publication . Conference object . Preprint . 2021

Using exoskeletons to assist medical staff during prone positioning of mechanically ventilated COVID-19 patients: a pilot study

Ivaldi, Serena; Maurice, Pauline; Gomes, Waldez; Theurel, Jean; Wioland, Liên; Atain-Kouadio, Jean-Jacques; Claudon, Laurent; Hani, Hind; Kimmoun, Antoine; Sellal, Jean-Marc; ...
Open Access English
  • Published: 25 Jul 2021
  • Publisher: HAL CCSD
  • Country: France
Abstract
International audience; We conducted a pilot study to evaluate the potential and feasibility of back-support exoskeletons to help the caregivers in the Intensive Care Unit (ICU) of the University Hospital of Nancy (France) executing Prone Positioning (PP) maneuvers on patients suffering from severe COVID-19-related Acute Respiratory Distress Syndrome. After comparing four commercial exoskeletons, the Laevo passive exoskeleton was selected and used in the ICU in April 2020. The first volunteers using the Laevo reported very positive feedback and reduction of effort, confirmed by EMG and ECG analysis. Laevo has been since used to physically assist during PP in the...
Subjects
Medical Subject Headings: human activities
free text keywords: DHM, Prone Positioning, Exoskeletons, COVID-19, Human Factors, [INFO.INFO-AI]Computer Science [cs]/Artificial Intelligence [cs.AI], [INFO.INFO-RB]Computer Science [cs]/Robotics [cs.RO], [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Computer Science - Robotics, Computer Science - Artificial Intelligence
Funded by
EC| An.Dy
Project
An.Dy
Advancing Anticipatory Behaviors in Dyadic Human-Robot Collaboration
  • Funder: European Commission (EC)
  • Project Code: 731540
  • Funding stream: H2020 | RIA
Communities
COVID-19
19 references, page 1 of 2

1. Guérin C., Reignier J., Richard J.C., Beuret P., Gacouin A., Boulain T., et al. (2013) Prone positioning in severe acute respiratory distress syndrome. N Engl J Med; 368:2159-2168.

2. Hoogendoorn W. E., Bongers, P. M., de Vet, H. C., Douwes, M., Koes, B. W., Miedema, M. C., ... & Bouter, L. M. (2000). Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine, 25(23), 3087-3092 [OpenAIRE]

3. Caussy C, Pattou F, Wallet F, et al. Prevalence of obesity among adult inpatients with COVID-19 in France. Lancet Diabetes Endocrinol. 2020;8(7):562-564.

4. De Looze M. P., Bosch T., Krause F., Stadler K.S., & O'Sullivan L. W. (2016). Exoskeletons for industrial application and their potential effects on physical work load. Ergonomics, 59(5), 671-681.

5. Theurel J & Desbrosses K (2019) Occupational Exoskeletons: Overview of Their Benefits and Limitations in Preventing Work-Related Musculoskeletal Disorders, IISE Transactions on Occupational Ergonomics and Human Factors, 7:3-4, 264-280.

6. Alemi MM, Madinei S, Kim S, Srinivasan D, Nussbaum M.A. (2020) Effects of Two Passive Back-Support Exoskeletons on Muscle Activity, Energy Expenditure, and Subjective Assessments During Repetitive Lifting. Hum Factors.; 62(3):458-474.

7. Frost D.M., Abdoli E.M. & Stevenson J.M. (2009) Plad (personal lift assistive device) stiffness affects the lumbar flexion/extension moment and the posterior chain emg during symmetrical lifting tasks. J Electromyogr Kinesiol, 19 (6), e403-12. [OpenAIRE]

8. Graham R.B., Agnew M.J. & Stevenson J.M. (2009) Effectiveness of an on-body lifting aid at reducing low back physical demands during an automotive assembly task: Assessment of EMG response and user acceptability. Appl Ergon, 40 (5), 936-942.

9. Koopman A. S., Kingma I., Faber G. S., de Looze M. P., & van Dieen, J. H. (2019). Effects of a passive exoskeleton on the mechanical loading of the low back in static holding tasks. Journal of biomechanics, 83, 97-103.

10. Miura K., Kadone H., Abe T., Koda M., Funayama T., Noguchi H., ... & Sato K. (2020). Successful Use of the Hybrid Assistive Limb for Care Support to Reduce Lumbar Load in a Simulated Patient Transfer. Asian Spine Journal.

11. Iishi C., Yamamoto H., & Takigawa D. (2015) Development of a new type of lightweight power assist suit for transfer work. In 2015 AsiaPacific Conference on Computer Aided System Engineering (pp. 208-213). IEEE. [OpenAIRE]

12. Cha J. S., Monfared S., Stefanidis D., Nussbaum M. A., & Yu D. (2020). Supporting surgical teams: Identifying needs and barriers for exoskeleton implementation in the operating room. Human Factors, 62(3), 377-390.

13. Settembre N., Maurice P., Paysant J., Theurel J., Claudon L., Kimmoun A., Levy B., Chenuel B., Ivaldi S. (2020) The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19. Annals of Physical and Rehabilitation Medecine.

14. Wioland L., L. Debay, J.-J. Atain-Kouadio (2019) Processus d'acceptabilité et d'acceptation des exosquelettes: évaluation par questionnaires. Références en santé au travail, TF 274, n. 160, pp. 49 - 76. [http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TF-274/tf274.pdf] [OpenAIRE]

15. Penco L., Mingo Hoffman E., Modugno V., Gomes W., Mouret J.-B., Ivaldi S. (2020) Learning Robust Task Priorities and Gains for Control of Redundant Robots. IEEE Robotics and Automation Letters.

