Psychophysical studies of repetitive wrist flexion and extension

Abstract

The purpose of this experiment was to investigate the feasibility of using psychophysical methods to determine maximum acceptable forces for various types and frequencies of repetitive wrist motion. Four adjustable work stations were built to simulate repetitive wrist flexion with a power grip, wrist flexion with a pinch grip, and wrist extension with a power grip. The study consisted of two separate experiments. Subjects worked for two days per week during the first experiment, and five days per week during the second experiment. Fifteen women completed the first experiment, working seven hours each day, two days per week, for 20 days. Repetition rates of 2, 5, 10, 15 and 20 motions per minute were used with each flexion and extension task. Maximum acceptable torques were determined for the various motions, grips, and repetition rates without dramatic changes in wrist strength, tactile sensitivity, or number of symptoms. Fourteen different women completed the second experiment, performing a wrist flexion motion (power grip) fifteen times per minute, seven hours per day, five days per week, for 23 days. There were no significant differences in maximum acceptable torque from day to day. However, the average maximum acceptable torque for a five days per week exposure was 36-3% lower than for the same task performed two days per week. Assuming that maximum acceptable torques decrease 36-3% for other repetition rates and motions, tables of maximum acceptable force were developed for female wrist flexion (power grip), female wrist flexion (pinch grip), and female wrist extension (power grip).     

Maximum acceptable repetitive lifting workload by Chinese subjects

This study used psychophysical methods to determine the acceptable mean maximum lifting workload for eight Chinese young male subjects, and examined the effects of lifting technique (including freestyle, stoop and squat), lifting frequency (including 2, 3, 4, 5 and 6 lifts/min) and physical characteristics on the maximum acceptable workload. The results are described as follows: (1) The maximum acceptable weights selected by subjects varied from 11-34 to 1833?kg with changes in lifting technique and frequency. These data were lower than those previously obtained; (2) The upper limit of physiological tolerance over an 8?h workday was also generally lower than previously suggested. However, this upper limit varied with changes in lifting technique and frequency, and in some circumstances it was the same as or even higher than previous limit; (3) Lifting efficiency was affected significantly by technique and frequency. The rank order of efficiency for three lifting techniques were freestyle, stoop and squat. Efficiency was greatest when lifting frequency was between 5 and 6 lifts/min; and (4) The correlations between the maximum acceptable workloads selected by subjects and anthropometric sizes were significant, but those between maximum acceptable workload and isometric strength were not.     

Maximum acceptable effort for connector assembly in automotive manufacturing

The manual assembly of connectors has job risk factors associated with musculoskeletal disorders including force, posture and repetitiveness. A variety of laboratory simulated connector assembly tasks, based on pilot work conducted at an automotive manufacturing plant, were studied using adapted psychophysical methods. The maximum acceptable frequency of connector assembly for six grip types was determined for various combinations of force and distances. In studies with a three-day acclimation and trials scheduled for 8-h days, 4-h trial lengths are sufficient. Distance did not influence acceptable frequency for hand/arm motions between 7 and 16 mm. There might be differences in maximum acceptable frequency for grip type, and force might affect acceptable frequency. Force × Cycle Rate (FCR) or time-weighted average percent maximum acceptable effort (TWA-%MAE) for these short duration tasks can be used for guidance.     

Rapid Communication. Exposure assessment of biomechanical stress in repetitive manual work using frequency-weighted filters

A quantitative exposure assessment strategy for physical stress associated with repetitive manual tasks is proposed using continuous biomechanical data measured directly from electrogoniometers or force sensors. This paper describes an efficient method for reducing large quantities of biomechanical data into a quantifiable metric that accounts for recognized musculoskeletal exposure factors, including repetitiveness, postural or forceful exertion stress, and duration. A frequency domain approach is used for averaging elemental data recorded for repetitive cycles. Parameters for frequency-weighted filters are developed using psychophysical data for equivalent discomfort levels resulting from repetitive movements of different amplitudes and frequencies. These filters enable continuous biomechanical data to be filtered and integrated, resulting in a single quantity corresponding to psychophysical response characteristics for repetitive motion stress. It is anticipated that a similar approach may be used for epidemiological response characteristics. Applications of this theory may make it possible for assessing exposure to physical stress in a manner analogous to the way in which sound level meters are used for measuring exposure to acoustic noise. Repetitive wrist flexion and localized discomfort was used for demonstrating the feasibility of this approach. Suitable data reduction techniques are necessary for evaluating work methods, job designs, and for conducting large scale detailed epidemiological investigations of cumulative trauma disorder risk factors. Frequency-weighted filters based on human response to physical stress at different frequencies can greatly simplify exposure analysis and ultimately may make it possible for quantitative exposure limits to be established.     

