journal article·2026-01-13Open access

Thermophysiological and Subjective Thermal Responses to Soft and Rigid Spinal Exoskeletons in Young Male Workers: An Experimental Study

Yang Liu, Zhuoya Zhang, Yanmin Xue, Mengcheng Wang, Hao Fan, Rui Li, Zhi Qiao, Xingbo Yao

Applied Sciences· Volume 16· Issue 2

Abstract

In industrial and logistics settings, the use of soft and rigid spinal exoskeletons has been increasing. However, under a unified assistance level and comparable work scenarios, systematic comparisons of their effects on users’ thermophysiological responses and subjective thermal perceptions remain limited. Twenty male participants performed manual handling tasks under three load conditions (5, 10, and 15 kg) in three experimental conditions: without the exoskeleton (WEXO), a rigid exoskeleton (REXO), and a soft exoskeleton (SEXO). Metabolic rate, mean skin temperature (MST), thermal comfort vote (TCV), and thermal sensation vote (TSV) were measured. The key findings are as follows: Compared with WEXO, both exoskeletons significantly reduced metabolic rate. Across all loads, SEXO yielded a lower metabolic rate than REXO and showed a more gradual linear increase as the load increased, whereas REXO exhibited a larger rise at 15 kg. Overall, MST was higher in REXO than in SEXO. Wearing an exoskeleton was often associated with increased skin temperature at 5–10 kg, yet MST decreased for both exoskeletons at 15 kg. Subjective ratings further indicated better TCV and TSV with SEXO than with REXO, with the difference more pronounced under higher loads. Taken together, under the conditions of this study, the soft exoskeleton appears to better balance assistive benefits and thermal comfort. Nevertheless, its heat transfer and heat dissipation performance should be further optimized in future designs.
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Research context

OpenAlex topics: Prosthetics and Rehabilitation Robotics · Stroke Rehabilitation and Recovery · Musculoskeletal pain and rehabilitation

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

School of of Art and Design, Xi’an University of Technology, Xi’an 710054, China

Key Laboratory of Industrial Design and Ergonomics, Ministry of Industry and Information Technology, Xi’an 710072, China

Funding

Shaanxi Natural Science Basic Research Program, China · National Natural Science Foundation of China · Xi’an Science and Technology Bureau Project—2024 Xi’an Science and Technology Plan Project · Shaanxi Natural Science Basic Research Program · National Social Science Foundation of China

References (31)

