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10 Questions You Should to Know about exoskeleton joint actuator

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Grace

Aug. 04, 2025
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Survey about Exoskeletons - RobotShop Community

Hi everyone,

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I would like to become more active in the field of exoskeletons - probably building an exoskeleton. The questions are somehow always the same with every such project: Why? How come? What for? Pourquoi?
You could help me, building “the right” exoskeleton. I just would like to find out, what makes sense most. At least I would like to avoid, just building an exoskeleton only for myself. Probably it could be useful for some other people as well.

That’s why I’ve created a short survey (<7min) to shed some light on it. I would be very happy if you could take part in it and give me feedback:
https://yujp90be53w.typeform.com/to/mOvytIhT

I am very grateful for your feedback!
Of course, if you are interested I could present the results here.

Best regards
Enrico

Hi all,

as promised, here are the results of the survey. First of all: thanks to everyone, who participated in it. It was very helpful for me.
These are the direct answers to the questions. So no interpretation or correlation included here.
Let’s start with the Demographics:

  • in total, there were 25 participants in the survey
  • the average age was 42
  • 84% declared to live in europe, the others did not mention their current location

How likely is it that the participant or a friend/relative of the participant would use exoskeletons?

Which limb/joint would be of most interest to be supported?

  • 8% of participants would like to have a full body exoskeleton
  • Besides, 12% would like to have a full set of legs
  • 8% are interested in full hands (wrist & fingers)
  • 72% are interested in (multiple) single joint solutions
  • 0% wanted full arm exoskeletons
  • Exoskeletons for the knee most favorable (64%)
  • Hip and Foot ankle close by
  • Hand and back equal
  • Arm (Fingers, Elbow, Shoulder) on wish list of ≈20% of participants

For which activities would exoskeleton be used?

  • Just for fun/Cosplay/Accessory not of interest
  • As Sports device not very interesting
  • Most probably used, when advantage for work & health is expected
  • Motor assistance most important for exoskeletons – full replacement of muscle activity demanded
  • Muscle activity sensing important
  • Design important, but no need for “cool LEDs”
  • Controllability almost equal: RC, App, Interface to other processors or microcontrollers

Tradeoffs: Speed vs. Strength, Weight vs. Power, Energy vs. Weight

  • Mostly rated with “3”
    The questions seem too technical to me. Most people don’t know how much force/how much speed/how lightweight/…
    It might depend on specific use case & kind of exoskeleton as well as on specific numbers (e.g. 15mins/2hrs/8hrs of operation vs. specific weight)

Willingness to pay for quality and durability

  • People prefer adequate, well built devices for sports, as a working aid or as a limb support, or
  • to some amount cheap exoskeletons just for fun
  • 23% would not spend money for exoskeletons

Additional Comments
These were the comments, that the participants left

I hope, that it is as informative for you as it was for me. If you have questions regarding these, just let me know.

Best regards,
Enrico

Hi again,

I used the raw data to also correlate some of the answers.
What I also found out: with the “hand” exoskeleton, I was not very precise. What I actually meant is a wrist exoskeleton. That’s why the fingers and thumb are listed as a seperate exoskeleton. I hope, that all participants saw it the same way - but I cannot guarantee for that.

Lets start:
Age vs. Likeliness to wear exoskeletons
How is the likeliness to wear exoskeletons depending on the age of the participant?

  • no participants were younger than 20, so I skipped this line.
  • the bottom diagram is the sum of both upper diagrams (so the total sum-up of all entries is 200% in that matrix)
  • The higher the age, the more likely it is, that the person is willing to wear exoskeletons (or knows s.o. who might do so)
  • older than 30yrs → more willing to wear exoskeletons

Limb/Joint of most interest vs. its application
This matrix correlates the interest in a certain joint with the purpose that the participant prefers. E.g. if someone is only interested in “back exoskeletons” and prefers to wear it “Just for fun” (high rating) it would increase the score in that field in the table.

