Inter- and intra-observer reliability of calculating cumulative lumbar spine loads

The aim of this study was to quantify the precision of manual video digitization of three typical industrial tasks, as evaluated by the comparison of four cumulative kinetic parameters at the L4/L5 intervertebral joint: compression, joint shear, reaction shear and moment. Ten observers were recruited (five male and five female), with an undergraduate background in human anatomy. On each of three test days, each observer digitized five repeats of each of three typical industrial lifting tasks of 5 to 6 s in duration. A rigid link segment model that incorporated a single muscle equivalent model was used to calculate the cumulative loading based on the digitized coordinates. Inter-observer reliability was assessed using a mixed model ANOVA, and no significant di^fferences were found to result from observer, gender, day or trial. Intraclass correlation coefficients (ICC) were calculated within each task to quantify intra-observer reliability. Overall, the ICCs were excellent (>0.75), with the exception of moderate values for reaction shear for Tasks 2 and 3. Compression and moment demonstrated the highest reliability of the four parameters studied, which is beneficial from an ergonomic standpoint, as compression is the most commonly used parameter for job assessments. This study demonstrated manual video digitization to be a reliable tool for the quantification of cumulative spinal loading, both within a given observer, and across days, trials and observers.     

Estimation of compressive forces on lumbar spine from categorical posture data

To combine estimates of trunk posture and force into an integrated measure of load on the low back, continuous variables for body angles were estimated by assuming specified distributions within corresponding posture categories with Monte-Carlo (MC) simulation. The estimated posture angles were compared with reference measurements from the Lumbar Motion Monitor and inclinometers. The lumbar compression estimates, generated from simulated posture angles and from direct measurement, were compared. Trunk flexion showed high correlation between direct measurements and simulated angles, as did L5/S1 compression. The MC approach to extracting continuous posture angles from categorized observations did not appear to introduce large error in the variables used to estimate spinal compressive forces. When instrumentation methods of postural assessment are not feasible, a simulation approach combined with biomechanical modelling could be used to integrate multiple external exposure variables into estimates of compressive forces acting on the low back.     

Inter- and intra-observer reliability of calculating cumulative lumbar spine loads

The aim of this study was to quantify the precision of manual video digitization of three typical industrial tasks, as evaluated by the comparison of four cumulative kinetic parameters at the L4/L5 intervertebral joint: compression, joint shear, reaction shear and moment. Ten observers were recruited (five male and five female), with an undergraduate background in human anatomy. On each of three test days, each observer digitized five repeats of each of three typical industrial lifting tasks of 5 to 6 s in duration. A rigid link segment model that incorporated a single muscle equivalent model was used to calculate the cumulative loading based on the digitized coordinates. Inter-observer reliability was assessed using a mixed model ANOVA, and no significant differences were found to result from observer, gender, day or trial. Intraclass correlation coefficients (ICC) were calculated within each task to quantify intra-observer reliability. Overall, the ICCs were excellent (>0.75), with the exception of moderate values for reaction shear for Tasks 2 and 3. Compression and moment demonstrated the highest reliability of the four parameters studied, which is beneficial from an ergonomic standpoint, as compression is the most commonly used parameter for job assessments. This study demonstrated manual video digitization to be a reliable tool for the quantification of cumulative spinal loading, both within a given observer, and across days, trials and observers.     

Estimation of compressive forces on lumbar spine from categorical posture data

To combine estimates of trunk posture and force into an integrated measure of load on the low back, continuous variables for body angles were estimated by assuming specified distributions within corresponding posture categories with Monte-Carlo (MC) simulation. The estimated posture angles were compared with reference measurements from the Lumbar Motion Monitor and inclinometers. The lumbar compression estimates, generated from simulated posture angles and from direct measurement, were compared. Trunk flexion showed high correlation between direct measurements and simulated angles, as did L5/S1 compression. The MC approach to extracting continuous posture angles from categorized observations did not appear to introduce large error in the variables used to estimate spinal compressive forces. When instrumentation methods of postural assessment are not feasible, a simulation approach combined with biomechanical modelling could be used to integrate multiple external exposure variables into estimates of compressive forces acting on the low back.     

