Traditional posterior load carriage: effects of load mass and size on torso kinematics,kinetics, muscle activity and movement stability

Traditional posterior load carriage (PLC), done without the use of an assistive device (e.g. backpack), has been associated with low back pain (LBP) development. This study evaluated the effects of important task demands, related to load mass and size, on potential mechanisms linking traditional PLC with LBP. Nine healthy participants completed PLC tasks with three load masses (20%, 35% and 50% of individual body mass) and three load sizes (small, medium and large). Torso kinematics, kinetics, muscle activity and slip risk were evaluated during PLC on a walkway, and torso movement stability was quantified during PLC on a treadmill. Increasing load mass caused increased torso flexion, L5/S1 flexion moment, abdominal muscle activity and torso movement stability in the frontal plane. Increasing load size also caused higher torso flexion, peak torso angular velocity and acceleration, and abdominal muscle activity. Complex interactive effects of load mass and size were found on paraspinal muscle activity and slip risk. Specific task demands, related to load mass and size, may thus influence the risk of LBP during PLC.     

Task-specific postures in low-seam underground coal mining

The objective of this study was to determine low-seam mine worker exposure to various postures as they pertain to job classifications and job tasks. Sixty-four mine workers from four low-seam coal mines participated. The mine workers reported the tasks they were required to complete and the two postures they used most frequently to perform them. They were provided with a schematic of postures from which to select. The two postures reported most frequently were identified for each task along with the job classification of the workers performing the tasks. Of the 18 tasks reported, over two thirds were performed by at least two different job classifications and over one third were performed by four or more job classifications. Across tasks, the postures used appeared to vary greatly. However, when grouped by job classification, the most frequently reported posture across all job classifications was kneeling near full flexion. Operating the continuous miner was associated with frequent squatting and was likely used because it affords great mobility, allowing operators to move quickly to avoid hazards. However, for environments with a restricted vertical height such as low-seam mining, the authors recommend squatting be avoided as data demonstrates that large amounts of femoral rollback and high muscle activity for the extensors when performing lateral lifts in this posture. Kneeling near full flexion was reported as the most frequently used posture by all job classifications and was likely due to the fact that it requires the least amount of muscle activity to maintain and has reduced pressures at the knee. However, the authors recommend this posture be avoided when performing lateral lifting tasks. Like squatting, kneeling near full flexion results in increased femoral rollback and may increase the stresses applied to the meniscus. Unlike lateral lifting, maintaining a static posture results in knee loading and muscle activity such that the mine worker should consider kneeling near full flexion and sitting on their heels. Although kneeling near full flexion is associated with injuries, there are benefits to this posture that are realized when statically kneeling (minimal muscle activity, allows worker to maintain an upright torso in low heights, and decreased loading at the knee). However, cartilage is avascular and nourished by synovial fluid. Therefore, one should frequently rotate between postures, assuming a more upright kneeling posture when possible and frequently fully flexing and extending the knee allowing nutrients to the cartilage.Relevance to industryIn 2009, over one fourth of underground coal mines that produced coal in the United States were considered low seam with an average working height of <109.2 cm (MSHA, 2009) restricting workers to their knees. Data exists regarding the biomechanical implications of kneeling postures and demonstrates the possibility of detrimental consequences to varying degrees for each posture. With each posture posing a different level of exposure to musculoskeletal disorder risk factors, it is essential to determine the postures mine workers use to perform their job tasks and how their postural options are restricted by the low-seam underground mining environment.     

Sweep-based human deformation

We present a sweep-based approach to human body modeling and deformation. A rigid 3D human model, given as a polygonal mesh, is approximated with control sweep surfaces. The vertices on the mesh are bound to nearby sweep surfaces and then follow the deformation of the sweep surfaces as the model bends and twists its arms, legs, spine and neck. Anatomical features including bone-protrusion, muscle-bulge, and skin-folding are supported by a GPU-based collision detection procedure. The volumes of arms, legs, and torso are kept constant by a simple control using a volume integral formula for sweep surfaces. We demonstrate the effectiveness of this sweep-based human deformation in several test animation clips.     

