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

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

External finger forces in submaximal five-finger static pinch prehension.

Small conductive polymer force sensors were attached to the distal phalangeal pads for measuring individual finger forces exerted during submaximal static pinch. A linear force summing strain gauge dynamometer for measuring resultant five-finger pinch force was grasped vertically using a neutral wrist posture. Individual finger forces were measured at fixed total pinch force levels of 10%, 20%, and 30% of maximum voluntary exertion using pinch spans of 45 mm and 65 mm. Total pinch force and individual finger forces were also measured while similarly grasping the dynamometer and supporting fixed weights for 1.0 kg, 1.5 kg, and 2.0 kg loads using pinch spans of 45 mm and 65 mm. The index and middle fingers exerted more than 3 N greater average force than the ring and small fingers for the fixed total pinch force task. No significant individual finger force differences were observed at the 10% maximum voluntary exertion level, however both the index and middle fingers exerted more than 5 N greater force than the ring and small fingers at the 30% maximum voluntary exertion level. The average contribution of the index, middle, ring, and small fingers were 33%, 33%, 17%, and 15%, respectfully, for the fixed total pinch force task. As exertion level increased from 10% to 30%, the contribution of the middle finger was not constant increasing from 25% to 38%. Total pinch force increased from 15 N to 30 N when the load weight increased from 1.0 kg to 2.0 kg.(ABSTRACT TRUNCATED AT 250 WORDS)     

A comparative investigation of the influence of certain arm positions on hand pinch grips in the standing and sitting positions of dentists

Hand pinch grips in the standing and sitting positions on a group of 46 healthy males of 20 to 26 years old were measured. The results were as follows: 1. Hand pinch grip forces are higher when the subject is standing than when he is sitting. 2. Hand pinch grip forces, depending on the position of the arm in the working space, are higher when the arm is supported than the corresponding forces of the unsupported arm. 3. There is an effect due to the position of the arm in relation to the frontal position of the subject's thorax. In the standing position, the forces are maximum when the forearm has a 60 degrees angle towards the frontal position, while in the sitting position pinch grip forces are maximum when the forearm is perpendicular (90 degrees ) to the frontal position. 4. A handle which permits all fingers to be spread in a pinch grip is capable of having an applied force 50% greater than if the thumb and either forefinger or middlefinger grips the handle. In such a handle each finger is required to apply less force to contribute to the total needed for the task, and therefore there is a diminished likelihood of the onset of fatigue.     

Biomechanical comparison of carpet-stretching devices

Peak impact forces, measured from seven male carpetlayers using a knee-kicker over 39 trials were 2933?N (SD 397), taking 9·5?ms (SD ± 1·1) to reach peak. The knee-kicking cycle involved high knee decelerations of 880?m.s^?2 (SD ±271). Angles at peak force for the knee (63° SD ± 10°) and hip (80° SD ± 35°) showed considerable variation between individuals. Kneeling forces on the non-kicking leg during the kick cycle were 894?N: comparative forces were 368?N and 476?N measured during use of the power stretcher and crab re-stretcher, respectively. Under dynamic conditions the effective mechanical advantage of the knee-kicker was less than 1·0. In comparison, the mechanical advantage of the power stretcher was approximately 14 times greater over the stretch action. When tested with a crab re-stretcher, the breaking strength of the smooth-edge to which the carpet attaches averaged 2384?N (SD ± 245). Design guidelines for an improved carpet stretching device are provided.     

Optimum handle positions in a box-holding task

Ten combinations of handle position, four symmetric and six asymmetric, were tested in a static holding task. Ten male subjects held each of 10 boxes (two weights × five sizes) at waist level with each handle position. Biomechanical, physiological and psychophysical measures were taken. Handle position was highly significant for all measures, but handle position effects varied depending upon the measure used. Two groups of effects were found, one biomechanical and the other physiological and psychophysical with little intercorrelation between the groups. The interface between the body and the container emerged as an important part of the holding task with friction and reaction forces comparable to the box weight. In general, the best handle combinations on all measures were those which combined strong horizontal and vertical stabilizing components.     

Maximum acceptable forces for repetitive wrist extension with a pinch grip

This study represents a continuation of a series of psychophysical studies on repetitive motions of the wrist conducted at the Liberty Mutual Research Center for Safety and Health. The purpose of the study was to quantify maximum acceptable forces for extension motions of the wrist performed with a pinch grip. Subjects grasped a handle with a pinch grip and moved it through a 1.57 rad (90°) extension wrist motion (similar to a light assembly operation). A psychophysical methodology was used in which the subject adjusted the resistance on the handle, and the experimenter manipulated or controlled all other variables. Twenty subjects performed the task at repetition rates of 15, 20 and 25 motions per minute. Subjects performed for 7 h per day, 5 days per week, for 4 weeks. The subjects were instructed to work as if they were on an incentive basis, getting paid for the amount of work they performed. Symptoms were recorded by the subjects during the last 5 min of each hour. The results are presented and compared with maximum acceptable forces for other types of wrist motion investigated in previous studies. Maximum acceptable force for wrist extension with a pinch grip is smaller than any of the other motions investigated so far.

