Thermophysiological aspects of wearable robotics: Challenges and opportunities

References

• Guizzo E, Goldstein H. The rise of the body bots [robotic exoskeletons]. IEEE Spectr. 2005;42(10):50–56.
   Web of Science ®Google Scholar
• Voilqué A, Masood J, Fauroux JC, et al. Industrial exoskeleton technology: classification, structural analysis, and structural complexity indicator. 2019 Wearable Robotics Association Conference (WearRAcon), Scottsdale, AZ, USA. IEEE; 2019. pp. 13–20.
   Google Scholar
• Shi NN, Tsai -C-C, Camino F, et al. Keeping cool: enhanced optical reflection and radiative heat dissipation in Saharan silver ants. Science. 2015;349:298–301. 1979.
   PubMed Web of Science ®Google Scholar
• Yagn N. Apparatus for facilitating walking, running, and jumping. United States: U.S. Patent Office; U.S. Patent 420179, 1890.
   Google Scholar
• Gilbert KE, Callan PC. Hardiman I prototype general electrics report S-68-1081. Schenectady, NY; 1968.
   Google Scholar
• Ali H. Bionic exoskeleton: history, development and the future. International conference on advances in Engineering & Technology: IOSR J Mech Civ Eng, Chandigarh, India. 2014. pp. 58–62.
   Google Scholar
• Wang F, Chow CS-W, Zheng Q, et al. On the use of personal cooling suits to mitigate heat strain of mascot actors in a hot and humid environment. Energy Build. 2019;205:109561.
   Web of Science ®Google Scholar
• Britannica. Battle of Hattin. Encyclopedia Britannica. 2021.
   Google Scholar
• Liu Y, Li X, Lai J, et al. The effects of a passive exoskeleton on human thermal responses in temperate and cold environments. Int J Environ Res Public Health. 2021;18(8):3889.
   PubMed Web of Science ®Google Scholar
• Elstub LJ, Fine SJ, Zelik KE. Exoskeletons and exosuits could benefit from mode-switching body interfaces that loosen/tighten to improve thermal comfort. International J Environ Res Public Health. 2021;18(24):13115.
   PubMed Web of Science ®Google Scholar
• Benavides I. Plenary Talk. Proceedings of the International Symposium on Wearable Robotics. Virtual; 2020.
   Google Scholar
• Barrero M. Integrating exoskeletons into manufacturing. Proceedings of the Automotive Exoskeleton Forum. Phoenix, AZ, USA; 2018.
   Google Scholar
• Smets M. A field evaluation of arm-support exoskeletons for overhead work applications in automotive assembly. IISE Trans Occup Ergon Human Factors. 2019;7(3–4):192–198.
   Web of Science ®Google Scholar
• Omoniyi A, Trask C, Milosavljevic S, et al. Farmers’ perceptions of exoskeleton use on farms: finding the right tool for the work (er). Int J Ind Ergon. 2020;80:103036.
   Web of Science ®Google Scholar
• Pons JL, Ceres R, Calderon L. Introduction to wearable robotics. Wearable Robots: Biomechatronic Exoskeletons. Wiley & Sons. 2008;1–16.
   Google Scholar
• ASTM F3323-19: standard Terminology for Exoskeletons and Exosuits. ASTM; 2019.
   Google Scholar
• Del Ferraro S, Falcone T, Ranavolo A, et al. The effects of upper-body exoskeletons on human metabolic cost and thermal response during work tasks—a systematic review. Int J Environ Res Public Health. 2020;17(20):7374.
   PubMed Web of Science ®Google Scholar
• Zhang H, Hedge A. Overview of human thermal responses to warm surfaces of electronic devices. J Electronic Packaging. 2017;139(3):30802.
   Web of Science ®Google Scholar
• Roy SK. An equation for estimating the maximum allowable surface temperatures of electronic equipment. Semiconductor Thermal Measurement and Management Symposium (SEMI-THERM), 2011 27th Annual IEEE. San Jose, CA, USA; 2011. pp. 54–62.
   Google Scholar
• Yin Y, Cui Y, Li Y, et al. Thermal management of flexible wearable electronic devices integrated with human skin considering clothing effect. App Therm Eng. 2018;144:504–511.
   Web of Science ®Google Scholar
• Ghoseiri K, Safari R. Prevalence of heat and perspiration discomfort inside prostheses: literature review. J Rehabil Res Dev. 2014;51(6):855–868.
   PubMedGoogle Scholar
• Safari R. Lower limb prosthetic interfaces: clinical and technological advancement and potential future direction. Prosthetics Orthotics Int. 2020;44(6):384–401.
