An investigation of stability limits while holding a load

The objective of this study was to investigate the effects of load height and foot placement on the functional base of support (FBOS) limits and the postures that participants used when they reached their FBOS limits. Twelve young male participants were tested while holding a 12-kg load at reach (above their heads), at shoulder and knuckle height, and unladen under both wide and narrow foot placements. The FBOS limits and the centre of pressure (COP) excursion length were calculated based on data from a force platform. Postural angles when participants reached their FBOS limits were calculated from records of a 2-D motion analysis system. The results showed that the load height had greater effect on the posterior FBOS limit. As the load height decreased, the COP excursion length decreased. Participants were prone to using a hip strategy to maintain postural balance when reaching their FBOS limits. Quantitative data of FBOS limits and postural control while participants hold a load at various heights when reaching their FBOS limits is of value for designing a safe materials handling workplace.     

Investigation of the functional stability limits while squatting

This study investigates the functional stability limits (FSLs) in the squatting positions. Eleven male participants leaned and moved their pelvis horizontally in the clockwise and counter‐clockwise directions while squatting at 11 depth levels. The depth was controlled by changing the hip height from 100% to 0% of the upright position. The FSLs and the center of pressure excursion lengths were calculated from the force‐plate data, and the musculoskeletal loads on the lower limbs were estimated from the joint torques and surface electromyograms. As the hip height reduced, the area of the FSLs narrowed by up to 20% of the base of support (BOS) area at the deepest squatting position. The narrowing was affected by the decreasing FSLs in the forward direction, which also decreased by up to 20% of BOS. These quantitative data accurately evaluate the postural stability, suggesting a considerable fall risk during tasks requiring the squatting position.     

The effects of release height on center of pressure and trunk muscle response following sudden release of stoop lifting tasks

Background and objectives: Sudden release of load during lifting threatens postural stability and is countered by trunk muscle response, which can generate high loads on the spine, and may be a cause of tissue injury. The postural threat following sudden release and the consequent muscular response are likely to depend on the posture at the time of release. This study investigates the effects of sudden release of load at two release heights of one- and three-quarters of the knee to shoulder distance during stoop lifting.

Methods: Ten normal southern Chinese male volunteers were subject to sudden release of 20, 40, 60 and 80 N loads during stoop lifting trials. The release was randomly selected to be on the third, fourth or fifth cycle of a trial and was triggered at heights of one- and three-quarters of the total knee to shoulder lifting distance. The subjects stood on a force platform to allow the postural disturbance to be recorded by monitoring the center of pressure (COP), and electromyographic (EMG) data were collected from the rectus abdominus, internal oblique, external oblique, erector spinae and latissimus dorsi muscle groups.

Results: The COP excursion moved closer to the posterior limit of stability with increasing release load, and this effect was significantly more marked for release from the lower of the two heights. The minimum posterior COP separation from the posterior limit of stability was significantly less for the lower release height at all loads (p<0.001 in all cases). EMG data showed that the agonist–antagonist co-contraction durations were higher for the lower release height, and unlike sudden release from the higher level, showed a significant increase with increasing load.

Conclusions: Sudden release at lower release height during stoop lifting results in significantly greater postural disturbance and spinal loading. The mean load predicted to result in fall or stumble at the lower release height (133 N) is significantly less than that predicted at the higher of the two release heights (245 N). A more marked effect of release load is also seen in the postural disturbance and trunk muscle co-contraction time for the lower release height, and particular care should therefore be taken when handling potentially unstable loads under these conditions. If the security of the load cannot be guaranteed, storage at a higher level may reduce the risk of injury due to sudden release of the load.     