Maximum acceptable weights for asymmetric lifting of Chinese females

This study used the psychophysical approach to evaluate the effects of asymmetric lifting on the maximum acceptable weight of lift (MAWL) and the resulting heart rate, oxygen uptake and rating of perceived exertion (RPE). A randomized complete block factorial design was employed. Twelve female college students lifted weights at three different lifting frequencies (one-time maximum, 1 and 4 lifts/min) in the sagittal plane and at three different asymmetric angles (30 degrees, 60 degrees, and 90 degrees ) from the floor to a 68-cm height pallet. This lifting experiment was conducted for a 1-h work period using a free-style lifting technique. The MAWLs for asymmetric lifting were significantly lower than those for symmetric lifting in the sagittal plane. The MAWL decreased with the increase in the angle of asymmetry. However, the heart rate, oxygen uptake and RPE remained unchanged. Though the MAWL decreased significantly with lifting frequency, both the physiological costs (heart rate and oxygen uptake) and rating of perceived exertion increased with the increase in lift frequency. The most stressed body part was the arm. Lifting frequency had no significant effect on the percentage decrease in MAWL from the sagittal plane values. On average, decreases of 5%, 9% and 14% for MAWL at 30 degrees, 60 degrees and 90 degrees asymmetric lifting, respectively, were revealed. This result was in agreement with the findings of Chinese males studied by Wu [Int. J. Ind. Ergonom. 25 (2000) 675]. The percentage decrease in MAWL with twisting angle for the Chinese participants was somewhat lower than those for Occidental participants. In addition, even though there was an increase in heart rate and RPE with the increase in the symmetrical lift angle for Occidental participants, it was different from the Chinese participants. Lastly, the 1991 NIOSH equation asymmetry multiplier is more conservative in comparison with the results of the present study.     

Maximum acceptable weights and maximum voluntary isometric strengths for asymmetric lifting

A laboratory study was conducted to determine the effects of asymmetric lifting on psychophysically determined maximum acceptable weights and maximum voluntary isometric strengths. Thirteen male college students lifted three different boxes in the sagittal plane and at three different angles of asymmetry (30,60 and 90°) from floor to an 81-cm high table using a free-style lifting technique. For each lifting task, the maximum voluntary isometric strength was measured at the origin of lift.

The maximum acceptable weights and the static strengths for asymmetric lifting were significantly lower than those for symmetric lifting in the sagittal plane for three box sizes (P<0·01). The decrease in maximum acceptable weight and static strength from the sagittal plane values increased with an increase in the angle of asymmetry (P < 0·01). Box size had no significant effect (P≥ 0·05) on the percentage decrease in maximum acceptable weight or voluntary isometric strength from the sagittal plane values. Correction factors of 7,15 and 22% for maximum acceptable weights and 12, 21 and 31% for static strength at 30, 60 and 90% of asymmetric lifting are recommended. Lastly, in the absence of epidemiological data, a comparison of maximum acceptable weight and static strength in the sagittal plane with the NIOSH guidelines for action and maximum permissible limits indicates that the guidelines may be conservative.     

Muscular Reaction to Welding Work: An Electromyographic Investigation

Static work (welding at a ship-yard) was studied by means of quantitative electromyography. Overhead welding by experienced and inexperienced welders was compared to less arduous working situations. EMG from muscles of the shoulder was recorded on tape. The myoelectric spectral developments indicated that localized muscle fatigue was common in prolonged overhead work in the inexperienced group, whereas experienced welders showed signs of fatigue in the supraspinatus muscle only. Melting of several subsequent welding electrodes overhead entailed a progressive increase in muscular reaction, also seen in experienced working men.     

Effect of a splint on measures of sustained grip exertion under different forearm and wrist postures

Despite the facts that gripping tasks have been found to be highly correlated with CTS and that splints are gaining popularity as personal protective equipment, the influence of splints on grip performance has not been determined adequately. The present study intends to investigate the influence of splints without the volar parts as well as of forearm and wrist postures on grip performances including maximal volitional contraction (MVC), maximum acceptable sustained time (MAST), cumulated exertion output (CEO), and normalized exertion level (NEL). Twenty college-student volunteers, 10 males and 10 females, were recruited. The factors of interest were gender, forearm position, wrist deviation, and splint (with and without). The forearm positions were set at 30 degrees internal shoulder rotation, 0 degrees internal shoulder rotation, and 30 degrees external shoulder rotation, the angles being measured between the sagittal plane and the long axis of dominant forearm. The wrist deviations were extension 30 degrees , neutral, and flexion 30 degrees , the angles being measured between the sagittal plane and the long axis of the grip gauge. The results indicate that the gender effect is the most dominantly significant on all evaluated response variables. Males have more MVC (220 vs. 337N), longer MAST (20.2 vs. 10.5s), and greater CEO (4306 vs. 1638Ns), but less NEL (66.6 vs. 73.9%MVC). The forearm posture is shown to be significant only on MVC. In addition, the effect of wrist posture cannot shift all responses, nor can the effect of splints. In general, a splint without volar part seems to be recommended while performing infrequent and forceful gripping tasks under the consideration of prevention, but there should be more information about the application of a splint without volar part while performing a repetitively gripping task.     