   PubMed Web of Science ®Google Scholar
• Griggs KE, Stephenson BT, Price MJ, et al. Heat-related issues and practical applications for Paralympic athletes at Tokyo 2020. Temperature. 2020;7(1):37–57. doi:10.1080/23328940.2019.1617030.
   Google Scholar
• Abbood SA, Wu Z, Sundén B. Thermal assessment for prostheses: state-of-the-art review. Int J Comp Meth Exp Measurements. 2017;5(1):1–12.
   Google Scholar
• Lo WT, Yick KL, Ng SP, et al. New methods for evaluating physical and thermal comfort properties of orthotic materials used in insoles for patients with diabetes. J Rehabil Res Dev. 2014;51(1):51.
   PubMedGoogle Scholar
• Bär M, Steinhilber B, Rieger MA, et al. The influence of using exoskeletons during occupational tasks on acute physical stress and strain compared to no exoskeleton–A systematic review and meta-analysis. Appl Ergon. 2021;94:103385.
   PubMed Web of Science ®Google Scholar
• Asbeck AT, de Rossi Smm, Galiana I, et al. Stronger, smarter, softer: next-generation wearable robots. IEEE Robot Autom Mag. 2014;21(4):22–33.
   Web of Science ®Google Scholar
• Kim J, Lee G, Heimgartner R, et al. Reducing the metabolic rate of walking and running with a versatile, portable exosuit. Science. 2019;365(6454):668–672. (1979).
   PubMed Web of Science ®Google Scholar
• Mengüç Y, Park Y-L, Pei H, et al. Wearable soft sensing suit for human gait measurement. Int J Robot Res. 2014;33(14):1748–1764.
   Web of Science ®Google Scholar
• Zelik KE, Nurse CA, Schall JMC, et al. An ergonomic assessment tool for evaluating the effect of back exoskeletons on injury risk. App Ergon. 2022;99:103619.
   PubMed Web of Science ®Google Scholar
• Di Marco R, Rubega M, Lennon O, et al. Experimental protocol to assess neuromuscular plasticity induced by an exoskeleton training session. Meth Protoc. 2021;4(3):48.
   PubMedGoogle Scholar
• Iqbal J, Baizid K. Stroke rehabilitation using exoskeleton-based robotic exercisers: mini review. Biomed Res. 2015;26:197–201.
   Google Scholar
• Nef T, Guidali M, Klamroth-Marganska V, et al. ARMin-exoskeleton robot for stroke rehabilitation. In Dossel, Olaf, Schlegel, Wolgang C.(editors). World congress on medical physics and biomedical engineering. 2009 Sept 7-12 Munich Germany:Springer; 2009. p. 127–130.
   Google Scholar
• Tsai C-Y, Delgado AD, Weinrauch WJ, et al. Exoskeletal-assisted walking during acute inpatient rehabilitation leads to motor and functional improvement in persons with spinal cord injury: a pilot study. Arch Phys Med Rehabil. 2020;101(4):607–612.
   PubMed Web of Science ®Google Scholar
• Zeilig G, Weingarden H, Zwecker M, et al. Safety and tolerance of the ReWalk ™ exoskeleton suit for ambulation by people with complete spinal cord injury: a pilot study. J Spinal Cord Med. 2012;35(2):96–101.
   PubMed Web of Science ®Google Scholar
• Esquenazi A, Talaty M, Packel A, et al. The ReWalk powered exoskeleton to restore ambulatory function to individuals with thoracic-level motor-complete spinal cord injury. Am J Phys Med Rehabil. 2012;91(11):911–921.
   PubMed Web of Science ®Google Scholar
• Afzal T, Tseng S-C, Lincoln JA, et al. Exoskeleton-assisted gait training in persons with multiple sclerosis: a single-group pilot study. Arch Phys Med Rehabil. 2020;101(4):599–606.
   PubMed Web of Science ®Google Scholar
• Kozlowski AJ, Fabian M, Lad D, et al. Feasibility and safety of a powered exoskeleton for assisted walking for persons with multiple sclerosis: a single-group preliminary study. Arch Phys Med Rehabil. 2017;98(7):1300–1307.
   PubMed Web of Science ®Google Scholar
• Wee SK, Ho CY, Tan SL, et al. Enhancing quality of life in progressive multiple sclerosis with powered robotic exoskeleton. Multiple Sclerosis J. 2021;27(3):483–487.
   PubMed Web of Science ®Google Scholar
• Di Russo F, Berchicci M, Perri RL, et al. A passive exoskeleton can push your life up: application on multiple sclerosis patients. PLoS One. 2013;8(10):e77348.