Show source-provided references
1. Risk Assessment of Work-Related Musculoskeletal Disorders in Construction: State-of-the-Art Review10.1061/(ASCE)CO.1943-7862.0000979 ↗
2. Musculoskeletal Disorders in Construction: A Review and a Novel System for Activity Tracking with Body Area Network10.1016/j.apergo.2015.11.020 ↗
3. Council, N.R., and Medicine, I.O. (2001). Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities, The National Academies Press.
4. A Review of the Design of Load-Carrying Exoskeletons10.1007/s11431-022-2145-x ↗
5. A Portable Inflatable Soft Wearable Robot to Assist the Shoulder During Industrial Work10.1126/scirobotics.adi2377 ↗
6. Baldassarre, A., Lulli, L.G., Cavallo, F., Fiorini, L., Mariniello, A., Mucci, N., and Arcangeli, G. (2022). Industrial Exoskeletons from Bench to Field: Human-machine Interface and User Experience in Occupational Settings and Tasks. Forum Nutr., 10.10.3389/fpubh.2022.1039680 ↗
7. Short-term Effects of the Auxivo LiftSuit During Lifting and Static Leaning10.1016/j.apergo.2022.103765 ↗
8. Revised NIOSH Lifting Equation: A Critical Evaluation10.1080/10803548.2022.2049123 ↗
9. Exoskeletons—A Review of Industrial Applications10.1108/IR-05-2018-0109 ↗
10. Synchronous Position and Compliance Regulation on a Bi-Joint Gait Exoskeleton Driven by Pneumatic Muscles10.1109/TASE.2020.2992890 ↗
11. Human Thermoregulation from the Autonomic Perspective10.1016/j.autneu.2016.02.007 ↗
12. Wei, W., Zha, S., Xia, Y., Gu, J., and Lin, X. (2020). A Hip Active Assisted Exoskeleton That Assists the Semi-Squat Lifting. Appl. Sci., 10.10.3390/app10072424 ↗
13. SIAT-WEXv2: A Wearable Exoskeleton for Reducing Lumbar Load During Lifting Tasks10.1155/2020/8849427 ↗
14. Effects of a Passive Exoskeleton on the Mechanical Loading of the Low Back in Static Holding Tasks10.1016/j.jbiomech.2018.11.033 ↗
15. Bacterial Exo-Polysaccharides in Biofilms: Role in Antimicrobial Resistance and Treatments10.1186/s43141-021-00242-y ↗
16. Human Thermal Sensation and Comfort in a Non-Uniform Environment with Personalized Heating10.1016/j.scitotenv.2016.05.172 ↗
17. Thermal Comfort and Physiological Responses with Standing and Treadmill Workstations in Summer10.1016/j.buildenv.2020.107238 ↗
18. Experimental and Numerical Study of Physiological Responses in Hot Environments10.1016/j.jtherbio.2014.07.010 ↗
19. Mekjavic, I.B., Yogev, D., and Ciuha, U. (2021). Perception of Thermal Comfort During Skin Cooling and Heating. Life (Chicago, Ill.: 1978), 11.10.3390/life11070681 ↗
20. Liu, Y., Li, X., Lai, J., Zhu, A., Zhang, X., Zheng, Z., Zhu, H., Shi, Y., Wang, L., and Chen, Z. (2021). The Effects of a Passive Exoskeleton on Human Thermal Responses in Temperate and Cold Environments. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18083889 ↗
21. (1995). Ergonomics of the Thermal Environment—Estimation of the Thermal Insulation and Evaporative Resistance of a Clothing Ensemble (Standard No. ISO 9920:1995).
22. Effects of a Passive Back Exoskeleton on the Mechanical Loading of the Low-Back During Symmetric Lifting10.1016/j.jbiomech.2019.109486 ↗
23. Mets in Adults While Playing Active Video Games: A Metabolic Chamber Study10.1249/MSS.0b013e3181c51c78 ↗
24. SPEXOR Passive Spinal Exoskeleton Decreases Metabolic Cost During Symmetric Repetitive Lifting10.1007/s00421-019-04284-6 ↗
25. Kozinc, Z., Babic, J., and Sarabon, N. (2021). Comparison of Subjective Responses of Low Back Pain Patients and Asymptomatic Controls to Use of Spinal Exoskeleton During Simple Load Lifting Tasks: A Pilot Study. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18010161 ↗
26. Biomechanical Assessment of Two Back-Support Exoskeletons in Symmetric and Asymmetric Repetitive Lifting with Moderate Postural Demands10.1016/j.apergo.2020.103156 ↗
27. A Passive Back Exoskeleton Supporting Symmetric and Asymmetric Lifting in Stoop and Squat Posture Reduces Trunk and Hip Extensor Muscle Activity and Adjusts Body Posture—A Laboratory Study10.1016/j.apergo.2021.103530 ↗
28. Tolerance of the Lumbar Spine to Shear: A Review and Recommended Exposure Limits10.1016/j.clinbiomech.2012.08.009 ↗
29. Soft Pneumatic Elbow Exoskeleton Reduces the Muscle Activity, Metabolic Cost and Fatigue During Holding and Carrying of Loads10.1038/s41598-021-91702-5 ↗
30. Energy performance analysis of a backpack suspension system with a timed clutch for human load carriage10.1016/j.mechmachtheory.2017.09.021 ↗
31. Evidence for Thermoregulatory Behavior During Self-Paced Exercise in the Heat10.1016/j.jtherbio.2011.07.002 ↗