Effects of Muscle Synergy during Overhead Work with a Passive Shoulder Exoskeleton: A Case Study

Objective: Shoulder exoskeletons can effectively assist with overhead work. However, their impacts on muscle synergy remain unclear. The objective is to systematically investigate the effects of the shoulder exoskeleton on muscle synergies during overhead work.Methods: Eight male participants were recruited to perform a screwing task both with (Intervention) and without (Normal) the exoskeleton. Eight muscles were monitored and muscle synergies were extracted using non-negative matrix factorization and electromyographic topographic maps. Results: The number of synergies extracted was the same (n = 2) in both conditions. Specifically, the first synergies in both conditions were identical, with the highest weight of AD and MD; while the second synergies were different between conditions, with highest weight of PM and MD, respectively. As for the first synergy in the Intervention condition, the activation profile significantly decreased, and the average recruitment level and activation duration were significantly lower (p