Functional stability limits while holding loads in various positions

Stability of the body during manual material handling is an important issue in the prevention of falls and over-exertion injuries. This research investigated stability limits while standing and holding loads in different positions relative to the body. Theoretically, the stability region is the full base of support defined by the perimeter of the foot contact area. However, the functional stability region may be smaller. The purpose of this study was to locate functional stability limits with respect to the base of support. Fifteen male subjects leaned as far as possible in four directions in the sagittal and frontal planes. Their center of gravity location at these extremes determined the stability limit. The results showed that functional stability limits reached only about 60% of the distance to the maximum base of support limits under the conditions of this study. The sway angles reached at the stability limits averaged 9.2 degrees anteroposteriorly and 15.3 degrees laterally. External load positions which lowered the center of gravity of the body-and-load system extended those stability limits. This study provides a postural stability perspective of load-holding which may be applied in establishing safe lifting and reach limits.     

Postural implications of obtaining line-of-sight for seated operators of underground mining load-haul-dump vehicles

Operators of load-haul-dump (LHD) vehicles use awkward postures that may be held statically and at extreme ranges of motion for long shift periods to spot hazards in underground mining. This study examined postural variables associated with three amounts of seat rotation intended to maximize line-of-sight during forward driving. Three different models, representing the 1st, 50th and 99th percentile male for height and weight, were positioned with appropriate hand and foot constraints in the virtual LHD cab modelled in Classic JACK v4.0. A total of 15 virtual movement strategies were developed to model the postural behaviour of typical workers and each virtual subject was tested, first with the seat in a neutral 0 degrees position and then with it rotated counter-clockwise to 20 degrees and 45 degrees . Results revealed that reductions in trunk rotation, trunk lateral bend and neck rotation were associated with the seat rotation intervention. The general relationship observed was that as seat rotation increased, view of critical visual attention locations and visible line-of-sight area increased while postural load variables decreased. For the most part, 20 degres of seat rotation was beneficial but 45 dgrees produced significantly greater changes to postural load and visible visual attention locations.     

Standing centre of pressure alters the vibration transmissibility response of the foot

Abstract

Vibration-white foot as an occupational disease has underscored the need to better understand the vibration response of the foot. While vibration transmissibility data exist for a natural standing position, it is anticipated that weight distribution will affect the response. The purpose of this study was to determine the effects of changes in centre of pressure (COP) on the foot’s biomechanical response. Twenty-one participants were exposed to vertical vibration of 30?mm/s, with a sine sweep from 10–200?Hz. Z-axis (vertical) vibration was measured at 24 locations on the right foot, with the COP shifted forward or toward the heel. A mixed model analysis at each location revealed significant differences (p?<?.001) in the transmissibility response when the COP was altered to the forefoot and rearfoot. In general, the peak frequency of the average vibration response increased for a region of the foot when the COP was shifted toward that region.

Practitioner Summary: Altering the centre of pressure location resulted in changes in the transmission of vibration through the foot. The forward lean position was associated with the greatest amplitude of vibration transmissibility at the toes. This information is relevant for clinicians studying vibration-induced white-foot and engineers designing protective equipment.     

Postural implications of obtaining line–of–sight for seated operators of underground mining load-haul-dump vehicles

Operators of load–haul–dump (LHD) vehicles use awkward postures that may be held statically and at extreme ranges of motion for long shift periods to spot hazards in underground mining. This study examined postural variables associated with three amounts of seat rotation intended to maximize line-of-sight during forward driving. Three different models, representing the 1st, 50th and 99th percentile male for height and weight, were positioned with appropriate hand and foot constraints in the virtual LHD cab modelled in Classic JACK v4.0. A total of 15 virtual movement strategies were developed to model the postural behaviour of typical workers and each virtual subject was tested, first with the seat in a neutral 0° position and then with it rotated counter-clockwise to 20° and 45°. Results revealed that reductions in trunk rotation, trunk lateral bend and neck rotation were associated with the seat rotation intervention. The general relationship observed was that as seat rotation increased, view of critical visual attention locations and visible line-of-sight area increased while postural load variables decreased. For the most part, 20° of seat rotation was beneficial but 45° produced significantly greater changes to postural load and visible visual attention locations.     

