Electromyographical indication of muscular fatigue in occupational field studies

Surface electromyography offers a valuable tool for the indication of muscular fatigue in occupational field studies. For this purpose, the time course of the electromyogram (EMG) has to be analysed, in order to detect typical fatigue-induced changes such as an increase in EMG amplitude or a shift in the spectral distribution towards lower frequencies. Such procedures need a detailed knowledge about the actual activity of the person and muscle under test for the total working time. This can be attained by encoding the activity of the person during the work and recording an electrical code signal together with the electrophysiological signals. For the indication of muscle fatigue, EMGs for situations connected with similar muscle load should only be compared, since the EMG amplitude as well as the spectrum do not only depend upon the fatigue state, but also upon the produced muscle force. This demand can be fulfilled by (i) interrupting the work and performing test contractions of known force in a predefined body posture or (ii) by comparing situations connected with a certain reference activity. (iii) In a recently developed approach for the joint analysis of EMG amplitude and spectrum (JASA) changes in the amplitude and the spectrum are considered simultaneously. This method permits the discrimination between fatigue-induced and force-related EMG changes. Using this procedure, changes in the EMG can be attributed to categories like fatigue or recovery as well as increase or decrease in the force production of the muscle under test. Applications from field studies during manual materials handling in a weaving mill, price recording at scanner checkouts in a supermarket and the performance of surgical work using endoscopic operation techniques in urology demonstrate the appropriateness of electromyography for fatigue indication in occupational physiology and ergonomics. Nevertheless, the commonly used measures of muscular fatigue such as increase in EMG amplitude and left shift in EMG spectrum are primarily related to the electrical activation and its propagation along the muscle fibres. Their connection to the fatigue-induced reduction in the force generating capacity of the muscle under test includes complex physiological implications. Therefore, the need for further development of fatigue indicators which are more directly related to muscular force is recognized.

Relevance to industry

In occupational health and ergonomics indication of muscular fatigue is needed, since activities inducing muscular fatigue can be performed for a limited time, only, and the quality of work can be influenced negatively. Electromyography offers valuable tools for the indication of fatigue and the appropriate assessment of ergonomic design measures.     

Evaluation of Shoulder Muscular Fatigue Induced During VDT Tasks

This study was designed to evaluate localized muscular fatigue induced during visual display terminal (VDT) tasks. In the experimental paradigm used, electromyography (EMG) signals were not recorded during the VDT task but during isometric contractions in which the load imposed on the shoulder muscle was kept constant. The change in mean power frequency (MPF) and the root mean square values of EMG signals with time were explored. The correspondence between these measures and the psychological rating of localized muscular fatigue also were examined. The effectiveness of the experimental paradigm and of the measures used for evaluation of localized muscular fatigue are discussed. MPF measured during isometric contraction was found to be a sensitive measure of localized muscular fatigue.     

Electromyographical study on surgeons in urology. II. Determination of muscular fatigue

Abstract

An electromyographical fatigue analysis was performed in the operating theatre on four surgeons during 14 urological operations in which ‘direct endoscopy’ (cf. Luttmann el al. 1996, Part I) was applied. Surface electromyograms (EMG) were derived from the m. trapezius on both sides of the body, the right m. deltoideus, and the left m. erector spinae. The surgeons’ activities were documented by simultaneously recording an electrical activity code signal parallel to the EMGs. The electrical activity (EA) was formed from the raw EMG by rectification and continuous averaging. For purposes of spectral analysis, the EMGs were digitized and converted to the frequency domain by Fast Fourier Transformation. During the performance of endoscopic surgery, an increase in EA, as well as a spectral shift towards lower frequencies, are observed for at least one of the muscles under test in all of the operations. This indicates the development of muscular fatigue in the course of the operations. The finding is confirmed by applying a newly developed method for the joint analysis of the spectrum and the amplitude of EMGs (JASA) which permits discrimination between fatigue-induced and force-related changes in the EMG. Utilizing this method, the development of fatigue was confirmed for 11 of the 14 operations in the case of the right m. trapezius. The right trapezius muscle therefore constitutes a bottleneck for the performance of the operations. The endurance time was estimated from the increase in EA and compared with the actual duration of the operations. Since both are of the same order of magnitude, it is concluded that the final part of an operation has to be performed when the muscles are already fatigued. Application of the newly available method known as ‘monitor endoscopy’ (cf. Part I) can lead to a reduction in muscular strain and fatigue. This, in turn, will enable operations to be performed at less risk to the patient.     