  • body weaknesses: legs, especially knees seem to be the most favorable joints
  • Working aid: all joints equal
  • Shoulder, elbow, back not wanted for fun/Cosplay/Accessory
  • Ankle, knee & shoulder might also be used just for fun or sports
  • Fingers & hand interesting for fun and cosplay as well

Limb/Joint of most interest vs. required features
Question: can a certain feature be assigned to a certain type of exoskeleton or joint? E.g. do hand exoskeletons need LEDs and knee exoskeletons preferable strong motors? This diagram shows some trends about this:

  • Motor assistance for all joints important, but if highest interest for the legs and elbows
  • Sensing of muscle activity most interesting for legs and elbow
  • Design for leg exoskeleton seem important (but cool LEDs are not necessary)

Tradeoffs in relation to the joints
Do some trends regarding high strength/high speed, lightweight/high power or large/small battery correlate more or less with some joints?

So that’s it actually.
As I said: hopefully it is helpful for you and don’t hesitate to discuss about it or ask me some further questions.
For me it was interesting to go through the process, because it is the first survey that I ever set up.

Best regards,
Enrico

I didn’t see any indication that you have formal training in orthotics. If not, keep in mind that you are attaching your device to a human being, and it will likely be powerful enough to injure the person if something goes wrong. Motor controllers can fail in a way that the motor turns on unexpectedly, and of course, a programming error will likely resut in the same thing at some point in its development. So, you have to be pretty good at both biomedical engineering, and in designing ultra-reliable robotics. You’ve seen a need, and you are now hunting for a way to address that need, but you have chosen a very difficult project.

If you want to proceed, I suggest you abandon any idea of strapping anything onto anyone for now. Instead, focus on things that people sit on, or perhaps grab. E.g. there are chairs that will lift up the seat cushion to help a person get out of the chair. Of course, that is a problem that is already solved. But, perhaps you can find another.

I will mention a particular need I see, that is not yet met in the market. Personally, I have a muscle disorder and am easily fatigued. This is only a problem when I go to shopping malls, or to a county fair. I am not an invalid, so I don’t need medical grade equipment to get around. If an scooter occasionally gets stuck when it is used on the grass, I can deal with that. There are some relatively low cost mobility scooters out there, which are both very light (under 40 pounds), and low cost (around $400-$700). But, those cannot go over grass because the single drive wheel just spins in the grass. [ VEVOR Portable 3-Wheel Mobility Scooter for Seniors 12 Mile Range Max 330LBS | eBay or Robot or human? ]. There are other ones out there, that are both light-weight and can be used in grass, but those cost dramatically more. Engineering is not just about calculating forces, but also economics.

The ones with a single front power wheel, cannot go up hill, because all your weight transfers to the unpowered rear wheels. The one with rear-wheel power, really needs both wheels to be powered. Also, you really need larger wheels, such as ones made for hoverboards, that can go over grass. In fact, hoverboards have turned powerful BLDC motors into commodity items.

My bottom line recommendation is to start with something simpler, to help build your robotics skills. And choose something that doesn’t present a danger to its user until you gain the knowledge and experience to properly design a biomedical device.

@fb1: I hope you have seen my pm?
@cadcoke5: Thanks for your suggestions. I can imagine, that it is very frustrating, to have only not-so-well-engineered devices available. Of course it would be a nice topic to redesign/optimize such a scooter.

I would prefer not to focus on low hanging fruits. For me arranging some wheels with motors and make them turn on command seem like a moderate challenge. But I guess, there are many people out there, who are quite capable of achieving such a functionality. Hereby, I would encourage everyone who is reading this to think of such a solution. Probably it is not only @cadcoke5 who would benefit from it.
Personnally, I would prefer something more challenging. I am not a biomedical engineer, but I think, engineering in this direction, learning about regulations and following them, might end up in a safe exoskeleton, that could one day be worn be someone. As you said, probably it is about engineering, and engineering a safe device that would not harm someone. Probably the biggest challenge in it lies in a good risk as well as failure mode and effects analysis - and of course the reduction of all the potential risks and failure modes. So I just try it this way. Of course the device would not be attached to any body (also not mine), if the device is not working properly.

But I thank you for your suggestions and look forward to many others.

Best regards
Enrico

Since your goal is to create a relatively novel approach to an exoskeleton, consider trying to design it so that any failure in controlling the motors are just not going to cause harm due to the nature of the design.