Effects of carried weight on random motion and traditional measures of postural sway

The purpose of the study was to investigate the effects of load weight carried by soldiers upon postural sway. Fourteen US Army enlisted men participated. Postural sway and muscle activity were measured while participants stood on a force plate. The load weight conditions, comprised of Army clothing and load-carriage equipment were 6, 16, and 40 kg. With an increase in load weight, stabilogram-diffusion analysis revealed that random movement of postural sway decreased. Also, with an increase in load weight, center of pressure excursions increased linearly but muscle activity changed minimally. In short, increasing load weight challenged the load carriers' stability, reduced the randomness of postural sway and required the load carriers to exert greater control of the load in order to maintain balance.     

Effects of simulated occupational task parameters on balance

The effects of single-handed load holding, length of the base of support, and standing surface condition (narrow and wide construction beams) on balance were investigated in twenty-three healthy men between the ages of 18 and 55 years old. Balance during quiet standing was evaluated from postural sway measurements derived from center of pressure (COP) displacement. These measurements included the range or maximal displacement of the COP in the anteroposterior (AP) and mediolateral (ML) directions, the elliptical area, and mean sway velocity. Holding a load in the hand did not significantly affect postural sway measures (p > 0.05), although the effect of surface condition was significant on all COP measures (p < 0.001). Lengthening the base of support did not affect the ranges or elliptical area, but increased the mean velocity of sway (p = 0.001). Changes in the dimensional characteristics of the surface condition and length of base of support affected postural sway, possibly by requiring adjustments to balance and motor control strategies. Further research is required to determine if these changes are detrimental to maintaining balance and increase the risk of falls for workers in similar environments.     

Limits of subjective and objective vection for ultra-high frame rate visual displays

Large-field optic flow generates the illusory percept of self-motion, termed ‘vection’. Smoother visual motion displays generate a more compelling subjective sense of vection and objective postural responses, as well as a greater sense of immersiveness for the user observing the visual display. Research suggests that the function linking frame rate and vection asymptotes at 60 frames per second (FPS), but previous studies have used only moderate frame rates that do not approach the limits of human perception. Here, we measure vection using subjective and objective (mean frequency and path length of postural centre-of-pressure (COP) excursions) responses following the presentation of high-contrast optic flow stimuli at slow and fast speeds and low and ultra-high frame rates. We achieve this using a novel rendering method implemented with a projector capable of sub-millisecond temporal resolution in order to simulate refresh rates ranging from very low (15 FPS) to ultra-high frame rates (480 FPS). The results suggest that subjective vection was experienced most strongly at 60 FPS. Below and above 60 FPS, subjective vection is generally weaker, shorter, and starts later, although this pattern varied slightly according to the speed of stimuli. For objective measures, while the frequency of postural sway was unaffected by frame rate, COP path length was greatest for 480 FPS stimuli. Together, our results support diminishing returns for vection above 60 FPS and provide insight into the use of high frame rate for enhancing the user experience in visual displays.     

The effects of a lower body exoskeleton load carriage assistive device on limits of stability and postural sway

The study investigated the effects of using a lower body prototype exoskeleton (EXO) on static limits of stability and postural sway. Measurements were taken with participants, 10 US Army enlisted men, standing on a force platform. The men were tested with and without the EXO (15 kg) while carrying military loads of 20, 40 and 55 kg. Body lean to the left and right was significantly less and postural sway excursions and maximal range of movement were significantly reduced when the EXO was used. Hurst values indicated that body sway was less random over short-term time intervals and more random over long-term intervals with the EXO than without it. Feedback to the user's balance control mechanisms most likely was changed with the EXO. The reduced sway and relatively small changes in sway with increasing load weights suggest that the EXO structure may have functioned to provide a bracing effect on the body.     

