Perception of surface pressure applied to the hand

The study aimed to determine the relationship between the physical magnitude and the subjective perception of applied pressure, and to determine discomfort and pain thresholds. Free modulus magnitude estimation of the subjective pressure level was made on three points: on the finger, the palm and the thenar area. The pressure was judged to be higher at the thenar point than at the finger and palm points. The slopes of the linear functions (log magnitude estimates as a function of log pressure) were 0.66, 0.78 and 0.76 for the finger, palm and thenar points respectively. The discomfort threshold was 38% of the pain pressure threshold at the finger point, 40% at the palm and 22% at the thenar point. The results are probably of importance in the performance of hand-intensive work, in particular in the design of hand tools.     

The effects of work pace on within-participant and between-participant keying force,electromyography, and fatigue

A laboratory study was conducted to determine the effects of work pace on typing force, electromyographic (EMG) activity, and subjective discomfort. We found that as participants typed faster, their typing force and finger flexor and extensor EMG activity increased linearly. There was also an increase in subjective discomfort, with a sharp threshold between participants' self-selected pace and their maximum typing speed. The results suggest that participants self-select a typing pace that maximizes typing speed and minimizes discomfort. The fastest typists did not produce significantly more finger flexor EMG activity but did produce proportionately less finger extensor EMG activity compared with the slower typists. We hypothesize that fast typists may use different muscle recruitment patterns that allow them to be more efficient than slower typists at striking the keys. In addition, faster typists do not experience more discomfort than slow typists. These findings show that the relative pace of typing is more important than actual typing speed with regard to discomfort and muscle activity. These results suggest that typists may benefit from skill training to increase maximum typing speed. Potential applications of this research includes skill training for typist.     

Sitting comfort and discomfort and the relationships with objective measures

The concepts of comfort and discomfort in sitting are under debate. There is no widely accepted definition, although it is beyond dispute that comfort and discomfort are feelings or emotions that are subjective in nature. Yet, beside several subjective methodologies, several objective methods (e.g. posture analysis, pressure measurements, electromyography (EMG) are in use to assess sitting comfort or discomfort. In the current paper a theoretical framework is presented, in which comfort and discomfort were defined and the hypothetical associations with underlying factors were indicated. Next, the literature was reviewed to determine the relationships between objective measures and subjective ratings of comfort and discomfort. Twenty-one studies were found in which simultaneous measures of an objective parameter and a subjective rating of comfort or discomfort were obtained. Pressure distribution appears to be the objective measure with the most clear association with the subjective ratings. For other variables, regarding spinal profile or muscle activity for instance, the reported associations are less clear and usually not statistically significant.     

Effects of aircraft seat pitch on interface pressure and passenger discomfort

Seat pitch, defined as the distance from a point on the back of one seat to the same point on the seat in front, is one of the most important factors influencing aircraft seating comfort. This study assessed the influence of different airline seat pitches on subjective ratings of discomfort and body-seat interface contact pressures. This was a laboratory within-subjects study using an aircraft interior mock up to vary seat pitch. Twelve participants completed 1 h of sitting in each of five different seat pitches (28inches, 30inches, 32inches, 34inches, and 36inches). Interface pressure mats measured seat and backrest pressure distribution, subjective rating scales were used to measure overall and local body region discomfort. The results showed that overall body and local body region discomfort ratings tend to be lower when the seat pitch increased from 28 inches to 36 inches (p < 0.05). For pressure variables, the upper back average contact area, upper/lower back average contact pressure, upper/lower back average peak contact pressure, right buttock average contact area, left/right thigh buttock average peak contact pressure, and left buttock average peak contact pressure were significantly affected by seat pitch(p < 0.05). Separate analyses support that seat pitch was more strongly correlated with backrest interface pressure than with seat pan pressure. In conclusion, seat pitch was found to be an important factor associated with body-seat contact pressure and discomfort ratings.     

Sensitivity of the hand to surface pressure

A new method of measuring pain-pressure threshold (PPT) of the hand has been developed. Externally applied surface pressure (EASP) was exerted at a certain rate of increase and the level where the feeling of pressure turned into pain was recorded. Also, the effects of sustained EASP were elucidated. Sixteen healthy right-handed subjects (eight female, eight male) participated. The distribution of the hand's sensitivity to EASP is presented. The most sensitive areas were the thenar area, the skinfold between thumb and index finger and the area around os pisiforme. When the hand was repeatedly exposed to EASP, the PPT decreased with increasing number of pressure incidents. For sustained EASP, the time of exposure was found to be important also for the quality of the sensation. Our results show that sustained EASP does not hurt at once, but becomes painful after a short time. On average, the female PPT corresponded to two-thirds of the male PPT. Females experienced pain faster than males when exposed to sustained EASP, and chose lower levels when estimating acceptable sustained EASP.     