Relations between shoulder/neck disorders and EMG zero crossing shifts in female assembly workers using the test contraction method

Pain and discomfort in the shoulder/neck region is a serious problem amongst workers in many categories of assembly work. It has been suggested that these disorders are related to local muscular fatigue. In this study 14 female assembly workers were studied. Several of these women had occupational shoulder/neck disorders of various degrees. The method (FTC), applied during work, involved short test contractions every ten minutes during which EMG from m. trapezius and m. infraspinatus bilaterally was recorded. The EMG was analysed using the zero crossing technique. The subjects filled in a standard questionnaire concerning their muscular shoulder/neck disorders. It is shown that subjects reporting disorders have more pronounced EMG alterations than those without disorders.     

Surface electromyography analysis in long-term recordings: application to head rest comfort in cars

Analysis of long-term surface electromyographic (SEMG) signals has many applications in ergonomics when related to muscle fatigue. The present work proposes a set of processing methods reporting SEMG modifications during long-term driving tests in various situations (with or without head rest). A segmentation/classification algorithm allows signal splitting into homogeneous parts (postural activity and EMG bursts) and an efficient artefact suppression. Postural activity modifications are evaluated from time-varying amplitude probability density function (TAPDF) parameters. EMG burst analysis is achieved taking into account the relationships of these bursts with accelerometric events. This segmentation/classification procedure improves repeatability but does not significantly modify the overall results obtained before segmentation, as far as the analysis of head rest influence is concerned.     

Surface electromyography analysis in long-term recordings: application to head rest comfort in cars

Analysis of long-term surface electromyographic (SEMG) signals has many applications in ergonomics when related to muscle fatigue. The present work proposes a set of processing methods reporting SEMG modifications during longterm driving tests in various situations (with or without head rest). A segmentation/classification algorithm allows signal splitting into homogeneous parts (postural activity and EMG bursts) and an efficient artefact suppression. Postural activity modifications are evaluated from time-varying amplitude probability density function (TAPDF) parameters. EMG burst analysis is achieved taking into account the relationships of these bursts with accelerometric events. This segmentation/classification procedure improves repeatability but does not significantly modify the overall results obtained before segmentation, as far as the analysis of head rest influence is concerned.     

Rapid Communication Effects of posture,weight and frequency on trunk muscular activity and fatigue during repetitive lifting tasks

Abstract

We examined the effects of posture, weight and frequency on trunk muscular activity and fatigue during repetitive dynamic lifting. Electromyographic (EMG) signals from eight primary trunk muscles were collected during 120 min for four different task conditions. The patterns of muscle recruitment and the levels of relative activation were analysed using the normalized EMG data. Median power frequency (MPF) shift patterns were analysed to examine muscular fatigue. The muscles in the dorsal part of the trunk were activated at the symmetric posture, while the muscles on the contralateral side to the workload were more strongly activated at the asymmetric posture. Decreasing trends of MPFs were found in some active muscles, and they were more pronounced for the asymmetric posture than for the symmetric posture. It was also seen that the muscles became fatigued faster for the light load-high frequency task than for the heavy load-low frequency task.     

The ironies of vehicle feedback in car design

Optimization of the temporal aspects of task design requires a better understanding of the development of muscle fatigue in the neck and shoulder region over time. The objective of the study was to investigate this in two production companies and to determine the relationship between objective and subjective estimates of fatigue. Indicators of fatigue were obtained through electromyography (EMG) during test contractions and ratings of perceived discomfort. EMG amplitude increased during the day in both case studies while mean power frequency decreased only in one case. In both cases, a more detailed frequency analysis of the EMG signals showed an increase in lower frequency power accompanied by a decrease in higher frequency power. Local perceived discomfort in the neck and shoulder increased over the course of the day in both cases. However, no clear relationship between perceived discomfort and objective indicators of fatigue was found. Obtaining sufficient sensitivity to detect effects of temporal aspects of task design probably requires complementary or more refined methods (e.g. EMG arrays, mechanomyography).     

