Full Text Journal Articles by
Author Benjamin Steinhilber

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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 study.

Tessy Luger, Mona Bär, Robert Seibt, Pia Rimmele, Monika A Rieger, Benjamin Steinhilber,

The influence of a passive exoskeleton was assessed during repetitive lifting with different lifting styles (squat, stoop) and orientations (frontal/symmetric, lateral/asymmetric) on trunk and hip extensor muscle activity (primary outcomes), abdominal, leg, and shoulder muscle activity, joint kinematics, and heart rate (secondary outcomes). Using the exoskeleton significantly and partially clinically ... Read more >>

Appl Ergon (Applied ergonomics)
[2021, 97:103530]

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Ergonomics for surgeons - prototype of an external surgeon support system reduces muscular activity and fatigue.

Justus Marquetand, Julia Gabriel, Robert Seibt, Alexander Grimm, Benjamin Steinhilber,

<h4>Background</h4>Since the unergonomic postures cannot be changed during a surgery, it seems reasonable to externally support the surgeon's posture in order to relieve the musculature. To evaluate this matter, we conducted a pilot study to investigate if a prototype of an external surgeon support system (S3) relieves the musculature in ... Read more >>

J Electromyogr Kinesiol (Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology)
[2021, 60:102586]

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Secondary Analysis of a Study on Exercise Therapy in Hip Osteoarthritis: Follow-Up Data on Pain and Physical Functioning.

Inka Roesel, Benjamin Steinhilber, Peter Martus, Pia Janssen, Inga Krauss,

We evaluated the short- and longer-term effects of exercise therapy in hip osteoarthritis patients (OA) at baseline, three, six, and 12 months in a randomized setting, followed by a non-randomized setting. The primary randomized intervention (E = exercise, P = placebo-ultrasound, C = control) was followed by a voluntary three-month ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2021, 18(16):]

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The influence of using exoskeletons during occupational tasks on acute physical stress and strain compared to no exoskeleton - A systematic review and meta-analysis.

Mona Bär, Benjamin Steinhilber, Monika A Rieger, Tessy Luger,

<h4>Objectives</h4>This systematic review and meta-analysis determined the effects of using an exoskeleton during occupational tasks on physical stress and strain compared to not using an exoskeleton.<h4>Methods</h4>Systematic electronic database searches were performed and the review was prepared according to the PRISMA guidelines. Treatment effects on the predefined outcomes were calculated using ... Read more >>

Appl Ergon (Applied ergonomics)
[2021, 94:103385]

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Using a Back Exoskeleton During Industrial and Functional Tasks-Effects on Muscle Activity, Posture, Performance, Usability, and Wearer Discomfort in a Laboratory Trial.

Tessy Luger, Mona Bär, Robert Seibt, Monika A Rieger, Benjamin Steinhilber,

<h4>Objective</h4>To investigate the effect of using a passive back-support exoskeleton (Laevo V2.56) on muscle activity, posture, heart rate, performance, usability, and wearer comfort during a course of three industrial tasks (COU; exoskeleton worn, turned-on), stair climbing test (SCT; exoskeleton worn, turned-off), timed-up-and-go test (TUG; exoskeleton worn, turned-off) compared to no ... Read more >>

Hum Factors (Human factors)
[2021, :187208211007267]

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Adjusting working conditions and evaluating the risk of infection during the COVID-19 pandemic in different workplace settings in Germany: a study protocol for an explorative modular mixed methods approach.

Esther Rind, Klaus Kimpel, Christine Preiser, Falko Papenfuss, Anke Wagner, Karina Alsyte, Achim Siegel, Antje Klink, Benjamin Steinhilber, Johanna Kauderer, Monika A Rieger,

<h4>Introduction</h4>Currently, many countries, affected by the COVID-19 pandemic, discuss how the 'lockdown-restrictions' could be lifted to restart the economy and public life after the first wave of the COVID-19 disease has subsided. This study protocol describes an approach designed to provide an in-depth understanding of how companies and their employees ... Read more >>

BMJ Open (BMJ open)
[2020, 10(11):e043908]

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Assessment of work-related hand and elbow workloads using measurement-based TLV for HAL.