Relevance to industry

Cumulative trauma disorders of the upper extremities continue to be a problem for industrial workers who perform repetitive tasks. Although a number of physical risk factors have been identified, there are very few data available for establishing acceptable levels of these risk factors. This study attempted to collect such data.     

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

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

One-handed dynamic pulling strength with special application to lawn mowers

A laboratory study was conducted to determine one-handed dynamic and static pulling strengths of 50 males and 49 females from 14 to 71 years of age. The dynamic strength for a 11m pull was measured to simulate the act of starting a lawn mower engine for four different starting-rope handle locations: on the engine, in the middle, on the right and on the left side of the frame. The last three were located at the back of the lawn mower at a vertical height of 63 cm from the floor and the handle on the engine was located at 42 cm. Static strength was measured for the handle in the middle. Ratings of perceived exertion were recorded for different body parts.

Peak and average dynamic pulling strengths were 55% and 34% of static pulling strengths. Dynamic pulling strengths were highly correlated with peak velocity (r = 0·84). Men in the age group 21-34 years had the highest strength and women in the age group 51-71 years the least strength. Dynamic pulling strengths for women were 62% of strengths for men. Women took 10% longer to pull, had a lower peak velocity (16%), reached peak force faster (17%) and took a longer time (6%) to reach peak velocity than men.

The starting handle located on the engine resulted in the maximum pulling strength and on the left side in the minimum strength. However, two out of three subjects preferred the handle either on the right side or in the middle. Fifty-five percent of the subjects indicated they would prefer a height higher than 63 cm.

Maximum stresses were perceived on the shoulder and upper arm with a mean rating between fairly light and somewhat hard. Graphs of cumulative frequency distributions of average and peak dynamic pulling strengths are presented to aid in the determining forces required to start a lawn mower engine in order to satisfy a desired percentage of the population.     

Measurement of prehensile grasp capabilities by a force and moment wrench: Methodological development and assessment of manual workers

Prehensile grasp capability is typically quantified by pinch and grasp forces. This work was undertaken to develop a methodology to assess complex, multi-axis hand exertions through the measurement of forces and moments exerted by the hand along and about three orthogonal axes originating at the grip centre; termed an external wrench. Instrumentation consisting of a modified pinch/grip dynamometer affixed to a 6?df force cube was developed to simultaneously measure three forces, three moments and the pinch/grip force about the centre of the grip. Twenty right hand dominant manual workers (10 male and 10 female), free of hand or wrist disorders, completed a variety of maximal strength tasks. The randomized block design involved three separate grips?–?power grip, lateral pinch and pulp pinch. Randomized within each block were three non-concurrent repetitions of isolated maximal force and moment generations along and about the three principle orthogonal axes and a maximal grip force exertion. Trials were completed while standing, with the arm abducted and elbow flexed to 90° with a wrist posture near neutral. Where comparable protocols existed in the literature, forces and moments exerted were found to be of similar magnitude to those reported previously. Female and male grip strengths on a Jamar dynamometer were 302.6?N and 450.5?N, respectively. Moment exertions in a power grip (female and male) were 4.7 Nm and 8.1 Nm for pronator, 4.9 Nm and 8.0 Nm for supinator, 6.2 Nm and 10.3 Nm for radial deviator, 7.7 Nm and 13.0 Nm for ulnar deviator, 6.2 Nm and 8.2 Nm for extensor, and 7.1 Nm and 9.3 Nm for flexor moments. Correlations with and between maximal force and moment exertions were only moderate. This paper describes instrumentation that allows comprehensive characterization of prehensile force and moment capability.     

Effects of handle orientation,gloves, handle friction and elbow posture on maximum horizontal pull and push forces

Biomechanical models were evaluated for effects of handle orientation, handle material, gloves and arm posture on maximal pull/push force. Eight healthy subjects performed maximum pull/push exertions on handles with two different orientations and two different surface materials, using bare hand and two types of glove as well as two arm postures. The empirical data supported the proposed biomechanical models: Pull/push forces for the bare hand on a rubber handle decreased 10% when the handle was parallel to the pull/push direction, compared with when perpendicular to it. For parallel handles, pull/push forces further decreased with decreasing hand–handle friction coefficient (simulated by different handle materials and gloves). Pull force exerted by the bare hand was 29% greater when the elbow was extended than when flexed. Pull force was greater than push force (with bare hand and flexed elbow). The biomechanical models suggest that friction between the hand and handle limits pull/push forces for parallel handles. Elbow strength may be responsible for decreased pull force for the flexed elbow posture and decreased force for pull compared with push in the postures examined.