Multi-loop control of liquid cooling garment systems

In this study the effects of multi-loop control of liquid cooling garments (LCGs) under exercise heat stress conditions were investigated by experiments and theoretical analysis. A triple-loop LCG, by which the torso, arms and legs could be independently cooled, was used in the two series of experiments carried out in a hot environment (35 degrees C/40% RH). The experiment consisted of rest, exercise on an ergometer at 70 W and exercise at 110 W. In the first experiment, each water inlet temperature (TWI) was adjusted according to the local thermal sensation. In the second experiment, TWI for the torso including arms and TWI for the legs were regulated by a skin temperature controller with set-point adjustment via heart rate. The experiments showed that a multi-loop LCG is more effective than a single-loop LCG in providing thermal sensation and comfort adjusted to the requirements of the different parts of the body, and that a skin temperature controller could be applied to a multi-loop system. The theoretical analysis was carried out using a mathematical model of thermoregulation. The results showed that a strong cooling of the surface over the working muscles (legs) provided the greatest thermoregulatory advantage during low body exercise, because most of the heat generated within the working muscles can be removed directly by heat conduction to the skin. Optimization of a human/LCG system could be attained by an optimal configuration and control. However, an optimal configuration always depends on the application purpose of an LCG system.     

Effects of vehicle interior geometry and anthropometric variables on automobile driving posture

The effects of vehicle package, seat, and anthropometric variables on posture were studied in a laboratory vehicle mockup. Participants (68 men and women) selected their preferred driving postures in 18 combinations of seat height, fore-aft steering wheel position, and seat cushion angle. Two seats differing in stiffness and seat back contour were used in testing. Driving postures were recorded using a sonic digitizer to measure the 3D locations of body landmarks. All test variables had significant independent effects on driving posture. Drivers were found to adapt to changes in the vehicle geometry primarily by changes in limb posture, whereas torso posture remained relatively constant. Stature accounts for most of the anthropometrically related variability in driving posture, and gender differences appear to be explained by body size variation. Large intersubject differences in torso posture, which are fairly stable across different seat and package conditions, are not closely related to standard anthropometric measures. The findings can be used to predict the effects of changes in vehicle and seat design on driving postures for populations with a wide range of anthropometric characteristics.     

ERGONOMICS NEWS AND INFORMATION

The relation between working posture in overhead work and the complaints of farmers cultivating pears and apples were investigated by comparing pear work with apple work. The same 20 male and 28 female orchard workers were questioned about complaints associated with thinning out pears and bagging them, and bagging apples. The angle of forward flexion in the shoulder and neck extension was also measured in each job. The prevalence of tiredness, stiffness and pain in the neck, shoulders and arms was significantly higher in thinning out pears and bagging them than in bagging apples. Dizziness and tinnitus among female workers was more frequent in thinning pears. The posture of raising arms and bending the head backwards was higher in thinning and bagging pears. These results suggest that the working postures of elevated arms and backward head bending can cause symptoms in the neck, shoulders and arms. In some cases, they may also lead to symptoms of vertebral artery insufficiency.     

Standing working posture compared in pregnant and non-pregnant conditions

During pregnancy, an increase in body weight occurs together with changes in body weight distribution and in fit between body dimensions and workplace layout. These changes may cause alterations in working posture which may, in turn, have adverse consequences for the biomechanical load on the musculoskeletal system and so increase the risk of musculoskeletal disorders. Using photographic posture registration, the standing working posture was studied in 27 women during the last stage of pregnancy and after delivery (the experimental group). The women performed an assembly task while standing at various workplace layouts. The postural differences between the pregnant condition and the non-pregnant condition were studied and the effect of the various workplace layouts assessed. Ten non-pregnant controls were also studied twice to establish the effect of the time interval between the measuring occasions. We found that the women of the experimental group stood further from the work surface in the pregnant condition compared to the non-pregnant condition, the hips were positioned more backwards, and, in order to reach the task, they increased the flexion of the trunk, increased the anteflexion of the upper arms, and extended the arms more. At the workplace layout in which the work surface height was self-selected, the postural differences due to pregnancy were smallest or even absent, compared to the postural differences in the other workplace layouts studied. Ergonomists and workers in occupational health services should be alert to the consequences for the biomechanical load on the musculoskeletal system and the risk of development of health complaints caused by postural changes due to pregnancy. An adjustable workplace layout may prevent some problems.     

Assessing the ergonomic exposures for drywall workers

Objective

The study was conducted to assess the ergonomic exposures to risk factors that may lead to the reported musculoskeletal injuries (especially back, neck and wrist injuries) of drywall workers.

