A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck–shoulder pain

This study aimed to examine differences in muscle activity between young people with and without neck–shoulder pain (n = 20 in each group), when they performed texting on a smartphone. Texting was compared between using both hands (‘bilateral texting’) and with only one hand (‘unilateral texting’). Texting tasks were also compared with computer typing. Surface electromyography from three proximal postural muscles and four distal hand/thumb muscles on the right side was recorded. Compared with healthy controls, young people with neck–shoulder pain showed altered motor control consisting of higher muscle activity in the cervical erector spinae and upper trapezius when performing texting and typing tasks. Generally, unilateral texting was associated with higher muscle loading compared with bilateral texting especially in the forearm muscles. Compared with computer typing, smartphone texting was associated with higher activity in neck extensor and thumb muscles but lower activity in upper and lower trapezius as well as wrist extensors.     

Influence of smartphone use styles on typing performance and biomechanical exposure

Twenty-seven subjects completed 2-min typing tasks using four typing styles: right-hand holding/typing (S-thumb) and two-hand typing at three heights (B-low, B-mid and B-high). The styles had significant effects on typing performance, neck and elbow flexion and muscle activities of the right trapezius and several muscles of the right upper limb (p < 0.0001 by repeated-measure analysis of variance). The subjects typed the fewest words (error-adjusted characters per minute: 78) with the S-thumb style. S-thumb style resulted in similar flexion angles of the neck, elbow and wrist, but significantly increased muscle activities in all tested muscles compared with the B-mid style. Holding the phone high or low reduced the flexion angles of the neck and right elbow compared with the B-mid style, but the former styles increased the muscle activity of the right trapezius. Right-hand holding/typing was not a preferable posture due to high muscle activities and slow typing speed.

Practitioner Summary: Right-hand holding/typing was not favoured, due to increased muscle activities and slower typing speed. Holding the phone high or low reduced the flexion angles of the neck and right elbow, but the former styles increased the muscle activity of the right trapezius compared with holding the phone at chest level.     

Effects of electromyographic and mechanomyographic biofeedback on upper trapezius muscle activity during standardized computer work

The purpose of this laboratory study was to investigate the effects of surface electromyography (EMG)- and mechanomyography (MMG)-based audio and visual biofeedback during computer work. Standardized computer work was performed for 3 min with/without time constraint and biofeedback in a randomized order. Biofeedback was given on the basis of an individual preset threshold value for the right trapezius EMG and MMG signal and a time factor (repetition of events above the threshold). The duration of muscle activity above the preset threshold, the right trapezius EMG and MMG root mean square (RMS) values as well as the work performance in terms of number of completed graph/mouse clicks/errors, the rating of perceived exertion (RPE) and the usefulness of the biofeedback were assessed. The duration of muscle activity above the threshold was significantly lower with MMG compared with EMG as source of biofeedback (p < 0.05). Biofeedback led to a significant decrease in the right trapezius EMG RMS, lower RPE and decreased number of errors and mouse clicks, but also decreased number of completed graphs (p < 0.05). Audio and visual biofeedbacks were as effective. MMG-based biofeedback is a potential reliable alternative to EMG in ergonomics. A lowering of the trapezius muscle activity may contribute to diminish the risk of work related musculoskeletal disorders development.     

Estimation of tree crown volume from airborne lidar data using computational geometry

Although simple geometrical shapes are commonly used to describe tree crowns, computational geometry enables calculation of the individual crown properties directly from airborne lidar point clouds. Our objective was to calculate crown volumes (CVs) using this technique and validate the results by comparing them with field-measured values and modelled ellipsoidal crowns. The CVs of standing trees were obtained by measuring the crown radii at different heights, integrating the obtained crown profiles as solids of revolution, and finally averaging the volumes obtained from the four separate profiles. With the lidar data, the CVs were extracted using 3D alpha shape and 3D convex hull techniques. Crown base heights (CBHs) were also estimated from the lidar data and used to exclude echoes from the understory, which was also done using field-based CBHs to exclude this error source. The results show that the field-measured CVs had a high correlation with lidar-based estimates (best R ² = 0.83), but the lidar-based estimates were generally smaller than the field values. The best correspondence (root mean square difference (RMSD) = 45.0%, average difference = –24.7%) was obtained using the convex hull of the point data and field-measured CBH. The CBHs were consistently overestimated (RMSD = 37.3%; average difference = –20.0%), especially in spruces with long crowns. Thus using lidar-based CBH also increased the inaccuracy of the CV estimates. While the underestimation of CV is mainly explained by the inadequate number of echoes from the lower regions of the crowns, the CVs obtained from the lidar were better than those obtained with ellipsoids fitted by using general models for crown dimensions. The utility of the estimated CVs in the prediction of stem diameter is also demonstrated.     