David H Seidel, Kai Heinrich, Ingo Hermanns-Truxius, Rolf P Ellegast, Lope H Barrero, Monika A Rieger, Benjamin Steinhilber, Britta Weber,

Direct-measurement-based methods for assessing workloads of the hand or elbow in the field are rare. Aim of the study was to develop such a method based on the Threshold Limit Value for Hand Activity Level (TLV for HAL). Hence, HAL was quantified using kinematic data (mean power frequencies, angular velocities ... Read more >>

Appl Ergon (Applied ergonomics)
[2021, 92:103310]

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Active and passive work breaks during simulated laparoscopy among laparoscopic surgeons: study protocol for a controlled, randomised cross-over laboratory trial.

Tessy Luger, Monika A Rieger, Rosina Bonsch, Bernhard Krämer, Robert Seibt, Benjamin Steinhilber,

<h4>Introduction</h4>Laparoscopy has partially replaced open surgery due to the lower infection rate for the patient and hence better and shorter recovery. However, the surgeon's physical load is higher due to longer duration static and awkward body postures, increasing the risk for developing work-related musculoskeletal disorders. Interventions of an organisational nature ... Read more >>

BMJ Open (BMJ open)
[2020, 10(11):e038952]

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The use of exoskeletons in the occupational context for primary, secondary, and tertiary prevention of work-related musculoskeletal complaints.

Benjamin Steinhilber, Tessy Luger, Peter Schwenkreis, Stefan Middeldorf, Hartmut Bork, Bernhard Mann, Alexander von Glinski, Thomas A Schildhauer, Stephan Weiler, Martin Schmauder, Kai Heinrich, Gabriele Winter, Gerhard Schnalke, Peter Frener, Ralf Schick, Sascha Wischniewski, Matthias Jäger,

OCCUPATIONAL APPLICATIONS This guideline includes 20 recommendations and four key statements that achieved consensus or strong consensus regarding the application of exoskeletons in the workplace for the prevention of musculoskeletal complaints and diseases, the general use and implementation of exoskeletons, and recommendations for risk assessment. The guideline is intended for ... Read more >>

IISE Trans Occup Ergon Hum Factors (IISE transactions on occupational ergonomics and human factors)
[2020, 8(3):132-144]

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A 12-week exercise program for patients with hip osteoarthritis has no influence on gait parameters: A secondary analysis of a randomized controlled trial.

Inga Krauss, Tobias Hein, Benjamin Steinhilber, Pia Janßen,

<h4>Background</h4>Hip osteoarthritis is a major musculoskeletal disorder in the elderly. Evidence is given for the efficacy of exercise interventions in terms of self-reported physical functioning and pain. However, it has not yet been fully examined whether exercises influence gait.<h4>Research question</h4>The purpose of this RCT therefore was to evaluate effects of ... Read more >>

Gait Posture (Gait & posture)
[2020, 78:6-12]

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Physiological changes during prolonged standing and walking considering age, gender and standing work experience.

Rudolf Wall, Gabriela Garcia, Thomas Läubli, Robert Seibt, Monika A Rieger, Bernard Martin, Benjamin Steinhilber,

Occupational standing is associated with musculoskeletal and venous disorders. The aim was to investigate whether lower leg oedema and muscle fatigue development differ between standing and walking and whether age, gender and standing work habituation are factors to consider. Sixty participants (15 young females, 15 young males, 15 older males, ... Read more >>

Ergonomics (Ergonomics)
[2020, 63(5):579-592]

Cited: 2 times

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Sex differences in muscle activity and motor variability in response to a non-fatiguing repetitive screwing task.

Tessy Luger, Robert Seibt, Monika A Rieger, Benjamin Steinhilber,

BACKGROUND:Musculoskeletal disorders are more prevalent among women than among men, which may be explained by aspects of motor control, including neuromuscular requirements and motor variability. Using an exploratory approach, this study aimed to evaluate sex differences in neuromuscular responses and motor variability during a repetitive task performed on 3 days. ... Read more >>

Biol Sex Differ (Biology of sex differences)
[2020, 11(1):6]

Cited: 1 time

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Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers.