I gave the seat-lift idea as an example. Such devices use worm-drive actuators, so if a motor turns off, the user is not suddenly dropped down. And the motor system is designed so that its maximum speed cannot throw the user off the chair. Nor is the device even strapped to the person. Though, theoretically, the designer of such a system might have designed a lift that was strapped to the user’s legs instead being inside the chair. There are also crane-type of lifts. Which help get people out of bed, as well as out of a chair. But, they are not as easy to use, and generally a person can’t use it by themselves. There can be multiple ways to solve a problem, with some being safer or easier to use.

For your exoskeleton, I am not clear about your end-use goals. If it can be more narrowly defined, perhaps like the chair lift, it can lead to a more limited usage, but an easier and safer one. (i.e. the in-chair mechanism, vs. the crane type lift) For your exoskeleton, if the goal is to help users lift boxes and put them onto shelves, then the device may not need to strap to the user, It could be a somewhat independent robot, designed so that user grabs some handles on it, and directs the robot in its actions by moving those handles.

How Exoskeletons Provide Support - Auxivo

Introduction

Welcome to the Auxivo White Paper on exoskeleton support. This paper discusses the most important mechanical and biomechanical principles of how wearable exoskeletons work and how they support their users.

Wearable exoskeletons are devices that are worn by human users to provide physical support. They are being used today in medical applications, e.g., to assist users with mobility impairments, and in occupational settings, where they support workers by reducing the workload to prevent exhaustion and injuries caused by overload.

Our goal with this white paper is to provide the reader with the information necessary to understand human-exoskeleton interaction and how exoskeletons can reduce physical strain on the human body. It addresses common concepts of exoskeleton support on a conceptual level to provide a good overview and only adds technical or scientific details where necessary for comprehension.

As a potential exoskeleton user, we aim to provide you with the information needed to understand the possibilities and limitations of exoskeletons and make an informed, fact-based decision if exoskeletons are the right choice for you.

The paper is structured into three sections:

  • Section I introduces the most important engineering mechanics and biomechanics principles required for understanding how exoskeletons provide support.

  • Section II discusses the mechanisms and concepts of how wearable exoskeletons support their users.

  • Section III addresses some of the most common misconceptions about exoskeleton support, building on the information and concepts introduced in sections I and II.

We hope you enjoy the read! Please reach out to us in case you have further questions.

A PDF version of this white paper is available for download in multiple languages:

Section I - Important (Bio)Mechanical Principles

Before discussing how exoskeletons provide support, we must introduce some important mechanical and biomechanical principles. This will help us understand how physical work causes strain on the human body and how a mechanical system can help reduce this strain.

Once you have understood these basics, understanding exoskeleton support mechanisms will be easy since they rely on these principles.

The Human Musculoskeletal System

First, let us quickly summarize on a very high level how the human body can move, hold, and lift objects by looking at the human musculoskeletal system.

The bones of our (endo)skeleton are connected by joints that allow movement. Muscles connect the different bones across one or multiple joints through tendons. When the muscles contract, they create a pulling force on the bones. There is some distance between the muscle attachment and the joint center of rotation, which we call the lever arm. Because of this lever arm, the muscle force results in a rotational force (also called torque) at the joint level, which causes the bones to move in a rotational movement around the joint.

If an external load (or the weight of the human body itself) imposes a torque on a human joint, the corresponding muscles need to contract to generate a counter-torque around this joint. This allows the human to hold or move an external load through muscle force. Human muscles can only generate a pulling force. They cannot push against a bone. To generate movement in two directions, you have (at least) two muscles per joint, which can counteract each other’s force. We call a set of counteracting muscles agonist and antagonist.

If you activate both the agonist and antagonist muscles of a joint at the same time, the joint becomes very stiff. This way, you can prevent it from moving and create stability. This is called co-contraction. Co-contraction can also be used to stabilize a series of joints, such as the spine. For example, in everyday life, the back and abdominal muscles collaborate to generate and hold an upright posture.

Lever Arms – Why the Same Load can Cause Different Strains on our Body

How much force the human muscles need to generate when handling an external load depends on several factors. One aspect is the absolute mass of the external load. There is, of course, a difference if you hold 5 kg or 20 kg. But there is a little more to this that is important to understand.