Statement of Relevance: Biomechanical models presented in this paper provide insights for causes of upper extremity strength limitations during pull/push tasks. Findings in this paper can be used directly in the design of workstation and objects to reduce fatigue and risk of musculoskeletal disorders.     

UNE NOUVELLE TECHNIQUE D' E´TUDE DES MICROMANIPULATIONS

To quantify spinal stress biomechanical models are often used. Static models reveal the postural effects due to gravity, while dynamic models also take into account inertial factors. We used both dynamic and static models to evaluate the lumbosacral compression when 20 subjects lifted a box weighing 15 kg from a 10 cm high shelf to knuckle height with four lifting techniques. The mean peak acceleration of the load was 4·9 ? 6·3ms^?2, thus increasing the force at the hands by over 50%. The static peak compression was 3989?4650 N and the dynamic 5866?6629 N, the increase due to inertial factors being 33?60% depending on lifting technique.     

The load on the lumbar spine during asymmetrical bi-manual materials handling

Previous biomechanical analyses of typical load manipulation tasks were mainly limited to sagittal-plane activities or to static cases. This paper includes the biomechanical determination and assessment of lumbar load during asymmetrical bi-manual materials handling tasks which involve lateral turning of the body, trunk inclination, and sagittal flexion and lateral bending of the spine. Diagonal lifting tasks were analysed for different values for load weight (0-40 kg) and task duration (0·75-1·5 s). Whereas a constant grasp height of 15 cm was assumed, the height for releasing the load differed (50, 100, 150 cm). A dynamic spatial human model (‘The Dortmunder’) was used for calculating the torque in the sagittal, frontal, and transversal planes through the lumbosacral joint and for determining the compressive and the sagittal and lateral shear force at the L5-S1 disc. The trajectories of body segments and load are computer-simulated on the basis of postures adopted during the movement. During diagonal lifting of loads, lumbosacral torque in the sagittal plane is considerably larger than the lateral bending and torsional torque components. Dynamic analyses result in higher maximum values in the lumbar-load time curves than static analyses. The shorter the time for task execution, the higher the resultant dynamic effects and, in consequence, the higher the lumbar load. Lumbosacral compression and shear increase with increasing load-release heights due to higher acceleration and retardation of body and load when the same grasp position and task duration are assumed. The maximum load-bearing capacity of the lumbar spine was determined on the basis of strength data for isolated lumbar segments provided in the literature. The compressive strength falls within the same range as the compressive forces calculated for asymmetrical lifting of loads up to 40 kg. On account of the wide scattering of the compressive strength values, the main influences were determined (age and gender). At an age of 40 years, strength is approx. 6·7 kN for males and 4·7 kN for females (decrease with age per decade: 1·0 kN males, 0·6 kN females). In order to avoid overestimating an individual's lumbar compressive strength, predicted values should be reduced, e.g., by the standard deviation in the male or female samples (2·6 kN or 1·5 kN). Although only a few maximum shear force values are available in the literature, comparison with the calculated values for diagonal lifting leads to the conclusion that sagittal and lateral shear should not be ignored in the assessment of lumbar load during asymmetrical handling tasks.     

Effect of a redesigned two-wheeled container for refuse collecting on mechanical loading of low back and shoulders

The objective of this study was to compare the mechanical and perceived workload when working with a redesigned two-wheeled container and working with a standard two-wheeled container for refuse collecting. The three changes in the design of the container were a displacement of the position of the centre of mass in the direction of the axis of the wheels, a slight increase in the height of the handle and a slight increase in the horizontal distance between the handle and the wheel-axis, and an increase in the diameter of the wheels. The volume of the container remained 0.240 m³. Nine refuse collectors performed some of their most frequent daily activities with both types of containers in the laboratory. Kinematics and exerted hand forces were assessed as input for detailed 3D biomechanical models of the low back and shoulder to estimate net moments at the low back and shoulders, compressive forces at the low back and contact forces at the glenohumeral joint. Also, the refuse collectors rated the ease of handling the two-wheeled containers on a five point scale. The use of the redesigned container resulted in a decrease of the exerted hand forces of 27%, decreases in the net moments at the low back and shoulders of 8% and 20%, respectively, and a decrease of 32% of the contact force at the glenohumeral joint when compared to the standard container. However, pulling an empty redesigned container on to the pavement resulted in an increase of the shoulder moment of more than 100%. No differences between container types were found for the compressive forces at the low back. Pushing and pulling with the redesigned container was rated as easier than pushing and pulling with the standard container. No differences in subjective ratings were found for the tasks of turning the container or pulling an empty container onto the pavement. It is concluded that, provided that empty containers are placed back onto the pavement as infrequently as possible, the introduction of the redesigned container could result in a reduction of the low back and shoulder load for refuse collectors.     