Tessy Luger, Christopher G Maher, Monika A Rieger, Benjamin Steinhilber,

<h4>Background</h4>Work-related musculoskeletal disorders are a group of musculoskeletal disorders that comprise one of the most common disorders related to occupational sick leave worldwide. Musculoskeletal disorders accounted for 21% to 28% of work absenteeism days in 2017/2018 in the Netherlands, Germany and the UK. There are several interventions that may be ... Read more >>

Cochrane Database Syst Rev (The Cochrane database of systematic reviews)
[2019, 7:CD012886]

Cited: 4 times

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The Role of Motor Learning on Measures of Physical Requirements and Motor Variability During Repetitive Screwing.

Tessy Luger, Robert Seibt, Monika A Rieger, Benjamin Steinhilber,

We investigated whether physical requirements and motor variability decreased over days in novices during a repetitive screwing task. Fifty-seven subjects performed one hour of repetitive screwing and fastening on three days, separated by 2⁻7 days. The average physical requirement and relative cycle-to-cycle variability (coefficient of variation, i.e., CV) were calculated ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2019, 16(7):]

Cited: 1 time

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Influence of a passive lower-limb exoskeleton during simulated industrial work tasks on physical load, upper body posture, postural control and discomfort.

Tessy Luger, Robert Seibt, Timothy J Cobb, Monika A Rieger, Benjamin Steinhilber,

This study investigated the effect of wearing a passive lower-limb exoskeleton on physical load, kinematics, postural control, and discomfort. 45 healthy males participated and were exposed to three 21-min simulations, including screwing, cable-mounting, and clip-fitting. Each exposure comprised one of three exoskeleton statuses (standing, high and low sitting on exoskeleton) ... Read more >>

Appl Ergon (Applied ergonomics)
[2019, 80:152-160]

Cited: 3 times

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Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review.

David H Seidel, Dirk M Ditchen, Ulrike M Hoehne-Hückstädt, Monika A Rieger, Benjamin Steinhilber,

<h4>Background</h4>Work-related musculoskeletal disorders at the elbow are a common health problem, which highly impacts workers' well-being and performance. Besides existing qualitative information, there is a clear lack of quantitative information of physical risk factors associated with specific disorders at the elbow (SDEs).<h4>Objective</h4>To provide evidence-based quantitative measures of physical risk factors ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2019, 16(1):]

Cited: 2 times

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An ergonomic field study to evaluate the effects of a rotatable handle piece on muscular stress and fatigue as well as subjective ratings of usability, wrist posture and precision during laparoscopic surgery: an explorative pilot study.

Bernhard Kraemer, Robert Seibt, Anne-Katrin Stoffels, Ralf Rothmund, Sara Y Brucker, Monika A Rieger, Benjamin Steinhilber,

<h4>Purpose</h4>The interface between surgeon and the laparoscopic instrument is an important factor in biomechanical stress that may increase the risk of musculoskeletal complaints in surgeons. This article investigates the effect of a laparoscopic instrument with a rotatable handle piece (rot-HP) on muscular stress and fatigue during routine laparoscopic procedures (LP) ... Read more >>

Int Arch Occup Environ Health (International archives of occupational and environmental health)
[2018, 91(8):1021-1029]

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Effectiveness and efficiency of different weight machine-based strength training programmes for patients with hip or knee osteoarthritis: a protocol for a quasi-experimental controlled study in the context of health services research.

Inga Krauss, Gerhard Müller, Benjamin Steinhilber, Georg Haupt, Pia Janssen, Peter Martus,

Introduction:Osteoarthritis is a chronic musculoskeletal disease with a major impact on the individual and the healthcare system. As there is no cure, therapy aims for symptom release and reduction of disease progression. Physical exercises have been defined as a core treatment for osteoarthritis. However, research questions related to dose response, ... Read more >>

BMJ Open Sport Exerc Med (BMJ open sport & exercise medicine)
[2017, 3(1):e000291]

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Work‐break schedules for preventing musculoskeletal disorders in workers

Tessy Luger, Christopher G Maher, Monika A Rieger, Benjamin Steinhilber,

Abstract This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To compare the effectiveness of different work break schedules for preventing or decreasing WRMS in workers. ... Read more >>

Cochrane Database Syst Rev (The Cochrane database of systematic reviews)
[2017, 2017(11):]

Cited: 0 times

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Ergonomic Benefits From a Laparoscopic Instrument With Rotatable Handle Piece Depend on the Area of the Operating Field and Working Height.

