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FleXo: a flexible passive exoskeleton optimized for reducing lower back strain in manual handling tasks.
Federico Allione1, Maria Lazzaroni1, Antonios E Gkikakis1
1Department of Advanced Robotics, Istituto Italiano di Tecnologia, Genoa, Italy.
Frontiers in Robotics and AI
|November 10, 2025
Summary
A new passive back-support exoskeleton, FleXo, was developed to reduce lower back strain in workers. User feedback confirmed FleXo enhances comfort, safety, and well-being while lowering injury costs.
Area of Science:
- Occupational health
- Ergonomics
- Biomechanics
Background:
- Musculoskeletal disorders, especially low back pain, are prevalent occupational health issues globally.
- Repetitive manual material handling tasks increase the risk of lower back pain for workers.
- Significant personal suffering and economic burdens are associated with these disorders.
Purpose of the Study:
- To introduce FleXo, a lightweight, flexible, and passive back-support exoskeleton.
- To reduce lower back strain during lifting tasks while maintaining user mobility.
- To balance functionality and user comfort through multi-objective design optimization.
Main Methods:
- Development of FleXo using an advanced multi-objective design optimization approach.
- Validation of FleXo through user feedback in repetitive task simulations.
- Evaluation of perceived physical effort, user satisfaction, and well-being.
Main Results:
- FleXo demonstrated a reduction in perceived physical effort during lifting tasks.
- User feedback indicated enhanced satisfaction and improved employee well-being.
- The exoskeleton promotes workplace safety and has the potential to decrease injuries and associated costs.
Conclusions:
- FleXo is an effective passive exoskeleton for reducing lower back strain in occupational settings.
- The design prioritizes both ergonomic support and user comfort, validated by user feedback.
- Implementation of FleXo can lead to significant benefits in workplace safety, injury reduction, and cost savings.