Development of fatigue and discomfort in the upper trapezius muscle during light manual work

Optimization of the temporal aspects of task design requires a better understanding of the development of muscle fatigue in the neck and shoulder region over time. The objective of the study was to investigate this in two production companies and to determine the relationship between objective and subjective estimates of fatigue. Indicators of fatigue were obtained through electromyography (EMG) during test contractions and ratings of perceived discomfort. EMG amplitude increased during the day in both case studies while mean power frequency decreased only in one case. In both cases, a more detailed frequency analysis of the EMG signals showed an increase in lower frequency power accompanied by a decrease in higher frequency power. Local perceived discomfort in the neck and shoulder increased over the course of the day in both cases. However, no clear relationship between perceived discomfort and objective indicators of fatigue was found. Obtaining sufficient sensitivity to detect effects of temporal aspects of task design probably requires complementary or more refined methods (e.g. EMG arrays, mechanomyography).     

Cross-fuzzy entropy: A new method to test pattern synchrony of bivariate time series

A new method, namely cross-fuzzy entropy (C-FuzzyEn) analysis, that can enable the measurement of the synchrony or similarity of patterns between two distinct signals, is presented in this study. With the inclusion of fuzzy sets, the similarity of vectors is fuzzily defined in C-FuzzyEn based on the exponential function and their shapes, rather than on the Heaviside function used in the conventional cross sample entropy (C-SampEn). Tests on simulated data sets and real EEG signals showed that C-FuzzyEn was superior to C-SampEn in several aspects, including giving the entropy definition in the case of small parameters, better relative consistency, and less dependence on record length. The proposed C-FuzzyEn was then applied for the analysis of simultaneously recorded electromyography (EMG) and mechanomyography (MMG) signals during sustained isometric contraction for monitoring local muscle fatigue. The results showed that the C-FuzzyEn of EMG-MMG signals decreased significantly during the development of muscle fatigue. The C-FuzzyEn showed a similar trend with the mean frequency (MNF) of EMG, the commonly used muscle fatigue indicator. However, C-FuzzyEn of EMG-MMG demonstrated a better robustness to the length of the analysis window in comparison with the MNF of EMG. The results suggested that the proposed C-FuzzyEn of EMG-MMG may potentially become a new reliable method for muscle fatigue assessment. It can also be applied to other bivariate signals extracted from complex systems with short data lengths in noisy backgrounds.     

Muscular fatigue measurements for push‐down tasks in ground demolitions

Demolition hammering tasks are physically demanding tasks that could cause muscle fatigue and musculoskeletal disorders. Electromyography (EMG) data have been adopted to assess levels of muscular activity and onset of muscular fatigue for both industrial tasks and physical activities. An experiment simulating a manual demolition task on the ground was performed on 23 healthy male participants. The objectives were to test the hypotheses that the handle height and the force applied to affect the EMG amplitude, the increase of the EMG amplitude, and the decline of the mean power frequency (MPF) of the EMG for performing the tasks. This study also aimed at finding the most fatigued muscles which dominate the end of the sustained push‐down tasks in ground demolitions. The results showed that the EMG amplitude required to perform the tasks was significantly affected by the handle height and force applied. Significant increases in EMG amplitude and decreases in MPF were found. Bicep brachii, tricep brachii, and pectoralis major muscles were the most fatigued muscles that dominated the termination of the tasks. Pushing with body leaning forward to utilize partial body weight was less fatiguing than the other two postures. Elbow flexion is undesirable and should be avoided when performing such tasks.     

Net shoulder joint moment and muscular activity during light weight-handling at different displacements and frequencies.

The purpose of this study was to calculate net shoulder (gleno-humeral) joint moments from inverse dynamics and to measure muscular activity from six shoulder muscles (supraspinatus, infraspinatus, middle deltoid, anterior deltoid, trapezius, and pectoralis major) during light weight-handling at two different displacements (horizontal and vertical) and frequencies (40 and 60 cycles/min), to simulate an occupational cervicobrachial working task (light weight displacement). Ten normal adult male subjects were asked to move a known weight, representing 15% of the maximal lifted weight, in both horizontal and vertical conditions at frequencies of 40 cycles/min and 60 cycles/min. Raw EMG signals from six shoulder muscles were recorded and synchronized with the cinematographic data during three trials of 6 s each. The raw EMG signals of each muscle were full wave rectified and filtered at 3 Hz. The linear envelope (LE EMG) signals were normalized by time (% cycle) and by amplitude (% MVC), and for the analysis of variance, the normalized LE EMG signals were integrated (IN LE EMG). The average shoulder angular velocities, joint moments, and moment powers were computed from cinematographical data. No significant differences were observed between both tasks for the supraspinatus, infraspinatus, and pectoralis major IN LE EMG data as well as for integrated normalized shoulder joint moment for the whole cycle of movement. IN LE EMG data from middle deltoid, anterior deltoid, and trapezius muscles were significantly higher (p less than 0.05) when performing the vertical displacement task for the whole cycle of movement. This muscular activity difference between vertical and horizontal tasks indicated that the vertical displacement conditions induced higher muscular loads on the shoulder than the horizontal weight displacement conditions, although the vertical displacements were approximately 15% longer than the horizontal displacements. The non-significant difference of IN LE EMG between frequencies obtained for all muscles indicated that neither frequencies induced more muscular activity.     

