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

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

Transmission of vibration through gloves: effects of material thickness

It might be assumed that increasing the thickness of a glove would reduce the vibration transmitted to the hand. Three material samples from an anti-vibration glove were stacked to produce three thicknesses: 6.4, 12.8 and 19.2 mm. The dynamic stiffnesses of all three thicknesses, the apparent mass at the palm and the finger and the transmission of vibration to the palm and finger were measured. At frequencies from 20 to 350 Hz, the material reduced vibration at the palm but increased vibration at the finger. Increased thickness reduced vibration at the palm but increased vibration at the finger. The measured transmissibilities could be predicted from the material dynamic stiffness and the apparent mass of the palm and finger. Reducing the dynamic stiffness of glove material may increase or decrease the transmission of vibration, depending on the material, the frequency of vibration and the location of measurement (palm or finger).

Practitioner Summary: Transmission of vibration through gloves depends on the dynamic response of the hand and the dynamic stiffness of glove material, which depends on material thickness. Measuring the transmission of vibration through gloves to the palm of the hand gives a misleading indication of the transmission of vibration to the fingers.     

Short and longer duration effects of protective gloves on hand performance capabilities and subjective assessments in a screw-driving task

The study investigated short and longer duration effects of gloves on hand performance capabilities (muscle activity, dexterity, touch sensitivity, finger pinch and forearm torque strength) and subjective assessments of discomfort and ease of manipulation when performing a light assembly task. The independent variables were hand condition with four levels (wearing cotton, nylon or nitrile gloves as well as barehanded) and point of time within the 2 h duration of the task (with measurements taken at 0, 30, 60, 90 and 120 min). Participants worked with a screwdriver to fit two components together using screws. Wearing gloves significantly increased the muscle activity, pinch strength and discomfort but reduced the dexterity and touch sensitivity. There was also a significant effect of task time on the muscle activity, dexterity, forearm torque strength and touch sensitivity, which indicates that the duration of the task should be an important consideration in glove evaluation studies and in the selection of work gloves.

Statement of Relevance:It is important to evaluate the effects of gloves on hand performance capabilities in a working context so that job demands can be taken into account and the most appropriate type of glove be chosen for each task. This study gives recommendations regarding the evaluation and use of gloves for screw-driving tasks.     

Transmission of vibration through glove materials: effects of contact force

This study investigated effects of applied force on the apparent mass of the hand, the dynamic stiffness of glove materials and the transmission of vibration through gloves to the hand. For 10 subjects, 3 glove materials and 3 contact forces, apparent masses and glove transmissibilities were measured at the palm and at a finger at frequencies in the range 5–300 Hz. The dynamic stiffnesses of the materials were also measured. With increasing force, the dynamic stiffnesses of the materials increased, the apparent mass at the palm increased at frequencies greater than the resonance and the apparent mass at the finger increased at low frequencies. The effects of force on transmissibilities therefore differed between materials and depended on vibration frequency, but changes in apparent mass and dynamic stiffness had predictable effects on material transmissibility. Depending on the glove material, the transmission of vibration through a glove can be increased or decreased when increasing the applied force.

Practitioner summary: Increasing the contact force (i.e. push force or grip force) can increase or decrease the transmission of vibration through a glove. The vibration transmissibilities of gloves should be assessed with a range of contact forces to understand their likely influence on the exposure of the hand and fingers to vibration.     

Preliminary study evaluating manual dexterity tests assessing gloves protecting against cuts and stabs by hand knives