Evaluation of total grip strength and individual finger forces on opposing (A-type) handles among Koreans

The present study evaluated the effect of grip span on finger forces and defined the best grip span for maximising total grip strength based on the finger forces and subjective discomfort in a static exertion. Five grip spans (45, 50, 55, 60 and 65 mm) of the opposing (A-type) handle shape were tested in this study to measure total grip strength and individual finger force among Korean population. A total of 30 males who participated in this study were asked to exert a maximum grip force with two repetitions, and to report the subjective discomfort experienced between exertions using the Borg's CR-10 scale. The highest grip strength was obtained at 45 mm and 50 mm grip spans. Results also showed that forces of all fingers, except for the middle finger force, significantly differed over the grip spans. The lowest subjective discomfort was observed in the 50 mm grip span. The results might be used as development guidelines for ergonomic opposing (A-type) hand tools for Korean population.     

Individual finger contribution in submaximal voluntary contraction of gripping

The objective of this study was to evaluate individual finger force and contribution to a gripping force, the difference between actual and expected finger forces and subjective discomfort rating at 10 different submaximal voluntary contraction (%MVC) levels (10-100% in 10 increments). Seventy-two participants randomly exerted gripping force with a multi-finger force measurement system. The individual finger force, gripping force and discomfort increased as %MVC levels increased. The middle and ring fingers exerted more force and contributed to a gripping force more than the index and little fingers due to their larger mass fractions of the digit flexor muscles. It was apparent at <50% MVC; however, the index finger increased its contribution and exerted even more force than expected at more than 50% MVC. Subjective discomfort supported the results of the objective measures. This could explain the conflicting findings between index and ring fingers in previous finger contribution studies. STATEMENT OF RELEVANCE: Hand tool design is of special interest in ergonomics due to its association with musculoskeletal disorders in the hand. This study reveals a different contribution pattern of the fingers in submaximal voluntary contraction of gripping exertion.     

基于Kinect的指尖检测与手势识别方法

针对基于视频的弯曲指尖点识别难、识别率不高的问题,提出一种基于深度信息、骨骼信息和彩色信息的手势识别方法。该方法首先利用Kinect相机的深度信息和骨骼信息初步快速判定手势在彩色图像中所在的区域,在该区域运用YCrCb肤色模型分割出手势区域;然后计算手势轮廓点到掌心点的距离并生成距离曲线,设定曲线波峰与波谷的比值参数来判定指尖点;最后结合弯曲指尖点特征和最大内轮廓面积特征识别出常用的12个手势。实验结果验证阶段邀请了6位实验者在相对稳定的光照环境条件下来验证提出的方法,每个手势被实验120次,12种手势的平均识别率达到了97.92%。实验结果表明,该方法能快速定位手势并准确地识别出常用的12种手势,且识别率较高。     

Individual finger contribution in submaximal voluntary contraction of gripping

The objective of this study was to evaluate individual finger force and contribution to a gripping force, the difference between actual and expected finger forces and subjective discomfort rating at 10 different submaximal voluntary contraction (%MVC) levels (10–100% in 10 increments). Seventy-two participants randomly exerted gripping force with a multi-finger force measurement system. The individual finger force, gripping force and discomfort increased as %MVC levels increased. The middle and ring fingers exerted more force and contributed to a gripping force more than the index and little fingers due to their larger mass fractions of the digit flexor muscles. It was apparent at <50% MVC; however, the index finger increased its contribution and exerted even more force than expected at more than 50% MVC. Subjective discomfort supported the results of the objective measures. This could explain the conflicting findings between index and ring fingers in previous finger contribution studies.

Statement of Relevance: Hand tool design is of special interest in ergonomics due to its association with musculoskeletal disorders in the hand. This study reveals a different contribution pattern of the fingers in submaximal voluntary contraction of gripping exertion.     