The ratio of thoracic to lumbar compression force is posture dependent

Despite the evidence suggesting that between 8% and 55% of manual labourers experience thoracic pain, research on spinal loading during occupational tasks has been almost invariably limited to the lumbar spine. In this study, we determined the ratio of thoracic to lumbar compression force and the relative risk of injury to each region in various postures. Compressive forces on the spine were calculated based on previously reported thoracic and lumbar intradiscal pressures and disc cross-sectional areas. Flexion postures were associated with an approximate doubling in lumbar compression force but only small increases (or even decreases) in thoracic compression. The ratio of thoracic to lumbar compression was above the tolerance ratio (i.e. the ratio of thoracic to lumbar compressive strength) during upright postures and below the tolerance ratio during flexion postures, indicating that upright postures may pose a greater relative risk of injury to the thoracic spine than to the lumbar spine.

Practitioner summary: Previously reported thoracic and lumbar in vivo disc pressures during various postures were compared. The ratio of thoracic and lumbar compression increased during upright postures and decreased in flexed postures, indicating that upright postures may pose a greater risk of injury to the thoracic spine than to the lumbar spine.     

Stability ball versus office chair: comparison of muscle activation and lumbar spine posture during prolonged sitting

OBJECTIVE: The objective of the study was to evaluate the differences between sitting on a stability ball and in an office chair in terms of trunk muscle activation and lumbar spine posture. BACKGROUND: Stability balls have become increasingly popular as an alternative to office chairs to help reduce the prevalence of low back pain; however, little research has been conducted on their use as office chairs. METHODS: The 14 participants (7 men, 7 women) were required to sit on both a stability ball and an office chair for 1 hour each while performing various computer workstation tasks throughout the sitting periods. The activation of eight muscles and lumbar spine posture were measured and analyzed. RESULTS: Increased muscle activation in thoracic erector spinae (p = .0352), decreased pelvic tilt (p = .0114), and increased perceived discomfort (p < .0001) while sitting on the stability ball were observed. CONCLUSIONS: The small changes in biological responses when sitting on a stability ball as compared with an office chair, combined with the increased reported discomfort while on the ball, suggests its use for prolonged sitting may not be advantageous. APPLICATION: Prolonged sitting on a stability ball does not greatly alter the manner in which an individual sits, yet it appears to increase the level of discomfort. Therefore, it is important to fully explore a new chair design and consult scientific research before implementing its use.     

The influence of occupation on lumbar sagittal motion and posture

The aim of this study was to determine whether sheep shearers have clinically hypothesized adaptive postural and sagittal mobility parameters of the lumbar spine and pelvis. Sixty-four shearers and 64 non-shearers, matched by age and anthropometry and surveyed for present and previous low back pain, participated in a study to determine the effects of occupation on sagittal spinal motion and posture. Lumbar and hip mobility measurements were made with a geometric CAD analysis of lateral photographs using surface reflective markers. Sagittal range of motion demonstrated similar ranges of lumbar flexion between the two groups; however, there was a marked gain in hip flexion in the shearers as well as a marked loss of lumbar extension. The shearers also demonstrated a more lordotic lower lumbar curvature compensated by a flatter (less kyphotic) mid to lower thoracic region. Shearers appear to lose lumbar extension, gain hip flexion and develop an adaptive normal stance. This adaptation appears to be independent of previous or current back pain. Conversely, lumbar extension loss in non-shearers correlates with previous back injury. A stepwise linear regression of all participants indicated that the occupation is the predominant influence on motion and posture followed by age. The implications are one of structural adaptation in this occupational group that does not appear to be correlated with back pain.     

The influence of occupation on lumbar sagittal motion and posture

The aim of this study was to determine whether sheep shearers have clinically hypothesized adaptive postural and sagittal mobility parameters of the lumbar spine and pelvis. Sixty-four shearers and 64 non-shearers, matched by age and anthropometry and surveyed for present and previous low back pain, participated in a study to determine the effects of occupation on sagittal spinal motion and posture. Lumbar and hip mobility measurements were made with a geometric CAD analysis of lateral photographs using surface reflective markers. Sagittal range of motion demonstrated similar ranges of lumbar flexion between the two groups; however, there was a marked gain in hip flexion in the shearers as well as a marked loss of lumbar extension. The shearers also demonstrated a more lordotic lower lumbar curvature compensated by a flatter (less kyphotic) mid to lower thoracic region. Shearers appear to lose lumbar extension, gain hip flexion and develop an adaptive normal stance. This adaptation appears to be independent of previous or current back pain. Conversely, lumbar extension loss in non-shearers correlates with previous back injury. A stepwise linear regression of all participants indicated that the occupation is the predominant influence on motion and posture followed by age. The implications are one of structural adaptation in this occupational group that does not appear to be correlated with back pain.     