An investigation into anaerobic performance of wheelchair athletes

Abstract

The traditional methods for assessing muscle performance have been applied to the wheelchair athlete with some success. In wheelchair athletics, as in able-bodied athletics, there are a number of short races taxing the anaerobic capacity. Previous work from this laboratory described an anaerobic test specifically for wheelchair athletes. This essentially was a modification of the ‘Wingate test’ protocol, enabling a wheelchair athlete using his own wheelchair to work against a friction loaded flywheel over a 30 s period. The objectives of the present study were to use this wheelchair ergometer (WERG) to investigate (1) the week to week stability of power measurements, (2) the effects of varying the friction load and (3) the relationship between power measurements and sprint performance times.

The first experiment was concerned with the stability of peak power, mean power and maximum velocity measurements obtained from the WERG with a frictional load of 1·2 kg. Seven males each performed a maximal 30 s anaerobic test on three separate occasions over a five-week period with at least a one-week interval between successive measurements. An analysis of variance showed there was no significant difference between successive test sessions, indicating that the results were stable on a week to week basis. The second experiment investigated the changes that occur in peak and mean power output over a 30s WERG test when the frictional load was systematically varied. Six male subjects were used and the friction loads were varied from 1·4 to 2·4 kg. Both peak and mean power showed a linear increase as load increased. Finally the relations between peak power, mean power and sprint performance times over 100 m, 200 m and 400 m were examined. Significant negative correlations (p <001) were found between both peak and mean powers and all performance times.

This study has verified that the use of a WERG for anaerobic testing is reliable, that no clear practical optimum exists for mean or peak power outputs as a function of load, and that both peak and mean power are closely related to sprint performance times.     

Evaluation of handles in a maximum gripping task

Various hook handles were tested to evaluate the effect of handle design characteristics on subjective discomfort ratings and phalange forces in a maximum gripping task. A force glove system with 12 thin force sensitive resistor (FSR) sensors was used to measure phalange forces on the hook handles. Thirty subjects (15 males and 15 females) were tested, and generally subjects preferred 30 or 37?mm (the latter for large handed males) double frustrum handles followed by 30?mm oval handles, whereas overall they showed less preference for 37?mm oval handles and 45?mm double frustrum handles. The phalange force was more related to handle shape than to handle size in this study, i.e. the individual phalange forces on oval handles were about 8% higher than those on double frustum handles. The force distributions in the maximum gripping task showed significant differences in finger and phalange forces, in the order of middle, index, ring, and little fingers and distal, middle, and proximal phalanges from the highest to the lowest forces. The findings of this study may provide guidelines for designing double frustum handles for satisfying user's preference and oval handles for obtaining high phalange forces in a maximum gripping task.     

IEA Newsletter

The aim of this study was to develop a practical and reliable test to predict the maximum lifting capacity of an individual. Dynamic strength during ‘isokinetic’ motion was measured on a device that allowed movement at either 0·73 or 0·97 ms^?1. For the ten men and ten women used as subjects, peak dynamic strength was compared with the maximum dynamic lift (MDL), the maximum load that an individual was able to lift once, from the floor to a shelf 113 cm high, without risk of injury. A step-wise multiple regression analysis indicated that the ‘isokinetic’ dynamic lifting strength (DLS) measured at 0·73 ms^?1 and sex accounted for 94·1% of the variance in MDL. The following equation was derived to predict MDL: MDL = 295 + 0·66 (DLS)? 148 (SEX), where DLS was measured in newtons, and SEX= 1 for men and 2 for women. Maximum acceptable load (MAL) selected for repetitive lifting at a frequency of six per minute was 22% of the MDL for both men and women. A simple test using a portable ‘isokinetic’ dynamic strength measuring device and involving one measurement was thus found to be a good predictor of maximum dynamic lift.     