基于指形凹点和凸点的手形图像校正方法

手形识别是基于手形生物特征提取和匹配的人体生物特征识别技术之一。针对传统手形识别技术中的手形矫正方法无法完全排除噪声干扰和识别起始点定位错误的问题,提出一种基于手形凹点和凸点的手形矫正方法的方法。该方法通过提取手性的外侧轮廓,自适应的检测手形中手指的凹凸特征点,克服了背景噪声和手形原始图像中手指识别起始点定位错误。然后利用得到的指形凹凸特征点对手形图像进行位置和方向矫正。     

Quantitative prediction of overall seat discomfort

Static seat characteristics (seat stiffness) and dynamic seat characteristics (vibration magnitude) can both influence judgements of seat comfort. It is proposed that seat comfort can be predicted on the basis of Steven's psychophysical law: psi = kphi(n), where psi is a sensation magnitude, phi is the stimulus magnitude and k is a constant. The law is modified to: psi = a + bphis[n(s)] + cphiv[n(v)], where phis and phiv represent seat stiffness and vibration magnitude, n(s) and n(v) are exponents determined by the rate of increase in discomfort associated with the stiffness and vibration magnitude, and a, b and c are constants. The stiffness of foam loaded to 490 N may indicate static seat comfort, while the vibration dose value (VDV) on the seat surface may indicate vibration discomfort. Two experiments with 20 subjects investigated this approach. The first experiment with five magnitudes of vibration, three foams and a rigid wooden flat seat yielded 0.929 for the exponent, n(v), for VDV. In the second experiment subjects judged the overall seat discomfort while exposed six vibration magnitudes with the same four seating conditions. This experiment yielded 1.18 for the exponent, n(s), for seat stiffness. The overall prediction of seat discomfort was given by: psi = -50.3 + 2.68phis1.18 + 101phiv0.929. The prediction equation provided more accurate estimates of subject discomfort than models using either the VDV alone or the stiffness alone, especially when the vibration magnitude was low or the seats were similar. An interaction variable between the VDV and the stiffness slightly improved the prediction. The equivalence of the two stimuli was given by log10 (stiffness) = 0.787 log10 (VDV) + 1.34, or log10 (VDV) = 1.27 log10 (stiffness) - 1.70.     

Short term and long term effects of enhanced auditory feedback on typing force,EMG, and comfort while typing

Two studies were conducted to determine the effects of enhanced auditory feedback on typing force, electromyography (EMG) and subjective discomfort. The introduction of enhanced auditory feedback caused a 10-20% reduction in 90th percentile typing force, finger flexor EMG, and finger extensor EMG. Adaptation to the enhanced auditory feedback occurred in <3 min. After 1 week of intermittent enhanced auditory feedback there were no differences in typing force or EMG while subjects were typing with or without the enhanced auditory feedback. The continued use of auditory feedback did not further reduce the levels of typing force or EMG after 1 or 2 weeks of exposure.     

Will musculoskeletal and visual stress change when Visual Display Unit (VDU) operators move from small offices to an ergonomically optimized office landscape?

This study investigated the effect of moving from small offices to a landscape environment for 19 Visual Display Unit (VDU) operators at Alcatel Denmark AS. The operators reported significantly improved lighting condition and glare situation. Further, visual discomfort was also significantly reduced on a Visual Analogue Scale (VAS). There was no significant correlation between lighting condition and visual discomfort neither in the small offices nor in the office landscape. However, visual discomfort correlated significantly with glare in small offices i.e. more glare is related to more visual discomfort. This correlation disappeared after the lighting system in the office landscape had been improved. There was also a significant correlation between glare and itching of the eyes as well as blurred vision in the small offices, i.e. more glare more visual symptoms. Experience of pain was found to reduce the subjective assessment of work capacity during VDU tasks. There was a significant correlation between visual discomfort and reduced work capacity in small offices and in the office landscape. When moving from the small offices to the office landscape, there was a significant reduction in headache as well as back pain. No significant changes in pain intensity in the neck, shoulder, forearm, and wrist/hand were observed.The pain levels in different body areas were significantly correlated with subjective assessment of reduced work capacity in small offices and in the office landscape.By careful design and construction of an office landscape with regard to lighting and visual conditions, transfer from small offices may be acceptable from a visual-ergonomic point of view.     

