Harness Suspension Stress: Physiological and Safety Assessment

Determinants of wearer satisfaction factors for harnesses in upper-limb assistive wearable robots

Wearable robots are increasingly being deployed for use in industrial fields. However, only a few studies have focused on the usability of wearable robots. The present study evaluated the factors affecting the usability of a harness in securing a wearable robot to the body because the harness directly affects the work efficiency, and thus its design and use require careful consideration. A comparative evaluation of the arrangement of the Vest Exoskeleton before and after improvements was conducted, in which participants performed a benchmark assembly task while wearing the robot. Results showed that wearability decreased after the improvements due to the additional straps and buckles used, but the overall wearing satisfaction improved as a result of increased stability. Stability and convenience were the main factors affecting the overall wearing satisfaction, while sub-indicators included wearing comfort and tactile sensation. Therefore, improvements in stability, such as those related to fixation strength and tactile sensation, had a direct positive impact on the overall wearing satisfaction.

Suspension syndrome: a scoping review and recommendations from the International Commission for Mountain Emergency Medicine (ICAR MEDCOM)

BACKGROUND

Suspension syndrome describes a multifactorial cardio-circulatory collapse during passive hanging on a rope or in a harness system in a vertical or near-vertical position. The pathophysiology is still debated controversially.

AIMS

The International Commission for Mountain Emergency Medicine (ICAR MedCom) performed a scoping review to identify all articles with original epidemiological and medical data to understand the pathophysiology of suspension syndrome and develop updated recommendations for the definition, prevention, and management of suspension syndrome.

METHODS

A literature search was performed in PubMed, Embase, Web of Science and the Cochrane library. The bibliographies of the eligible articles for this review were additionally screened.

RESULTS

The online literature search yielded 210 articles, scanning of the references yielded another 30 articles. Finally, 23 articles were included into this work.

CONCLUSIONS

Suspension Syndrome is a rare entity. A neurocardiogenic reflex may lead to bradycardia, arterial hypotension, loss of consciousness and cardiac arrest. Concomitant causes, such as pain from being suspended, traumatic injuries and accidental hypothermia may contribute to the development of the Suspension Syndrome. Preventive factors include using a well-fitting sit harness, which does not cause discomfort while being suspended, and activating the muscle pump of the legs. Expediting help to extricate the suspended person is key. In a peri-arrest situation, the person should be positioned supine and standard advanced life support should be initiated immediately. Reversible causes of cardiac arrest caused or aggravated by suspension syndrome, e.g., hyperkalaemia, pulmonary embolism, hypoxia, and hypothermia, should be considered. In the hospital, blood and further exams should assess organ injuries caused by suspension syndrome.

Identification and classification of factors affecting the non-use of safety harness at height among construction workers in Tehran

INTRODUCTION

The accident of falling from a height is high among construction workers. Construction workers do not use harnesses. Thus, the present study was conducted to identify the factors affecting the non-use of harnesses among construction workers in Tehran, Iran.

MATERIALS AND METHODS

In this study was conducted by interviewing professors and construction workers in order to identify factors affecting the non-use of harness. Factors influencing the non-use of safety harnesses were identified from the workers' point of view. The obtained data were classified and coded using MAXQDA 10 software. After that, the most essential, effective and powerful factors were identified using the degree and intersectionality of social network analysis.

RESULTS

According to the interview results, 27 factors were determined as factors affecting the non-use of harnesses by construction workers and divided into four main groups. The four groups were harness design, management factors, harness comfort, and attitudinal factors. Based on the results of the degree centrality, the non-ergonomic design and attitude of the harness inefficiency were identified as the most influential and powerful factors. The betweenness indicator also showed that the non-ergonomic design could mediate other factors in the non-use of the harness.

CONCLUSION

The findings showed that by considering various factors such as considering more comfort in the design of the ergonomic harness, it produced a better product. Also, the use of safety harnesses by workers increases.

Design and psychometric analysis of the safety harness usability and comfort assessment tool (SH UCAT)

Purpose

The present study aimed to design a quantitative tool to evaluate the comfort and usability of working at height safety harnesses.

Methods

This cross-sectional study was conducted in both qualitative and quantitative sections in 2022. The research steps included field interviews, an expert panel, and compiling the questionnaires for assessing the comfort and usability of the harness. The items of tools were designed based on the qualitative part of the research and review of the literature. The face and content validity of the instrument were assessed. Its reliability was also evaluated using the test-retest method.

Results

Two tools were developed including a comfort questionnaire with 13 questions and a usability questionnaire with 10 questions. The Cronbach's alpha coefficients of these instruments were 0.83 and 0.79, respectively. Additionally, the content and face validity indices were 0.97 and 3.89 for the comfort questionnaire and 0.991 and 4 for the usability questionnaire, respectively.

Conclusions

The designed tools showed appropriate validity and reliability and could be used to evaluate the comfort and usability of safety harnesses. On the other hand, the criteria used in the designed tools could be employed in user-centered harness designs.

Fatal and non-fatal injuries due to suspension trauma syndrome: A systematic review of definition, pathophysiology, and management controversies

BACKGROUND

Suspension trauma syndrome is a life-threatening event that occurs when a person is "trapped" in a prolonged passive suspension. It is most commonly seen in people who engage in occupational or sport activities that require harness suspension. The aim of this study is to identify the predisposing factors, pathophysiology, and management of suspension trauma.

METHODS

A review and analysis of the literature published in English and Spanish from 1972 to 2020 on suspension trauma were performed. Search sources were PubMed, Medline, Cochrane Library, MeSH, UpToDate, and Google Scholar. Articles referring to suspension trauma associated with other injury mechanisms (traumatic impact injuries, drowning, asphyxiation, or bleeding), case reports, and pediatric population were excluded.

RESULTS

Forty-one articles were identified. Of these, 29 articles related to mechanism, pathophysiology, and management of individuals who suffered prolonged suspension trauma without associated traumatic injuries were included in the study. We encountered several controversies describing the putative pathophysiology, ranging from blood sequestration in the lower extremities versus accumulation of metabolic waste and hyperkalemia to dorsal hook-type harness as a trigger cause of positional asphyxia; to vascular compression of femoral vessels exerted by the harness causing decreased venous return. Pstients suspended in a full-body harness with dorsal hook showed more hemodynamic alterations in response to the compressive effect on the rib cage, causing a reduction in perfusion by presenting a decrease in pulse pressure. Management strategies varied across studies.

CONCLUSIONS

Progress has been made in individualizing the population at risk and in the management of suspension trauma. We recommend the formation of consensus definitions, larger cohort or registry studies to be conducted, and experimental animal models to better understand the mechanisms in order to develop management and life support guidelines from a trauma and emergency medicine perspective.