Motor performance patterns between unilateral mechanical assistance and bilateral muscle contraction

Motor performance patterns for mechanical assistance on unilateral force control can be affected by simultaneous muscle contraction. This study investigated how muscle activity and motor performance during the cooperation between dominant-arm force control and assistive force are affected by simultaneous non-dominant arm muscle contraction with inertial loading. Eleven participants (age: 24.1 ± 1.7 years) performed trajectory-tracking task based on visual feedback of real-time isometric force control. Their force for dominant-arm elbow flexion was released from reference magnitude of 47 N to magnitude of 23.5 N by providing mechanical assistance of a linear actuator. A 47 N of inertial loading on non-dominant arm elbow flexion was conditionally provided. For four time epochs of the experimental task, we measured responses of the assisted arm in terms of: (1) surface electromyography (EMG) amplitudes of biceps brachii and triceps brachii muscles, (2) peak perturbation, and (3) motor performance of force variability and target overshoot during manual force output. Simultaneous loading on unassisted arm did not affect peak perturbation of assisted arm. However, it caused lower force variability and overshoot ratio during the time epoch of force release and higher EMG amplitudes of biceps brachii muscle during the time epochs after mechanical assistance is provided, compared to the non-loaded condition. Our results indicate that simultaneous muscle contraction affects unilateral force control with mechanical assistance aimed at enhancing motor performance by creating extra agonist muscle activity. These findings can be utilized for improving the performance of human-robot cooperation during manual material handling in many industrial sites.     

Upper limb discomfort profile due to intermittent isometric pronation torque at different postural combinations of the shoulder-arm system

Twenty-seven right-handed male university students participated in this study, which comprised a full factorial model consisting of three forearm rotation angles (60% prone and supine and neutral range of motion), three elbow angles (45°, 90° and 135°), three upper arm angles (45° flexion/extension and neutral), one exertion frequency (15 per min) and one level of pronation torque (20% maximum voluntary contraction (MVC) relative to MVC at each articulation). Discomfort rating after the end of each 5 min treatment was recorded on a visual analogue scale. Results of a repeated measures analysis of covariance on discomfort score, with torque endurance time as covariate, indicated that none of the factors was significant including torque endurance time (p = 0.153). An initial data collection phase preceded the main experiment in order to ensure that participants exerted exactly 20% MVC of the particular articulation. In this phase MVC pronation torque was measured at each articulation. The data revealed a significant forearm rotation angle effect (p = 0.001) and participant effect (p = 0.001). Of the two-way interactions, elbow?participant (p = 0.004), forearm?participant (p = 0.001) and upper arm?participant (p = 0.005) were the significant factors. Electromyographic activity of the pronator teres and biceps brachii muscles revealed no significant change in muscle activity in most of the articulations. Industrial jobs involving deviated upper arm postures are typical in industry but have a strong association with injury. Data from this study will enable better understanding of the effects of deviated upper arm postures on musculoskeletal disorders and can also be used to identify and control high-risk tasks in industry.     

Effects of combined wrist flexion/extension and forearm rotation and two levels of relative force on discomfort

This study investigated perceived discomfort in an isometric wrist flexion task. Independent variables were wrist flexion/extension (55%, 35% flexion, neutral, 35% and 55% extension ranges of motion (ROM)), forearm rotation (60%, 30% prone, neutral, 30% and 60% supine ROM) and two levels of flexion force (10% and 20% maximum voluntary contraction (MVC)). Discomfort was significantly affected by flexion force, forearm rotation and a two-way interaction of force with forearm rotation (each p < 0.05). High force for 60%ROM forearm pronation and supination resulted in increasingly higher discomfort for these combinations. Flexion forces were set relative to the MVC in each wrist posture and this appears to be important in explaining a lack of significant effect (p = 0.34) for flexion/extension on discomfort. Regression equations predicting discomfort were developed and used to generate iso-discomfort contours, which indicate regions where the risk of injury should be low and others where it is likely to be high. Regression equations predicting discomfort and iso-discomfort contours are presented, which indicate combinations of upper limb postures for which discomfort is predicted to be low, and others where it is likely to be high. These are helpful in the study of limits for risk factors associated with upper limb musculoskeletal injury in industry.     

