Tracking ability in subjects symptomatic of cumulative trauma disorder: does it relate to disability?

Symptoms of upper extremity cumulative trauma disorders (CTDs) often include weakness, discomfort, pain, numbness and stiffness, which are generally assessed clinically by using static tests or isolated movements. Little is known about the dynamic, functional ability of the upper extremity in CTD, yet, more than impairment, performance variables may relate to disability. The objectives of this study were to determine whether a manual tracking task was sensitive to the presence of symptoms associated with CTD and whether tracking performance related to disability. Forty-five volunteers who had frequently experienced one or more symptoms consistent with upper extremity CTD for at least 1 year and 22 control subjects performed the manual tracking task. Using a hand-held stylus over a digitizing tablet, subjects tracked a target that moved pseudo-randomly and was displayed on a computer screen. The root mean square error of the linear difference between target and stylus positions provided a measure of overall performance accuracy. Quadrant specific performance was also calculated to determine whether the location of the target (hence hand and wrist position) influenced performance. Additionally, the symptomatic group completed the Disability of the Arm, Shoulder and Hand (DASH) questionnaire reflecting physical disability level. Performance accuracy was poorer in symptomatic subjects than controls (p<0.001) and was influenced by target location (p<0.0001). The overall performance was associated with physical disability (r = 0.54). The findings suggest that tracking performance is sensitive to the presence of CTD symptoms and related to disability level. Further validation is required to determine whether the performance measure is sensitive to disease progression or intervention-induced changes.     

Evaluating posture behavior during seated tasks

A method was developed to evaluate posture behavior of the trunk, neck, eye, and upper extremity in three-dimensional space during the performance of static, seated tasks. Body postures were measured using an ultrasonic measurement system to determine the Cartesian coordinates of joints and the angles between adjacent limbs. Posture preferences for a variety of visual and manual tasks were then determined.

Pilot studies using three subjects performing visual and right-handed tasks showed that the postures were affected by target location, body size, and target size. These experiments suggest that the preferred horizontal location of visual targets is within 10° of the sagittal plane of the head. The preferred vertical location of visual targets is 10° to 35° below the seated eye height. For manual reaches, the target-to-shoulder distance should be at least one-third the length of the upper extremity to avoid extreme elbow flexion. In addition, the seat pan should swivel and should allow a person to move fore and aft in order to adjust to a comfortable work posture.     

Digital vibration threshold testing and ergonomic stressors in automobile manufacturing workers: a cross-sectional assessment

Upper extremity musculoskeletal disorders (UEMSDs) comprise a large proportion of work-related illnesses in the USA. Physical risk factors including manual force and segmental vibration have been associated with UEMSDs. Reduced sensitivity to vibration in the fingertips (a function of nerve integrity) has been found in those exposed to segmental vibration, to hand force, and in office workers. The objective of this study was to determine whether an association exists between digital vibration thresholds (VTs) and exposure to ergonomic stressors in automobile manufacturing. Interviews and physical examinations were conducted in a cross-sectional survey of workers (n=1174). In multivariable robust regression modelling, associations with workers' estimates of ergonomic stressors stratified on tool use were determined. VTs were separately associated with hand force, vibration as felt through the floor (whole body vibration), and with an index of multiple exposures in both tool users and non-tool users. Additional associations with contact stress and awkward upper extremity postures were found in tool users. Segmental vibration was not associated with VTs. Further epidemiologic and laboratory studies are needed to confirm the associations found. The association with self-reported whole body vibration exposure suggests a possible sympathetic nervous system effect, which remains to be explored.     

Biomechanics and Kinematic Responses of the Upper Extremity during Isotonic and Isokinetic Wrench‐Turning Tasks

The purpose of this study was to investigate the impact of using a wrench under isotonic (constant torque) and isokinetic (constant speed) task modes (TM) at three work surface inclinations (WSI) (0°, 45°, and 90°) on the biomechanical (muscle activity) and kinematic (joint posture) responses of the upper extremity. The muscle activity of seven muscles (trapezius posterior deltoid, anterior deltoid, triceps, biceps, brachioradialis, and flexor digitorium) and posture of four body segments (shoulder adduction/abduction, elbow flexion/extension, forearm supination/pronation and wrist flexion/extension) were obtained using surface electromyography and motion tracking, respectively. WSI showed a statistically significant effect on the muscle activity of the posterior deltoid (p = .038), triceps (p = .016), and biceps (p = .021). The least muscle activity was recorded at the 0° WSI in the isotonic TM. WSI had a significant impact on the supination (p = .017) and pronation (p = .011) of the forearm. The 45° WSI had the least impact on forearm postures. Wrenches are widely used in industries, including automobile service and maintenance, manufacturing, carpentry, and general repair work. Their usage poses risks for the development of musculoskeletal disorders in the upper extremity. In spite of this, knowledge of their physical demands and associated impact on the upper extremity has not been well documented. This study provides empirical evidence on the biomechanical and kinematic responses of selected upper extremity muscles and limb segments and highlights task performance and workstation design factors that elicit undue levels of these responses. The results of this work can provide guidance for ergonomic interventions such as optimized task design and/or improved workstation design when it comes to wrench‐turning tasks.     