Benjamin Steinhilber, Florian Reiff, Robert Seibt, Monika A Rieger, Peter Martus, Bernhard Kraemer, Ralf Rothmund,

Objective To evaluate the effect of a laparoscopic instrument with a 360° rotatable handle piece (rot-HP) on biomechanical stress and precision in different areas of a simulated operating field at two working heights. Background Surgeons performing laparoscopic procedures are exposed to biomechanical stress and have an increased risk of musculoskeletal ... Read more >>

Hum Factors (Human factors)
[2017, 59(7):1048-1065]

Cited: 3 times

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Intra- and inter-rater reliability of lower leg waterplethysmography, bioelectrical impedance and muscle twitch force for the use in standing work evaluation.

Rudolf Wall, Oliwia Lips, Robert Seibt, Monika A Rieger, Benjamin Steinhilber,

<h4>Objectives</h4>Prolonged standing is associated with multiple risk factors for musculoskeletal and venous disorders. In Germany over 50% of the working population spend most of their working time in a standing position. Basic understanding of prolonged standing physiology is lacking. We therefore plan to investigate the influence of 5 h standing (including ... Read more >>

Physiol Meas (Physiological measurement)
[2017, 38(5):701-714]

Cited: 0 times

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Exercise therapy in patients with hip osteoarthritis: Effect on hip muscle strength and safety aspects of exercise-results of a randomized controlled trial.

Benjamin Steinhilber, Georg Haupt, Regina Miller, Pia Janssen, Inga Krauss,

<h4>Purpose</h4>To evaluate the effect of an exercise therapy concept (the Tübingen exercise therapy approach THüKo) for increasing hip muscle strength (HMS) in patients with hip osteoarthritis (OA), and to investigate whether patients do adhere to the intervention and if there are any adverse events related to the intervention.<h4>Methods</h4>A total of ... Read more >>

Mod Rheumatol (Modern rheumatology)
[2017, 27(3):493-502]

Cited: 6 times

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Long-Lasting Changes in Muscle Twitch Force During Simulated Work While Standing or Walking.

Maria-Gabriela Garcia, Rudolf Wall, Benjamin Steinhilber, Thomas Läubli, Bernard J Martin,

<h4>Objective</h4>The aim of this study was to evaluate the long-lasting effects of prolonged standing work on a hard floor or floor mat and slow-pace walking on muscle twitch force (MTF) elicited by electrical stimulation.<h4>Background</h4>Prolonged standing work may alter lower-leg muscle function, which can be quantified by changes in the MTF ... Read more >>

Hum Factors (Human factors)
[2016, 58(8):1117-1127]

Cited: 7 times

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Effectiveness and efficiency of an 11-week exercise intervention for patients with hip or knee osteoarthritis: a protocol for a controlled study in the context of health services research.

Inga Krauss, Gerhard Mueller, Georg Haupt, Benjamin Steinhilber, Pia Janssen, Nicola Jentner, Peter Martus,

<h4>Background</h4>Osteoarthritis is the most common reason for pain in older adults, and the individual and economic burden of this disease is immense. The chronic character of osteoarthritis requires a long-term therapeutic treatment. In this regard life-style interventions such as physical exercises that can be carried out by the patient himself ... Read more >>

BMC Public Health (BMC public health)
[2016, 16:367]

Cited: 6 times

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Effect of a laparoscopic instrument with rotatable handle piece on biomechanical stress during laparoscopic procedures.

Benjamin Steinhilber, Robert Seibt, Florian Reiff, Monika A Rieger, Bernhard Kraemer, Ralf Rothmund,

<h4>Objective</h4>To investigate the effect of a pistol grip laparoscopic instrument with a rotatable handle piece (rot-HP) on biomechanical stress and precision as well as a possible interaction between the instrument and working height (WH).<h4>Background</h4>Biomechanical stress induced by laparoscopic surgery (LS) is associated with work-related upper limb musculoskeletal disorders in surgeons. ... Read more >>

Surg Endosc (Surgical endoscopy)
[2016, 30(1):78-88]

Cited: 5 times

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