Optimal location of the tablet for typing while listening to a song

Tablets are much heavier than smartphones and able to bring more musculoskeletal disorders in the upper extremities. The aim of this study was to understand the effects of tablet location on the recruitment of muscles in the neck and upper extremities. Fifteen healthy volunteers typed the lyrics while listening to a song at three tablet locations for 5 min. An iPad 2 was randomly located at one of the levels with 70, 90, and 130 degrees of elbow flexion in sitting. Typing duration, frequency of typing error, perceived levels of fatigue, and subjective position preferences were recorded and recruitment of muscles in the neck and upper extremities was measured. Muscle recruitment of three parts of the trapezius and biceps brachii decreased and use of the levator scapula increased as the vertical level of the tablet heightened. Self‐reported discomfort increased significantly in the neck, upper back, shoulders, elbows, and wrists over time regardless of the tablet location. The table location affected the self‐reported discomfort only at the elbow joints. Subjective preference was highest at the lowest tablet location with the 130‐degree elbow flexion. The vertical levels of the tablet and typing duration independently affected the muscle recruitment and self‐reported discomfort. Findings of this study can be helpful for tablet users in preventing musculoskeletal disorders in the upper extremities.     

The effect of fatigue on trunk muscle activation patterns and spine postures during simulated firefighting tasks

The purpose of this study was to determine the effect of a fatiguing task (3 min intense stair climbing) on the adopted spinal postures and trunk muscular activation patterns during three highly physically demanding simulated firefighting tasks. Following the fatigue protocol, it was observed that individuals adopted significantly greater spinal flexion (16.3° maximum prior to fatigue as compared to 20.1° post fatigue) and displayed reduced abdominal muscle activation as compared to before the fatigue protocol (mean ranging from 16.6% maximum voluntary contraction (MVC) to 30.6% MVC prior to fatigue as compared to ranging from 14.6% MVC to 25.2% MVC post fatigue). The reduced abdominal activation may be due to a reduction in co-contraction during these tasks, which may compromise spinal stability. Reduced co-contraction combined with the increased spinal flexion may increase the risk of sustaining an injury to the low back.     

Differentiating types of muscle movements using a wavelet based fuzzy clustering neural network

Abstract: The electromyographic signals observed at the surface of the skin are the sum of many small action potentials generated in the muscle fibres. After the signals are processed, they can be used as a control source of multifunction prostheses. The myoelectric signals are represented by wavelet transform model parameters. For this purpose, four different arm movements (elbow extension, elbow flexion, wrist supination and wrist pronation) are considered in studying muscle contraction. Wavelet parameters of myoelectric signals received from the muscles for these different movements were used as features to classify the electromyographic signals in a fuzzy clustering neural network classifier model. After 1000 iterations, the average recognition percentage of the test was found to be 97.67% with clustering into 10 features. The fuzzy clustering neural network programming language was developed using Pascal under Delphi.     

The effects of shoulder load and pinch force on electromyographic activity and blood flow in the forearm during a pinch task

The object of the current study was to determine whether static contraction of proximal musculature has an effect on the blood flow more distally in the upper extremity. Static contractions of muscles in the neck shoulder region at three levels (relaxed, shoulders elevated and shoulders elevated loaded with 4.95 kg each) were combined with intermittent pinch forces at 0, 10 and 25% of the maximum voluntary contraction (MVC). Blood flow to the forearm was measured with Doppler ultrasound. Myoelectric activity of the forearm and neck-shoulder muscles was recorded to check for the workload levels. Across all levels of shoulder load, blood flow increased significantly with increasing pinch force (21% at 10% MVC and by 44% at 25% MVC). Blood flow was significantly affected by shoulder load, with the lowest blood flow at the highest shoulder load. Interactions of pinch force and shoulder load were not significant. The myoelectric activity of forearm muscles increased with increasing pinch force. The activation of the trapezius muscle decreased with increasing pinch force and increased with increasing shoulder load. The precise mechanisms accounting for the influence of shoulder load remains unclear. The results of this study indicate that shoulder load might influence blood flow to the forearm.     

The effect of fatigue on trunk muscle activation patterns and spine postures during simulated firefighting tasks

The purpose of this study was to determine the effect of a fatiguing task (3 min intense stair climbing) on the adopted spinal postures and trunk muscular activation patterns during three highly physically demanding simulated firefighting tasks. Following the fatigue protocol, it was observed that individuals adopted significantly greater spinal flexion (16.3 degrees maximum prior to fatigue as compared to 20.1 degrees post fatigue) and displayed reduced abdominal muscle activation as compared to before the fatigue protocol (mean ranging from 16.6% maximum voluntary contraction (MVC) to 30.6% MVC prior to fatigue as compared to ranging from 14.6% MVC to 25.2% MVC post fatigue). The reduced abdominal activation may be due to a reduction in co-contraction during these tasks, which may compromise spinal stability. Reduced co-contraction combined with the increased spinal flexion may increase the risk of sustaining an injury to the low back.     

