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Mitigating Muscle Fatigue in Upper-Limb Prosthesis Users Through Exoskeletal Weight Compensation.

Laura De Arco, Ksawery Gusakowski, Carlos A Cifuentes

    IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society
    |December 18, 2025
    PubMed
    Summary
    This summary is machine-generated.

    Soft exoskeletons reduce muscle fatigue for prosthesis users. This study shows integrating exoskeletons with myoelectric prostheses decreases muscle activation and perceived exertion, improving user experience and potentially reducing abandonment rates.

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    Area of Science:

    • Biomedical Engineering
    • Rehabilitation Robotics
    • Human-Machine Interaction

    Background:

    • Prosthetic devices can cause muscle fatigue and reduced control, leading to high abandonment rates.
    • Soft exoskeletons offer a potential solution to mitigate these issues by providing mechanical assistance.

    Purpose of the Study:

    • To investigate the impact of a soft exoskeleton integrated with a myoelectric prosthesis on upper-limb muscle fatigue and user experience.
    • To assess the effects on muscle activity, perceived exertion, kinematics, workload, and usability.

    Main Methods:

    • Nine non-disabled participants performed functional tasks with and without the soft exoskeleton-assisted prosthesis.
    • Muscle activity was measured using surface electromyography (sEMG).
    • Perceived exertion (Borg scale), kinematics (motion capture), workload (NASA-TLX), and usability (System Usability Scale) were also assessed.

    Main Results:

    • Exoskeleton assistance significantly reduced muscle activation (up to 64% in Deltoid, Biceps, Triceps Lateral Head during lifting) with large effect sizes.
    • Perceived exertion slopes decreased across tasks, and kinematic analysis showed minimal impact on shoulder range of motion.
    • NASA-TLX scores indicated reduced physical demand, and System Usability Scale scores suggested moderate usability.

    Conclusions:

    • Soft exoskeletons can effectively unload muscles and reduce fatigue during upper-limb prosthesis use.
    • This technology has the potential to enhance endurance, task performance, and user comfort for prosthesis users.
    • Further research should involve more joints and testing with amputee users in real-world settings.