Physical demands of overhead crane operation

Recent studies have suggested that ergonomic factors may contribute to risks experienced by overhead crane operators. However, there are few studies that provide a comprehensive overview of the physical demands of overhead crane operation. This study aimed to provide this information by quantifying muscular, postural, and upper limb movement demands of overhead crane operation including examination of muscle activation and trunk posture by task. Trunk posture, upper limb movement demands and muscle activation in the trunk and upper limbs were quantified for seven overhead crane operators. Trunk posture was quantified using trunk angle and joystick motion requirements were determined using camera data. Muscle activation was measured bilaterally using surface EMG for the upper trapezii, anterior deltoids, posterior deltoids, biceps brachii, triceps brachii, flexor carpi radialis and erector spinae. Lastly, joystick force requirements were assessed using a spring scale. High upper limb and trunk muscle loading were observed when compared to joystick use in other heavy machinery, in part due to the forward, trunk-flexed position required to adequately view the workspace, and the increased force requirements of the joysticks. Joystick input force requirements were 9–31 N for the right-hand joystick and 11–40 N for the left-hand joystick. Operators maintained a forward trunk flexion (>20°) for all subtasks which suggests that trunk posture might play a role in sustained trunk muscle activation. Results suggest that the primary issue with overhead crane cab operation is upper limb and trunk muscle loading. Results confirm the need to investigate muscle load reduction strategies such as camera systems to help reduce the need for trunk flexion. Other design modification suggestions include reducing the joystick input force and displacement requirements coupled with potentially distributing the machine functions more evenly across the right and left controllers.     

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.     

Lumbar posture and individual flexibility influence back muscle flexion-relaxation phenomenon while sitting

Although numerous studies have documented back muscle flexion-relaxation phenomenon (FRP) in standing postures, few studies have examined the FRP in various seated lumbar postures and individual flexibilities. This study, therefore, recruited 18 male students and assigned to low- and high-flexibility groups (9 in each). Activation of thoracic and lumbar erector spinae (ES) and lumbosacral angles were examined while participants sat in two postures (lordosis and kyphosis) and flexed their trunks at 15°, 30°, 45°, 60°, and maximum flexion. Results showed that kyphotic lumbar posture caused relatively low and unchangeable thoracic and lumbar ES activations, whereas lordotic lumbar posture engendered more contractive and varying thoracic and lumbar ES activations. Flexible participants exhibited higher thoracic ES activation than less flexible participants during lordotic sitting. Thoracic ES seemed to play a compensative role to stabilize the spine in the lordotic sitting posture, especially when the trunk was flexed over 45°. In lordotic lumbar posture, FRP occurred only in the lumbar ES; however, the activation and lumbosacral angles were still higher than those in kyphotic posture. The increased back muscle activation associated with lumbar lordosis may partially share the load on passive interspinous tissues, which are close to the discs during these flexed trunk positions.Relevance to industryThis study suggests that various lumbar postures and individual flexibilities may cause different FRP patterns when sitting. While performing seated tasks, people should exercise caution about the lumbar posture.     

The effects of shoulder posture on neck and shoulder musculoskeletal loading and discomfort during smartphone usage

While using their smartphone, users tend to adopt awkward neck and shoulder postures for an extended duration. Such postures impose the risk of MSDs on those body parts. Numerous studies have been undertaken to examine neck posture; however, few studies have investigated shoulder postures. This study examined various shoulder postures during smartphone use and their effect on neck and shoulder kinematics, muscle loading, and neck/shoulder discomfort. Thirty-two asymptomatic young adult smartphone users randomly performed texting tasks for 3 min at four different shoulder flexion angles (15°, 30°, 45°, and 60°), while maintained a neck posture in the neutral position (0° neck flexion angle). Measures were taken of neck and shoulder muscle activity of the cervical erector spinae (CES), anterior deltoid (AD), upper trapezius (UT) and lower trapezius (LT), and kinematic data (angle, distance and gravitational moment). Results showed AD and LT muscle activity significantly increased when the shoulder flexion angle increased with an opposite effect on CES and UT. A recommended shoulder posture was identified as 30° flexion, as this yielded the best compromise between activation levels of the four muscles studied. This angle also induced the lowest neck/shoulder discomfort score. The findings suggest smartphone users hold their device at approximately 30° shoulder flexion angle with their neck in a neutral posture to reduce the risk of shoulder and neck musculoskeletal disorders when smartphone texting.Relevance to industrySmartphone use in the manufacturing and service industries is an integral part of work and useful means of communication tool. Awkward postures during extensive smartphone use impose an increased risk of both neck and shoulder musculoskeletal disorders. Shoulder flexion angles need consideration when making recommendations about safe work postures during smartphone use.     