The effects of shoulder posture on neck and shoulder musculoskeletal loading and discomfort during smartphone usage

While using their smartphone, users tend to adopt awkward neck and shoulder postures for an extended duration. Such postures impose the risk of MSDs on those body parts. Numerous studies have been undertaken to examine neck posture; however, few studies have investigated shoulder postures. This study examined various shoulder postures during smartphone use and their effect on neck and shoulder kinematics, muscle loading, and neck/shoulder discomfort. Thirty-two asymptomatic young adult smartphone users randomly performed texting tasks for 3 min at four different shoulder flexion angles (15°, 30°, 45°, and 60°), while maintained a neck posture in the neutral position (0° neck flexion angle). Measures were taken of neck and shoulder muscle activity of the cervical erector spinae (CES), anterior deltoid (AD), upper trapezius (UT) and lower trapezius (LT), and kinematic data (angle, distance and gravitational moment). Results showed AD and LT muscle activity significantly increased when the shoulder flexion angle increased with an opposite effect on CES and UT. A recommended shoulder posture was identified as 30° flexion, as this yielded the best compromise between activation levels of the four muscles studied. This angle also induced the lowest neck/shoulder discomfort score. The findings suggest smartphone users hold their device at approximately 30° shoulder flexion angle with their neck in a neutral posture to reduce the risk of shoulder and neck musculoskeletal disorders when smartphone texting.Relevance to industrySmartphone use in the manufacturing and service industries is an integral part of work and useful means of communication tool. Awkward postures during extensive smartphone use impose an increased risk of both neck and shoulder musculoskeletal disorders. Shoulder flexion angles need consideration when making recommendations about safe work postures during smartphone use.     

Interactive effects of acute experimental pain in trapezius and sored wrist extensor on the electromyography of the forearm muscles during computer work

We investigated the interactive effects of shoulder pain and wrist extensor muscle soreness on surface electromyography (EMG) during computer mouse work. On day one, subjects (N = 12) performed computer work with/without acute muscle pain induced in the trapezius muscle. Subsequently, eccentric exercise was performed to induce delayed onset muscle soreness (DOMS) in wrist extensor muscles. In presence of DOMS on day two, computer work recordings with/without pain were repeated. EMG signals were recorded from the descending part of trapezius bilaterally, flexor carpi ulnaris and extensor carpi radialis brevis. Experimental muscle pain in trapezius led to a decrease in the muscular activity of the wrist extensor (P < 0.02) and decreased the relative rest time in the wrist flexor even in presence of DOMS (P < 0.01). The present result suggests that shoulder pain plays a role in the coordination of wrist flexors and extensors during computer work.     

Association between numbers of long periods with sustained low-level trapezius muscle activity and neck pain

The purpose of this prospective cohort study was to evaluate relationships between sustained low-level muscle activity (SULMA) in the neck and pain after 1 year among machine operators of forest harvesters (n = 19), forwarders (n = 20) and forest researchers (n = 20). Surface electromyography of the right upper trapezius muscle was measured during one working day. Continuous muscle activity (SULMA periods) were analysed in predetermined time intervals. Neck pain was assessed by the Borg's category-ratio scale and the Standardized Nordic Questionnaire (dichotomised into pain duration ≤30 or >30 d). Harvesters reported significantly more pain than researchers. A higher number of long SULMA periods >8 min duration increased the risk of neck pain >30 d during the successive year (odds ratio 3.0, 95% CI 1.2–7.8). Perceived personal economy above average was associated with less pain, while other potential confounders or intermediate variables were not significant. Low-level trapezius muscle activity in periods longer than 8 min may constitute a risk for neck pain.     

Muscular loading and subjective ratings of muscular tension by novices when typing with standard and split‐design computer keyboards

The objective of this research project was to compare two different computer keyboard designs with respect to their effect on the extent of muscular loading in the right and left trapezius and extensor muscles during typing. The two computer keyboards used in this study were (1) a classic or standard keyboard, and (2) a split‐design keyboard. Evaluation of muscular loading was done using the electromyography (EMG) technique and subjective ratings of muscular tension. Sixteen women, between 18 and 26 years of age, with similar secretarial experience and limited typing abilities, took voluntary part in the experiment. Each subject used both keyboards for 15 min. The EMG signals recorded during typing sessions were those of the left and right sides of trapezius (m. trapezius pars descendeus) and extensor (m. extensor carpi radialis brevis et longus) muscles. Upon completion of each task, subjects were asked to evaluate perceived levels of muscular tension in the shoulder‐neck area and forearms. The results showed that the split‐design computer keyboard significantly reduces muscular loading of the trapezius muscle and subjective feelings of muscular tension in the shoulder‐neck area.     