Effects of precision demands and mental pressure on muscle activation and hand forces in computer mouse tasks

The objective of the present study was to gain insight into the effects of precision demands and mental pressure on the load of the upper extremity. Two computer mouse tasks were used: an aiming and a tracking task. Upper extremity loading was operationalized as the myo-electric activity of the wrist flexor and extensor and of the trapezius descendens muscles and the applied grip- and click-forces on the computer mouse. Performance measures, reflecting the accuracy in both tasks and the clicking rate in the aiming task, indicated that the levels of the independent variables resulted in distinguishable levels of accuracy and work pace. Precision demands had a small effect on upper extremity loading with a significant increase in the EMG-amplitudes (21%) of the wrist flexors during the aiming tasks. Precision had large effects on performance. Mental pressure had substantial effects on EMG-amplitudes with an increase of 22% in the trapezius when tracking and increases of 41% in the trapezius and 45% and 140% in the wrist extensors and flexors, respectively, when aiming. During aiming, grip- and click-forces increased by 51% and 40% respectively. Mental pressure had small effects on accuracy but large effects on tempo during aiming. Precision demands and mental pressure in aiming and tracking tasks with a computer mouse were found to coincide with increased muscle activity in some upper extremity muscles and increased force exertion on the computer mouse. Mental pressure caused significant effects on these parameters more often than precision demands. Precision and mental pressure were found to have effects on performance, with precision effects being significant for all performance measures studied and mental pressure effects for some of them. The results of this study suggest that precision demands and mental pressure increase upper extremity load, with mental pressure effects being larger than precision effects. The possible role of precision demands as an indirect mental stressor in working conditions is discussed.     

Motor control characteristics for circular tracking movements of human wrist

Abstract

This paper investigates motor characteristics during circular tracking movements of human wrist. Ten subjects performed a visually guided target tracking task using two degrees-of-freedom wrist movements as a tracer. Based on trajectories of the tracer and the target, three control parameters in polar coordinates were considered: R error as an evaluation of the circular movement performance, theta error of the position-control precision, and omega error of the velocity-control precision. We then examined the influence of three different speeds (0.05, 0.1, and 0.2 Hz) and visibility of the target on the three parameters to observe changes in control strategy. The theta error particularly demonstrated that subjects were more dependent on position control for the lower tracking speed of 0.05 Hz with a visible target, where the highest percentage increase of 210.6% in theta errors from the target visible to the target invisible regions was reported. However, as the target speed increases, the subjects concentrated more on the velocity of the target as a main control parameter, and a minimum percentage decrease of 9.52% in the omega error appeared from target visible to target invisible regions for 0.2 Hz. The results suggest that velocity control is more dominant during target invisible or fast tracking task.     

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.     

Effect of a novel teat preparation system on upper extremity muscle activity among U.S. large-herd dairy parlor workers

BackgroundDairy production in the U.S. is moving towards large-herd milking operations resulting in an increase in task specialization and work demands. Large-herd dairy parlor workers experience a high prevalence of musculoskeletal symptoms in the upper extremity. The purpose of this study is to evaluate the effects of an alternative teat scrubber (TS) cow preparation method on upper extremity muscle activity among large-herd parlor workers, as well compare to muscle activity associated with conventional manual milking tasks.MethodsUpper extremity muscle activity was recorded among U.S. large-herd parlor workers (n = 15) using surface electromyography. Participants performed multiple task cycles, using both conventional and TS methods. Muscle activity levels were then compared across conventional manual and TS milking tasks.ResultsConventional manual milking tasks of dip, strip and wipe were associated higher muscle activity levels of the upper trapezius and anterior deltoid. Biceps muscle activity was greatest during teat dip and wipe. Forearm flexor and extensor muscle activity was greatest during teat wipe and dip. The TS system resulted in more desirable anterior deltoid EMG profiles, and less desirable biceps, forearm flexor and extensor profiles.ConclusionsResults suggest that the TS system is effective in reducing anterior deltoid muscle activation levels. The TS system also appears to result in increased biceps, forearm flexor and extensor muscle activation levels. Increases in muscle activation levels could be offset by reduced repetitiveness resulting from three conventional manual milking tasks being replaced with one TS task.Relevance to industryIf parlor production requirements (e.g., quality and onsistency) are maintained while simultaneously reducing cumulative muscle loading and worker fatigue, then TS use should be considered in milking parlor operations.     

