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Updated: Dec 21, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
Biomechanical evaluation of a new passive back support exoskeleton
Axel S Koopman1, Matthias Näf2, Saskia J Baltrusch3
1Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands.
This study shows that the SPEXOR passive exoskeleton significantly reduces spinal compression forces during static bending and lifting tasks. Wearing the exoskeleton also led to reduced lumbar flexion, potentially lowering the risk of back injuries for workers.
Area of Science:
- Biomechanics
- Occupational Health
- Ergonomics
Background:
- Low-back pain is a leading global cause of disability, with mechanical loading as a primary risk factor.
- Workplace exoskeletons aim to reduce mechanical loading, but existing designs may limit motion and shift relative to the body.
- A novel, multi-joint passive exoskeleton (SPEXOR) was developed to address these limitations.
Purpose of the Study:
- To investigate the effects of the SPEXOR passive exoskeleton on spinal compression forces, moments, muscle activity, and kinematics.
- To evaluate the exoskeleton's impact during static bending at various hand heights and during lifting tasks using different techniques.
Main Methods:
- The study involved participants wearing the SPEXOR passive exoskeleton.
- Measurements were taken during static bending at six hand heights.
- Participants performed a 10 kg box lift using Free, Squat, and Stoop techniques.
Main Results:
- The exoskeleton reduced spinal compression forces by 13-21% during static bending and by an average of 14% during lifting.
- Participants exhibited reduced lumbar flexion when wearing the exoskeleton during static bending.
- The lifting technique did not significantly alter the exoskeleton's effectiveness in reducing compression forces.
Conclusions:
- The SPEXOR passive exoskeleton effectively reduces spinal compression forces through mechanical support and behavioral adaptations.
- Reduced lumbar flexion with the exoskeleton suggests decreased passive tissue strain during static bending.
- The observed reduction in peak compression forces may lower the risk of compression-induced tissue failure during lifting tasks.