The paper presents preliminary results on the research methodology of evaluating the ergonomic properties of gloves protecting against cuts and stabs by hand knives. Four manual dexterity tests were selected for the study: TEST 1: evaluation of fine finger movements pursuant to PN-EN 420; TEST 2: cylinder grip and pull test according to PN-EN 1082 evaluating gross movements of the arms and hands; TEST 3: Purdue Pegboard Test evaluating fine finger movements; TEST 4: evaluation of gross movements of the arms and hands while performing simulated occupational tasks. The tested gloves differed in terms of construction and material (metal mesh or knitwear incorporating a metal yarn) and were selected depending on the scope of work activities performed during meat cutting and boning. The tests were conducted on a homogeneous group of subjects. During the performance of the four dexterity tests, we monitored the loading of four groups of muscles of the upper limb (adductor pollicis, extensor carpi radialis, flexor carpi ulnaris, and biceps brachii) using surface electromyography (EMG). Additionally, subjective sensations concerning the strain on the upper limb were evaluated using a questionnaire survey.The objective of the study was to identify a group of tests that would be characterized by high sensitivity and ensure reliable assessment of gloves protecting against cuts and stabs by hand knives. The results showed that not all of the dexterity captured differences in the way the gloves affected dexterity. This was corroborated by electromyographic measurements, which revealed considerable differences in load of upper limb muscles when using various gloves and further supported by the subjective sensations of the participants, as reported in the questionnaire study. It was concluded that in order to reliably evaluate the ergonomic properties of gloves protecting against cuts and stabs by hand knives it is necessary to design new dexterity tests that would reflect actual workplace conditions, and could simulate occupational activities. Workplace observations helped to identify specific aspects of manual dexterity (fine, medium, gross), and types of hand movement associated with professional activities including different force configurations (finger flexion, wrist abduction, and pressing with the fingers and wrist). Based on those observations three new manual dexterity tests dedicated exclusively to evaluation of the ergonomic properties of gloves protecting against cuts and stabs by hand knives have been proposed.     

Short and longer duration effects of protective gloves on hand performance capabilities and subjective assessments in a screw-driving task

The study investigated short and longer duration effects of gloves on hand performance capabilities (muscle activity, dexterity, touch sensitivity, finger pinch and forearm torque strength) and subjective assessments of discomfort and ease of manipulation when performing a light assembly task. The independent variables were hand condition with four levels (wearing cotton, nylon or nitrile gloves as well as barehanded) and point of time within the 2 h duration of the task (with measurements taken at 0, 30, 60, 90 and 120 min). Participants worked with a screwdriver to fit two components together using screws. Wearing gloves significantly increased the muscle activity, pinch strength and discomfort but reduced the dexterity and touch sensitivity. There was also a significant effect of task time on the muscle activity, dexterity, forearm torque strength and touch sensitivity, which indicates that the duration of the task should be an important consideration in glove evaluation studies and in the selection of work gloves. STATEMENT OF RELEVANCE: It is important to evaluate the effects of gloves on hand performance capabilities in a working context so that job demands can be taken into account and the most appropriate type of glove be chosen for each task. This study gives recommendations regarding the evaluation and use of gloves for screw-driving tasks.     

Preliminary results of hand arm vibration (HAV) exposures of chipping hammer operators in tropical weather: Analysis of exposures and protective gloves

Objectives of this study are to analyze the HAV exposures of chipping hammer operators from field measurements and to investigate the potential of various types of gloves in reducing the exposures. HAV exposures of twelve male operators were measured at four different operating conditions: bare hand, wearing normal workman gloves, wearing heavy workman gloves and wearing vibration reducing gloves. From the measurements, 8 h exposure values were determined and assessed against standards. The total vibration values were determined and effectiveness in vibration attenuation by gloves was compared. It was found that all most all operators, HAV exposure levels exceeded the exposure action value (EAV) and about 83% of the operators exceeded the exposure limit values (ELV). A reduction in the total vibration magnitude was observed with protective gloves: 8.3% with normal workman gloves, 14.6% with heavy workman gloves and 40% with vibration-reducing gloves. To confirm the effectiveness of the vibration reducing gloves, further field investigations are required with simultaneous measurements by considering parameters affecting HAV (i.e., hand forces and postures).     

Sex differences in anthropometry for school furniture design

This paper is concerned with anthropometric dimensions of young Koreans and their interrelationships for school furniture design. Ten anthropometric measurements were taken from 1248 subjects, age range 6-17. The study investigated sex differences in interrelationships between body dimensions, to provide suitable sizes of chair and desk for boys and girls. The results showed that stature had a high relationship to body dimensions for school furniture design, and that there were significant sex differences in relationships between stature and the body dimensions. In particular, boys above 126 cm in stature required higher desk and chair heights than girls of the same stature. On the other hand, girls above 120 cm in stature required a larger depth and breadth of chair than boys of the same stature.     

The effects of gravity inversion on exercise-induced spinal loading

Abstract

Changes in stature reflect the creep behaviour of the intervertebral discs when loaded and unloaded. Running, weight-training and bounding are exercises which load the spine and cause a loss in stature. Gravity-facilitated traction (inversion) has been shown to unload the spine and increase stature. This study examined the use of a gravity-inverted posture for attenuating the shrinkage induced by a bounding exercise regimen.