基于非线性干扰观测器的下肢外骨骼上楼梯滑模控制

针对下肢外骨骼在轨迹跟踪时对内部参数扰动和外界干扰较为敏感的特性,设计一种基于非线性干扰观测器的下肢外骨骼机器人滑模控制策略。首先建立下肢外骨骼上楼梯的动力学模型,分析其动力学特性;其次设计非线性干扰观测器,对下肢系统的不确定性和外部干扰进行观测;在此基础上,为保证系统轨迹跟踪误差的收敛性和减弱抖振,设计了低通滤波的滑模控制器,根据李雅普诺夫稳定性理论证明了下肢系统的稳定性;最后通过仿真与实验验证,该控制策略能够有效克服多种因素引起的干扰,改善系统的控制性能,提高系统的稳定性。     

Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population

The study aims were, in a population of university students, staff, and faculty (n = 140), to: 1) determine the distribution of seven measures of mobile device use; 2) determine the distribution of musculoskeletal symptoms of the upper extremity, upper back and neck; and 3) assess the relationship between device use and symptoms. 137 of 140 participants (98%) reported using a mobile device. Most participants (84%) reported pain in at least one body part. Right hand pain was most common at the base of the thumb. Significant associations found included time spent internet browsing and pain in the base of the right thumb (odds ratio 2.21, 95% confidence interval 1.02–4.78), and total time spent using a mobile device and pain in the right shoulder (2.55, 1.25–5.21) and neck (2.72, 1.24–5.96). Although this research is preliminary, the observed associations, together with the rising use of these devices, raise concern for heavy users.     

An experimental evaluation of instantaneous self-assessment as a measure of workload

Instantaneous self-assessment (ISA) is a technique that has been developed as a measure of workload to provide immediate subjective ratings of work demands during the performance of primary work tasks such as air traffic control. This paper reports a study that compared the results of ISA with those gathered from other established workload evaluation techniques; subjective ratings collected at the end of the task, mean heart rate and heart rate variability, and error in the primary task of tracking. ISA ratings were found to be correlated significantly with the post-task ratings of workload, heart rate variability, and task performance. Generally each of the techniques was sensitive to variations in task difficulty. However, performance on the primary tracking task was found to be poorer during periods when ISA responses were required, regardless of whether they were spoken or manual responses. This finding suggests that the usefulness of the technique is limited in comparison to less intrusive measures of workload.     

Task partitioning effects in semi-automated human–machine system performance

Twelve professional pilots performed a flight simulation consisting of three component sub-tasks: (i) tracking, (ii) monitoring and (iii) targeting, respectively. The targeting sub-task required (i) target identification, (ii) weapon selection and then (iii) weapon release. Pilots performed in a fully manual condition, a partial automation condition or a fully automated condition. Automated assistance was provided for the targeting sub-task only, while tracking and monitoring sub-tasks were always performed manually. During full automation, the computer located the target, identified it and released the appropriate weapon without any pilot input. During partial automation, the computer located and identified the target while the pilot retained final control over weapon release. Significantly higher levels of tracking error distinguished manual from both automated conditions and also between the two levels of automation. Monitoring response times were also sensitive to the degree of automation engaged, with the partial-automation condition exhibiting faster responses than full automation. Findings support a design principle in which pilots retain control over final weapons release directly on the basis of objective performance outcome. These collective results support the contention that effective and principled task-partitioning should represent a central strategy for the evolution of complex human–machine systems.

Practitioner Summary: Advantages of partitioning tasks between human and automated control are contingent upon the overall context of performance and the actual way the partitioning is accomplished. Simple algorithms, for example, automate on every feasible occasion, are poor design heuristics and may even prove actively harmful to overall response capacity. Transitioning humans from active controllers to passive monitors can be a problematic design choice, especially when that individual is socially deemed to retain overall responsibility for ultimate system effects in the real world.     

An assessment of neck and upper extremity disorders by questionnaire and clinical examination

Abstract

To study the usefulness of a screening questionnaire for neck/upper extremity complaints, 165 women in either repetitive industrial, or mobile and varied work, were studied by the questionnaire and by a detailed clinical physical examination. A total of 94 subjects recorded complaintsin the questionnaire. In 140 subjects findingswere recorded at the examination. Most subjects with findings at the clinical examination of shoulders reported complaints in the questionnaire (sensitivity 80%). For the other anatomical regions, the sensitivity was rather low (42– 65%). For all regions, most subjects without findings reported no complaints (specificity 77–97%). A total of 75 subjects were given clinical diagnoses according to a set of predetermined diagnostic criteria. The capacity of the questionnaire to identify diagnoses of shoulders was higher (sensitivity 92%) than for the other regions (66–79%). Of subjects who did not qualify for diagnosis, a majority (specificity 71–81%) did not report complaints in the questionnaire. We conclude that the questionnaire approach gives a fairly good picture of the neck/upper extremity status of a working female population. However, a clear view of the size of a problem is obtained only by a detailed clinical examination, particularly as regards the neck, elbows and hands, for which the questionnaire gave an underestimate.     