The impact of working technique on physical loads—an exposure profile among newspaper editors

The aim of this study was to investigate the possible associations between working technique, sex, symptoms and level of physical load in VDU-work. A study group of 32 employees in the editing department of a daily newspaper answered a questionnaire, about physical working conditions and symptoms from the neck and the upper extremities. Muscular load, wrist positions and computer mouse forces were measured. Working technique was assessed from an observation protocol for computer work. In addition ratings of perceived exertion and overall comfort were collected. The results showed that subjects classified as having a good working technique worked with less muscular load in the forearm (extensor carpi ulnaris p=0.03) and in the trapezius muscle on the mouse operating side (p=0.02) compared to subjects classified as having a poor working technique. Moreover there were no differences in gap frequency (number of episodes when muscle activity is below 2.5% of a reference contraction) or muscular rest (total duration of gaps) between the two working technique groups. Women in this study used more force (mean force p=0.006, peak force p=0.02) expressed as % MVC than the men when operating the computer mouse. No major differences were shown in muscular load, wrist postures, perceived exertion or perceived comfort between men and women or between cases and symptom free subjects. In conclusion a good working technique was associated with reduced muscular load in the forearm muscles and in the trapezius muscle on the mouse operating side. Moreover women used more force (mean force and peak force) than men when operating the click button (left button) of the computer mouse.     

Total forearm support during a typing task may reduce the risk of Trapezius' Myalgia development

ObjectiveEvaluate the influence of alternating the position of the upper limbs, between fully supported and unsupported forearms, in the Upper Trapezius (UT) activity during a typing task on a straight-edged desk.BackgroundErgonomic barriers, such as reduced desk area, is one of the reasons that force computer users to work without supporting their forearms. Unsupported forearms may lead to increased UT muscle fatigue, increasing the potential for lesions, with Trapezius Myalgia (TM) being a possible outcome.Method15 healthy volunteers were assessed (6 females, average age of 3,7 ± 9,5 years old). The protocol included an alternated position of forearms every 5 min between fully supported and unsupported forearms, with a 20-min total duration of a typing task. Surface electromyography readings were collected from both UTs.ResultsSignificant differences were found in the variation of the EMG signal between the two positions for the non-dominant arm after 10 min (p < .05) of typing. The non-dominant UT registered higher levels of activity than the dominant UT. Supported forearms reduced the electrical activity in both UTs, with a greater difference in the non-dominant.ConclusionThis study consolidates the current knowledge that unsupported upper limb during typing tasks significantly increases UT's electrical activity. By fully supporting the forearm, that activity is reduced. Females and the non-dominant UT showed higher electrical activity, potentially increasing the risk of developing TM.ApplicationHealthcare providers, safety and health professionals, and ergonomists should be mindful of the forearm position when advising computer users to prevent TM.     

Full-shift and task-specific upper extremity muscle activity among US large-herd dairy parlour workers

Abstract

US large-herd dairy parlour workers experience a high prevalence of musculoskeletal symptoms in the upper extremity. The purpose of this study was to estimate and compare full-shift and task-specific muscle activity of the upper extremity among parlour workers. Surface electromyography data were recorded continuously throughout a full work shift for each participant (n = 60). For a subset of participants (n = 33), muscular effort was estimated for milking task cycles. Lower muscle activity levels and higher per cent muscular rest was observed among rotary parlour participants as compared to herringbone and parallel parlour participants for anterior deltoid, forearm flexor and forearm extensor muscles. These findings suggest rotary parlours may offer workstation designs or work organisational dynamics which may be more beneficial to the health and performance of the worker, as compared to parallel or herringbone parlours.

Practitioner Summary: Study findings suggest milking parlour configurations present different biomechanical demands on workers which may influence worker health and performance. Our findings will enable more informed decisions regarding both engineering (e.g. parlour configuration or milking equipment) and administrative (e.g. work organisation) control strategies for large-herd milking parlours.     