   PubMed Web of Science ®Google Scholar
• Mehrholz J, Pohl M. Electromechanical-assisted gait training after stroke: a systematic review comparing end-effector and exoskeleton devices. J Rehabil Med. 2012;44(3):193–199.
   PubMed Web of Science ®Google Scholar
• Kong K, Jeon D. Design and control of an exoskeleton for the elderly and patients. IEEE/ASME Trans Mechatron. 2006;11(4):428–432.
   Web of Science ®Google Scholar
• Kapsalyamov A, Hussain S, Jamwal PK. State-of-the-art assistive powered upper limb exoskeletons for elderly. IEEE Access. 2020;8:178991–179001.
   Web of Science ®Google Scholar
• Kapsalyamov A, Jamwal PK, Hussain S, et al. State of the art lower limb robotic exoskeletons for elderly assistance. IEEE Access. 2019;7:95075–95086.
   Web of Science ®Google Scholar
• Zhu J, Zhou H. Realization of key technology for intelligent exoskeleton load system Zeng, Dehuai. In: Advances in information technology and industry applications. Berlin: Springer; 2012. p. 77–82.
   Google Scholar
• Mudie KL, Boynton AC, Karakolis T, et al. Consensus paper on testing and evaluation of military exoskeletons for the dismounted combatant. J Sci Med Sport. 2018;21(11):1154–1161.
   PubMed Web of Science ®Google Scholar
• Spada S, Ghibaudo L, Gilotta S, et al. Investigation into the applicability of a passive upper-limb exoskeleton in automotive industry. Procedia Manuf. 2017;11:1255–1262.
   Google Scholar
• Cho YK, Kim K, Ma S, et al. A robotic wearable exoskeleton for construction worker’s safety and health, ASCE Construction Research Congress, New Orleans, LA, USA. 2018;19–28.
   Google Scholar
• Marino M. Impacts of using passive back assist and shoulder assist exoskeletons in a wholesale and retail trade sector environment. IISE Trans Occup Ergon Human Factors. 2019;7(3–4):281–290.
   Web of Science ®Google Scholar
• Yu H, Choi IS, Han K-L, et al. Development of a stand-alone powered exoskeleton robot suit in steel manufacturing. ISIJ Int. 2015;55(12):2609–2617.
   Web of Science ®Google Scholar
• Kermavnar T, de Vries Aw, de Looze Mp, et al. Effects of industrial back-support exoskeletons on body loading and user experience: an updated systematic review. Ergonomics. 2021;64(6):685–711.
   PubMed Web of Science ®Google Scholar
• Larose J, Boulay P, Sigal RJ, et al. Age-related decrements in heat dissipation during physical activity occur as early as the age of 40. PLoS One. 2013;8(12):e83148.
   PubMed Web of Science ®Google Scholar
• Christogianni A, Bibb R, Davis SL, et al. Temperature sensitivity in multiple sclerosis: an overview of its impact on sensory and cognitive symptoms. Temperature. 2018;5(3):208–223. doi:10.1080/23328940.2018.1475831.
   Google Scholar
• Filingeri D, Chaseling G, Christogianni A, et al. Individualized analysis of skin thermosensory thresholds and sensitivity in heat-sensitive people with multiple sclerosis. Temperature. 2020;8(1):1–9. doi:10.1080/23328940.2020.1769007.
   Google Scholar
• Davis SL, Wilson TE, White AT, et al. Thermoregulation in multiple sclerosis. J App Physiol. 2010;109(5):1531–1537.
   PubMed Web of Science ®Google Scholar
• Trbovich MB, Handrakis JP, Kumar NS, et al. Impact of passive heat stress on persons with spinal cord injury: implications for Olympic spectators. Temperature. 2020;7(2):114–128. doi:10.1080/23328940.2019.1631730.
   Google Scholar
• Price MJ, Trbovich M. Thermoregulation following spinal cord injury. Handbook Clin Neurol. 2018;157:799–820.
   PubMedGoogle Scholar
• Griggs KE, Havenith G, Price MJ, et al. Evaporative heat loss insufficient to attain heat balance at rest in individuals with a spinal cord injury at high ambient temperature. J App Physiol. 2019;127(4):995–1004.
   PubMed Web of Science ®Google Scholar
• Naver H, Blomstrand C, Ekholm S, et al. Autonomic and thermal sensory symptoms and dysfunction after stroke. Stroke. 1995;26(8):1379–1385.
   PubMed Web of Science ®Google Scholar
• Alfieri FM, Massaro AR, Filippo TR, et al. Evaluation of body temperature in individuals with stroke. NeuroRehabilitation. 2017;40(1):119–128.