The effects of shoulder load and pinch force on electromyographic activity and blood flow in the forearm during a pinch task

The object of the current study was to determine whether static contraction of proximal musculature has an effect on the blood flow more distally in the upper extremity. Static contractions of muscles in the neck shoulder region at three levels (relaxed, shoulders elevated and shoulders elevated loaded with 4.95 kg each) were combined with intermittent pinch forces at 0, 10 and 25% of the maximum voluntary contraction (MVC). Blood flow to the forearm was measured with Doppler ultrasound. Myoelectric activity of the forearm and neck-shoulder muscles was recorded to check for the workload levels. Across all levels of shoulder load, blood flow increased significantly with increasing pinch force (21% at 10% MVC and by 44% at 25% MVC). Blood flow was significantly affected by shoulder load, with the lowest blood flow at the highest shoulder load. Interactions of pinch force and shoulder load were not significant. The myoelectric activity of forearm muscles increased with increasing pinch force. The activation of the trapezius muscle decreased with increasing pinch force and increased with increasing shoulder load. The precise mechanisms accounting for the influence of shoulder load remains unclear. The results of this study indicate that shoulder load might influence blood flow to the forearm.     

ERGONOMICS INTERNATIONAL

The effects of seven weeks of eccentric or concentric muscle conditioning on muscle tension and. integrated electrical activity (IEMG) were investigated on human subjects by using a special electrical dynamometer as a testing and training apparatus. The eccentric conditioning caused, on the average, a greater improvement in muscle tension than did the concentric conditioning. In early conditioning those in the eccentric group experienced soreness in their exercised muscles. This caused a concomitant drop in maximum strength. After the disappearance of pain symptoms, ability to develop tension increased in a linear fashion. Neither method was able to cause statistically significant changes in the maximum IEMG associated with any type of muscle contraction. The regression lino expressing the relationship between IEMG ( μ.v. per sec.) and isometric tension (in percent of maximal voluntary contraction) was parabolic. In this relationship muscle conditioning failed to cause any significant changes in IEMG per unit of tension. Although the IEMG changes due to conditioning were somewhat different in the two experimental groups, it could not be established that either type of conditioning caused increase in the desynchronized firing of motor units.     

Peak activation of lower limb musculature during high flexion kneeling and transitional movements

Few studies have measured lower limb muscle activation during high knee flexion or investigated the effects of occupational safety footwear. Therefore, our understanding of injury and disease mechanisms, such as knee osteoarthritis, is limited for these high-risk postures. Peak activation was assessed in eight bilateral lower limb muscles for twelve male participants, while shod or barefoot. Transitions between standing and kneeling had peak quadriceps and tibialis anterior (TA) activations above 50% MVC. Static kneeling and simulated tasks performed when kneeling had peak TA activity above 15% MVC but below 10% MVC for remaining muscles. In three cases, peak muscle activity was significantly higher (mean 8.9% MVC) when shod. However, net compressive knee joint forces may not be significantly increased when shod. EMG should be used as a modelling input when estimating joint contact forces for these postures, considering the activation levels in the hamstrings and quadriceps muscles during transitions.

Practitioner Summary: Kneeling transitional movements are used in activities of daily living and work but are linked to increased knee osteoarthritis risk. We found peak EMG activity of some lower limb muscles to be over 70% MVC during transitions and minimal influence of wearing safety footwear.     

The effect of upper-extremity posture on maximum grip strength

The objective of this study was to determine and document the position of peak grip strength in different shoulder, elbow, and wrist posture combinations. Fifteen (15) male subjects performed maximal exertions with their dominant hands in nine wrist postures, three elbow postures, and two shoulder postures. Analysis of the data revealed that shoulder and elbow angles had significant effect upon the grip strength. Similarly, it was seen that grip strength at elbow at 135 degrees flexion was significantly different from those with elbow at 90 and 180 degrees. Further, the results revealed that peak grip strength occurred at a combined posture of shoulder abducted 0 degrees, elbow flexed 135 degrees, and the wrist in the neutral posture. Decrements of up to 42% in grip strength could be seen as elbow and wrist angles deviated. This means that use of handtools at deviated postures of shoulder, elbow, and wrist would decrease the percent of MVC at which a worker operated. Hence, the implementation of the finding of this study might be a reduction in the risk of injury, increase in productivity, and well-being of the workers.     

