Occupational #wearables for monitoring low back load have potential to improve ergonomic assessments & enable personalized, continuous monitoring of overexertion injury risk in the workplace. #biomechanics#ergonomics
We wanted to know: if we can only use a small number of wearable sensors to monitor low back loading, then which sensors should we use, where should we place them, what type of algorithm should we employ, & how accurately can we monitor back loading during material handling?
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To address this we synchronously collected data from the #biomechanics lab & from #wearables to analyze 10 individuals each performing 400 different material handling tasks. We explored dozens of candidate solutions that used IMUs on various body locations & pressure insoles.
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We found that the two key sensors for accurately monitoring low back loading are a trunk IMU & pressure insoles. Together with a Gradient Boosted Decision Tree algorithm they have potential to provide a practical, accurate & automated way to monitor back loading & injury risk. 4/
We also found that the key to realizing accurate lumbar load estimates with this wearable approach in the real world will likely be optimizing force estimates from pressure insoles.
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This was one of the largest data collections we’ve undertaken, using lab & wearable sensors to study ~400 tasks per participant. It was a lot of fun to dive deeper into the #biomechanics of ergonomics. Big kudos to lead author @EmilyMatijevich and our ML collaborator Peter.
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We’re really excited about the potential for #wearables to improve the quality, quantity & efficiency of #ergonomic assessments in industry, & to help usher in a new era of preventative occupational safety & health that transforms how musculoskeletal risk is managed & insured.
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It's worth highlighting that there are strong similarities between injury risk management in the workplace & in sports. These fields stand to learn a lot from each other.
Overuse/overexertion injuries are prevalent in both industry & sport. Portable, practical, automated & accurate tools that enable musculoskeletal load & injury risk monitoring have the potential to be game-changing in both these domains -- for science & societal wellbeing.
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In conclusion: watch out overuse/overexertion injuries!
It's 2021 & you’re being put on notice: the arsenal of #ergonomics & #biomechanics & the future of #wearables is coming together to break you down & put you in check 😬
Four years ago @leonscottmd asked if we could use #wearables to monitor & eventually reduce bone stress injury risks in runners. Based on our latest #biomechanics study I'm more & more convinced answer is going to be: Yes!
#1 what causes overuse injuries like stress fractures?
#2 how do current wearables assess injury risk?
#3 benefits of multi-sensor algorithms
#4 epidemiological evidence from occupational health suggests this approach can work
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#1 What causes stress fractures (& other overuse injuries)?
Converging, multidisciplinary evidence indicates overuse injuries are consistent with a mechanical fatigue failure process, in which tissues accumulate microdamage due to repetitive loading. (Fig from Edwards 2018)
Challenging experiment, but we learned a lot in the process. Here are the top 4 lessons I took away....
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First, huge kudos to lead author @lamers_erik who completed his PhD last month!
During his time @CREATEatVandy he completed a series of studies on quasi-passive wearable assistive devices spanning from foot prostheses to back-assist exosuits
Super proud of the work he did!
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Next some background: When I talk to scientists they often want to know how much exosuits reduce muscle activity, or joint torque, or metabolic rate, or about the optimal assistance levels, specific design features, etc.
And I love this technical aspect of research, but...
Thanks for all the great @BiomechanicsDay posts, videos & memories shared this week! Refreshing, energizing & inspiring! @CREATEatVandy & I posted on a few social media sites. Compiling here into #NBD2020 ode to #biomechanics! What biomech is to us...
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#Biomechanics is about improving lives. Improving mobility & independence for those w/ disabilities. Preventing injury & sustaining health in others.
We aim to advance understanding of how people move, & translate science/engineering out of the lab.
#Biomechanics is studying human movement and musculoskeletal loading to inform how we design #wearables, #exoskeletons and #exosuits to support and protect manual material handlers and other workers in physically demanding jobs.
So… We pulled on people with a robot until they told us to stop. Turns out you can yank on shank, thigh & shoulders w/ about one full body weight of force (on avg) before people reach their comfort limit. This work informs design of assistive #exosuits 1/ journals.plos.org/plosone/articl…
We discovered that if we pull on people over multiple days, then by the 4th day they tolerated 20-35% higher forces than on the 1st day, before reaching their comfort limit. Multi-day habituation (to forces from exo/robot) makes a big difference in user comfort & experience! 2/
For as strange as this study sounds it was quite useful b/c it enabled us to evaluate & confirm that our back- & ankle-assist exos exert forces far below observed comfort limits. The findings also help inform future design concepts for augmenting human movement & capabilities. 3/
@EmilyMatijevich@leonscottmd This is a follow up to our 2019 paper which raised concerns that common GRF, impact, load rate, acceleration & tibial shock metrics are often being misused & misinterpreted in scientific studies & commercial #wearables that seek to track injury risk. journals.plos.org/plosone/articl…
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@EmilyMatijevich@leonscottmd Here we share progress on using wearable sensors signals (from IMU + pressure insole), multi-sensor algorithms, physics-based #musculoskeletal modeling & machine learning to more accurately monitor tibial load, & expected bone microdamage due to this loading. #biomechanics 3/