19 references, page 1 of 2
Abstract
International audience; We conducted a pilot study to evaluate the potential and feasibility of back-support exoskeletons to help the caregivers in the Intensive Care Unit (ICU) of the University Hospital of Nancy (France) executing Prone Positioning (PP) maneuvers on patients suffering from severe COVID-19-related Acute Respiratory Distress Syndrome. After comparing four commercial exoskeletons, the Laevo passive exoskeleton was selected and used in the ICU in April 2020. The first volunteers using the Laevo reported very positive feedback and reduction of effort, confirmed by EMG and ECG analysis. Laevo has been since used to physically assist during PP in the...
Subjects
Medical Subject Headings: human activities
free text keywords: DHM, Prone Positioning, Exoskeletons, COVID-19, Human Factors, [INFO.INFO-AI]Computer Science [cs]/Artificial Intelligence [cs.AI], [INFO.INFO-RB]Computer Science [cs]/Robotics [cs.RO], [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Computer Science - Robotics, Computer Science - Artificial Intelligence
Funded by
EC| An.Dy
Project
An.Dy
Advancing Anticipatory Behaviors in Dyadic Human-Robot Collaboration
  • Funder: European Commission (EC)
  • Project Code: 731540
  • Funding stream: H2020 | RIA
Communities
COVID-19
19 references, page 1 of 2

1. Guérin C., Reignier J., Richard J.C., Beuret P., Gacouin A., Boulain T., et al. (2013) Prone positioning in severe acute respiratory distress syndrome. N Engl J Med; 368:2159-2168.

2. Hoogendoorn W. E., Bongers, P. M., de Vet, H. C., Douwes, M., Koes, B. W., Miedema, M. C., ... & Bouter, L. M. (2000). Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. Spine, 25(23), 3087-3092 [OpenAIRE]

3. Caussy C, Pattou F, Wallet F, et al. Prevalence of obesity among adult inpatients with COVID-19 in France. Lancet Diabetes Endocrinol. 2020;8(7):562-564.

4. De Looze M. P., Bosch T., Krause F., Stadler K.S., & O'Sullivan L. W. (2016). Exoskeletons for industrial application and their potential effects on physical work load. Ergonomics, 59(5), 671-681.

5. Theurel J & Desbrosses K (2019) Occupational Exoskeletons: Overview of Their Benefits and Limitations in Preventing Work-Related Musculoskeletal Disorders, IISE Transactions on Occupational Ergonomics and Human Factors, 7:3-4, 264-280.

6. Alemi MM, Madinei S, Kim S, Srinivasan D, Nussbaum M.A. (2020) Effects of Two Passive Back-Support Exoskeletons on Muscle Activity, Energy Expenditure, and Subjective Assessments During Repetitive Lifting. Hum Factors.; 62(3):458-474.

7. Frost D.M., Abdoli E.M. & Stevenson J.M. (2009) Plad (personal lift assistive device) stiffness affects the lumbar flexion/extension moment and the posterior chain emg during symmetrical lifting tasks. J Electromyogr Kinesiol, 19 (6), e403-12. [OpenAIRE]

8. Graham R.B., Agnew M.J. & Stevenson J.M. (2009) Effectiveness of an on-body lifting aid at reducing low back physical demands during an automotive assembly task: Assessment of EMG response and user acceptability. Appl Ergon, 40 (5), 936-942.

9. Koopman A. S., Kingma I., Faber G. S., de Looze M. P., & van Dieen, J. H. (2019). Effects of a passive exoskeleton on the mechanical loading of the low back in static holding tasks. Journal of biomechanics, 83, 97-103.

10. Miura K., Kadone H., Abe T., Koda M., Funayama T., Noguchi H., ... & Sato K. (2020). Successful Use of the Hybrid Assistive Limb for Care Support to Reduce Lumbar Load in a Simulated Patient Transfer. Asian Spine Journal.

11. Iishi C., Yamamoto H., & Takigawa D. (2015) Development of a new type of lightweight power assist suit for transfer work. In 2015 AsiaPacific Conference on Computer Aided System Engineering (pp. 208-213). IEEE. [OpenAIRE]

12. Cha J. S., Monfared S., Stefanidis D., Nussbaum M. A., & Yu D. (2020). Supporting surgical teams: Identifying needs and barriers for exoskeleton implementation in the operating room. Human Factors, 62(3), 377-390.

13. Settembre N., Maurice P., Paysant J., Theurel J., Claudon L., Kimmoun A., Levy B., Chenuel B., Ivaldi S. (2020) The use of exoskeletons to help with prone positioning in the intensive care unit during COVID-19. Annals of Physical and Rehabilitation Medecine.

14. Wioland L., L. Debay, J.-J. Atain-Kouadio (2019) Processus d'acceptabilité et d'acceptation des exosquelettes: évaluation par questionnaires. Références en santé au travail, TF 274, n. 160, pp. 49 - 76. [http://www.inrs.fr/dms/inrs/CataloguePapier/DMT/TI-TF-274/tf274.pdf] [OpenAIRE]

15. Penco L., Mingo Hoffman E., Modugno V., Gomes W., Mouret J.-B., Ivaldi S. (2020) Learning Robust Task Priorities and Gains for Control of Redundant Robots. IEEE Robotics and Automation Letters.

19 references, page 1 of 2
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