Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review

Both for design issues and for the study, analysis, and understanding of the interaction of workers with exoskeletons, the study of adverse effects provides criteria to improve the design of more efficient exoskeletons with better ergonomics and long-term usability. In this work, a scoping review wa...

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Detalhes bibliográficos
Autores: Flor Unda, Omar, Arcos Reina, Rafael, Núñez Nagy, Susana|||0000-0001-9206-6725, Alarcos Alcázar, Bernardo|||0000-0002-4455-5716
Formato: artículo
Fecha de publicación:2025
País:España
Recursos:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/66425
Acesso em linha:http://hdl.handle.net/10017/66425
https://dx.doi.org/10.3390/biomimetics10050340
Access Level:acceso abierto
Palavra-chave:Upper-limb exoskeleton
Exoskeleton device
Musculoskeletal diseases
Muscle fatigue
Postural balance
Enfermería
Nursing
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spelling Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping ReviewFlor Unda, OmarArcos Reina, RafaelNúñez Nagy, Susana|||0000-0001-9206-6725Alarcos Alcázar, Bernardo|||0000-0002-4455-5716Upper-limb exoskeletonExoskeleton deviceMusculoskeletal diseasesMuscle fatiguePostural balanceEnfermeríaNursingBoth for design issues and for the study, analysis, and understanding of the interaction of workers with exoskeletons, the study of adverse effects provides criteria to improve the design of more efficient exoskeletons with better ergonomics and long-term usability. In this work, a scoping review was carried out on adverse effects due to the prolonged use of upper-limb exoskeletons, which have been evidenced in the scientific literature. The causes of the effects are described in terms of their impacts on the physiological, psychological, and technological aspects that affect the user. A scoping review of articles of the last ten years on negative effects of upper-extremity exoskeletons for industrial tasks was carried out following the guidelines of the PRISMA (R) methodology with three phases: formulation of questions, definition of scopes and exhaustive search in SCOPUS, Web of Science, Science Direct, Taylor & Francis, and PubMed. The selection was made by two review authors with a Cohen's Kappa coefficient of 0.9530, indicating high agreement. The effectiveness of upper-limb exoskeletons depends on the environment and the task, so an adaptable ergonomic design, field validations, and standards are required to ensure their functionality and acceptance. Use of exoskeletons mainly activates the posterior deltoid and latissimus dorsi and reduces the activity of muscles such as the trapezius, pectoralis major, anterior and middle deltoids, biceps brachii, brachioradialis, and flexor carpi radialis.MDPI20252025-05-21journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10017/66425https://dx.doi.org/10.3390/biomimetics10050340reponame:e_Buah Biblioteca Digital Universidad de Alcaláinstname:Universidad de Alcalá (UAH)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ebuah.uah.es:10017/664252026-06-18T11:13:07Z
dc.title.none.fl_str_mv Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
title Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
spellingShingle Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
Flor Unda, Omar
Upper-limb exoskeleton
Exoskeleton device
Musculoskeletal diseases
Muscle fatigue
Postural balance
Enfermería
Nursing
title_short Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
title_full Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
title_fullStr Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
title_full_unstemmed Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
title_sort Adverse Effects Due to the Use of Upper Limbs Exoskeletons in the Work Environment: A Scoping Review
dc.creator.none.fl_str_mv Flor Unda, Omar
Arcos Reina, Rafael
Núñez Nagy, Susana|||0000-0001-9206-6725
Alarcos Alcázar, Bernardo|||0000-0002-4455-5716
author Flor Unda, Omar
author_facet Flor Unda, Omar
Arcos Reina, Rafael
Núñez Nagy, Susana|||0000-0001-9206-6725
Alarcos Alcázar, Bernardo|||0000-0002-4455-5716
author_role author
author2 Arcos Reina, Rafael
Núñez Nagy, Susana|||0000-0001-9206-6725
Alarcos Alcázar, Bernardo|||0000-0002-4455-5716
author2_role author
author
author
dc.subject.none.fl_str_mv Upper-limb exoskeleton
Exoskeleton device
Musculoskeletal diseases
Muscle fatigue
Postural balance
Enfermería
Nursing
topic Upper-limb exoskeleton
Exoskeleton device
Musculoskeletal diseases
Muscle fatigue
Postural balance
Enfermería
Nursing
description Both for design issues and for the study, analysis, and understanding of the interaction of workers with exoskeletons, the study of adverse effects provides criteria to improve the design of more efficient exoskeletons with better ergonomics and long-term usability. In this work, a scoping review was carried out on adverse effects due to the prolonged use of upper-limb exoskeletons, which have been evidenced in the scientific literature. The causes of the effects are described in terms of their impacts on the physiological, psychological, and technological aspects that affect the user. A scoping review of articles of the last ten years on negative effects of upper-extremity exoskeletons for industrial tasks was carried out following the guidelines of the PRISMA (R) methodology with three phases: formulation of questions, definition of scopes and exhaustive search in SCOPUS, Web of Science, Science Direct, Taylor & Francis, and PubMed. The selection was made by two review authors with a Cohen's Kappa coefficient of 0.9530, indicating high agreement. The effectiveness of upper-limb exoskeletons depends on the environment and the task, so an adaptable ergonomic design, field validations, and standards are required to ensure their functionality and acceptance. Use of exoskeletons mainly activates the posterior deltoid and latissimus dorsi and reduces the activity of muscles such as the trapezius, pectoralis major, anterior and middle deltoids, biceps brachii, brachioradialis, and flexor carpi radialis.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-05-21
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10017/66425
https://dx.doi.org/10.3390/biomimetics10050340
url http://hdl.handle.net/10017/66425
https://dx.doi.org/10.3390/biomimetics10050340
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:e_Buah Biblioteca Digital Universidad de Alcalá
instname:Universidad de Alcalá (UAH)
instname_str Universidad de Alcalá (UAH)
reponame_str e_Buah Biblioteca Digital Universidad de Alcalá
collection e_Buah Biblioteca Digital Universidad de Alcalá
repository.name.fl_str_mv
repository.mail.fl_str_mv
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