Evidence map›Paper›PMID 40901407›Full record

ArticleFrontiers in digital health2025

Evaluation of the HAL® lumbar type exoskeleton in long-term care: protocol for a mixed-methods feasibility study.

Sebastian Hofstetter, Pascal Müller, Dominik Behr, Suenye Thal, Motoaki Komiya, Stefan Dowiasch, Patrick Jahn

Abstract read
In one paragraph

Article in Frontiers in digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Sebastian HofstetterDepartment of Internal Medicine, Faculty of Medicine, University Medicine Halle (Saale), Health Service Research Working Group | Acute Care, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Pascal MüllerDepartment of Internal Medicine, Faculty of Medicine, University Medicine Halle (Saale), Health Service Research Working Group | Acute Care, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Dominik BehrDepartment of Internal Medicine, Faculty of Medicine, University Medicine Halle (Saale), Health Service Research Working Group | Acute Care, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Suenye ThalCyberdyne Care Robotics GmbH Hunscheidtstr, Bochum, Germany.
Motoaki KomiyaCyberdyne Care Robotics GmbH Hunscheidtstr, Bochum, Germany.
Stefan DowiaschDepartment of Nursing, Midwifery and Therapeutic Sciences, Medical Devices and Technologies, Bochum University of Applied Sciences, Health Campus, Bochum, Germany.
Patrick JahnDepartment of Internal Medicine, Faculty of Medicine, University Medicine Halle (Saale), Health Service Research Working Group | Acute Care, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lower back pain (LBP) is one of the most common occupational health issues among healthcare professionals, particularly in long-term care settings. The HAL® Lumbar Type Exoskeleton is a wearable assistive technology designed to reduce strain on the lower back during physically demanding care activities. However, evidence regarding its feasibility, usability, and acceptance in real-world long-term care settings remains limited. Objective: This study aims to evaluate the feasibility, usability, and user acceptance of the HAL® Lumbar Type Exoskeleton in long-term care facilities. Specifically, the study assesses whether the exoskeleton can reduce self-reported lower back pain and improve the ergonomic conditions for caregivers. Methods: This is a non-randomized, exploratory interventional feasibility study using a mixed-methods design. A total of 30 caregivers from two long-term care facilities will participate in a 90-day intervention. The exoskeleton will be integrated into daily care routines, and caregivers will undergo training on its proper use. Quantitative measures include: Visual Analog Scale (VAS) for pain assessment before and after using the exoskeleton. Oswestry Disability Index (ODI) and Short-Form Health Survey (SF-8) at baseline (T1), mid-study (T2), and post-intervention (T3). Qualitative methods include semi-structured interviews with eight caregivers, exploring usability, perceived benefits, and barriers to adoption. Results: Data will be analyzed using descriptive statistics, repeated measures ANOVA, and thematic content analysis for qualitative data. Findings will inform future studies on integrating wearable assistive technologies into caregiving workflows. Discussion: This study will provide essential insights into the feasibility and usability of exoskeletons in long-term care, potentially contributing to improved ergonomic conditions and caregiver well-being.

Indexed as

assistive technologycaregiversexoskeletonlong-term careoccupational healthusability

Identifiers

PMID40901407
PMCPMC12400510

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.