How you hold and handle the mass can significantly impact the strain it causes on your body more than the mass of the load itself. Let’s imagine (or try) to hold a bag of 10 kg. If you carry the bag on the side of your body, you can hold it without much effort for a long time. But the moment you lift it in front of your body, you instantly feel the load in your shoulder increasing and quickly struggle to hold it in this position.

The reason for this effect is that often, not the force is the critical aspect that exerts the primary strain on your body, but rather the torque that this force creates on your joints. This torque is the force multiplied by the horizontal distance between the force and the joint center of rotation (lever arm): T = F*L, where T is torque, F is force, and L is the lever arm.

As a result, increasing the lever arm horizontally by holding a load in front of you or leaning your body forward can quickly increase the joint torque significantly, which can then cause overload in the affected joints.

Gravity and Mass of the Human Body

Directly related to the previous section, it is worth highlighting the dominant role that gravity and the human body's mass play when we talk about workload or strain. While other aspects are at play, like dynamic force caused by accelerations and movements, gravity is our main enemy regarding physical workload. It permanently pulls everything downwards, including any load we handle and all our body parts. Our muscles must work continuously to counteract this downward gravitational force.

It is important to consider that the lever arm principle described above also applies to the mass and center of mass of our body segments. Thus, the strain caused on our individual joints and muscles strongly depends on our body posture. When we stand straight, the load on our muscles is relatively small. However, once we lean our upper body forward or lift our arms, we increase the joint loads significantly, and the muscles in the back or shoulder need to work hard, as illustrated below.

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Very often, the strain caused by one's own body mass is the main contributor to the overall workload. To understand this, we can look at our forward-leaning example above. Around 60% of the human body weight is typically located in the head, arms, and torso. So, the back and hip muscles of an 80 kg person who is simply leaning forward already need to stabilize around 50 kg of load. This means that the strain on the body caused by its own weight is often higher than the additional strain caused by lifting a 10 kg or 15 kg object. Therefore, using an exoskeleton to compensate for the body weight can significantly reduce load.

Important Differences Between Engineering Mechanics and Biomechanics

The human body is not a machine. And while this might sound rather obvious, it is essential to understand what this means on a mechanical and biomechanical level. While many principles in engineering mechanics (dealing with forces and movements in machines) and biomechanics (dealing with forces and movements in the human body) are similar, there are differences. When discussing exoskeletons, an important difference is how human muscles and mechanical springs create force.

A muscle under tension is very different from a mechanical spring under tension from an energetic perspective. Stretching a mechanical spring requires energy. This energy is released when the spring is relieved. While it is stretched, the mechanical spring permanently creates a force with no additional energy required. This force can be used to support a load against gravity.

On the other hand, human muscles generate force through contraction using proteins that convert chemical energy into mechanical energy. The proteins in the muscle can slide into each other, making the muscle fibers shorter, resulting in a pulling force. While active, the muscle permanently requires energy provided by cellular metabolic processes. This can lead to a depletion of energy reserves, neuromuscular fatigue, and other metabolic and neuromuscular effects that need energy and limit the muscle's ability to contract.

In summary, a mechanical spring, once extended, can create a permanent force without additional energy. In contrast, a human muscle requires a constant energy supply to stay contracted, leading to fatigue and exhaustion.

Section II - How Exoskeletons Support Their Users

Now that we have covered the most important (bio)mechanical basics, let's explore how exoskeletons can support their users. Most exoskeletons combine multiple of the following principles, but we'll discuss each one separately to make it easier to understand.

The Bypass Principle

This is a comparatively simple but effective approach. Many exoskeletons mechanically bypass the load around one or more human joints. So, for the body parts covered by the exoskeleton, it transfers the load (or part of it) from your body to the exoskeleton, and the load is then routed through the exoskeleton and bypasses your musculoskeletal system. At the lower attachment point of the exoskeleton, the load is transferred back to the body, where it is transferred to the ground, similar to the load path without the exoskeleton.

For example, when you are holding a mass of 5 kg in your hand, this load is channeled through your wrist, elbow, and shoulder, down your spine, through the hip into your legs, knees, ankles, and eventually into the ground. Along the way, it puts strain on all these body parts. When using a shoulder exoskeleton, like the Auxivo DeltaSuit, a significant part of the load is directly transferred from your upper arm to your torso, bypassing the comparatively vulnerable shoulder joint.

