Impact of a Soft Wearable Back-Support Device on Postural Stability during Trip-Like Perturbations

The effectiveness of a soft wearable back-support device in enhancing postural stability was investigated under trip-like perturbations using two experimental paradigms: perturbed standing and perturbed walking. Healthy subjects completed trials under three different back-support conditions: no device, device worn with low stiffness, and device activated with high stiffness. Whole-body stability was quantified using the minimum Margin of Stability (MOS) at the point of maximal instability. Results demonstrated increased MOS during device use, indicating enhanced postural stability. In standing, MOS increased significantly with device stiffness, whereas in walking, both device conditions improved MOS relative to no device but did not differ significantly from each other. These findings highlight the potential of soft wearable back-support devices with adjustable stiffness to improve reactive balance control against external perturbations, with important implications for fall prevention. Future research should explore personalized stiffness optimization and evaluate efficacy in populations at elevated risk of falls.

Improved Postural Stability Using a Lightweight Semi-Active Soft Back Support Device Under Standing Perturbations

Older adults are particularly susceptible to falls following perturbations during standing, such as forward loss of balance. Back support devices that assist trunk extension may help mitigate fall risk by preventing excessive trunk flexion. Previous studies have investigated heavy back support devices; however, these systems often introduced adverse effects on stability due to their added mass, which shifted the body's natural center of mass unfavorably. In contrast, lightweight passive devices have shown limited benefits, as they can generate only modest assistive forces during the relatively small trunk flexion associated with forward balance loss. In this study, we evaluated the effects of a lightweight semi-active soft back support device on postural stability following standing perturbations. Our device combines an active element (a pneumatic artificial muscle) in parallel with a passive elastic band. The active element rapidly provides assistive force following a perturbation, overcoming the limitations of passive devices. Experiments conducted with five healthy individuals demonstrated that the semi-active device significantly reduced whole-body angular momentum and increased the margin of stability, indicating improved balance recovery performance. These results highlight the promise of semi-active soft wearable robots as an effective and lightweight strategy for fall prevention during standing perturbations.

Soft Semi-active Back Support Device with Adaptive Force Profiles using Variable-elastic Actuation and Weight Feedback

Portable active back support devices (BSDs) offer tunable assistance but are often bulky and heavy, limiting their usability. In contrast, passive BSDs are lightweight and compact but lack the ability to adapt their assistance to different back movements. We present a soft, lightweight, and compact BSD that combines a variable-stiffness passive element and an active element (an artificial muscle) in parallel. The device provides tunable assistance through discrete changes in stiffness values and active force levels. We validate the device's tuning capabilities through bench testing and on-body characterization. Further, we use the device's tuning capabilities to provide weight-adaptive object lifting and lowering assistance. We detect the weight handled by the user based on forearm force myography and upper-back inertial measurement unit data. Furthermore, electromyography analyses in five participants performing symmetric object lifting and lowering tasks showed reductions in back extensor activity. Preliminary results in one participant also indicated reduced muscle activity during asymmetric lifting.