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 less than 0.05) than for a group with the same work, but without neck/shoulder disorders (n = 11), and shorter than for a control group (n = 11). 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 fatigue during intermittent isokinetic shoulder abduction: Age effects and utility of electromyographic measures

Most existing evidence regarding the effects of age on muscular fatigue has focused on prolonged isometric contractions, repeated maximum dynamic contractions and individuals beyond traditional retirement age (>65 years). In the present study, age-related differences in muscle fatigue during submaximal dynamic efforts were examined. There were 24 younger (18–25 years) and 24 older (55–65 years) participants, all of whom were healthy and active, with equal numbers of each gender within each age group. Participants performed repetitive, intermittent shoulder abductions until exhaustion, at peak moments of 30% and 40% of individual maximum voluntary isokinetic contraction (MVIC) and with cycle durations of 20 and 40 s. Fatigue development was determined based on changes in MVIC, electromyographic (EMG) signals and ratings of perceived discomfort (RPD). Following the exhaustive exercises, strength recovery was monitored using a series of MVICs over a 15-min period. Results indicated the existence of an age-related fatigue resistance, with the older group demonstrating significantly slower rates of MVIC decline and RPD increase and smaller modifications in EMG-based fatigue measures. These age effects were generally more pronounced at the higher effort level. Main effects of effort level and cycle duration were also significant, while gender effects appeared to be marginal. Rates of strength recovery were not significantly influenced by age. In addition, the utility of standard EMG-based fatigue measures was assessed. Findings indicated that time-dependent changes in static and dynamic EMG-based measures were roughly comparable in terms of sensitivity and variability, supporting the use of standard EMG analyses for fatigue monitoring during intermittent dynamic contractions.     

Muscle fatigue during intermittent isokinetic shoulder abduction: age effects and utility of electromyographic measures

Most existing evidence regarding the effects of age on muscular fatigue has focused on prolonged isometric contractions, repeated maximum dynamic contractions and individuals beyond traditional retirement age (>65 years). In the present study, age-related differences in muscle fatigue during submaximal dynamic efforts were examined. There were 24 younger (18-25 years) and 24 older (55-65 years) participants, all of whom were healthy and active, with equal numbers of each gender within each age group. Participants performed repetitive, intermittent shoulder abductions until exhaustion, at peak moments of 30% and 40% of individual maximum voluntary isokinetic contraction (MVIC) and with cycle durations of 20 and 40 s. Fatigue development was determined based on changes in MVIC, electromyographic (EMG) signals and ratings of perceived discomfort (RPD). Following the exhaustive exercises, strength recovery was monitored using a series of MVICs over a 15-min period. Results indicated the existence of an age-related fatigue resistance, with the older group demonstrating significantly slower rates of MVIC decline and RPD increase and smaller modifications in EMG-based fatigue measures. These age effects were generally more pronounced at the higher effort level. Main effects of effort level and cycle duration were also significant, while gender effects appeared to be marginal. Rates of strength recovery were not significantly influenced by age. In addition, the utility of standard EMG-based fatigue measures was assessed. Findings indicated that time-dependent changes in static and dynamic EMG-based measures were roughly comparable in terms of sensitivity and variability, supporting the use of standard EMG analyses for fatigue monitoring during intermittent dynamic contractions.     

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.     