The Load Redistributing Principle

When an external load affects your body locally or asymmetrically, e.g., when you carry something heavy with one hand, it will typically cause most of the strain on only a small part of your body. This happens because the load will be routed along the most direct path through your body to the ground. This also means that you have a high risk of local overload in specific joints, while the rest of your body may be barely affected by the load.

This is something that exoskeletons can change by redistributing the load and spreading it more evenly over larger parts of the body and away from body parts at risk of a local overload. One exoskeleton example using load distribution is the Auxivo CarrySuit, which consists of a frame around the upper body. When a load is attached to it, the frame will automatically distribute the load more evenly across the user's body, connecting it to the hip and shoulder on both sides.

Applying this principle, of course, means that the exoskeleton can increase the load on other parts of the body, such as the hip, which, out of context, might sound counterproductive. However, it also means the load is more evenly distributed across your body, avoiding local peak loads that often increase the risk of injuries.

Muscle Support with Artificial Muscles

The idea of artificial muscle support is simple: passive or active tensioning systems on the outside of the body create a supporting force similar to the force created by the human muscles. Exoskeletons using this concept have “artificial muscles” that are connected to the body, typically using textile interfaces, and are arranged to create a pulling force in parallel with the human muscle underneath, thereby supporting this muscle. These artificial muscles can be powered by an actuator connected to a cable or realized through springs or elastic bands that stretch during movement and create a mechanical pulling force.

This concept is often utilized by textile exoskeletons (also referred to as Exosuits) because it can be used without a rigid frame. In this case, the artificial muscles rely on the human (endo)skeleton for stability.

The main aim of artificial muscles is to reduce the strain on the user’s muscles and tendons. If the user’s muscles work less hard, they fatigue less quickly. When muscles are tired, it becomes harder to coordinate them. Repetitive strain and fatigue are risk factors for developing musculoskeletal disorders. So, the main idea is to assist human muscles with artificial muscles and reduce muscle fatigue, exhaustion, the risk of injuring the muscles or tendons, and the overall workload.

Joint Support with a Torque

Another possibility of how exoskeletons can support their users is by applying an assistive torque around a specific joint.

Exoskeletons can generate joint torque in different ways. Active exoskeletons typically rely on powered actuators, and passive exoskeletons typically rely on springs that are arranged in such a way that they create torque at the joint level. In either case, the human muscles can relax to a certain degree since at least part of the required joint torque, e.g., to lift the arm, is provided by the exoskeleton.

Another benefit of this method is that it can reduce joint compression and potentially prevent joint damage such as osteoarthritis. The reason is that joint support also leads to a reduction in muscle force similar to artificial muscles. However, unlike an artificial muscle, it does not just substitute one pulling force with another. It creates a torque around the exoskeleton joint and then transfers this torque through the rigid frame as a force perpendicular to the body. This mechanical difference can result in an overall reduced compression force on the joint.

It is important to note that natural joint compression is nothing bad. It actually helps to stabilize the joint under load. However, if high forces are imposed on a joint frequently, this can lead to overuse injuries and pain caused by damage to the ligaments and cartilage of the joint.

Gravity Compensation - Offsetting the Gravitational Loads

Since gravity is one of the main causes of a high physical workload, offsetting the effects of gravitational forces using an exoskeleton is a prominent approach.

The idea of gravity compensation is illustrated below using the OmniSuit exoskeleton, which provides both back and shoulder support. The gravity compensation provided by the back support module of the OmniSuit exoskeleton starts working when the user leans forward, and gravity begins to pull the upper body downwards. Without exoskeleton support, the back and hip muscles must compensate for this gravitational pull by contracting and pulling the upper body upward. When wearing the OmniSuit, elastic springs on the back are automatically stretched when the upper body bends forward, absorbing part of this load and thus relieving the human muscles.

Another example is the shoulder support module of the OmniSuit exoskeleton. While worn, it will automatically support the shoulder progressively when the arm is lifted. The shoulder joint's spring arrangement is engineered to provide maximal support when the arm reaches a horizontal position, so when it is maximally “exposed” to gravity.