Biomechanically and electromyographieally assessed load on the spine in self-paced and force-paced lifting work

The purpose of this study was to measure dose of spinal load when different pacing methods were applied to lifting work and to develop methodology for such measurements. The compressive load on the spine computed by a dynamic biomechanical model and the electromyographic activity of back muscles were used for describing the spinal load. Five men and five women worked in a laboratory on two days lifting a box up and down for 30 min on both days, on one day force-paced (4 lifts/min), and on the other self-paced in random order. The weight of the box was rated by the subjects to be acceptable for the work done. The lift rate of our female subjects was higher and that of the male subjects lower in self-paced than in force-paced work. There were no significant differences in peak lumbosacral compressions nor in the amplitude distributions of electromyography between the two pacing methods. The biomechanically-calculated compressive forces on the spine were lower (about 2·7 kN for the men and 2·3 kN for women) than the biomechanical recommendations for safe lifting, but the EMG activity showed quite high peaks so that for 1% of work time the activity was on women above 60% and on men above 40% of the activity during maximum isometric voluntary test contraction.     

Effect of a redesigned two-wheeled container for refuse collecting on mechanical loading of low back and shoulders

The objective of this study was to compare the mechanical and perceived workload when working with a redesigned two-wheeled container and working with a standard two-wheeled container for refuse collecting. The three changes in the design of the container were a displacement of the position of the centre of mass in the direction of the axis of the wheels, a slight increase in the height of the handle and a slight increase in the horizontal distance between the handle and the wheel-axis, and an increase in the diameter of the wheels. The volume of the container remained 0.240 m3. Nine refuse collectors performed some of their most frequent daily activities with both types of containers in the laboratory. Kinematics and exerted hand forces were assessed as input for detailed 3D biomechanical models of the low back and shoulder to estimate net moments at the low back and shoulders, compressive forces at the low back and contact forces at the glenohumeral joint. Also, the refuse collectors rated the ease of handling the two-wheeled containers on a five point scale. The use of the redesigned container resulted in a decrease of the exerted hand forces of 27%, decreases in the net moments at the low back and shoulders of 8% and 20%, respectively, and a decrease of 32% of the contact force at the glenohumeral joint when compared to the standard container. However, pulling an empty redesigned container on to the pavement resulted in an increase of the shoulder moment of more than 100%. No differences between container types were found for the compressive forces at the low back. Pushing and pulling with the redesigned container was rated as easier than pushing and pulling with the standard container. No differences in subjective ratings were found for the tasks of turning the container or pulling an empty container onto the pavement. It is concluded that, provided that empty containers are placed back onto the pavement as infrequently as possible, the introduction of the redesigned container could result in a reduction of the low back and shoulder load for refuse collectors.     

Dependence of safety margins in grip force on isometric push force levels in lateral pinch

This study examined the relationship between safety margin and force level during an isometric push task in a lateral pinch posture. Ten participants grasped an object with an aluminium- or rubber-finished grip surface using a lateral pinch posture and exerted 20%, 40%, 60%, 80% and 100% of maximum push force while voluntary grip force was recorded. Then minimum required grip force was measured for each push force level. Mean safety margin, the difference between voluntary and minimum required grip forces, was 25% maximum voluntary contraction (MVC) when averaged for all push levels. Safety margin significantly increased with increasing push force for both grip surfaces. Grip force used during maximum push exertion was only 74% lateral pinch grip MVC. Possible underlying mechanisms for increasing safety margin with increasing push force are discussed as well as the implication of this finding for ergonomic analysis. This study demonstrates that ergonomic analyses of push tasks that involve friction force should account for safety margin and reduced grip strength during the push. Failure to consider these can result in overestimation of people's push capability.     

The effects of load knowledge on stresses at the lower back during lifting

This study investigated the effects of load uncertainty on the lifting characteristics of 40 male volunteers during the initial portion of a lift. Twenty subjects were experienced weightlifters while another 20 were subjects who had never lifted weights nor held a job that required them to on a regular basis. The subjects each lifted a container 20 × 45 × 40 cm, with handles, from floor to waist height 12 times with loads of 68, 10·2 or 13·6 kg. The loads were lifted under conditions of either havingor not having verbal and visual knowledge of the load magnitude prior to the lift. The subjects were allowed to perform the lift in a manner of their choosing. A 2 (groups) × 3 (loads) × 2 (load knowledge) ANOVA was performed on the data. Maximim force (F_max) value analysis revealed group and technique differences. The experienced lifters had lower stress levels at L4/L5 and utilized two technique strategies that were dependent upon the load knowledge condition, whereas the non-lifters used the same strategy for all lifts. Maximum moment values (M_max were significantly higher for the inexperienced lifters under all conditions, indicating a greater dependence on the low back musculature for initiating the lifting of a load.