Head posture and loading of the cervical spine

Calculations by Colombini et al. (Ergonomics of Working Postures. Taylor & Francis, London, 1985) showed that a line of gaze below the horizontal would load the cervical spine more than a horizontal gaze. Precision stadiometer tests were run, using seven subjects, to measure the effects on spinal length of different angles of gaze. After 1 h exposure whilst sitting in a controlled posture, there were significant differences in the shrinkage of the spine between the horizontal gaze and the 20 and 40 angles below the horizontal. The increased spinal loading demonstrated by the increase in spinal shrinkage calls into question the recommendations for angle of gaze recommended in textbooks.     

Application of a novel spinal posture and motion measurement system in active and static sitting

The quantification of work-related musculoskeletal risk factors is of great importance; however, only a few tools allow objective, unrestricted measurements of spinal posture and motion in workplaces. This study was performed to evaluate the applicability of the Epionics system in a sedentary workplace. The system is mobile and wireless and assesses lumbar lordosis, pelvic orientation and spinal motion, without restricting subjects in their movements. In total, 10 males were monitored while sitting for 2 h on static and dynamic office chairs and on an exercise ball, to evaluate the effect of dynamic sitting. The volunteers were able to perform their work unhampered. No differences among the tested furniture could be detected with respect to either the lordosis or the number of spinal movements after habituation to the furniture; however, differences in pelvic orientation were statistically significant. The results of the present study indicate that Epionics may be useful for the quantitative assessment of work-related risk factors.     

Evaluation of interrater reliability for posture observations in a field study

This paper examines the interrater reliability of a quantitative observational method of assessing non-neutral postures required by work tasks. Two observers independently evaluated 70 jobs in an automotive manufacturing facility, using a procedure that included observations of 18 postures of the upper extremities and back. Interrater reliability was evaluated using percent agreement, kappa, intraclass correlation coefficients and generalized linear mixed modeling. Interrater agreement ranged from 26% for right shoulder elevation to 99 for left wrist flexion, but agreement was at best moderate when using kappa. Percent agreement is an inadequate measure, because it does not account for chance, and can lead to inflated measures of reliability. The use of more appropriate statistical methods may lead to greater insight into sources of variability in reliability and validity studies and may help to develop more effective ergonomic exposure assessment methods. Interrater reliability was acceptable for some of the postural observations in this study.     

Using a microprocessor to analyse particle shape—a tutorial system

A microprocessor (Apple II) collects images using a single-board TV scanner (Microworks Digisector) connected to an inexpensive security camera or to a scanning electron microscope. Interactive output is obtained from one TV monitor connected to the scanner and another connected to the microcomputer. A graph plotter (Hewlett-Packard 7225A) is used for hard-copy output. The programs are all written in UCSD pascal except for four short assembly language routines used for interfacing the TV scanner. The system is intended for tutorial purposes in computer science courses in addition to its prime application function.     

无线集散医疗监护系统的设计

介绍一种能测量心电波、呼吸波、心率、呼吸率、体温、脉率、血氧和血压等多种生理参数的无线集散医疗监护系统。通过三个独立的OEM模块分别和一个具有控制、显示和无线收发功能的模块连接,实现上述参数的测量以及和上位机的信息交互。该方案设计的系统具有体积小、便于携带、分散控制、集中管理、开发周期短、性能可靠、易于维护、便于升级等优点。     