Hand cumulative trauma disorders in Nigerian custom tailors: the need for redesign of manual scissors

Cutting scissors are important working tools for Nigerian custom tailors (CTs) but its usage apparently does not meet the ergonomics need of these artisans. A survey was carried out amongst CTs using questionnaires to obtain their background social-occupational demographics and observation methods to study their work performance, use of scissors and any cumulative trauma disorder (CTD) in their hands. Thicknesses of various fabrics were measured and comparison between Western world's custom tailoring job and the Nigerian type was done. The results showed some CTD risk factors with finger contusions on the 71 CTs evaluated. The right-hand contusions were traced to the constant usage of unpadded manual scissors with ungloved hands. Disparity between Western and Nigerian tailoring practice may account for the high occurrence of disorders in Nigerian CTs. Since hand dimensions are crucial in the design of hand tools, it is therefore concluded that hand anthropometry of Nigerian CTs and soft padding of manual scissors may mitigate CTD burdens on CTs' hands.     

Associations of office workers’ objectively assessed occupational sitting,standing and stepping time with musculoskeletal symptoms

We examined the association of musculoskeletal symptoms (MSS) with workplace sitting, standing and stepping time, as well as sitting and standing time accumulation (i.e. usual bout duration of these activities), measured objectively with the activPAL3 monitor. Using baseline data from the Stand Up Victoria trial (216 office workers, 14 workplaces), cross-sectional associations of occupational activities with self-reported MSS (low-back, upper and lower extremity symptoms in the last three months) were examined using probit regression, correcting for clustering and adjusting for confounders. Sitting bout duration was significantly (p < 0.05) associated, non-linearly, with MSS, such that those in the middle tertile displayed the highest prevalence of upper extremity symptoms. Other associations were non-significant but sometimes involved large differences in symptom prevalence (e.g. 38%) by activity. Though causation is unclear, these non-linear associations suggest that sitting and its alternatives (i.e. standing and stepping) interact with MSS and this should be considered when designing safe work systems.

Practitioner summary: We studied associations of objectively assessed occupational activities with musculoskeletal symptoms in office workers. Workers who accumulated longer sitting bouts reported fewer upper extremity symptoms. Total activity duration was not significantly associated with musculoskeletal symptoms. We underline the importance of considering total volumes and patterns of activity time in musculoskeletal research.     

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.     

Digital vibration threshold testing and ergonomic stressors in automobile manufacturing workers: a cross-sectional assessment

Upper extremity musculoskeletal disorders (UEMSDs) comprise a large proportion of work-related illnesses in the USA. Physical risk factors including manual force and segmental vibration have been associated with UEMSDs. Reduced sensitivity to vibration in the fingertips (a function of nerve integrity) has been found in those exposed to segmental vibration, to hand force, and in office workers. The objective of this study was to determine whether an association exists between digital vibration thresholds (VTs) and exposure to ergonomic stressors in automobile manufacturing. Interviews and physical examinations were conducted in a cross-sectional survey of workers (n = 1174). In multivariable robust regression modelling, associations with workers' estimates of ergonomic stressors stratified on tool use were determined. VTs were separately associated with hand force, vibration as felt through the floor (whole body vibration), and with an index of multiple exposures in both tool users and non-tool users. Additional associations with contact stress and awkward upper extremity postures were found in tool users. Segmental vibration was not associated with VTs. Further epidemiologic and laboratory studies are needed to confirm the associations found. The association with self-reported whole body vibration exposure suggests a possible sympathetic nervous system effect, which remains to be explored.     

基于遮挡检测和多块位置信息融合的分块目标跟踪算法

目标跟踪无法有效判断目标何时被遮挡以及同时配合模板更新.针对这一问题,文中提出基于遮挡检测和多块位置信息融合的分块目标跟踪算法.首先,将目标区域分成4个子块,结合目标整体,利用遮挡具有从局部开始和方向性的特点,计算各分块间相关值的比值,判断目标是否遮挡及遮挡部位.再根据目标是否遮挡,采用不同的更新方式.最后,根据未被遮挡的各个分块位置信息确定最终目标的位置.在数据集上的实验表明,文中算法可以有效判定目标是否存在遮挡,并提升遮挡情况下的跟踪效果.