We conducted a pilot study to evaluate the potential and feasibility of back-support exoskeletons to help the caregivers in the Intensive Care Unit (ICU) of the University Hospital of Nancy (France) executing Prone Positioning (PP) maneuvers on patients suffering from severe COVID-19-related Acute Respiratory Distress Syndrome. After comparing four commercial exoskeletons, the Laevo passive exoskeleton was selected and used in the ICU in April 2020. The first volunteers using the Laevo reported very positive feedback and reduction of effort, confirmed by EMG and ECG analysis. Laevo has been since used to physically assist during PP in the ICU of the Hospital of Nancy, following the recrudescence of COVID-19, with an overall positive feedback.

Back pain is one of the leading causes of work absenteeism in the UK, with 8.8 million days lost to work-related muscoskeletal disorders per year. On average, each case causes 16 days of absenteeism, and chronic conditions can cause some absences to become permanent. But working in a bent forward, back straining posture is unavoidable in a great many professions, like in hospital, agricultural and warehouses environments to name but a few. This regular exposure to demanding postures increases the risk of debilitating pain, which can severely reduce productivity and moral in the workforce. The Laevo Exoskeleton aims to alleviate this problem.