Methods

A hierarchical taxonomy for construction of drywall panel hanging (drywall panel fitting and installation) was developed with activities defined within the interior wall systems tasks (drywall panel, studs and insulation). Exposures were characterized for the drywall panel work with the PATH (Posture, Activity, Tools, and Handling) work-sampling observation method. Data on working postures were collected for three main body parts: legs, arms and trunk. Activities performed for each task, tools used, and manually handled loads were also recorded for each observation.

Results

The study identified several ergonomic exposures in interior systems construction. Several risk factors were especially prevalent in the drywall panel installation task: awkward body postures such as overhead arm posture, trunk flexion, and handling of heavy drywall panels. Some tasks were observed to have combinations of these musculoskeletal risk factors, such as drywall panel installation, where the workers lifted heavy drywall panels in awkward body postures. In addition, a safety hazard frequently resulted when a worker's foot was poorly supported on a ladder while lifting heavy drywall panels to hang them on the ceiling or upper wall.

Conclusion

The drywall panel installation task poses a severe threat to the safety and musculoskeletal health of the drywall workers. Much of this could be eliminated by reducing the burden of handling heavy and bulky drywall panels.

Relevance to industry

The construction industry is well-documented to have high rates of injury and musculoskeletal disorders. Design of appropriate interventions requires specific knowledge of which tasks and activities involve the highest levels of exposure to relevant factors. Assessment of such factors in drywall panel hanging has provided data that will be useful to evaluate the ergonomics efficacy of future changes in task processes or tools. Feasible solutions appear to exist; effectiveness trials and worker input are needed in order to evaluate whether they could eliminate the observed exposures.     

Posture modification effects using soft materials structures

The purpose of this study was to develop a textile component system that could be added to a compression garment to achieve body posture that more closely resembles an ideal balanced posture. The approach of this study was to find a middle ground of posture correctors and compression garments by combining structural support elements with garment compression to achieve effective posture modification as well as comfort. To achieve this goal, a Posture Modification System using Soft materials structures (PMSS) was developed by experimenting with textile elastic bands to mimic the structure and placement of anatomical postural features (muscles and spinal column) of a woman’s back torso. For prototype development, a bodysuit type shapewear garment was used to incorporate the PMSS and a wear test with female participants was conducted. To assess posture changes through body angles, participants were 3D scanned and questionnaires were administered to determine wearer acceptability. Body angle assessment indicated that wearing the prototype positively affected posture changes including more balanced shoulders, more aligned lateral center of gravity, and straighter spine. As assessed with a questionnaire, the prototype achieved higher wearer acceptability in terms of posture, body shape, and fit compared to the shapewear without the PMSS. This study shows the potential of developing the soft structural posture modification system for use beyond the lingerie category. Furthermore, more aligned postures exhibited by participants wearing the PMSS enhanced garment while carrying loads indicate potential in developing soft-structured posture support garments for load-bearing situations in industrial and military settings.     

Factors related to working posture and its assessment among keyboard operators

Video analysis of 15 keyboard operators was conducted over two four-hour periods to determine the effects of symptoms of over-use injury, the adjustability of the workstation, the type of keyboard, time of day and sex on working posture. The only factor which significantly affected posture was the type of keyboard, with operators at typewriters adopting a more extended shoulder position, reduced elbow flexion and increased wrist flexion, than those working at a VDU terminal. Analysis of the components of variance associated with repeated observations revealed that to minimise the variance associated with recording the posture of these subjects, and therefore obtain a representative mean posture, required at least nine observations for wrist angle, four for elbow angle, six for shoulder angle and three for trunk incline. The mean posture adopted by this group of operators was similar to the 'right angles' posture, with the trunk reclined 4 degrees , shoulder extended 1 degrees , elbow 92 degrees and wrist extended 7 degrees .     

Continuous assessment of back and upper arm postures by long-term inclinometry in carpet weavers

Awkward back and shoulder postures have been suggested to be a cause of back and shoulder discomfort in carpet weavers. This study aimed at continuous assessment of the upper arm and back postures and estimation of biomechanical load subtasks using inclinometers during 4 h.Median of trunk flexion angle in weavers was 18° and 13° during knotting and compacting subtasks, respectively. The weavers worked with arms elevated greater than 45° for %4.5 of the work time. The average cumulative compression load for males and females were estimated at 22 MN-S and 13 MN-S, respectively.In addition to poor workstation design, constrained posture of the trunk and low elevation and velocity for both arms may be the main risk factors for developing fatigue and disorders in the back and shoulder regions among carpet weavers. Therefore, any ergonomic interventions should be focused on reducing trunk flexion and the constrained postures of weavers.     