Effects of foot placement on postural stability of construction workers on stilts

Stilts are elevated tools that are frequently used by construction workers to raise workers 18-40 inches above the ground. The objective of this laboratory study was to evaluate the potential loss of postural stability associated with the use of stilts in various foot placements. Twenty construction workers with at least 1 year of experience in the use of stilts participated in this study. One Kistler™ force platform was used to collect kinetic data. Participants were tested under six-foot-placement conditions. These 6 experimental conditions were statically tested under all combinations of 3 levels of elevation: 0″ (no stilts), 24″ stilt height and 40″ stilt height. SAS mixed procedure was used to evaluate the effect of different experimental conditions. The results of the multivariate analysis of variance (MANOVA) and repeated measures of univariate analyses of variance (ANOVAs) demonstrated that stilt height, foot-placement direction, and foot-placement width all had significant effects on the whole-body postural stability. This study found that the higher the stilts were elevated, the greater the postural instability. A stance position with one foot placed forward of the other foot produced greater postural instability than a position with the feet parallel and directly beneath the body. This study found that placement of the feet parallel and directly beneath the body, with the feet positioned a half shoulder width apart, caused a greater amount of postural sway and instability than one and one-and-half shoulder width. This study also found that construction workers using the stilts could perceive the likely postural instability due to the change in foot placements.     

The effects of a lower body exoskeleton load carriage assistive device on limits of stability and postural sway

The study investigated the effects of using a lower body prototype exoskeleton (EXO) on static limits of stability and postural sway. Measurements were taken with participants, 10 US Army enlisted men, standing on a force platform. The men were tested with and without the EXO (15 kg) while carrying military loads of 20, 40 and 55 kg. Body lean to the left and right was significantly less and postural sway excursions and maximal range of movement were significantly reduced when the EXO was used. Hurst values indicated that body sway was less random over short-term time intervals and more random over long-term intervals with the EXO than without it. Feedback to the user's balance control mechanisms most likely was changed with the EXO. The reduced sway and relatively small changes in sway with increasing load weights suggest that the EXO structure may have functioned to provide a bracing effect on the body.     

The effect of load mass and its placement on postural sway

The purpose of this study was to investigate the effects of increasing load on postural sway in two different carrying positions: backpack and waist jacket. Potential differences between males and females were additionally evaluated. 60 young college students participated in this study, and were assigned to backpack and waist jacket groups. The loads in both groups were 12, 21 and 30 kg. Stabilometry was used to assess the amount of postural sway. The medio-lateral and antero-posterior mean sway, mean velocity, medio-lateral and antero-posterior path length and sway area of the centre of pressure position were calculated.In the backpack group all analyzed sway parameters linearly increased with additional load, the differences were significant at p < 0.001. However no significant change of the analyzed parameters was found when the subjects carried additional load in the waist jacket.Our results indicate that postural sway depends on the amount of the load carried in a backpack. Additionally, the position of the load is of significant importance. Carrying weight in a backpack increases postural sway with increasing weight whereas carrying weight in a waist jacket does not influence the amount of postural sway. There are no significant differences in the response to the amount and configuration of the load between male and female subjects.     

The principal features of maximal exertion in the sagittal plane

The postural stability diagram (PSD) is a plot of the vertical component of a manual force against the horizontal component. It may be used to assess the interactions of manual strength, frictional limitations at the feet and the forces demanded by a task. This paper presents data on human strength in the form of postural stability diagrams.

The observed features of maximal exertion, in all directions in the sagittal plane, are presented and analysed. Measurements were made on men and women using 12 different combinations of hand and foot placement.

Sex, the position of the hands and feet, and the direction of exertion were important determinants of strength. Evidence is presented to show that, in a minority of conditions, strength is limited by the distribution of body weight and the extent of the foot base. Centres of foot pressure were rarely located at the posterior limits of a subject's anatomical foot base. In certain combinations of hand and foot placement, pronounced peak forces were observed for a narrow range of directions of exertion in the LIFT/PUSH quadrant.     