Eight male subjects, aged 20–26, performed the experimental protocol twice, at the same time of day (14·00 hours) with an alteration only to their 10min pre-exercise behaviour. The first occasion involved standing and the second involved gravity inversion at an angle of 50 degrees to the vertical. Prior to testing, each subject stood for a period of 20 min. Measurements of stature were taken at the beginning of the experiment, before and after the pre-exercise treatments, after the exercise period and at 5 min intervals during a 20 min standing recovery. A stadiometer, accurate to within 0·5 mm, was used to record alterations in stature. The exercise regimen consisted often sets of five standing broad jumps with 15 s recovery between each set.

Standing pre-exercise caused little change in stature, whereas, gravity inversion caused a mean increase in stature of 2·7mm (p<0·001). Exercise caused a mean shrinkage of 1·7 mm and 3·5 mm when it followed standing and gravity inversion, respectively (p<0·05). These results suggest that the benefits gained by unloading the spine are short-lived.     

Parametric body shape model of standing children aged 3–11 years

A statistical body shape model (SBSM) for children was developed for generating a child body shape with desired anthropometric parameters. A standardised template mesh was fit to whole-body laser scan data from 137 children aged 3–11 years. The mesh coordinates along with a set of surface landmarks and 27 manually measured anthropometric variables were analysed using principal component (PC) analysis. PC scores were associated with anthropometric predictors such as stature, body mass index (BMI) and ratio of erect sitting height to stature (SHS) using a regression model. When the original scan data were compared with the predictions of the SBSM using each subject's stature, BMI and SHS, the mean absolute error was 10.4 ± 5.8 mm, and 95th percentile error was 24.0 ± 18.5 mm. The model, publicly available online, will have utility for a wide range of applications.

Practitioner Summary: A statistical body shape model for children helps to account for inter-individual variability in body shapes as well as anthropometric dimensions. This parametric modelling approach is useful for reliable prediction of the body shape of a specific child with a few given predictors such as stature, body mass index and age.     

New design of a VirtualGlove for grasping applications

Virtual gloves have received much attention in the field of virtual reality and computer simulations. They are considered to be essential tools for implementing any sort of hand‐based experiences in virtual environments. For applications with simpler motions, the accuracy of finger‐bending amount returned by these virtual gloves is not of primary interest. For grasping applications, however, inaccuracy in the bending amount results in unrealistic scenarios having discrepancies in the contact geometry for the hand and the object. In this study, we improve the measurements of bending amount by placing the bend sensors on the palm of the hand, where the objects are touched directly. Supporting evaluative data and design details are also discussed. © 2010 Wiley Periodicals, Inc.     

Cascaded hierarchical CNN for 2D hand pose estimation from a single color image

Due to severe articulation, self-occlusion, various scales, and high dexterity of the hand, hand pose estimation is more challenging than body pose estimation. Recently-developed body pose estimation algorithms are not suitable for addressing the unique challenges of hand pose estimation because they are trained without explicitly modeling structural relationships between keypoints. In this paper, we propose a novel cascaded hierarchical CNN(CH-HandNet) for 2D hand pose estimation from a single color image. The CH-HandNet includes three modules, hand mask segmentation, preliminary 2D hand pose estimation, and hierarchical estimation. The first module obtains a hand mask by hand mask segmentation network. The second module connects the hand mask and the intermediate image features to estimate the 2D hand heatmaps. The last module connects hand heatmaps with the intermediate image features and hand mask to estimate finger and palm heatmaps hierarchically. Finally, the extracted Finger(pinky,ring,middle,index) and Palm(thumb and palm) feature information are fused to estimate 2D hand pose. Experimental results on three datasets - OneHand 10k, Panoptic, and Eric.Lee, consistently shows that our proposed CH-HandNet outperforms previous state-of-the-art hand pose estimation methods.

     

Gender, women's work and ergonomics

A submaximal test for estimating the physical work capacity has been developed and compared with a more complicated bicycle test. The testing procedure is a modified Harvard step test which in its original form is a maximal test The pulse rate was counted during work.

The step height was 40 cm for young males and 27 cm for the older ones and for the females 33 cm; the stepping rate was 22·5 steps per min.

The average values for ‘ step test 40 cm ’, and ‘ bicycle test 900 kgm/min ’ for male subjects were: oxygen intake 2·11 ±0·04 and 2·15±0·02 l./min ; pulse rate during work 130±1·5 and 132± 1·9 beats/mm respectively. The average values for ‘ step test 33 cm ’ and ‘ bicycle test 600 kgm/min ’ for female subjects were : oxygen intake 1·56±0·03 and 1·48±0·02 l./min ; pulse rate during work 140±1·6 and 138 ±2·2 beats/min respectively. The mechanical efficiency did not vary with the body height or weight.