Accuracy and validity of observational estimates of shoulder and elbow posture

This study investigated the accuracy of video-based observational posture analysis for the elbow and shoulder. Posture analyses were conducted by 28 ergonomists for four jobs presented on a traditional VHS format video recording. Estimates of posture from the observational-based methods were compared with values measured directly with an optical motion capture system. Ergonomists used categorical posture scales and a continuous visual analog scale to estimate the peak and most frequently occurring or average posture for each job. Use of a three-category scale resulted in misclassifications of peak and most frequently occurring elbow and shoulder posture with a probability averaging 30.1%. With the six-category posture scale this average probability of misclassification increased to 64.9%. Using a continuous visual analog scale peak shoulder elevation was the only posture for which the average error among ergonomists' estimates was significantly different from zero (p<0.05). Correlations between the estimated postures and measured postures were higher and statistically significant (p<0.05) for elbow flexion and shoulder elevation (r2 between 0.45 and 0.66) but were considerably lower and not significant (r2 between 0.03 and 0.18) for the peak and average horizontal shoulder abduction. Ergonomists' estimates of the temporal distribution of shoulder posture, indicating the duration severity of the posture, appeared to be biased such that the percentage of the cycle time in each posture category was estimated as more uniformly distributed than the measured values indicated.     

Regional placement of bone mineral mass, fat mass, and lean soft tissue mass in young adult rugby union players

The purpose of the present study was to ascertain whether differences existed in the regional placement of bone mineral mass (BMM), fat mass (FM) and lean soft tissue mass (LSTM) between playing units in Rugby Union Football and between players and control subjects. Thirty young adult rugby players and 21 controls participated in the study. Players were assigned to groups as either forwards (n = 15) or backs (n = 15). Control subjects were matched (n = 15) to rugby players using the mean BMI of forwards and backs. BMM, FM and LSTM were measured using dual-energy X-ray absorptiometry. The digital image of each subject was partitioned into regional anatomical segments comprising the head, right and left arms, trunk, and right and left legs. Measurements were summed for the arms and legs respectively. One-way ANOVA was used to differentiate between- and within-groups; Tukey's post-hoc test was applied to identify pairwise differences. The alpha level was set throughout at p = 0.01. Principal components analysis was utilized to contrast the regional segments of each tissue in each of the groups. Forwards exhibited larger absolute (kg) amounts of BMM, FM and LSTM than backs or controls. In relative terms (%) there were no significant differences in BMM(%) between forwards, backs and controls in the arms and legs, but differences did occur between backs and controls at the trunk (2.9 vs. 2.5%). Backs had a significantly larger LSTM(%) than forwards at the arms (84.4 vs. 76.5%), legs (80.0 vs. 71.9%) and trunk (89.2 vs. 79.0%), whereas forwards had a greater FM(%) than backs at the arms (18.7 vs. 10.6%), legs (23.1 vs. 14.7%), and trunk (18.4 vs. 8.0%). The distribution of BMM showed a lower body-upper body contrast in forwards, a trunk-extremity contrast in backs and an arm-lower body contrast in controls. FM exhibited a trunk-extremity contrast in all three groups, while LSTM displayed an arm-lower body contrast in all three groups. It is concluded that there are significant regional tissue differences between forwards and backs, which may be related to playing function, and also differences between rugby players and controls.     

The effect of floor slope on sub-maximal lifting capacity and technique

Inclined surfaces, where both the lifter and load are on the slope, may be encountered in a jobsite situation. The purpose of this study was to determine if facing up or down a sloped surface (10 degrees and 20 degrees ) would affect maximal acceptable weights of lift (MAWL) using a 10 min psychophysical approach with symmetric freestyle technique at 4 lifts/min. Seventeen healthy men and 18 women determined floor to knuckle height MAWL while facing uphill, downhill, and on a level surface. Motion capture was also performed to examine sagittal plane joint angles and foot placement relative to a milk crate. Slope did not alter MAWL (p>0.05) with the men lifting more than the women in every condition (p<0.001) (25 kg vs. 15 kg, respectively). Foot placement relative to the box was altered by slope such that both horizontal position behind and vertical position below the box increased as slope changed from the downhill to uphill conditions (both p<0.001). Forward torso lean as well as hip, knee, and ankle (plantar) flexion generally decreased as slope changed from the downhill to uphill conditions (all p<0.001). Torso and knee motion appeared to be protected compared to the other joints, changing the least. Though trends were the same in both sexes, interactions did exist in vertical foot position and hip angle (both p0.001). In conclusion, the body is highly adaptive to floor slope, maintaining MAWL at least in the short term. However, while slight technique differences exist between men and women, care should be taken by all when facing uphill due to the tendency to stand further from the load horizontally and when facing downhill due to increased torso lean.     