   PubMed Web of Science ®Google Scholar
• Waters TR, Putz-Anderson V, Garg A, et al. Revised NIOSH equation for the design and evaluation of manual lifting tasks. Ergonomics. 1993;36(7):749–776.
   PubMed Web of Science ®Google Scholar
• Romanovsky AA. Skin temperature: its role in thermoregulation. Acta Physiol. 2014;210(3):498–507.
   PubMed Web of Science ®Google Scholar
• Nakamura M, Yoda T, Crawshaw LI, et al. Regional differences in temperature sensation and thermal comfort in humans. J Appl Physiol. 2008;105(6):1897–1906.
   PubMed Web of Science ®Google Scholar
• Baltrusch SJ, van Dieën JH, Koopman AS, et al. SPEXOR passive spinal exoskeleton decreases metabolic cost during symmetric repetitive lifting. Eur J App Physiol. 2020;120(2):401–412.
   PubMed Web of Science ®Google Scholar
• Bergman TL, Lavine AS, Incropera FP, et al. Fundamentals of heat and mass transfer. New York: John Wiley & Sons, Inc; 2011.
   Google Scholar
• Parsons K. Human thermal environments: the effects of hot, moderate, and cold environments on human health, comfort, and performance. Boca Raton, Florida, USA: CRC press; 2014.
   Google Scholar
• Zhang X, Fang G, Dai C, et al. Thermal-comfort design of personalized casts. Proceedings of the 30th annual ACM symposium on user interface software and technology, Quebec City, Canada. 2017. pp. 243–254.
   Google Scholar
• Bartlett MD, Kazem N, Powell-Palm MJ, et al. High thermal conductivity in soft elastomers with elongated liquid metal inclusions. Proc Nat Acad Sciences. 2017;114(9):2143–2148.
   PubMed Web of Science ®Google Scholar
• Choi C, Ma Y, Li X, et al. Finger pad topography beyond fingerprints: understanding the heterogeneity effect of finger topography for human–machine interface modeling. ACS App Mater Interfaces. 2021;13(2):3303–3310.
   PubMed Web of Science ®Google Scholar
• Merrick C, Rosati R, Filingeri D. The role of friction on skin wetness perception during dynamic interactions between the human index fingerpad and materials of varying moisture content. J Neurophysiol. 2022;127(3):725–736.
   PubMed Web of Science ®Google Scholar
• Bessler J, Prange-Lasonder GB, v SR, et al. Occurrence and type of adverse events during the use of stationary gait robots—A systematic literature review. Frontiers Robot AI. 2020;7:158.
   Web of Science ®Google Scholar
• Fiala D, Havenith G. Modelling human heat transfer and temperature regulation. The mechanobiology and mechanophysiology of military-related injuries. Berlin: Springer; 2015. p. 265–302.
   Google Scholar
• Guterl F. XO-rbitant strength: electric exoskeletons give wearers the strength of a forklift but a gentler touch. 2019. Accessed 18 August 2022.https://www.ge.com/news/reports/xo-rbitant-strength-electric-exoskeletons-give-wearers-strength-forklift-gentler-touch
   Google Scholar
• Tyler CJ, Sunderland C. Cooling the neck region during exercise in the heat. J Athl Train. 2011;46(1):61–68.
   PubMed Web of Science ®Google Scholar
• Upasani S, Franco R, Niewolny K, et al. The potential for exoskeletons to improve health and safety in agriculture—Perspectives from service providers. IISE Trans Occupat Ergon Human Factors. 2019;7(3–4):222–229.
   Web of Science ®Google Scholar
• Brown S. Fashion: the definitive history of costume and style. 1st ed. New York NY: DK; 2012.
   Google Scholar
• Zhai Y, Ma Y, David SN, et al. Scalable-manufactured randomized glass-polymer hybrid metamaterial for daytime radiative cooling. Sci (1979). 2017;355:1062–1066.
   PubMed Web of Science ®Google Scholar
• Zhu F, Feng QQ. Recent advances in textile materials for personal radiative thermal management in indoor and outdoor environments. Int J Therm Sciences. 2021;165:106899.
   Web of Science ®Google Scholar
• Cai L, Song AY, Li W, et al. Spectrally selective nanocomposite textile for outdoor personal cooling. Adv Mater. 2018;30(35):1802152.
   Web of Science ®Google Scholar
• Middel A, Krayenhoff ES. Micrometeorological determinants of pedestrian thermal exposure during record-breaking heat in Tempe, Arizona: introducing the MaRTy observational platform. Sci Total Environ. 2019;687:137–151.