As the aerobic capacity for trained individuals without excessive fat is closely correlated to the body weight the light ones will be tested at a relatively higher intensity than the heavy ones, when the bicycle test is used with a fixed load. In the step test the load varies with the body weight but the oxygen intake per kilogram body weight is constant.     

The transmission of vibration through gloves: effects of push force,vibration magnitude and inter-subject variability

The extent to which a glove modifies the risks from hand-transmitted vibration is quantified in ISO 10819:1996 by a measure of glove transmissibility determined with one vibration magnitude, one contact force with a handle and only three subjects. This study was designed to investigate systematically the vibration transmissibility of four ‘anti-vibration’ gloves over the frequency range 16–1600 Hz with 12 subjects, at six magnitudes of vibration (0.25–8.0 ms^?2 r.m.s.) and with six push forces (5 N to 80 N). The four gloves showed different transmissibility characteristics that were not greatly affected by vibration magnitude but highly dependent on push force. In all conditions, the variability in transmissibility between subjects was as great as the variability between gloves. It is concluded that a standardised test of glove dynamic performance should include a wide range of hands and a range of forces representative of those occurring in work with vibratory tools.

Statement of Relevance: The transmission of vibration through anti-vibration gloves is highly dependent on the push force between the hand and a handle and also highly dependent on the hand that is inside the glove. The influence of neither factor is well reflected in ISO 10819:1996, the current standard for anti-vibration gloves.     

Acclimatization to Severe Dry Heat by Brief Exposures to Humid Heat

Abstract

Maximal static strengths were determined for one-handed exertions in all directions in the fore and aft plane. Data from 12 males and 10 females (mean age 30·7 yrs, standard deviation (SD)=8·9 yrs, n=22) were obtained with handle heights of 1·0 and 1·75 m. Twelve of the subjects also performed two-handed exertions at the same handle heights. The ratio of mean strengths of females to that of males ranged from 0·50 to 0·83 (for absolute forces) and from 0·63 to 1·00 for forces normalized to body weight. The ratios of one-handed to two-handed strengths ranged from 0·64 to 1·04. Two-handed strengths commonly exceeded one-handed strengths at the lower handle height, but showed fewer significant strength differences (p<0·05) according to direction at l·75m. Both female/male and one-handed/two-handed strength ratios were found to be dependent on direction of exertion and handle height. The observed strength dependencies upon number of hands (one or two-handed), direction of exertion, handle height and sex are discussed. The strength data have implications for use in biomechanical models and task analysis.     

Hand anthropometry in Bangladeshis living in America and comparisons with other populations

An anthropometric study of a convenience sample of 51 female and 50 male adults of Bangladeshi origin (mean age 41.3 years), living in the United States, but who spent most of their lives in Bangladesh, was conducted. Standard measurements were taken on 24 dimensions of the right hand that were relevant to the design of hand tools, gloves and access spaces using a standard sliding calliper. Analysis of the results showed significant differences in palm and finger segment lengths, breadths and depths between genders in Bangladeshis and also within each gender between Bangladeshis and other populations. The differences between Bangladeshis and other populations were of about the same magnitude as the differences between genders in Bangladeshis. The data gathered may be used for the design of hand tools, gloves, machine access spaces and hand-held devices and for selection of hand tools for use by Bangladeshis. The study also allows inter-population comparisons that can enhance the understanding of hand anthropometry.     

The effects of vibration-reducing gloves on finger vibration

Vibration-reducing (VR) gloves have been used to reduce the hand-transmitted vibration exposures from machines and powered hand tools but their effectiveness remains unclear, especially for finger protection. The objectives of this study are to determine whether VR gloves can attenuate the vibration transmitted to the fingers and to enhance the understanding of the mechanisms of how these gloves work. Seven adult male subjects participated in the experiment. The fixed factors evaluated include hand force (four levels), glove condition (gel-filled, air bladder, no gloves), and location of the finger vibration measurement. A 3-D laser vibrometer was used to measure the vibrations on the fingers with and without wearing a glove on a 3-D hand-arm vibration test system. This study finds that the effect of VR gloves on the finger vibration depends on not only the gloves but also their influence on the distribution of the finger contact stiffness and the grip effort. As a result, the gloves increase the vibration in the fingertip area but marginally reduce the vibration in the proximal area at some frequencies below 100 Hz. On average, the gloves reduce the vibration of the entire fingers by less than 3% at frequencies below 80 Hz but increase at frequencies from 80 to 400 Hz. At higher frequencies, the gel-filled glove is more effective at reducing the finger vibration than the air bladder-filled glove. The implications of these findings are discussed.     