Humanoid Posture Selection for Reaching Motion and a Cooperative Balancing Controller

Our goal in this research was to develop a motion planning algorithm for a humanoid to enable it to remove an object that is blocking its path. To remove an object in its path, a humanoid must be able to reach it. Simply stretching its arms, which in a humanoid are shorter than its body and legs, is not sufficient to reach an object located at some distance away or on the ground. Therefore, reachability has to be ensured by a combination of motions that include kneeling and orienting the pelvis. However, many posture selection options exist because of the redundancy of a humanoid. In this research, we focused on the optimization of the posture of a humanoid that is reaching toward a point. The posture selected depends on the initial posture, the location of the point, and the desired manipulability of the humanoid’s arms. A cooperative balancing controller ensures the stability of the reaching motion. In this paper, we propose an algorithm for reaching posture selection and a balancing controller for humanoids, and we present the results of several experiments that confirm the effectiveness of the proposed algorithm and controller.     

Working postures and activities of lorry drivers: a reliability study of on-site observation and recording on a pocket computer

Poor working postures are associated with the development of musculoskeletal disorders. Many different observation methods have been developed to analyse working posture and activity. TRAC (Task Recording and Analysis on Computer) enables the observer to choose and define the variables and the categories within variables to be recorded at the workplace and analysed afterwards. In this study, inter-observer reliabilities were determined for the variables that were essential to ensure accurate recording of both working posture and activity of lorry drivers. The pre-set standard for observer reliability was not reached before the number of variables was decreased: the variables concerning activities and load handled were omitted in favour of those concerning body posture. As a result of this reliability study an improved application of TRAC is proposed. For the purpose of recording all selected variables a second observer is introduced, so that two observers work simultaneously at the working site. The first observer pays attention only to working postures and the second observer records, among other things, activities. An additional program has been written to combine the variables of both observers for subsequent analysis. This enables us to investigate the relation between activity, appliances or goods being handled, and the corresponding working postures. The second observer records on a real-time basis and provides accurate information on the duration and sequence of activities. It is considered that this twofold application of TRAC is an important contribution to the accurate analysis of workplaces.     

Changes in gait kinematics and posture with the use of a front pack

The objective of this study was to determine if posture during gait can be affected by position of the load. It was hypothesized that the front pack would result in postural changes in the gait cycle, compared to a similarly loaded backpack. Thirteen healthy adults, free of any injury, volunteered to participate in this study. Two dimensional video data were collected at 50 Hz using a MacReflex video system. A backpack and a front pack were compared using loads of 10 and 15% of body weight. Markers were placed on the ear, acromion, greater trochanter and lateral joint line of the knee, lateral malleolus and fifth metatarsophalangeal joint. Data were collected while the participants walked at 0.75 stride/s. The data were used to calculate joint angles and displacements during each gait cycle. There was a significant difference noted in angles of the hip flexion, with the backpack condition demonstrating a greater flexion in each stride than either the control or front pack. Both backpack and front pack conditions demonstrated a significant change in neck motion compared to the control condition. The results of the position analysis over time also revealed an increase in the forward head position when participants were wearing the backpack compared to either the control or the front pack condition. It was concluded that the use of a front pack results in a more upright posture in gait, when compared to a backpack carrying the same load.     