   PubMed Web of Science ®Google Scholar
• Sajjad U, Hamid K, Sultan M, et al. Personal thermal management-A review on strategies, progress, and prospects. Int Comm Heat Mass Transfer. 2022;130:105739.
   Web of Science ®Google Scholar
• Del Ferraro S, Falcone T, Morabito M, et al. A potential wearable solution for preventing heat strain in workplaces: the cooling effect and the total evaporative resistance of a ventilation jacket. Environ Res. 2022;212:113475.
   PubMed Web of Science ®Google Scholar
• Ioannou LG, Foster J, Morris NB, et al. Occupational heat strain in outdoor workers: a comprehensive review and meta-analysis. Temperature. 2022;9(1):67–102. doi:10.1080/23328940.2022.2030634.
   Google Scholar
• Michel FI, Remmerie W, Kimmerle M. Engineering of a backpack ventilation technology for cycling using CFD analysis. J Sci Cycling. 2019;8:5–8.
   Google Scholar
• Suen WS, Huang G, Kang Z, et al. Development of wearable air-conditioned mask for personal thermal management. Build Environ. 2021;205:108236.
   PubMed Web of Science ®Google Scholar
• Lamers EP, Zelik KE. Design, modeling, and demonstration of a new dual-mode back-assist exosuit with extension mechanism. Wearable Technol. 2021;2. DOI:10.1017/wtc.2021.1
   PubMedGoogle Scholar
• Bongers CCWG, Hopman MTE, Eijsvogels TMH. Cooling interventions for athletes: an overview of effectiveness, physiological mechanisms, and practical considerations. Temperature. 2017;4(1):60–78. doi:10.1080/23328940.2016.1277003.
   PubMedGoogle Scholar
• Kotagama P, Phadnis A, Manning KC, et al. Rational design of soft, thermally conductive composite liquid-cooled tubes for enhanced personal, robotics, and wearable electronics cooling. Adv Mater Technol. 2019;4(7):1800690.
   Web of Science ®Google Scholar
• Hong S, Gu Y, Seo JK, et al. Wearable thermoelectrics for personalized thermoregulation. Sci Adv. 2019;5(5):eaaw0536.
   PubMed Web of Science ®Google Scholar
• Psikuta A, Allegrini J, Koelblen B, et al. Thermal manikins controlled by human thermoregulation models for energy efficiency and thermal comfort research–A review. Renewable Sustainable Energy Rev. 2017;78:1315–1330.
   Web of Science ®Google Scholar
• Rykaczewski K. Modeling thermal contact resistance at the finger-object interface. Temperature. 2019;6(1):85–95. doi:10.1080/23328940.2018.1551706.
   Google Scholar
• McGregor GR, Vanos JK. Heat: a primer for public health researchers. Public Health. 2018;161:138–146.
   PubMed Web of Science ®Google Scholar
• Chan APC, Yi W. Heat stress and its impacts on occupational health and performance. indoor and built environment. London England: SAGE Publications Sage UK; 2016. p. 3–5.
   Google Scholar
• Cheung SS, Lee JKW, Oksa J. Thermal stress, human performance, and physical employment standards. Appl Physiol Nutr Metab. 2016;41(6 (Suppl. 2)):S148–S164.
   PubMed Web of Science ®Google Scholar
• Budd GM. Wet-bulb globe temperature (WBGT) - its history and its limitations. J Sci Med Sport. 2008;11(1):20.
   PubMed Web of Science ®Google Scholar
• Grundstein A, Williams C, Phan M, et al. Regional heat safety thresholds for athletics in the contiguous United States. App Geograph. 2015;56:55–60.
   Web of Science ®Google Scholar
• Almario DR. The Ability of the US Military’s WBGT-Based Flag System to Recommend Safe Heat Stress Exposures. University of South Florida; 2019.
   Google Scholar
• Nybo L, Kjellstrom T, Bogataj LK, et al. Global heating: attention is not enough; we need acute and appropriate actions. Temperature. 2017;4(3):199–201. doi:10.1080/23328940.2017.1338930.
   PubMedGoogle Scholar
• Notley SR, Flouris AD, Kenny GP. On the use of wearable physiological monitors to assess heat strain during occupational heat stress. Appl Physiol Nutr Metab. 2018;43(9):869–881.
   PubMed Web of Science ®Google Scholar
• Rykaczewski K. Cool future fashion: personal cooling as part of social adaptation to hotter climates. Temperature. 2019;6(2):97–100. doi:10.1080/23328940.2019.1574201.
   Google Scholar