Evaluation of effects of anti-vibration gloves on manual dexterity

Abstract

The purpose of this study was to evaluate the effects of anti-vibration gloves on manual dexterity and to explore factors affecting the manual dexterity. The manual dexterity of ten different gloves was investigated with 15 adult male subjects via performing two different dexterity tests, namely ASTM F2010 standard test and Two-Hand Turning and Placing Minnesota test. Two-factor repeated-measures analysis of variance was conducted to evaluate the main effects of glove type, test method and their interaction effect on manual dexterity. Results suggested that glove type yielded significant effect on manual dexterity (p?<?.001), while no significant difference was observed between test methods (p?=?.112). The interaction effect of glove type and test method also revealed a significant difference (p?=?.009). The manual dexterity decreased nearly linearly with increase in the glove thickness, which further showed a moderately significant difference on the number of drops during the tests.

Practitioner Summary: Anti-vibration gloves may adversely affect manual dexterity and work precision, which may discourage their usage. This article presented a study of manual dexterity performance of anti-vibration gloves and the design factors affecting the manual dexterity. The results were discussed in view of a design guidance for improved hand dexterity, which would encourage the use of anti-vibration gloves in the workplace.     

Contributions and co-ordination of individual fingers in multiple finger prehension

The contributions and co-ordination of external ringer grip forces were examined during a lifting task with a precision grip using multiple fingers. The subjects ( n = 10) lifted a force transducer-equipped grip apparatus. Grip force from each of the five fingers was continuously measured under different object weight (200 g, 400 g, and 800 g) and surface structure (plastic and sandpaper) conditions. The effect of five-, four-, and three-finger grip modes was also examined. It was found that variation of object weight or surface friction resulted in change of the total grip force magnitude; the largest change in finger force, was that for the index finger, followed by the middle, ring, and little fingers. Percentage contribution of static grip force to the total grip force for the index, middle, ring, and little fingers was 420%, 27·4%, 17·6% and 12·9%, respectively. These values were fairly constant for all object weight conditions, as well as for all surface friction conditions, suggesting that all individual finger force adjustments for light loads less than 800 g are controlled comprehensively simply by using a single common scaling value. A higher surface friction provided faster lifting initiation and required lesser grip force exertion, indicating advantageous effect of a non-slippery surface over a slippery surface. The results indicate that nearly 40% force reduction can be obtained when a non-slippery surface is used. Variation in grip mode changed the total grip force, i.e., the fewer the number of fingers, the greater the total grip force. The percent value of static grip force for the index, middle, and ring fingers in the four-finger grip mode was 42·7%, 32·5%, and 24·7%, respectively, and that for the index and middle fingers in the three-finger grip mode was 43·0% and 56·9%, respectively. Therefore, the grip mode was found to influence the force contributions of the middle and ring fingers, but not of the index finger.     

Grip posture and forces during holding cylindrical objects with circular grips

Individual finger position and external grip forces were investigated while subjects held cylindrical objects from above using circular precision grips. Healthy females (n = 11) and males (n = 15) lifted cylindrical objects of various weights (05, 10 and 20kg), and varied diameters (50, 7-5 and 100cm) using the 5-finger grip mode. The effects of 4-, 3- and 2-finger grip modes in the circular grip were also investigated.

Individual finger position was nearly constant for all weights and for diameters of 5-0 and 7-5 cm. The mean angular positions for the index, middle, ring and little fingers relative to the thumb were 98°, 145°, 181°, and 236°, respectively. At the 10-cm diameter, the index and middle finger positions increased, while the ring and little finger positions decreased. There were no differences in individual finger position with regard to gender, hand dimension, or hand strength.

Total grip force increased with weight, and at diameters greater or lesser than 7-5 cm. Total grip force also increased as the number of fingers used for grasping decreased. Although the contribution of the individual fingers to the total grip force changed with weight and diameter, the thumb contribution always exceeded 38% followed by the ring and little fingers, which contributed approximately 18-23% for all weights and diameters. The contribution of the index finger was always smallest (>11%). There was no gender difference for any of the grip force variables. The effects of hand dimension and hand strength on the individual finger grip forces were subtle.