Muscular rest and gap frequency as EMG measures of physical exposure: the impact of work tasks and individual related

Owing to an orderly recruitment of motor units, low threshold type I fibres are presumed to be vulnerable in contractions of long duration. To study load on these fibres muscular rest was registered as the time fraction of electromyographic (EMG) activity below a threshold. Moreover, the frequency of periods with muscular rest, EMG gaps, was derived, since a low gap frequency has been shown to be a risk factor for musculoskeletal disorders. Trapezius EMG was registered in 24 female hospital cleaners, 21 female office workers and 13 male office workers during one working day. Cleaners have a high risk of neck/shoulder pain and had much less muscular rest than office workers measured as a percentage of total registered time (median value= 1.5%, range= 0.2-13% vs. median value= 12%, range= 0.0-32%, respectively). Gap frequency showed no difference between the two occupational groups. Both measures displayed a wide inter-individual variation. For the cleaners, some of the variance was explained by body mass index (BMI) and age, with lower values of muscular rest for older subjects with a high BMI. Among the office workers, low values of muscular rest and a high gap frequency were registered in subjects with a low subjective muscular tension tendency. Gender, strength, smoking, job strain, employment time and musculoskeletal symptoms had no impact on either EMG measure.     

Muscular rest and gap frequency as EMG measures of physical exposure: the impact of work tasks and individual related factors

Owing to an orderly recruitment of motor units, low threshold type I fibres are presumed to be vulnerable in contractions of long duration. To study load on these fibres muscular rest was registered as the time fraction of electromyographic (EMG) activity below a threshold. Moreover, the frequency of periods with muscular rest, EMG gaps, was derived, since a low gap frequency has been shown to be a risk factor for musculoskeletal disorders. Trapezius EMG was registered in 24 female hospital cleaners, 21 female office workers and 13 male office workers during one working day. Cleaners have a high risk of neck/shoulder pain and had much less muscular rest than office workers measured as a percentage of total registered time (median value = 1.5%, range = 0.2-13% vs. median value = 12%, range = 0.0-32%, respectively). Gap frequency showed no difference between the two occupational groups. Both measures displayed a wide inter-individual variation. For the cleaners, some of the variance was explained by body mass index (BMI) and age, with lower values of muscular rest for older subjects with a high BMI. Among the office workers, low values of muscular rest and a high gap frequency were registered in subjects with a low subjective muscular tension tendency. Gender, strength, smoking, job strain, employment time and musculoskeletal symptoms had no impact on either EMG measure.     

Temporal strategy and performance during a fatiguing short-cycle repetitive task

This study investigated temporal changes in movement strategy and performance during fatiguing short-cycle work. Eighteen participants performed six 7-min work blocks with repetitive reaching movements at 0.5 Hz, each followed by a 5.5-min rest break for a total duration of 1 h. Electromyography (EMG) was collected continuously from the upper trapezius muscle, the temporal movement strategy and timing errors were obtained on a cycle-to-cycle basis, and perceived fatigue was rated before and after each work block. Clear signs of fatigue according to subjective ratings and EMG manifestations developed within each work block, as well as during the entire hour. For most participants, timing errors gradually increased, as did the waiting time at the near target. Changes in temporal movement strategy were negatively correlated with changes in the level and variability of EMG, suggesting that an adaptive temporal strategy offset the development of unstable motor solutions in this fatiguing, short-cycle work. PRACTITIONER SUMMARY: Sustained performance of operators is essential to maintain competitiveness. In this study of repetitive work, participants gradually changed their temporal movement strategy, for possibly alleviating the effects of fatigue. This suggests that in order to effectively counteract fatigue and sustain performance, industrial production should allow extensive spatial and temporal flexibility.     

The effects of working height and manipulated weights on subjective strain, body posture and muscular activity of milking parlor operatives--laboratory study

The incidence of work-related musculoskeletal disorders among milking parlor operatives has increased while milking parlors were getting bigger. At the same time parlor design was improved regarding the physical load as well as body postures. In contrast to former studies on workload in parlor milking this project was designed and performed as an experimental study in a laboratory setting including 6 female subjects. Motion analysis and psycho-physiological analysis (EMG, heart rate, subjective perceived strain index) were carried out. Intra-individual comparisons were made for the different settings using general linear models for repeated measurements. The effects of working height and weight of milking unit during parlor milking were investigated regarding the impact on muscular load and body posture. The results showed that the optimal working height for attaching the cluster is having the teats at shoulder level of the parlor operative. Another important workload reduction was achieved by reducing the weight of the milking cluster. The named discomfort, localized fatigue and the body posture analysis provide evidence that the changes in modern milking parlors due to mechanization still bear the risk of overburden for the worker.