One important detail here is that both support modules of the exoskeleton only provide gravity compensation when gravity imposes a load on the relevant joints because of a lever arm. Thus, in our examples, the back support module does not pull when the wearer stands straight, and the shoulder support module does not push upwards when the arms hang vertically to the body's side. Only when the user leans forward or lifts their arms then the exoskeletons will start supporting them.

Typically, an exoskeleton will not completely compensate for gravity. It will simply offset a certain percentage (typically 20%- 50%) of the gravitational load on the body and, therefore, will make every repetition or every second you work easier. This partial compensation also means that the human muscles do not need to tension the springs of a passive exoskeleton – gravity does.

Gravity compensation, in combination with the fact that human muscles require constant energy when holding a force, explained in Section I, are the primary principles of exoskeleton support during static tasks, such as prolonged forward leaning or overhead work.

Energy Recuperation - Doing the Work Only Once

A very important concept of passive, spring-based exoskeletons is energy recuperation. A frequently asked question is where the energy needed to tension the springs of a passive exoskeleton comes from. The answer is: the energy is already there, stored in your body when standing upright. Or put differently: you built up the potential energy of your body in the morning when you got out of bed. To explain this, we quickly need to introduce some physics:

Every object with a mass in a gravitational field has stored so-called potential energy. The amount of energy stored in this object is Epot=m*g*h , so the mass m of the object multiplied by its height h multiplied by Earth's gravitational acceleration g. This potential energy changes if we increase the height (additional energy required) or decrease the height (energy is released) of the object. For a lift-support exoskeleton like the Auxivo LiftSuit, the energy we are talking about is the potential energy of the mass of the human upper body.

If a person stands upright, the upper body is at the highest point, and the mass of the upper body carries potential energy in it. When the person leans forward, which moves the center of mass downwards, potential energy is released, and most of it is lost through energy dissipation. When we want to go back up, our muscles must invest additional energy to restore the potential energy.

When we place the LiftSuit with its mechanical springs on the back of the person, then this spring is stretched when leaning forward, and at least a part of the potential energy that is released by the body is transferred to the spring and remains stored in the system instead of being dissipated and lost. The energy of a spring is expressed by the following equation: Espring=1/2*k*x^2 with k being the spring’s stiffness and x being the displacement of the spring from its equilibrium position. When the human upper body then moves back to the upright position, the stored mechanical energy in the spring is converted back into potential energy of the upper body. This process is repeated with every lift, and the stored energy is transferred and converted back and forth between the human body and the exoskeleton.

Of course, typically, the spring cannot store all the potential energy of the human upper body, and the process is also not 100% efficient, e.g., due to friction. Otherwise, we would recuperate all the energy during each lift in a zero-sum energy balance, and we could basically do it forever. However, even if only a certain percentage of the potential energy is stored and recuperated after each lift, this process significantly reduces workload.

The energy recuperation principle is why spring-based exoskeletons are highly energy efficient and can provide a good level of support while being small, lightweight, and cost-effective.

Section III - Common Misconceptions

In this last section, we want to address some common misconceptions that we hear frequently and which are often a source of confusion. If you have read the previous sections, you will quickly be able to identify the wrong assumptions on which these misconceptions are based.

Misconception One: Only active exoskeletons provide real support because passive systems require you to invest energy first.

The main misconception is that with a passive exoskeleton, your muscles must provide the force to tension the exoskeleton's springs. So, you first need to provide the energy that supports you later. Therefore, this is not “real” support since you must still do all the work yourself first. Active systems, on the other hand, provide additional force and energy. Therefore, it is logical that only active systems can support you.

This misconception relies on several wrong assumptions that can quickly be resolved when applying the concepts of gravity compensation, energy recuperation, and the differences between engineering mechanics and biomechanics.

The first wrong assumption here relates to the forces. It is assumed that the human muscles actively need to tension the springs of the passive exoskeleton. As we know, as long as the passive springs only offset the gravitational load on your body, you do not need to invest any additional force to pretension the spring because gravity does it for you! When designed well, the spring support will never overcompensate your body weight in any position, and you never have to use your muscles to tension the spring.