Optimal hand locations for safe scaffold-end-frame disassembly

Overexertion and fall injuries comprise the largest category of injuries among scaffold workers. A significant portion of these injuries is associated with scaffold-end-frame dismantling tasks, which require both muscle strength and postural balance skills. The commonly used tubular scaffold end frame is 1.52-m wide x 2-m high and weighs 23 kg. Previous studies have indicated that a great muscle strength can be generated when scaffold workers placed their hands symmetrically at knuckle height. However, adequate postural stability can only be reached when the workers placed their hands at the chest or shoulder height, which is near to the height of scaffold-end-frame center-of-mass. A reasonable approach to solve this dilemma is to develop an assistive lifting device, such as a light-weight clip-and-lift bar, that allows workers to place their hands at the height of the center-of-mass of end frames and concurrently allows an optimal hand separation for them to generate an adequate maximum isometric muscle force to safely accomplish the task. This study was conducted to determine the optimal hand location for a conceptual assistive lifting device to mitigate potential postural imbalance while reducing overexertion hazards during scaffold disassembly. This location would be within a window defined by a vertical hand placement between shoulder height and knuckle height and by a horizontal hand separation distance of shoulder width to end-frame width. The whole-body maximum isometric strength of 54 construction workers was measured in nine symmetric scaffold-end-frame disassembly postures, defined by a combination of three vertical hand placements by three horizontal hand separation distances within the aforementioned window. The study apparatus include a computer-controlled data-acquisition system, a custom-fabricated scaffold fixture, and two Bertec force platforms. An analysis of variance showed that the interaction effect of vertical hand placement and hand separation on workers' maximum isometric strength was significant (p < 0.004). A hand location between elbow height and chest height with a hand separation distance of 46 cm (a conceptual, light-weight assistive bar) would allow workers to generate sufficient isometric strength (about twice that of the scaffold weight) to disassemble the typical 23 kg scaffolds while concurrently allowing them to mitigate the likelihood of postural imbalance.     

Step scaling and behaviour selection in a constrained set of manual material handling transfers

Predictive biomechanical analysis of manual material handling (MMH) transfers is dependent on accurate prediction of foot locations relative to the task. Previous studies have classified common acyclic stepping patterns used during those transfer tasks, but the influence of walking distance prior to the transfer is not well understood. Twenty men and women performed transfers for a minimum of six different delivery distance conditions. The number of steps used by the participants ranged from two to seven. A theoretical framework for idealised step-scaling strategies is proposed and compared with the experimental data. The maximum observed increase in step length prior to delivery was 1.43 times the nominal step length calculated for each participant. The data suggest that although participants can scale their steps to facilitate the use of a single terminal stance at the transfer, the majority of participants chose to utilise a combination of stepping strategies if the preferred contralateral lead foot strategy could not be easily implemented.

Practitioner summary: Accurate foot placements are needed for predictive biomechanical analysis of MMH. A laboratory study investigated the influence of previous step positions on MMH. A flexible step-scaling strategy, in which step lengths and strategy were varied, suggests that analysis based on simulated movements should consider multiple lifting postures.     

Kinetic changes in gait during low magnitude military load carriage

Indian infantry soldiers carry smaller magnitudes of loads for operational requirements. The ground reaction forces (GRFs) and impulse responses of 10 healthy male Indian infantry soldiers were collected while they walked carrying operational loads between 4.2 and 17.5 kg (6.5–27.2% of mean body weight (BW)) and a control condition of no external load (NL). The GRF and impulse components were normalised for BW, and data for each load condition were compared with NL in each side applying one-way analysis of variance followed by Dunnett's post hoc test. Right foot data were compared with corresponding left foot GRF data for all load conditions and NL. There were significant increases in vertical and anteroposterior GRFs with increase in load. Left and right feet GRF data in corresponding load conditions were significantly different in anteroposterior plane. No significant change was observed in the temporal components of support phase of gait. Changes in impulse parameter were observed in the anteroposterior and vertical planes while carrying load greater than 23 and 16.6% of BW for the right foot and left foot, respectively. Result indicates that smaller magnitudes of loads produced kinetic changes proportional to system weight, similar to heavier loads with the possibility of increased injury risk. Observed smaller asymmetric changes in gait may be considered as postural adjustment due to load. Unique physical characteristics of Indian soldiers and the probable design shortcomings of the existing backpack might have caused significant changes in GRF and peak impulse during smaller load carriage.     