Design and evaluation of a curved computer keyboard

Conventional, straight keyboards remain the most popular design among keyboards sold and used with personal computers despite the biomechanical benefits offered by alternative keyboard designs. Some typists indicate that the daunting medical device-like appearance of these alternative ‘ergonomic’ keyboards is the reason for not purchasing an alternative keyboard design. The purpose of this research was to create a new computer keyboard that promoted more neutral postures in the wrist while maintaining the approachability and typing performance of a straight keyboard. The design process created a curved alphanumeric keyboard, designed to reduce ulnar deviation, and a built-in, padded wrist-rest to reduce wrist extension. Typing performance, wrist postures and perceptions of fatigue when using the new curved keyboard were compared to those when using a straight keyboard design. The curved keyboard reduced ulnar deviation by 2.2° ± 0.7 (p < 0.01). Relative to the straight keyboard without a built-in wrist-rest, the prototype curved keyboard with the built-in padded wrist-rest reduced wrist extension by 6.3° ± 1.2 (p < 0.01). There were no differences in typing speed or accuracy between keyboards. Perceived fatigue ratings were significantly lower in the hands, forearms and shoulders with the curved keyboard. The new curved keyboard achieved its design goal of reducing discomfort and promoting more neutral wrist postures while not compromising users' preferences and typing performance.     

Shoulder and neck muscle activities during typing with articulating forearm support at different heights

Use of forearm support is known to reduce physical stress of computer users, but research about how to properly position the forearm support is insufficient. This study was aimed to determine whether the height of forearm support influences muscular loads during typing. Twenty four subjects performed a typing task with a pair of articulating forearm support at three different heights as well as without any support, while shoulder, neck and forearm muscle activities and posture data were recorded. Typing with the support at resting elbow height produced significantly (p < 0.05) lower shoulder and neck muscle activities than that of no support condition. Typing with the support at heights higher than the resting elbow height produced significantly greater shoulder and neck muscle activities compared to the no support condition. Results suggest that forearm support can help computer users lessen physical stress in typing, but only when the supports are positioned at resting elbow height.

Practitioner Summary: Use of forearm support is known to alleviate physical stress of PC users in computer works such as typing. This experimental study addressed the importance of proper positioning of forearm support by comparing neck and upper extremity muscle activities between conditions with varying heights of forearm support in keyboard typing.     

The impact of work configuration,target angle and hand force direction on upper extremity muscle activity during sub-maximal overhead work

Overhead work has established links to upper extremity discomfort and disorders. As many jobs incorporate working overhead, this study aimed to identify working conditions requiring relatively lower muscular shoulder load. Eleven upper extremity muscles were monitored with electromyography during laboratory simulations of overhead work tasks. Tasks were defined with three criteria: work configuration (fixed, stature-specific); target angle (?15°, 0°, 15°, 30° from vertical); direction of applied hand force (pulling backwards, pushing forwards, downwards, sideways, upwards). Normalised electromyographic activity was greater for fixed configurations, particularly when pulling in a backward direction (total activity = 108.3% maximum voluntary exertion (MVE)) compared to pushing down or forward (total activity ranging from 10.5 to 17.3%MVE). Further, pulling backwards at angles of –15° and 0° showed the highest muscular demand (p < 0.05). These results suggest that, if possible, positioning overhead work in front of the body with exertions directed forwards will result in the lowest upper extremity muscle demand.

Statement of Relevance: Overhead work pervades occupational settings and is associated with risk of upper extremity musculoskeletal disorders. The muscular intensity associated with performing overhead work was assessed in several combinations of work placement and hand force direction. These findings should have utility for designing overhead work tasks that reduce muscular exposure.     

Electromyographic fatigue in neck/shoulder muscles and endurance in women with repetitive work

EMG was recorded with surface electrodes from the trapezius and deltoid muscles during a static endurance test at approximately 20% of maximal voluntary contraction. Objective parameters for localized muscular fatigue were derived from the time course of the root mean square (RMS) and mean power frequency (MPF) of the EMG recordings. Isotonic regression is introduced as a tool for assessment of such parameters. The most pronounced sign of fatigue for trapezius was an increase in the RMS values, while for deltoid it was a decrease in the MPF values. This could be explained by the different functions of the two muscles. The endurance time for a group of 11 women in industrial work with repetitive short-cycled work tasks who were diagnosed with neck/shoulder disorders (tension neck) was significantly shorter (p<0·05) than for a group with the same work, but without neck/shoulder disorders (n=ll), and shorter than for a control group (n=ll). Regarding the EMG fatigue measures, there were no significant differences between the three groups. We did not find any relationships between endurance time and the EMG parameters. The results indicate that neck/shoulder disorders were not associated with divergent mechanisms for developing fatigue in the muscles, as recorded with surface EMG.     