The design of a wireless real-time visual surveillance system

In this paper, we study the important issues in the design of an efficient wireless real-time visual surveillance system (WISES). Two important considerations are to minimize: (1) the video workload on the wireless network; and (2) the processing workload at the front-end video capturing unit. To achieve the first objective, we propose a cooperative framework for semantic filtering of video frames instead of forwarding every video frame to the back-end server for analysis and monitoring query evaluation. To minimize the processing workload at the front-end unit, a hierarchical object model (HOM) is designed to model the status of the objects, and their temporal and spatial properties in the video scene. With the information provided from the back-end server, the front-end unit pre-analyses the current status of the objects in the HOM by comparing the selection conditions in the submitted monitoring queries following the adaptive object-based evaluation (APOBE) scheme which is proposed to reduce the processing workload at the front-end unit. In APOBE, a higher evaluation frequency is given to the object which is closer to satisfy the condition in the monitoring queries. The performance of WISES has been studied to demonstrate the efficiency of the proposed scheme.

Design and implementation of a system for body posture recognition

Under Ambient Intelligence auspice, many researchers have studied the area of context recognition such as location, users’ identity and activities, and other parameters related to users’ situation in the environment. One aspect of context that is pertained to the users’ situation is body posture of a sitting person. The aim of this paper is the design and development of a novel Aware Chair system that recognizes sitting body postures. The Aware Chair is based on digital sensors mounted on the sitting and back area of the chair. The chair is tested using 50 people with different gender, body mass, and height. The design details of the system as well as test results are presented in this paper.     

无线IPPBX系统的设计与实现

描述了无线VOIP交换机的硬件设计原理与软件实现方法。在描述系统整体架构的基础上,介绍了其硬件设计部分的GSM工作单元、PCM编解码单元、语音压缩解压处理单元和总线端口适配单元的设计方法以及工作原理;描述了系统软件分层思想,介绍各层的功能和设计方法。     

一种无线传感器监测系统的设计和研究

给出了一种无线传感器监测系统的设计与开发,结合MEMS微传感器和无线通信技术,研究了MEMS微加速度计检测信号的测量与无线传输技术,设计了系统电路,并完成了原型装置的制作与调试。通过无线、有线传感器的时频响应特性比较表明,无线传感器监测系统能够满足桥梁健康监测的要求。     

基于姿态测量的微型存储系统的设计

本文主要介绍了微型存储测试系统在姿态测量中的设计,结合飞行体在飞行时各种变化姿态的采集,编帧,存储这一问题,详细地阐述了微型存储测试系统的工作原理、系统组成、软硬件设计以及所实现的性能指标;根据微型存储测试系统的具体工作过程,结合大量的抛撒试验,利用FPGA比较系统的设计和完善了微型存储器的各个工作状态,提高了存储器系统工作的可靠性,最后通过软件对试验数据的读取和分析,验证该微型测量系统的正确性。     

Change in spine height measurements following sustained mid-range and end-range flexion of the lumbar spine

Workers lose height during the day. Flexion-based exercises and body positions are commonly prescribed to unload the spine and prevent back pain. Lumbar extension positions have been researched and result in an increase in spine height. End-range lumbar extension postures increase spine height to a greater extent than mid-range lumbar extension postures, but these positions are not always tolerated by patients with lumbar conditions. No study to date has investigated the effect of end-range versus mid-range lumbar flexion postures on spine height changes. The purpose of this study was to investigate the effects of two techniques commonly used in clinical settings to unload the lumbar intervertebral disc (IVD) segments through increasing spine height in: (1) a sidelying mid-range lumbar flexion position; and (2) a sidelying end-range lumbar flexion position. A total of 20 asymptomatic women and 21 asymptomatic men with a mean age of 23.8 years (±2.5) participated in the study. Subjects were randomized systematically into 2 groups to determine the order of testing position. Measurements were taken with a stadiometer in the sitting position to detect change in spine height after each position. Results of the paired t-tests indicated that compared to the spine height in sitting, the sidelying end-range lumbar flexion position resulted in a statistically significant (p < .001) mean spine height gain of 4.78 mm (±4.01) while the sidelying mid-range lumbar flexion position resulted in a statistically significant (p < .001) mean spine height gain of 5.84 mm (±4.4). No significant difference between the height changes observed following the two sidelying positions was found (p = .22). Sidelying lumbar flexion positions offer valuable alternatives to lumbar extension positions to increase spine height, possibly through increasing hydration levels of the lumbar IVD and could be proposed as techniques to offset spinal shrinkage and the biomechanical consequences of sustained loads.