The second wrong assumption relates to the energy balance. It assumes that, with a passive system, you always need to invest energy and, if lucky, only get some of it back. As a result, this is, at best, a zero-sum energy balance, which means there is no real support or load reduction.

One aspect of this energy misconception is that a zero-sum energy balance is something bad and inefficient. In reality, a zero-sum energy balance would be an amazing outcome. It would mean that we could do endless bodyweight squats without breaking a sweat because, during every repetition, we get all our energy back through energy recuperation.

The reality of lifting and forward-leaning is much worse. Our body burns energy every second we remain in a forward-leaning position. Every time we squat down, the potential energy of our body almost completely dissipates and needs to be built up again using muscle strength.

As a result, a passive, spring-based exoskeleton using energy recuperation to restore even a small percentage during each lift can make a significant difference. It is true that this exoskeleton does not add additional energy to the system. Still, it prevents us from losing and wasting energy during work, which is a much more efficient way of providing support.

Another aspect of this wrong energy assumption is that the differences between a mechanical and biomechanical system are ignored. The human can save much more energy than is stored in the mechanical spring simply because, as discussed above, a permanent supporting force from a pre-tensioned mechanical spring will save the human user additional energy every second because of the human muscle metabolism.

Misconception Two: Exoskeletons reduce the load of one body part by transferring it to another and increasing it there, which is actually dangerous.

First, let's acknowledge that parts of this statement are not categorically incorrect. As discussed above, exoskeletons can utilize load redistribution in different ways. But when stated as cited above, it implies that load redistribution is always necessary and leads to increased strain on body parts that were previously not under load. It also implies that load redistribution from one part to another is something intrinsically bad and unhealthy, which is the misconception we want to address:

First, local strain can be reduced without increasing strain elsewhere: Utilizing the above-described concept of load bypassing, reducing the strain on the human body and individual body parts is possible without necessarily increasing it elsewhere. The external exoskeleton simply provides an alternative load path toward the ground, where, eventually, all gravity-induced load on the body will arrive. So why not skip the parts of the body that are at risk of overload?

Second, spreading a load over a larger body region can be helpful: Load redistribution, which consciously accepts load increases in other parts of the body, is an approach that can be utilized intentionally. And yes, this means the load in some body parts is increased, but if used correctly, load distribution is not, by default, something bad. The same load can be spread more equally over a larger part of the body. Load redistribution can also mean better load balancing, so it can, e.g., distribute an asymmetric load more evenly between the left and right sides of the body. A load of 120% and 50% maximum capacity on the body's left- and right sides will be unhealthier than a 90% - 80% split.

Summary and Final Words

We hope you enjoyed reading this White Paper and that it helped you understand which support concepts are utilized in modern occupational exoskeletons.

It likely became apparent that there are many concepts that one can choose from when designing an exoskeleton, and a good understanding of mechanical and biomechanical principles is essential to ensure the resulting design provides the best possible performance and maximum benefits to its users.

Most of the principles discussed can be utilized by all types of exoskeletons and are, in a sense, universal. So, no matter if you have an active or passive, rigid or soft exoskeleton, they all, in one way or another, will use some of the concepts described above.

This is also why none of these categories of exoskeletons are, by default, better or worse than the others. They all rely on the same basic ideas, just implementing them using different technologies.

If you want to learn more about exoskeletons, we encourage you to explore our occupational exoskeleton offering for various industries. If you are interested in learning more about exoskeleton technology, our educational exoskeletons of the EduExo series can help you to learn how to design and build your own exoskeleton.

About the Authors

Volker Bartenbach is Co-Founder and CEO of Auxivo. With a PhD in exoskeleton robotics and more than 12 years of experience developing, researching, and commercializing exoskeletons, his goal is to develop high-performance exoskeletons and make them accessible to more people.

Rachel van Sluijs is Head of Research at Auxivo. With a PhD in Neurosciences and a Master in Movement Sciences, her work aims to understand and optimize the interaction between wearable exoskeletons and the user, making sure the human body can take full advantage of the exoskeleton support.

Roger Gassert is Co-Founder and Scientific Advisor at Auxivo. He is also Full Professor of Rehabilitation Engineering at ETH Zurich. His research focuses on the development and clinical validation of portable and wearable rehabilitation technologies such as exoskeletons.

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