Measuring posture for epidemiology: Comparing inclinometry,observations and self-reports

The objective of this study was to use and evaluate three postural assessment methods for epidemiological studies of back disorders. The methods were: (1) a data-logging inclinometer; (2) observations by trained observers; (3) self-reports by employees. All methods were feasible in 50 heavy industry worksites. Inclinometry provided quantitative measures of flexion–extension (mean 17°, SD 11.2°), lateral flexion (mean 8.5°, SD 2.6°) and trunk movement speed (mean 14.3° per second, SD 4.9° per second). Observations and self-reports provided estimates of time spent in various trunk angles, general postures, materials handling and vehicles. Compared to observations, self-reports under-reported less common tasks, but over-reported task durations. In statistical modelling to determine if observations or self-reports could be used to estimate measured postures, observations accounted for 30 to 61% of the inclinometer measurement variance and self-reports for 33 to 40%. A combination of inclinometry and observations would be an ideal option to provide both depth and breadth of data on postures and other physical exposures for epidemiological research.     

Bowing with a trunk flexion of 90°: Perspectives on consumers and service personnel

In this study, we analyzed 100 questionnaire responses to determine consumer conceptions of service personnel bowing as a gesture of politeness. In addition, 12 female participants demonstrate five distinct degrees of bowing by bending their trunk 30°, 45°, 60°, and 90° from an upright position; their spinal curvature and trunk muscle activations were measured. The results showed that most respondents believed that bowing at 30° was the most satisfactory angle, followed by 45°. Bowing at 45° or 60° caused the survey respondents to feel honored, whereas bowing at 90° induced feelings of surprise and novelty; however, this angle produced the lowest proportion level of agreements on the items at ease, necessary, and appropriate among the 100 respondents. When the 12 participants bowed at an angle ≤60°, their spinal posture became increasingly kyphotic, and their muscle activations became more pronounced. Myoelectric silencing of the erector spinae was observed when the participants bowed at 90°, which can increase the risk of low back injury. These findings provide service industries with a reference for the design of service encounters.Relevance to industryBowing has traditionally signified politeness and respect in many countries. However, whether bowing at a greater trunk flexion actually satisfies customers remains unclear. Findings from this study clarify the customer perceptions and body loads of service personnel when bowing at various trunk positions. The extreme bowing postures (e.g., 90° trunk flexion) should be avoided.     

Low back joint loading and kinematics during standing and unsupported sitting

The aim was to examine lumbar spine kinematics, spinal joint loads and trunk muscle activation patterns during a prolonged (2 h) period of sitting. This information is necessary to assist the ergonomist in designing work where posture variation is possible—particularly between standing and various styles of sitting. Joint loads were predicted with a highly detailed anatomical biomechanical model (that incorporated 104 muscles, passive ligaments and intervertebral discs), which utilized biological signals of spine posture and muscle electromyograms (EMG) from each trial of each subject. Sitting resulted in significantly higher (p< 0.001) low back compressive loads (mean±SD 1698±467 N) than those experienced by the lumbar spine during standing (1076±243 N). Subjects were equally divided into adopting one of two sitting strategies: a single ‘static’ or a ‘dynamic’ multiple posture approach. Within each individual, standing produced a distinctly diVerent spine posture compared with sitting, and standing spine postures did not overlap with flexion postures adopted in sitting when spine postures were averaged across all eight subjects. A rest component (as noted in an amplitude probability distribution function from the EMG) was present for all muscles monitored in both sitting and standing tasks. The upper and lower erector spinae muscle groups exhibited a shifting to higher levels of activation during sitting. There were no clear muscle activation level diVerences in the individuals who adopted diVerent sitting strategies. Standing appears to be a good rest from sitting given the reduction in passive tissue forces. However, the constant loading with little dynamic movement which characterizes both standing and sitting would provide little rest/change for muscular activation levels or low back loading.     