Secular changes in psychophysically determined maximum acceptable weights and forces over 20 years for male industrial workers

The objective of this study was the development and validation of an integrated measure-assessment approach (driving performance and psychophysiological indicators) for the assessment of driving demands of rural road segments as a starting point for design. With 31 student test drivers and a selection of six study roads, the reactivity of psychophysiological parameters was evaluated based on a general model of cognitive-energetic effort regulation according to Hockey (1993). The road curvature change rate was introduced as the independent variable, which served as a criterion of objective road difficulty. Based on a reliability analysis, the longitudinal and cross-sectional stability, especially for heart rate (HR) and blink rate (BR) measures, is sufficiently high. Both these psychophysiological variables and speed vary as a function of the curvature change rate of the rural road segments. The speed parameter differentiates very strongly the different curvature change rates. Among the psychophysiological indicators, changes in the blink rate almost exactly mirror the level of the curvature change rate owing to the fact that the BR decreases almost steadily with increasing curvature change rate. Cardiovascular parameters, such as heart rate (HR) and heart rate variability (HRV), and skin conductance response (SCR) also vary in relation to driving difficulty of road segments, but at levels of intermediate curvature other additional road characteristics may also influence these measures.     

A gap detection tactility test for sensory deficits associated with carpal tunnel syndrome

An automated gap detection tactility test was investigated for quantifying sensory deficits associated with carpal tunnel syndrome (CTS). The test, which involved sensing a tiny gap in an otherwise smooth surface by probing with the finger, had functional resemblance to many work-related tactile activities such as detecting scratches or surface defects. Gap detection thresholds were measured using the converging staircase method of limits paradigm. Sixteen normal subjects between 21 and 66 years of age were tested for studying important factors affecting gap detection thresholds. Actively probing with the index finger had a threshold almost an order of magnitude more sensitive (mean = 0·19mm, SD = 0·llmm) than passive touch (mean =1·63mm. SD = 0·62mm), which was similar to two-point discrimination. Average thresholds decreased by 24% as contact force increased from 25 to 75?g. Performance in this tactility test quickly stabilized and showed little learning effects over the period of the test, as evidenced by the lack of significant differences between six replicates. The results were highly repeatable. No significant threshold differences were observed between test and retest trials on different days, or between dominant and non-dominant hands. A contact force of 50?g was recommended as optimal for this test since it required moderate force but resulted in a smaller threshold compared with 25 or 75?g. A companion study was conducted using eight normal subjects and ten subjects diagnosed as having CTS. Average gap detection threshold, when finger probing was allowed, was 0·20?mm (SD = 0·11?min) for the normal subjects and increased two-fold to 0·40?mm (SD = 0·19?mm) for the CTS subjects. Average gap detection threshold, when the finger probing was not allowed, was 1·71?mm (SD = 0·53mm) for the normal subjects and increased by 48% to 2·53?mm (SD = 0·87?mm) for the CTS subjects. The results suggest that people suffering from CTS may experience similar functional deficits in daily living and work activities. The small inter-subject variability makes this test a candidate for having utility as a monitoring test for loss of cutaneous tactile sensitivity.     

Psychophysical basis for maximum pushing and pulling forces: A review and recommendations

The objective of this paper was to perform a comprehensive review of psychophysically determined maximum acceptable pushing and pulling forces. Factors affecting pushing and pulling forces are identified and discussed. Recent studies show a significant decrease (compared to previous studies) in maximum acceptable forces for males but not for females when pushing and pulling on a treadmill. A comparison of pushing and pulling forces measured using a high inertia cart with those measured on a treadmill shows that the pushing and pulling forces using high inertia cart are higher for males but are about the same for females. It is concluded that the recommendations of Snook and Ciriello (1991) for pushing and pulling forces are still valid and provide reasonable recommendations for ergonomics practitioners. Regression equations as a function of handle height, frequency of exertion and pushing/pulling distance are provided to estimate maximum initial and sustained forces for pushing and pulling acceptable to 75% male and female workers.     