Effects of natural posture imbalance on posture deviation caused by load carriage

PurposeThe purpose of this study was to explore posture deviation variability caused by load carriages depending on natural posture imbalance to provide information about a carrying habit exaggerating an individual's posture imbalance. All people exhibit some imbalance from the standard anatomical pose which assumes alignment with the frontal and median planes. In this study natural posture imbalance is the starting point for determining posture deviation which is posture imbalance resulting from an activity, carrying an item.MethodsSeventeen female participants, 19–37 years old, were recruited from university staff, faculty members, and students. Participants were each scanned wearing their own underwear (bra and panties) in: (a) the anatomical pose (P1) face forward and feet placed at shoulder width without carrying an item, (b) carrying a backpack (P2), (c) carrying a shoulder bag on the right shoulder (P3R) and the left shoulder (P3L), (d) carrying a bag cross-body with a strap placed on the left shoulder to place the weight at the hip level on the right side (P4R) and the strap and handbag placed in the opposite direction (P4L), and (e) carrying a bag with the right hand (P5R) and the left hand (P5L). The bag weight was approximately 10% of a participant's body weight. Five body angles were obtained in each scanning position (eight positions total) for all participants and statistical analyses were conducted for posture assessment. Three statistical test methods were used: (a) Paired t-test to determine posture changes in each loaded position compared to natural posture in P1. (b) Paired t-test to identify differences of the degree of posture changes between right-side load (R) and left-side load (L) positions to determine a posture deviation tendency with asymmetrical load carriages. (c) Bivariate (Pearson) correlation test to examine how natural posture imbalance and posture deviation co-vary.Results(a) Asymmetrical load positions exhibited greater changes on shoulder and spine posture than a symmetrical load position, exhibiting obvious changes in P3 and P4 rather than P5. (b) The degrees and directions of posture deviation resulting from an asymmetrical load carriage varied depending on those of an individual's natural posture imbalance. When a participant exhibited great posture imbalance in P1, significant differences of posture deviation on the shoulder and spine between R and L positions were observed in P3 and P4. (c) Significant correlations between natural posture imbalance and posture deviation resulting from load carriages were found for most body angles.ConclusionsPeople need to be aware of their natural posture imbalance and try to avoid carrying heavy handbags or any type of carriages making their posture imbalance worse to prevent possible further distortion.Relevance to IndustryAlthough this study used handbags and a backpack as the load carrying devices, the way a person carries a load of any type is relevant in many industries and in the military.     

Effect of head-mounted displays on posture

OBJECTIVE: The aim of the present study was to determine if a wearable system based on a head-mounted display (HMD) causes users to alter their head position and adopt postures that place greater stress on the musculoskeletal system. BACKGROUND: HMDs are common output devices used with wearable computers. HMDs provide the wearer with visual information by projecting computer-generated virtual images in front of the eyes. Deviations of neck posture from a neutral upright position increase the stresses on the musculoskeletal system of the head and neck. METHOD: Seven paramedics simulated the treatment of a patient under a normal condition and when using an HMD wearable computer system. During the simulations a posture analysis was performed using the Rapid Upper Limb Assessment method. RESULTS: The postures adopted when wearing an HMD, as compared with a normal condition, scored significantly higher for the neck (z = 2.463, p < .05) and for overall body posture (left side of the body: z = 2.447, p < .05; right side of the body: z = 2.895, p < .05). CONCLUSION: Wearing an HMD can force the wearers to modify their neck posture. As such, the musculoskeletal system of the head and neck may be placed under increased levels of stress. APPLICATION: Potential users should be made aware that HMDs could dictate modifications in neck posture, which may have detrimental effects and may compound the weight effect of the HMD.     

Modelling of shoulder and torso perception of effort in manual transfer tasks

The aim of the present study was to develop statistical models of perceived effort at the shoulder and torso levels associated with manual load transfer tasks. The motions were directed from a home location toward one of twenty-two target shelves distributed in the right hemisphere. A total of 2149 ratings were obtained from 31 subjects for effort perception at the selected joints, using a ten-point modified Borg scale. Regression models, developed for the perception associated with each body part, included target locations (azimuth, height and distance), posture constraints (standing or sitting), task types (one or two handed transfer conditions), and demographic and anthropometric measures (stature, body weight, gender, and age) as parameters. The models provide a prediction of effort perception with adjusted r-square coefficients of 0.41 and 0.50 for the shoulder and torso, respectively. The results indicate that space and posture interact in a complex way to affect the rating of perceived effort, and are in agreement with the hypothesis that the 'sense of effort' is primarily associated with the efference copy of the descending motor command. Since a level of effort is not associated with a unique pattern of motor command, it is proposed that effort perception is likely to result from a summation of the components of the motor command. The models can be applied to optimize the spatial organization of the work environment in an attempt to reduce the risk of musculoskeletal injury.