Postural and trunk muscle response to sudden release during stoop lifting tasks before and after fatigue of the trunk erector muscles

The effect of fatigue on the muscular and postural response to sudden release of different stoop lifting loads was studied. Ten male volunteers performed a series of stoop lifting trials before and after fatigue of the erector spinae. Trials were performed using loads of 20, 40, 60, and 80 N, and sudden release of load was triggered randomly on one of the repetitions using an electromagnetic release. The onset of release was registered by an accelerometer, centre of pressure (COP) motion was recorded via a forceplate, and EMG activities of the latissimus dorsi (LD), erector spinae (ES), rectus abdominus (RA), external oblique (EO) and internal oblique (IO) muscles were recorded. A slightly reduced lifting speed was seen after fatigue, particularly at the higher loads, but this had little effect on the perturbing force at release, which was dominated by the release load. A significant effect of fatigue was seen on the antero-posterior COP motion, with the postural disturbance being decreased after fatigue. Fatigue resulted in a significant increase in ES (p = 0.029) and LD (p = 0.015) relaxation times and, while the response patterns (relaxation, contraction or no response) of the anterior trunk muscles (RA, EO, IO) were not always consistent, the proportion of response by relaxation was greater after fatigue. This resulted in a lower incidence but longer duration of co-contraction of the ES-RA, ES-EO and ES-EO muscle groups following fatigue, such that the mean co-contraction duration of these groups showed no significant differences before and after fatigue. The response to sudden release is a balance between maintaining postural stability and at the same time preventing the trunk musculature from overloading the spine and risking tissue injury. While fatigue of the trunk extensors does not appear to increase either the risk of fall or stumble or the incidence of co-contraction following sudden release of stoop lifting tasks, the duration of co-contraction appears to increase following fatigue. Further study is required to quantify the loading on the spine during sudden release of different lifting tasks before and after more realistic fatigue conditions.     

Postural and trunk muscle response to sudden release during stoop lifting tasks before and after fatigue of the trunk erector muscles

The effect of fatigue on the muscular and postural response to sudden release of different stoop lifting loads was studied. Ten male volunteers performed a series of stoop lifting trials before and after fatigue of the erector spinae. Trials were performed using loads of 20, 40, 60, and 80N, and sudden release of load was triggered randomly on one of the repetitions using an electromagnetic release. The onset of release was registered by an accelerometer, centre of pressure (COP) motion was recorded via a forceplate, and EMG activities of the latissimus dorsi (LD), erector spinae (ES), rectus abdominus (RA), external oblique (EO) and internal oblique (IO) muscles were recorded. A slightly reduced lifting speed was seen after fatigue, particularly at the higher loads, but this had little effect on the perturbing force at release, which was dominated by the release load. A significant effect of fatigue was seen on the antero-posterior COP motion, with the postural disturbance being decreased after fatigue. Fatigue resulted in a significant increase in ES (p = 0.029) and LD (p = 0.015) relaxation times and, while the response patterns (relaxation, contraction or no response) of the anterior trunk muscles (RA, EO, IO) were not always consistent, the proportion of response by relaxation was greater after fatigue. This resulted in a lower incidence but longer duration of co-contraction of the ES-RA, ES-EO and ES-EO muscle groups following fatigue, such that the mean co-contraction duration of these groups showed no significant differences before and after fatigue. The response to sudden release is a balance between maintaining postural stability and at the same time preventing the trunk musculature from overloading the spine and risking tissue injury. While fatigue of the trunk extensors does not appear to increase either the risk of fall or stumble or the incidence of co-contraction following sudden release of stoop lifting tasks, the duration of co-contraction appears to increase following fatigue. Further study is required to quantify the loading on the spine during sudden release of different lifting tasks before and after more realistic fatigue conditions.