Evaluation of upper-limb body postures based on the effects of back and shoulder flexion angles on subjective discomfort ratings,heart rates and muscle activities

A possible limitation of many ergonomics checklists that evaluate postures is an independent evaluation of each body segment without considering the coordination between body segments and resulting in the under-/over-estimation of body postures. A total of 20 men were selected to evaluate the effects of shoulder and back flexion angles on the upper-limb muscle activities, subjective discomforts and heart rates. Interesting findings were obtained from the coordination between back flexion angles and shoulder flexion angles. At a back flexion angle of 45°, the discomfort and heart rates were the least at a shoulder flexion angle of 45°. The %MVC also showed a similar trend. It could be inferred that the 0° shoulder flexion angle would be a natural posture, when the back flexion angle is 0°, whereas 45° shoulder flexion might be a more natural posture when the back flexion angle is 45°.

Statement of Relevance: This study evaluated the effects of back and shoulder flexion angles on subjective as well as objective measures. The findings of this study considered the coordination between two body flexion angles and could be used to improve the accuracy of existing ergonomics evaluation methods for body postures.     

Factors affecting posture for machine sewing tasks: the need for changes in sewing machine design

Sewing machinists suffer from musculoskeletal problems, which have been attributed to poor working postures as well as to the repetitive hand and arm movements. Their posture is constrained by both the visual and the manual aspects of the task, and the design of the sewing machine and table have a considerable influence on the posture adopted. The potential for improvement of industrial sewing machines was investigated in a study of the effects of two design parameters (table inclination and view of the needle). It was shown that both trunk posture and head/neck flexion could be improved significantly by altering these design parameters. Trunk posture was found to be strongly related to the manual aspects of the task, and could be improved by altering the working positions for the arm. Head posture was most influenced by the view of the task/needle and could be improved by improving the visual condition for the task.     

Gender difference in mobile phone use and the impact of digital device exposure on neck posture

This cross-sectional study aimed to identify gender differences in the cervical postures when young adults were using mobile phones, as well as the correlations between the postures and the digital devices use (computer and mobile phone). Questionnaires regarding the habits of computer and mobile phone use were administrated to 429 subjects aged from 17 to 33 years old (19.75 ± 2.58 years old). Subjects were instructed to stand habitually and use a mobile phone as in daily life; the sagittal head and cervical postures were measured by head flexion, neck flexion angle and gaze angle. Male participants had a significantly larger head flexion angle (96.41° ± 12.23° vs. 93.57° ± 12.62°, p = 0.018) and neck flexion angle (51.92° ± 9.55° vs. 47.09° ± 9.45°, p < 0.001) than females. There were significant differences in head (F = 3.62, p = 0.014) and neck flexion (F = 3.99, p = 0.009) between different amounts of computer use.

Practitioner Summary: We investigated possible gender differences in head and neck postures of young adults using mobile phones, as well as the potential correlations between these postures and digital device use. We found that males displayed larger head and neck flexion angles than females, which were associated with the amount of computer use.     

Notebook computer use on a desk,lap and lap support: Effects on posture,performance and comfort

This study quantified postures of users working on a notebook computer situated in their lap and tested the effect of using a device designed to increase the height of the notebook when placed on the lap. A motion analysis system measured head, neck and upper extremity postures of 15 adults as they worked on a notebook computer placed on a desk (DESK), the lap (LAP) and a commercially available lapdesk (LAPDESK). Compared with the DESK, the LAP increased downwards head tilt 6° and wrist extension 8°. Shoulder flexion and ulnar deviation decreased 13° and 9°, respectively. Compared with the LAP, the LAPDESK decreased downwards head tilt 4°, neck flexion 2°, and wrist extension 9°. Users reported less discomfort and difficulty in the DESK configuration. Use of the lapdesk improved postures compared with the lap; however, all configurations resulted in high values of wrist extension, wrist deviation and downwards head tilt.