A comparison of forearm and thumb muscle electromyographic responses to the use of laparoscopic instruments with either a finger grasp or a palm grasp

Laparoscopic techniques allow for less-invasive treatment of common surgical problems. Laparoscopic instruments are different from standard surgical instruments and generally incorporate a pistol-grip handle configuration with rings for the fingers. This handle configuration has been reported as being uncomfortable, leading to finger compression neuropathies in some cases. As an alternative, the surgeon can choose to grasp laparoscopic instruments using a more powerful palm grip during grasping motions. This study evaluates the hypothesis that the use of the palm grip requires less muscle tension than the finger-grip when grasping with laparoscopic instruments. Nine general surgeons used an Autosuture laparoscopic grasper with a ringed pistol-grip handle held in both a finger-in-ring (F) or palm (P) hand grip position to grasp and close two spring-loaded metal plates. The same task was performed with a surgical haemostat clamp (H) for comparison. Each subject performed the grasping task in a random sequence for the three instrument configurations at two grasping forces levels (0.7 and 4.2 N), and with the instrument at three angles to the subjects' sagittal plane (0 degree, 45 degrees and 90 degrees). Surface electromyographic (EMG) signals were acquired from the flexor carpi ulnaris (FCU), flexor digitorum profundus (FDP), flexor digitorum superficialis (FDS), extensor carpi ulnaris (ECU), extensor digitorum comunis (EDC) and the thenar compartment (TH). The peak root mean squared (RMS) EMG voltage was averaged for five repetitions at each instrument, force and angle condition. Statistical analysis was carried out by repeated measures ANOVA. The muscle EMG RMS amplitude while using the palm grip was decreased in the FDS, TH and EDC, was unchanged in the ECU and FCU, and was slightly higher in the FDP when compared with the finger grip. These differences were most prominent at 90 degrees to the sagittal plane where the subjects' wrists neared maximal flexion. It is concluded that the palm grip is more powerful than the finger grip when grasping with laparoscopic instruments, particularly at angles perpendicular to the surgeon's sagittal plane.     

Sitting comfort and discomfort and the relationships with objective measures

The concepts of comfort and discomfort in sitting are under debate. There is no widely accepted definition, although it is beyond dispute that comfort and discomfort are feelings or emotions that are subjective in nature. Yet, beside several subjective methodologies, several objective methods (e.g. posture analysis, pressure measurements, electromyography (EMG) are in use to assess sitting comfort or discomfort. In the current paper a theoretical framework is presented, in which comfort and discomfort were defined and the hypothetical associations with underlying factors were indicated. Next, the literature was reviewed to determine the relationships between objective measures and subjective ratings of comfort and discomfort. Twenty-one studies were found in which simultaneous measures of an objective parameter and a subjective rating of comfort or discomfort were obtained. Pressure distribution appears to be the objective measure with the most clear association with the subjective ratings. For other variables, regarding spinal profile or muscle activity for instance, the reported associations are less clear and usually not statistically significant.     

Ergonomic design of beverage can lift tabs based on numerical evaluations of fingertip discomfort

This paper introduces finite element analyses to evaluate numerically and objectively the feelings in the fingertip when opening aluminum beverage cans, in order to design the shape of the tab. Experiments of indenting vertically the fingertip pulp by a probe and by tabs of aluminum beverage can ends have allowed us to observe force responses and feelings in the fingertip. It was found that a typical force-displacement curve may be simplified as a combination of three curves with different gradients. Participants feel a touch at Curve 1 of the force-displacement curve, then feel a pressure and their pulse at Curve 2, finally feel discomfort followed by a pain in the fingertip at Curve 3. Finite element analyses have been performed to simulate indenting the tab with the fingertip vertically to confirm that the simulation results agree well with the experimental observations. Finally, numerical simulations of the finger pulling up the tab of the can end has also been performed and discomfort in the fingertip has been related to the maximum value of the contact stress of the finger model. Comparisons of three designs of tab ring shape showed that the tab with a larger contact area with finger is better.     

Subjective perceptions of load carriage on the head and back in Xhosa women

The purpose of this study was to compare the subjective perceptual responses to both head-loading and back-loading in a group of Xhosa women. Thirty two women were divided into three groups based on their experience of head-loading and walked on a treadmill on two occasions, head-loading and back-loading, at a self selected walking speed for 4 min with a variety of loads until pain or discomfort caused the test to be terminated or a load of 70% body mass was successfully carried. After each workload there was a 1 min rest period during which the women indicated feelings of pain or discomfort in particular areas of the body via visual analogue scales. At the end of each test the women were asked to complete further questionnaires relating to pain and discomfort and on completion of the second test were also asked to compare the two loading conditions. Finally the women were interviewed to establish their history of load carriage and associated pain and discomfort. The data indicate that whilst back-loading was generally associated with more areas of discomfort than head-loading, the pain and discomfort in the neck associated with head-loading was the predominant factor in the termination of tests and that this was independent of head-loading experience. This early termination meant that, on average, the women could carry greater loads on their backs than on their heads. The study suggests that further work needs to be carried out to establish viable alternatives to head-loading for rural dwellers in Africa.     

Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking

Studying the impact of high-heeled shoes on kinetic changes and perceived discomfort provides a basis to advance the design and minimize the adverse effects on the human musculoskeletal system. Previous studies demonstrated the effects of inserts on kinetics and perceived comfort in flat or running shoes. No study attempted to investigate the effectiveness of inserts in high heel shoes. The purpose of this study was to determine whether increasing heel height and the use of shoe inserts change foot pressure distribution, impact force, and perceived comfort during walking. Ten healthy females volunteered for the study. The heel heights were 1.0cm (flat), 5.1cm (low), and 7.6cm (high). The heel height effects were examined across five shoe-insert conditions of shoe only; heel cup, arch support, metatarsal pad, and total contact insert (TCI). The results indicated that increasing heel height increases impact force (p<0.01), medial forefoot pressure (p<0.01), and perceived discomfort (p<0.01) during walking. A heel cup insert for high-heeled shoes effectively reduced the heel pressure and impact force (p<0.01), an arch support insert reduced the medial forefoot pressure, and both improved footwear comfort (p<0.01). In particular, a TCI reduced heel pressure by 25% and medial forefoot pressure by 24%, attenuate the impact force by 33.2%, and offered higher perceived comfort when compared to the non-insert condition.     

The effects of tool handle shape on hand performance,usability and discomfort using masons' trowels

The effects of five new different handle shapes on hand performance capabilities, usability and discomfort, and also the relationship between these variables were evaluated in the context of masonry work and using masons’ trowels as an exemplar hand tool. The prototype handles were designed to provide different patterns of grip so that they could be suited to the hand/tool interaction in particular hand areas. The results showed significant effect of tool handle shape on the hand grip effort, usability, and hand and finger discomfort assessments, but not on the time to complete the masonry task. The hand grip effort and usability were negatively correlated with subjective assessment of hand and finger discomfort, so that a lower level of hand and finger discomfort corresponded to higher hand grip exertion and usability. These findings provide a better insight into the performance and usability issues when using hand tools which can be applied by tool manufacturers to improve industrial hand tool design.Relevance to industryThese findings present a unique insight into the handle design for industrial hand tool use and support the general conclusion that objective measurements should be supplemented by qualitative subjective assessments to provide a more holistic approach where specific and additional details about the hand tool design characteristics are incorporated from the workers' perspective.     

Pressure thresholds of the human foot: measurement reliability and effects of stimulus characteristics

Information related to reliable values of discomfort thresholds can help to improve the designs of various products. This study aimed to investigate the measurement reliabilities associated with pressure thresholds, while determining the effects of stimulus characteristics (stimulus area, indentation speed) of the human foot. An indentation apparatus was used with four sizes of indentation probes and three indentation speeds. In total, 13 locations on the right foot of 10 male and 10 female participants were tested to determine the pressure discomfort thresholds (PDT) and pressure pain thresholds (PPT). Results show that the tests had very good measurement reliability with intra-class correlations (ICC) greater than 0.8 for the PPT measurements and acceptable reliability (most ICC?>?0.75, with a few between 0.5 and 0.75) for the PDT measurements, demonstrating that participants are capable of judging their pain and discomfort thresholds. Pressure sensitivity differs across locations of the foot, with the medial plantar arch of the foot being the most sensitive, followed by the dorsal surface of the foot. The heel area was the least sensitive. PPT and PDT are dependent on the stimulus characteristics of the area and the speed of indentation. A smaller area has a higher PPT and PDT, indicating significant effects of spatial summation. The increase of PDT and PPT at higher speeds may be partially explained by the increase in stiffness because foot tissue exhibits viscoelastic properties. The findings can have a significant impact on the design of footwear and other accessories for improved foot health and comfort. Statement of Relevance: This study investigated the threshold measurement reliability while determining the pressure sensitivity on the surface of the foot with varying stimulus characteristics. The findings may be very useful in the design of footwear and other accessories for improved comfort and reduced injuries.