttps://hdl.handle.net/10919/120632en
dc.identifier.volume89en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/38858056en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectErgonomicsen
dc.subjectOperating roomen
dc.subjectUsabilityen
dc.subjectWork-related musculoskeletal disordersen
dc.subject.meshArmen
dc.subject.meshHumansen
dc.subject.meshElectromyographyen
dc.subject.meshPostureen
dc.subject.meshAdulten
dc.subject.meshOperating Roomsen
dc.subject.meshPatient Care Teamen
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshExoskeleton Deviceen
dc.subject.meshErgonomicsen
dc.titleEvaluation of a Passive Arm-Support Exoskeleton for Surgical Team Members: Results from Live Surgeriesen
dc.title.serialJournal of Safety Researchen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dcterms.dateAccepted2024-02-05en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Engineeringen
pubs.organisational-group/Virginia Tech/Engineering/Industrial and Systems Engineeringen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Engineering/COE T&R Facultyen

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