Evidence map›Paper›PMID 36794907›Full record

ArticlePain medicine (Malden, Mass.)2023

Reducing Back Exertion and Improving Confidence of Individuals with Low Back Pain with a Back Exosuit: A Feasibility Study for Use in BACPAC.

D Adam Quirk, Jinwon Chung, Gregory Schiller, Jason M Cherin, Philipp Arens, David A Sherman, Emma R Zeligson, Diane M Dalton, Lou N Awad, Conor J Walsh

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05736393 nacompletednot on this mapstarted 2024, after this paper: background citation

Translation of Robotic Apparel for Alleviating Low Back Pain: Back Pain Consortium (BACPAC)

TypeinterventionalSponsorBoston University Charles River CampusRan2024 to 2025Enrolled44ConditionsLow Back PainArmsBack Exosuit
NCT05802914 nacompletednot on this map

Efficacy of Soft Active Back Exosuit to Reduce the Risk of Occupational Low Back Pain and Injuries

TypeinterventionalSponsorWyss Institute at Harvard UniversityRan2023 to 2025Enrolled97ConditionsLow Back Pain, Musculoskeletal Pain, Low Back InjuryArmsBack Exosuit
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

D Adam QuirkJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.ORCID 0000-0003-4122-9103
Jinwon ChungJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.
Gregory SchillerCollege of Health & Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, United States.
Jason M CherinJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.
Philipp ArensJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.
David A ShermanJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.ORCID 0000-0002-3027-9124
Emma R ZeligsonCollege of Health & Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, United States.
Diane M DaltonCollege of Health & Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, United States.
Lou N AwadWyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA, United States.
Conor J WalshJohn A. Paulson School of Engineering and Applied Sciences, Harvard University, Boston, MA, United States.
Boston University · USHarvard University · US

Funding

Development, Evaluation and Translation of Robotic Apparel for Alleviating Low Back PainUH3AR076731 · NIAMS · HARVARD UNIVERSITY · PI WALSH, CONOR · 2021 to 2021
$2.1M
Development, Evaluation and Translation of Robotic Apparel for Alleviating Low Back PainUH2AR076731 · NIAMS · HARVARD UNIVERSITY · PI WALSH, CONOR · 2019 to 2019
$1.1M
NIAMS NIH HHS UH2 AR076731NIAMS NIH HHS UH3 AR076731
6 · The paper itself

Abstract

objectiveLow back pain (LBP) is hallmarked by activity limitations, especially for tasks involving bending. Back exosuit technology reduces low back discomfort and improves self-efficacy of individuals with LBP during bending and lifting tasks. However, the biomechanical efficacy of these devices in individuals with LBP is unknown. This study sought to determine biomechanical and perceptual effects of a soft active back exosuit designed to assist individuals with LBP sagittal plane bending. To understand patient-reported usability and use cases for this device.

methodsFifteen individuals with LBP performed two experimental lifting blocks once with and without an exosuit. Trunk biomechanics were measured by muscle activation amplitudes, and whole-body kinematics and kinetics. To evaluate device perception, participants rated task effort, low back discomfort, and their level of concern completing daily activities.

resultsThe back exosuit reduced peak back extensor: moments by 9%, and muscle amplitudes by 16% when lifting. There were no changes in abdominal co-activation and small reductions maximum trunk flexion compared to lifting without an exosuit. Participants reported lower task effort, back discomfort, and concern about bending and lifting with an exosuit compared to without.

conclusionsThis study demonstrates a back exosuit not only imparts perceptual benefits of reduced task effort, discomfort, and increased confidence in individuals with LBP but that it achieves these benefits through measurable biomechanical reductions in back extensor effort. The combined effect of these benefits implies back exosuits might be a potential therapeutic aid to augment physical therapy, exercises, or daily activities.

Indexed as

Low Back PainAbdominal MusclesElectromyographyFeasibility StudiesHumansPhysical Exertionbiomechanicselectromyographyexoskeletonskinesiophobialow back pain

Identifiers

PMID36794907
PMCPMC10403307
OpenAlexW4321002324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.