Ergonomic evaluation of the musculoskeletal risks in a banana harvesting activity through qualitative and quantitative measures,with emphasis on motion capture (Xsens) and EMG

The objective of this study was to evaluate the risk of musculoskeletal injuries in a banana processing task. A sample of three workers were evaluated with the Nordic questionnaire as well as according to effort, discomfort and usability levels, hand grip dynamometry, inertial sensor motion capture (Xsens) and surface electromyography in the right arm. The workers had musculoskeletal complaints throughout the spine and hips, low effort and discomfort levels, and a satisfactory usability level. The hand grip strength values (dominant: 54.8 Kgf; non-dominant: 54.2 Kgf) were above the reference values for the Brazilian population. Regarding movement analysis, we identified risks related to cervical protrusion, forward and lateral trunk flexion, abduction and flexion in the shoulders, flexion, extension, radial and ulnar deviation in the wrists, as well as repetitive movements. Surface electromyography showed that the greatest demand during the task was on the extensor carpi radialis, although the trapezius and flexor carpi radialis showed a tendency toward fatigue. Thus, the set of evaluations showed that the tool used and worker adaptation to the position of the bunches, together with the repetitious movement, led to inadequate postures and musculoskeletal risks.Relevance to industryThe banana processing activity generates employment and income in several regions of the world and in Brazil. However, it is still rudimentary and may present risks to the worker's health. This study seeks to elucidate ergonomic risks through technological instrumentation in order to have a quantitative assessment of the ergonomic risks.     

A psychophysical study to determine maximum acceptable efforts for a thumb abduction task with high duty cycles

Potvin (2012, ‘Predicting Maximum Acceptable Efforts for Repetitive Tasks: An Equation Based on Duty Cycle’, Human Factors: The Journal of the Human Factors and Ergonomics Society, 54 (2), 175–188) developed an equation using psychophysical data to estimate maximum acceptable efforts (MAEs) as a function of duty cycle (DC). However, only ～6% of the data featured DCs ≥ 0.50. The purpose of this study was to evaluate the MAE equation in the high DC range. We tested a repetitive thumb adduction task with DCs of 0.50, 0.70 and 0.90, at frequencies of both 2 and 6 per minute (n = 6 conditions). Participants were trained for 2 hours and tested for 1 hour on each condition. The MAE decreased with increasing DC, and MAEs at 2/min were higher than those at 6/min. When these current six means were added to the original psychophysical studies, the root-mean squared difference of the MAE equation decreased from 7.23% to 7.05% maximum voluntary contraction. The values from our study are also consistent with those demonstrating physiological evidence of fatigue during both continuous isotonic and high DC tasks.     

Effects of glovebox gloves on grip and key pinch strength and contact forces for simulated manual operations with three commonly used hand tools

This study examined the effects of glovebox gloves for 11 females on maximum grip and key pinch strength and on contact forces generated from simulated tasks of a roller, a pair of tweezers and a crescent wrench. The independent variables were gloves fabricated of butyl, CSM/hypalon and neoprene materials; two glove thicknesses; and layers of gloves worn including single, double and triple gloving. CSM/hypalon and butyl gloves produced greater grip strength than the neoprene gloves. CSM/hypalon gloves also lowered contact forces for roller and wrench tasks. Single gloving and thin gloves improved hand strength performances. However, triple layers lowered contact forces for all tasks. Based on the evaluating results, selection and design recommendations of gloves for three hand tools were provided to minimise the effects on hand strength and optimise protection of the palmar hand in glovebox environments.     

Robust adaptive repetitive learning control for a class of time-varying nonlinear systems with unknown control direction

A robust adaptive repetitive learning control method is proposed for a class of time-varying nonlinear systems. Nussbaum-gain method is incorporated into the control design to counteract the lack of a priori knowledge of the control direction which determines the motion direction of the system under any input. It is shown that the system state could converge to the desired trajectory asymptotically along the iteration axis through repetitive learning. Simulation is carried out to show the validity of the proposed control method.     

Inference for a simple step-stress model with competing risks for failure from the exponential distribution under time constraint

In reliability analysis, accelerated life-testing allows for gradual increment of stress levels on test units during an experiment. In a special class of accelerated life tests known as step-stress tests, the stress levels increase discretely at pre-fixed time points, and this allows the experimenter to obtain information on the parameters of the lifetime distributions more quickly than under normal operating conditions. Moreover, when a test unit fails, there are often more than one fatal cause for the failure, such as mechanical or electrical. In this article, we consider the simple step-stress model under time constraint when the lifetime distributions of the different risk factors are independently exponentially distributed. Under this setup, we derive the maximum likelihood estimators (MLEs) of the unknown mean parameters of the different causes under the assumption of a cumulative exposure model. Since it is found that the MLEs do not exist when there is no failure by any particular risk factor within the specified time frame, the exact sampling distributions of the MLEs are derived through the use of conditional moment generating functions. Using these exact distributions as well as the asymptotic distributions, the parametric bootstrap method, and the Bayesian posterior distribution, we discuss the construction of confidence intervals and credible intervals for the parameters. Their performance is assessed through Monte Carlo simulations and finally, we illustrate the methods of inference discussed here with an example.