Statement of Relevance: This study quantifies postures of users working with a notebook computer in typical portable configurations. A better understanding of the postures assumed during notebook computer use can improve usage guidelines to reduce the risk of musculoskeletal injuries     

Static and dynamic lifting strength at different reach distances in symmetrica] and asymmetrical planes

Postural and therefore biomechanical standardization in strength testing has not been rigorously and consistently applied. To develop a quantitative relationship between strength and posture (body position, symmetry, and reach) 30 normal subjects (18 male and 12 females) were required to stoop and squat lift or exert in the relevant posture against a standardized instrumented handle. The isometric lifting efforts and isokinetic lifts were studied. The isokinetic lifts were done at a linear velocity of 50cm/s of the hand displacement from the floor to the knuckle heights of the respective subjects in stoop and squat postures. The isometric stoop lifting efforts were exerted in two standardized postures: (a) with 60° hip flexion; and (b) with 90° hip flexion. The isometric squat lifting efforts were also exerted in two standardized postures: (a) with 90° knee flexion; and (b) with 135° knee flexion. All isometric lifting efforts and isokinetic lifts were performed at half, three-quarters, and full horizontal reach in sagitally symmetrical, 30° left lateral, and 60° left lateral planes. Isometric stoop and squat lifting efforts were also measured in self-selected optimal postures. These 56 conditions were tested in random order. The analysis of variance revealed that the gender, the mode of lifting, the postural asymmetry and reach of lifting affected the strength significantly (p<0·0001). Most two-way and three-way interactions were significant (p<0·01). Of 108 prediction regression equations, 103 were significant with up to 90% of the variation explained by anthropometric variables and sagittal plane strength. The reach affected the strength most profoundly followed by postural asymmetry and the mode of lifting.     

The feasibility of repositioning ability as a tool for ergonomic evaluation: effects of chair back inclination and fatigue on head repositioning

Poor posture has been suggested as one of the main factors contributing to the high prevalence of neck pain in video display unit (VDU) users, but no clear association between pain and any particular resting neck posture has been found. Postural awareness of the neck, as indicated by the repositioning accuracy, may therefore be an appropriate measure and potentially useful assessment tool. The objective of this study is to examine whether posture and fatigue affect the head repositioning ability in typical VDU usage.

A group of 20 healthy participants reproduced a normal comfortable posture for forward, upright and backward chair back inclinations in random order both before and after fatigue of the upper trapezius muscles. Ten repetitions of the posture were recorded for 2 s each, and the angular and translational deviations from the original head position were measured with regard to the external environment (head in space repositioning) and with regard to the trunk (head on trunk repositioning). Analysis by repeated measures ANOVA showed significant effects and interactions of fatigue and chair back inclination on the repositioning errors in the sagittal plane, which typically showed systematic trends towards certain postures rather than random errors around a mean position.

While further work is required to examine the ergonomic impact of impaired repositioning ability, head repositioning is sensitive to ergonomic factors such as seating configuration and fatigue, and may therefore be a useful tool for evaluation of static working postures.     

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 .     

Guidelines to sewing machine workstation design for improving working posture of sewing operator

Sewing machine operators suffer from musculoskeletal problems imposed due to constrained restricted body postures. This study was conducted to investigate the effects of three design parameters (fore/aft sewing distance, sewing desk inclination and sewing desk height) of sewing workstation on postural variables and subjective experience and to develop guidelines for sewing workstation design. At a prototype of adjustable sewing workstation, ten professional sewing machine operators performed sewing task in nine different workstation arrangements. Sewing machine operators working posture and perceptions were recorded. It was shown that trunk, neck and arm postures were influenced by fore/aft sewing distance, sewing desk inclination and sewing desk height. The determinant factor for sewing machine operators’ perception on the trunk and neck found to be fore/aft sewing distance, sewing desk inclination. The sewing desk height influences the arm posture significantly. Based on the results, the following guidelines were developed: (1) Fore/aft sewing distance should be adjusted to 140 mm towards the sewing operator; (2) a 10° sewing desk inclination towards sewing should be used at sewing workstations. (3) Sewing desk height should be adjusted between 762 mm and 787 mm from the ground.     

Development of Human Posture Simulation Method for Assessing Posture Angles and Spinal Loads

Video‐based posture analysis employing a biomechanical model is gaining a growing popularity for ergonomic assessments. A human posture simulation method of estimating multiple body postural angles and spinal loads from a video record was developed to expedite ergonomic assessments. The method was evaluated by a repeated measures study design with three trunk flexion levels, two lift asymmetry levels, three viewing angles, and three trial repetitions as experimental factors. The study comprised two phases evaluating the accuracy of simulating self‐ and other people's lifting posture via a proxy of a computer‐generated humanoid. The mean values of the accuracy of simulating self‐ and humanoid postures were 12° and 15°, respectively. The repeatability of the method for the same lifting condition was excellent (～2°). The least simulation error was associated with side viewing angle. The estimated back compressive force and moment, calculated by a three‐dimensional biomechanical model, exhibited a range of 5% underestimation. The posture simulation method enables researchers to quantify simultaneously body posture angles and spinal loading variables with accuracy and precision comparable to on‐screen posture‐matching methods.     