Strength,endurance and fatigue response of rotator cuff muscles during isometric exertions

Among the shoulder musculoskeletal disorders (MSDs), rotator cuff disorders are prevalent and known to substantially limit an individual's strength and ability to work. Despite the frequency and cost of rotator cuff injuries, very little research has been done on understanding the load response relationship of rotator cuff muscles. Therefore, this study was aimed at evaluating the strength, endurance and fatigue response of rotator cuff muscles. As a first step, strengths of Supraspinatus, Infraspinatus, and Teres Minor were measured for ten healthy male participants using muscle specific Maximum Voluntary Contractions (MVC). Then, endurance time and surface Electromyography (EMG) data were recorded during 15%, 30%, 45%, and 60% MVC exertions. Infraspinatus exhibited the highest strength followed by Teres Minor and Supraspinatus. Despite the strength differences, small variations were observed in the endurance time between the muscles. The effect of %MVC exertions on endurance time, average muscle activity and muscle fatigue were statistically significant. Median frequency decreased and muscle activation increased with an increase in force exertion levels; however, the changes observed for an increase in the exertion level from 15% to 30% MVC were much higher than the changes observed for an increase in the exertion level from 45% to 60% MVC.Relevance to industryResults of this study indicate that the rotator cuff muscles have different strengths but exhibit very similar endurance and fatigue behavior. These findings can assist ergonomic practitioners with the design and/or evaluation of workplace upper extremity exertions to reduce/manage stress on the rotator cuff muscles and shoulder.     

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.     

Determination of comfortable position for tractor Driver's hands based on dynamic load

Disorders in the musculoskeletal system are currently the most common illnesses reported by physical workers. This paper presents the possibility of improving safety conditions for vehicle and machine operators by the adjustment of a steering panel to their individual anthropometric features. These results can be used in the workstation-designing phase. When driving a tractor for a long time, the position of the human body influences the working comfort and can lead to disorders. To assess the working comfort on a mobile workstation as well as a farm tractor, surface electromyography was used. Based on the given parameter maximum voluntary contraction (MVC), the lowest workload for the forearm, arm and wrist was determined, considering the position of the steering column and the angle between arm and forearm (elbow angle). Experimental tests showed that the most comfortable position for a driver's hands was recorded when the tested elbow angle was 100°, as well as when the inclination angle of the steering column against the horizontal plane was approximately 50°. In this study, the MVC parameter was determined on the basis of muscle tension amplitude related to the maximum muscle isometric contraction. Based on this parameter, the percentage of developed force of tested muscle in relation to its maximum force-generating capabilities was described. This approach helped to define a relationship between human body position and generated load in human muscles.     

The effect of wrist orthoses on forearm muscle activity

A general hypothesis is that a wrist orthosis reduces the wrist extensor muscle load. The aim of this study was to investigate the effects of a completely stiff wrist orthosis (SO) and a commercially available wrist orthosis (CO) on flexor and extensor electromyographic (EMG)-activity in a standardised intermittent gripping task and during standardised manual work tasks. Surface EMG from two forearm flexor and two extensor muscles was recorded. The target grip forces were 5%, 20% and 40% of maximal voluntary contraction (MVC). During the grip contraction phase CO had no effect on the EMG-readings. SO resulted in higher EMG activity than when gripping with CO and with no orthosis (NO), especially when gripping with 40% MVC. During the relaxation phase neither CO nor SO had any effect on the extensors. For the flexors the SO gave higher EMG-readings than when gripping with CO and NO, especially at 40% MVC. In conclusion the wrist orthoses tested did not reduce the EMG-activity from the flexors or the extensors during gripping or manual tasks.     

Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work

Owing to the recent interest in torso stabilization exercises together with many questions regarding the duration of prolonged isometric holds in occupational settings, the authors attempted to assess the level of back muscle oxygenation during prolonged isometric contractions. Specifically, this study recorded relative oxygen saturation of haemoglobin/myoglobin using Near Infrared Spectroscopy (NIRS) in the L3 erector mass during prolonged isometric contractions at intensities from 2 to 30% of maximum voluntary contraction (MVC). It was hypothesized that available oxygen to these muscles is severely compromised even at moderate levels of activation observed in occupational work. Eight volunteers without a history of lower back pain or injury participated in this study. The exercise task involved isometric contraction of the lower erector spinae at five different levels of each subject's maximal voluntary contraction: 2, 5, 10, 20 and 30% MVC, presented in random order. Subjects were placed in a sitting position, with a curved plastic plate secured horizontally to the pelvis to minimize movement at the hip joint. During extensor exertions, they were restrained with a harness that was attached at chest level to a load cell. Each isometric contraction was performed for 30 s followed by 1 min of rest. All levels of contraction demonstrated reduction in oxygen. Given the concern for motion artefact on the NIRS signal, sham trials were conducted where the subjects went through the procedure of attaching the pulling cable but no active pull was performed. These trials showed no change in the NIRS signal. At this time NIRS appears to be the only non-invasive instrumentation available to indicate total available muscle oxygen during low level, prolonged work. Although the specific tissue volume sampled by NIRS cannot be positively identified, it appears that tissue oxygenation in the lumbar extensor musculature is reduced as a function of contraction intensity, even at levels as low as 2% of MVC. These data have implications for prolonged work where postures requiring isometric contractions are sometimes held for hours, and where musculoskeletal illness has been linked to prolonged contraction levels above 2% MVC—these data suggest a possible biological pathway.     

Effect of repetitive elbow holding tasks with low‐level muscular exertion on perceived muscle discomfort

This study aimed to investigate the effect of task repetition on perceived muscle discomfort (PMD). The experimental trial consisted of fatigue and recovery periods. In the fatigue period, an elbow‐holding task was performed with an external load of 10%, 20%, and 30% of the premeasured maximum voluntary contraction (MVC) for 7.0, 4.5, and 3.0 min, respectively. In the recovery period, the participants released the load and rested until they felt no PMD. The trial was repeated six times sequentially (Trials 1–6). PMD at the end of the fatigue period increased with task repetition at all %MVCs. The interclass correlation coefficients between Trial 1 and the other trials were lower than those for the combinations of Trials 2–6, irrespective of %MVC. In the recovery period, the absolute sensitivity of PMD in the range of 0–10 (or the speed of recovery) of Trial 1 was faster than that of Trials 2–6. The findings of this study could lead to the development of work regimes that limit the risk of PMD in workers. Possible changes include allowing for a longer recovery time if the task requires a relatively large flexion angle, such as those performed in narrow spaces.     

Temporal Discrepancies in the Electromyographic Study of Rapid Movement

Elbow flexor and extensor contraction and relaxation delays, relative to muscle action potentials are evaluated as 30-60 msec for contraction and 30-70 msec for relaxation, but with significant differences between subjects and between different muscles in the same subject. The contention that proper temporal interpretation of rapid movement EMGs is impossible without prior evaluation of the delays specific to the subject and muscles involved is supported by applying such evaluations to explain anomolies in rapid elbow movement EMGs. It is shown that apparent cocontraction of antagonist muscles may be an artifact explicable by these (subject and muscle specific) delay differences. The need for extensive study of muscle action delays is stressed.     

Risk of neck musculoskeletal disorders among males and females in lifting exertions

Work-related neck disorders are common among various occupational groups. Despite clear epidemiological evidence for the association of these disorders with forceful arm exertions, the effect of such exertions on the biomechanical behavior of the neck muscles is currently not well understood. In this study, the effect of lifting tasks on the biomechanical loading of neck muscles was investigated for males and females. Twenty-six participants (13 males and 13 females) performed bi-manual isometric lifting tasks at knuckle, elbow, shoulder, and overhead heights by exerting 25%, 50%, and 75% of their maximum strength. The activity of the cervical trapezius and sternocleidomastoid muscles was recorded bilaterally using surface electromyography. Higher activity of the cervical trapezius muscle (10% MVC–43% MVC) compared to the sternocleidomastoid muscle (4% MVC–18% MVC) was observed. Females tend to use the sternocleidomastoid muscle to a greater extent than males, whereas, higher cervical trapezius muscle activation was observed for males than females. The main effect of weight and height, and weight by height interaction on the activity of neck muscles was statistically significant (all p < 0.001). The results of this study demonstrate that the neck muscles play an active role during lifting activities and may influence development of musculoskeletal disorders due to resulting physiological changes.