Evidence map›Paper›PMID 41169762›Full record

ReviewWearable technologies2025

Mapping the evidence on occupational exoskeleton use for the workforce in healthcare, social care, and industry: A systematic scoping review.

Shilpy Bhat, James Gavin, Martin Warner, Michelle Myall

Abstract readReview
In one paragraph

Review in Wearable technologies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

4 authors.

Shilpy BhatSchool of Health Sciences, University of Southampton, Southampton, Hampshire, United Kingdom.ORCID https://orcid.org/0000-0003-1458-7458
James GavinSchool of Health Sciences, University of Southampton, Southampton, Hampshire, United Kingdom.
Martin WarnerSchool of Health Sciences, University of Southampton, Southampton, Hampshire, United Kingdom.
Michelle MyallSchool of Health Sciences, University of Southampton, Southampton, Hampshire, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Musculoskeletal disorders remain a leading occupational health challenge in physically demanding sectors such as healthcare, social care, and industry. Exoskeletons - wearable devices designed to mitigate physical strain are increasingly explored as potential solutions; however, factors affecting their adoption in real-world settings remain underexplored. This novel scoping review systematically maps the existing evidence on the application of commercially available exoskeletons within real and simulated work environments, focusing on usage patterns, user experiences, and factors influencing implementation. Following the Joanna Briggs Institute methodology for scoping reviews, a systematic literature search was conducted across the Web of Science, Scopus, CINAHL, PsycINFO, and MEDLINE, with an initial search in May 2023 and an update in May 2024. Forty-nine papers met the inclusion criteria based on the Population, Concept, and Context (PCC) framework. Data were extracted using a standardized form and synthesized descriptively, thematically, and through content analysis. Results are presented in narrative, tabular, and conceptual map formats. Exoskeletons were used most frequently in industry (manufacturing) and perioperative care (healthcare). Although, the devices reduced muscle load during repetitive or static tasks, adoption was constrained by discomfort and fit challenges, thermal burden, and limited usability in dynamic settings. Thematic analysis revealed how user experiences were shaped by professional identity, task compatibility, organizational support, and social norms. A conceptual map synthesized sector-specific and cross-sectoral barriers and facilitators. This review highlights the need for inclusive, context-sensitive, and longitudinal research to support safe, acceptable, and effective exoskeleton adoption and implementation across diverse occupational environments.

Indexed as

biomechanicsexoskeletonsexosuitshuman–robot interactionindustryperformance characterisation

Identifiers

PMID41169762
PMCPMC12569392

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.