Seated work postures for manual,visual and combined tasks

An awkward and static work posture has been recognized as a risk factor for workrelated musculoskeletal problems. The objective of this study was to investigate some of the factors that can influence the posture adopted during work and in particular aspects of the task and how their influence is affected by work height. Three types of task were studied: a peg-hole assembly task, which was largely manual with very little visual component; a visual character identification task; and a combination of the two. Two levels of difficulty were included in each of the manual and visual elements. Postures of the head/neck, trunk and arm were recorded during performance of these tasks. The results showed that type and difficulty of task do influence the posture adopted, and that some of the postural responses (although complex) are predictable so that poor postures could be improved by adjusting task design in addition to workplace layout.     

Seated work postures for manual, visual and combined tasks.

An awkward and static work posture has been recognized as a risk factor for work-related musculoskeletal problems. The objective of this study was to investigate some of the factors that can influence the posture adopted during work and in particular aspects of the task and how their influence is affected by work height. Three types of task were studied: a peg-hole assembly task, which was largely manual with very little visual component; a visual character identification task; and a combination of the two. Two levels of difficulty were included in each of the manual and visual elements. Postures of the head/neck, trunk and arm were recorded during performance of these tasks. The results showed that type and difficulty of task do influence the posture adopted, and that some of the postural responses (although complex) are predictable so that poor postures could be improved by adjusting task design in addition to workplace layout.     

The feasibility of repositioning ability as a tool for ergonomic evaluation: effects of chair back inclination and fatigue on head repositioning

Poor posture has been suggested as one of the main factors contributing to the high prevalence of neck pain in video display unit (VDU) users, but no clear association between pain and any particular resting neck posture has been found. Postural awareness of the neck, as indicated by the repositioning accuracy, may therefore be an appropriate measure and potentially useful assessment tool. The objective of this study is to examine whether posture and fatigue affect the head repositioning ability in typical VDU usage. A group of 20 healthy participants reproduced a normal comfortable posture for forward, upright and backward chair back inclinations in random order both before and after fatigue of the upper trapezius muscles. Ten repetitions of the posture were recorded for 2 s each, and the angular and translational deviations from the original head position were measured with regard to the external environment (head in space repositioning) and with regard to the trunk (head on trunk repositioning). Analysis by repeated measures ANOVA showed significant effects and interactions of fatigue and chair back inclination on the repositioning errors in the sagittal plane, which typically showed systematic trends towards certain postures rather than random errors around a mean position. While further work is required to examine the ergonomic impact of impaired repositioning ability, head repositioning is sensitive to ergonomic factors such as seating configuration and fatigue, and may therefore be a useful tool for evaluation of static working postures.     

The influence of training on decision times and errors associated with classifying trunk postures using video-based posture assessment methods

The purpose of this study was to examine the influence of training on the decision times and errors associated with video-based trunk posture classifications. Altogether, 30 amateur and 30 knowledge-based participants completed a three-phase study (pre-training, training, post-training) that required them to classify static trunk postures in images on a computer screen into a posture category that represented the angle of the trunk depicted. Trunk postures were presented in both flexion/extension and lateral bend views and at several distances from the boundaries of the posture categories. Both decision time and errors decreased as distance from the boundaries increased. On average, amateur analysts experienced a larger decrease in decision time per posture classification than knowledge-based analysts (amateur: 0.79?s, knowledge-based: 0.60 s; p <0.05) suggesting that training can have beneficial effects on classification performance. The implications are that the analysis time associated with video-based posture assessment methods can be reduced with appropriate training, making this type of approach feasible for larger-scale field studies. Statement of Relevance:Understanding the role that training can play in reducing errors associated with the use of video-based posture assessment methods may result in more efficient use of these tools by ergonomic practitioners. Reducing decision time and misclassification errors will provide a more efficient, accurate and representative assessment of injury risk.