Muscle activity patterns and spinal shrinkage in office workers using a sit–stand workstation versus a sit workstation

Reducing sitting time by means of sit–stand workstations is an emerging trend, but further evidence is needed regarding their health benefits. This cross-sectional study compared work time muscle activity patterns and spinal shrinkage between office workers (aged 24–62, 58.3% female) who used either a sit–stand workstation (Sit–Stand group, n = 10) or a traditional sit workstation (Sit group, n = 14) for at least the past three months. During one typical workday, muscle inactivity and activity from quadriceps and hamstrings were monitored using electromyography shorts, and spinal shrinkage was measured using stadiometry before and after the workday. Compared with the Sit group, the Sit–Stand group had less muscle inactivity time (66.2 ± 17.1% vs. 80.9 ± 6.4%, p = 0.014) and more light muscle activity time (26.1 ± 12.3% vs. 14.9 ± 6.3%, p = 0.019) with no significant difference in spinal shrinkage (5.62 ± 2.75 mm vs. 6.11 ± 2.44 mm). This study provides evidence that working with sit–stand workstations can promote more light muscle activity time and less inactivity without negative effects on spinal shrinkage.

Practitioner Summary: This cross-sectional study compared the effects of using a sit–stand workstation to a sit workstation on muscle activity patterns and spinal shrinkage in office workers. It provides evidence that working with a sit–stand workstation can promote more light muscle activity time and less inactivity without negative effects on spinal shrinkage.     

Ergonomic evaluation of the effects of forearm conditions and body postures on trapezius muscle activity during smartphone texting

Neck-shoulder and upper back musculoskeletal symptoms in smartphone users have gained increasing attention. We evaluated trapezius muscle activity and fatigue using an objective method (surface electromyography, sEMG), and discomfort using a subjective method (questionnaire), in smartphone users during the performance of different text-entry tasks. Fifteen participants were recruited to perform six text-entry tasks under different forearm conditions (floating and supported) and body postures (sitting, standing, lying, and walking). We collected upper trapezius (UT) and lower trapezius (LT) sEMG data, and recorded muscle discomfort scores after each task. We found that static postures (especially sitting) during smartphone use predisposed to lower muscle activity with higher fatigue level and discomfort scores than dynamic posture; there was a significant main effect of body posture on average sEMG amplitude (aEMG) and discomfort scores of both muscles (all p < 0.05). Moreover, using a smartphone with the forearm supported can reduce muscle activity, fatigue level, and discomfort scores; there was a significant main effect of the forearm condition on aEMG and discomfort scores of both muscles (all p < 0.05). Our study indicates that smartphone use with the forearm floating for a long time in a static posture should be avoided (especially while sitting).     

Predictors of perceived effort in the shoulder during load transfer tasks

The mechanism of muscular effort perception in the shoulder was examined in this experiment. Two shoulder biomechanical models and experimental muscle activity data were used to assess physical exposure for a series of reaching tasks. Effort perception was quantitatively correlated to these measures of physical loading, both at the resultant torque (r² = 0.50) and muscle activity model-based muscle force predictions (MFPs): r² = 0.42, electromyography (EMG): r² = 0.26) levels. Muscle data did not explain variation in effort perception more fully than torque data. The inclusion of subject and task variables improved the ability of each model to explain variability in effort perception (torque: r² = 0.74; MFP: r² = 0.67, EMG: r² = 0.64). These results suggest that effort perception may not be fully explained by only an image of the motor command, but is rather a complex integrative quantity that is affected by other factors, such as posture and task goals, which may be dependent on sensory feedback.     

Influence of mouse position on muscular activity in the neck, shoulder and arm in computer users

Anecdotal reports of shoulder and arm discomfort related to computer mouse use are common. The aim of this study of ten subjects was to examine the influence of mouse position, relative to the keyboard, on shoulder and arm muscular activity and working posture. Surface electromyography and the Rapid Upper Limb Assessment were used to determine the differences in muscle activity and posture during an editing task in each of three mouse positions. Significantly less anterior (p = 0.01) and middle (p = 0.03) deltoid electromyographic activity was demonstrated when the computer mouse was positioned adjacent to a keyboard without a numeric pad when compared to performance of an identical task with the mouse adjacent to a standard keyboard. Electromyographic activity in trapezius muscle did not differ between mouse positions. Working posture of right handed mouse users is improved by removal of the numeric keypad.