From Wearable Sensor Networks to Markerless Motion Capture for Instrumental-Based Biomechanical Risk Assessment in Lifting Activities.

Manual material handling is one of the leading causes of work-related low-back disorders, and an accurate assessment of the biomechanical risk is essential to support prevention strategies. Despite workers' interest in wearable sensor networks for quantifying exposure metrics, these systems still present several limitations, including potential interference with natural movements and workplaces, and concerns about durability and cost-effectiveness. For these reasons, alternative motion capture methods are being explored. Among them, completely markerless (ML) technologies are being increasingly applied in ergonomics. This study aimed to compare a wearable sensor network and an ML system in the evaluation of lifting tasks, focusing on the variables and multipliers used to compute the recommended weight limit (RWL) and the lifting index (LI) according to the revised NIOSH lifting equation. We hypothesized that ML systems equipped with multiple cameras may provide reliable and consistent estimations of these kinematic variables, thereby improving risk assessments. We also assumed that these ML approaches could represent valuable input for training AI algorithms capable of automatically classifying the biomechanical risk level. Twenty-eight workers performed standardized lifts under three risk conditions. The results showed significant differences between wearable sensor networks and ML systems for most measures, except at a low risk (LI = 1). Nevertheless, ML consistently showed a closer agreement with reference benchmarks and a lower variability. In terms of the automatic classification performance, ML-based kinematic variables yielded accuracy levels comparable to those obtained with the wearable system. These findings highlight the potential of ML approaches to deliver accurate, repeatable, and cost-effective biomechanical risk assessments, particularly in demanding lifting tasks.