A man wearing a shoulder exoskeleton holds his elbow in front at a 90-degree angle and points toward a computer screen holding a screwdriver. The computer displays 16 circular targets arranged in an equidistant circular array with a top target highlighted in green. The black exoskeleton straps around the hips, with a crossed strap centered on the middle of the back and a thick cuff around each bicep. Two poles extend from each side of the back, with a pole extending to the bicep cuffs and a wire connected to the center of the back strap

Shoulder exoskeletons for manufacturing workers: How to boost adoption

To reduce injury risk without slowing productivity, exoskeletons must balance static overhead support with freedom for dynamic movements.

  • The University of Michigan Engineering and the Boeing Company investigated why industrial workers are not electing to use shoulder exoskeletons in overhead manufacturing tasks.
  • The researchers found that while shoulder exoskeletons were helpful during static overhead tasks, they force workers to fight upward resistance when lowering their arms to perform other tasks, such as picking up parts or changing drill bits.
  • Future designs could promote adoption by incorporating disengageable or adaptive support during downward movement to align with tasks.

Shoulder exoskeletons designed to help manufacturing workers with overhead tasks need to allow for more dynamic movement before workers reliably use them, according to two studies led by University of Michigan Engineering and the Boeing Company.

Certain manufacturing environments, like assembling an aircraft wing, require overhead drilling and wiring work. Lightweight, passive shoulder exoskeletons provide extra upward force to relieve strain on upper body muscles and joints. But workers have been reluctant to adopt the technology when made available during a trial run.

“Workers are not voluntarily using the exoskeletons, and we wanted to understand why,” said Dongjoon (DJ) Kong, Ph.D., a technical fellow at Boeing and co-author of the studies published in the International Journal of Industrial Ergonomics and Applied Ergonomics.

Two experiments—a hand-eye coordination task in a lab setting and a drill-fastening task in a manufacturing training facility—sought to find the barriers and understand the effect of wearing exoskeletons.

Exoskeletons can inhibit movement time

In the lab study, participants wore the Ottobock Paexo Shoulder, which offsets the load with bungee-like springs in the torso of the device.

To test hand-eye coordination, participants tapped targets arranged in a circular array as quickly and accurately as possible in a predetermined sequence both with and without the exoskeleton. The array was positioned first at shoulder level and then at a more fatiguing position 40 degrees above shoulder level.

A man wearing a shoulder exoskeleton holds his elbow in front at a 90-degree angle and points toward a computer screen holding a screwdriver. The computer displays 16 circular targets arranged in an equidistant circular array with a top target highlighted in green. The black exoskeleton straps around the hips, with a crossed strap centered on the middle of the back and a thick cuff around each bicep. Two poles extend from each side of the back, with a pole extending to the bicep cuffs and a wire connected to the center of the back strap.
During an initial hand-eye coordination study, wearing the Ottobock Paexo Shoulder did not impact accuracy, error rate and precision. Shoulder exoskeleton use caused movement time to drop slightly, which could add up to big delays in a manufacturing setting. This could be one source of reluctance to use shoulder exoskeletons if employees are expected to meet production targets. Credit: Tang et al., 2024.

Participants noted lower discomfort when using the exoskeleton, and the device had no negative impact on accuracy, error rate or precision. However, movement time slowed by 3.7% at shoulder height and by 9.7% above shoulder level when wearing the exoskeleton. These small delays could add up quickly in a manufacturing setting, reducing throughput when employees are expected to meet production targets.

Passive exoskeletons resist downward movement

In the second study, trainees in a manufacturing training facility performed an overhead drill-fastening task, both with and without the exoskeleton. The task required participants to drill, countersink and fasten screws, changing bits within steps.

Trainees wore sensors on the forehead, back, upper arms and wrists to help assess  position and musculoskeletal injury risk on a scale aligned with the Rapid Upper Limb Assessment (RULA), a tool ergonomists use to characterize injury risk. 

The exoskeleton led to a decreased torso flexion across all four subtasks, meaning less bending forward or to the sides, which can reduce back injury risk. The level of risk to the shoulder varied by subtask, with the exoskeleton nominally able to provide support during these tasks based on the postures taken. 

 A man wearing a shoulder exoskeleton holds a drill in one hand pointing toward a metal piece positioned with the other hand on an angled sheet of metal at his eye level.
Researchers at the University of Michigan Engineering and the Boeing Company are working to understand why industrial workers are not electing to use shoulder exoskeletons in overhead manufacturing tasks. They found that while shoulder exoskeletons are helpful during static overhead tasks, workers must fight upward resistance when lowering their arms to change drill bits. The team suggests incorporating disengageable support during downward movement to align with tasks will boost adoption. Credit: Tang et al., 2026.

“Posture during a task does not provide enough information to select an appropriate exoskeleton. The presence and direction of movement is important too. Just knowing that the arms are overhead while drilling doesn’t mean that a passive shoulder exoskeleton is aligned with the job,” said Leia Stirling, a U-M professor of industrial and operations engineering and robotics and senior author of the studies.

During dynamic tasks, like those that involve lowering arms to change the drill bit, the sensors revealed that participants had to actively work against the exoskeleton support mechanism at times. Passive exoskeletons continually push upwards, forcing workers to use extra muscle effort to pull their arms down during non-overhead movements.

The trainees’ discomfort ratings did not drop for all workers for the regions of the body where the exoskeleton should be providing support. Some workers perceived a small decrease in discomfort, some perceived no change, some perceived more discomfort.

The limited difference could be due to the short trial duration, as baseline discomfort was already low. Still, the researchers think the sensor readings illuminate an important insight. Intermittently working against the exoskeleton during a full day of work could ultimately become more frustrating and tiring than helpful.

“We did not observe a consistent perceived benefit, as would be desired from this system. There’s room for improvement to make exoskeletons better suited for the task,” said Jianyang (Joe) Tang, a doctoral student of robotics at U-M and lead author of the studies.

To improve adoption, researchers suggest altering the exoskeleton to give workers the ability to disengage supports during downward arm movements. This functionality could be adjusted by the user or automatically by measuring the user’s movement. They recommend that, when implementing exoskeletons, manufacturers consider the dynamic nature of the tasks workers perform.

“We believe exoskeletons can be valuable in reducing musculoskeletal injury risks for workers, but not all exoskeletons are appropriate for all tasks. It is important to create requirements for exoskeleton designers that support worker needs across their job tasks,” said Stirling.

This research was supported by the Boeing Project Agreement UI-22-001.