Muscle fatigue during intermittent isokinetic shoulder abduction: Age effects and utility of electromyographic measures

Most existing evidence regarding the effects of age on muscular fatigue has focused on prolonged isometric contractions, repeated maximum dynamic contractions and individuals beyond traditional retirement age (>65 years). In the present study, age-related differences in muscle fatigue during submaximal dynamic efforts were examined. There were 24 younger (18–25 years) and 24 older (55–65 years) participants, all of whom were healthy and active, with equal numbers of each gender within each age group. Participants performed repetitive, intermittent shoulder abductions until exhaustion, at peak moments of 30% and 40% of individual maximum voluntary isokinetic contraction (MVIC) and with cycle durations of 20 and 40 s. Fatigue development was determined based on changes in MVIC, electromyographic (EMG) signals and ratings of perceived discomfort (RPD). Following the exhaustive exercises, strength recovery was monitored using a series of MVICs over a 15-min period. Results indicated the existence of an age-related fatigue resistance, with the older group demonstrating significantly slower rates of MVIC decline and RPD increase and smaller modifications in EMG-based fatigue measures. These age effects were generally more pronounced at the higher effort level. Main effects of effort level and cycle duration were also significant, while gender effects appeared to be marginal. Rates of strength recovery were not significantly influenced by age. In addition, the utility of standard EMG-based fatigue measures was assessed. Findings indicated that time-dependent changes in static and dynamic EMG-based measures were roughly comparable in terms of sensitivity and variability, supporting the use of standard EMG analyses for fatigue monitoring during intermittent dynamic contractions.     

Fatigue during prolonged intermittent overhead work: reliability of measures and effects of working height

Shoulder pain is prevalent among industrial workers and existing evidence supports that overhead work is an important specific risk factor. Existing guidelines are limited, with overhead work typically recommended to be avoided, and research on overhead work has been mixed in terms of the effects of increasing arm reach. A laboratory-based simulation of overhead work was conducted, at three working heights, in order to facilitate improved guidelines and to identify potential non-linear effects of overhead work height. Several indicators of shoulder fatigue served as outcome measures and a preliminary study was performed to assess the reliability of several of these measures. Fatigue measures based on electromyography (EMG) generally had low reliability, whereas excellent reliability was exhibited for ratings of perceived discomfort (RPD). Consistent with this, no effects of overhead work height were found on EMG-based measures, yet clear non-linear effects were found on RPD and task performance. The source of the effects of work height appeared to be related to a combination of muscle activation levels and demands on precision/control at the highest location. These results support the utility of subjective measures for relatively low-level intermittent exertions and demonstrate increasingly detrimental fatigue and performance effects at extremes in reach during overhead work.     

Strength,endurance and fatigue response of rotator cuff muscles during isometric exertions

Among the shoulder musculoskeletal disorders (MSDs), rotator cuff disorders are prevalent and known to substantially limit an individual's strength and ability to work. Despite the frequency and cost of rotator cuff injuries, very little research has been done on understanding the load response relationship of rotator cuff muscles. Therefore, this study was aimed at evaluating the strength, endurance and fatigue response of rotator cuff muscles. As a first step, strengths of Supraspinatus, Infraspinatus, and Teres Minor were measured for ten healthy male participants using muscle specific Maximum Voluntary Contractions (MVC). Then, endurance time and surface Electromyography (EMG) data were recorded during 15%, 30%, 45%, and 60% MVC exertions. Infraspinatus exhibited the highest strength followed by Teres Minor and Supraspinatus. Despite the strength differences, small variations were observed in the endurance time between the muscles. The effect of %MVC exertions on endurance time, average muscle activity and muscle fatigue were statistically significant. Median frequency decreased and muscle activation increased with an increase in force exertion levels; however, the changes observed for an increase in the exertion level from 15% to 30% MVC were much higher than the changes observed for an increase in the exertion level from 45% to 60% MVC.Relevance to industryResults of this study indicate that the rotator cuff muscles have different strengths but exhibit very similar endurance and fatigue behavior. These findings can assist ergonomic practitioners with the design and/or evaluation of workplace upper extremity exertions to reduce/manage stress on the rotator cuff muscles and shoulder.     

Vertical vibration frequency and sitting posture effects on muscular loads and body balance

This study examined the effects of whole body vibration and sitting posture on muscular load, body balance and discomfort. An electric vibrator, a surface electromyography measurement system and a balance evaluation system were used in the experiment. Nine test conditions were studied consisting of three vertical frequencies (no vibration, 20 and 40 Hz) and three sitting postures (erect, bent-forward and twisted). Study results showed that whole body vibration had significant effects on the muscular loads in the torso muscles, body balance and perceived discomfort. Adverse effects generally increased with high-frequency vibration. No significant muscular load difference and balance difference were observed among sitting postures at any frequency. Significant discomfort differences between the erect and twisted postures were found with no vibration or at low frequency.Relevance to industryAttention should be paid to the negative effects of vibration transmission on the human body at worksites. The results from this study should be useful for whole body vibration risk assessment and control measures.     

Electromyographic fatigue in neck/shoulder muscles and endurance in women with repetitive work

EMG was recorded with surface electrodes from the trapezius and deltoid muscles during a static endurance test at approximately 20% of maximal voluntary contraction. Objective parameters for localized muscular fatigue were derived from the time course of the root mean square (RMS) and mean power frequency (MPF) of the EMG recordings. Isotonic regression is introduced as a tool for assessment of such parameters. The most pronounced sign of fatigue for trapezius was an increase in the RMS values, while for deltoid it was a decrease in the MPF values. This could be explained by the different functions of the two muscles. The endurance time for a group of 11 women in industrial work with repetitive short-cycled work tasks who were diagnosed with neck/shoulder disorders (tension neck) was significantly shorter (p<0·05) than for a group with the same work, but without neck/shoulder disorders (n=ll), and shorter than for a control group (n=ll). Regarding the EMG fatigue measures, there were no significant differences between the three groups. We did not find any relationships between endurance time and the EMG parameters. The results indicate that neck/shoulder disorders were not associated with divergent mechanisms for developing fatigue in the muscles, as recorded with surface EMG.     

Real-time indicators and influence factors of muscle fatigue in push-type work

Muscle fatigue is a significant cause of musculoskeletal injury and can easily induce unsafe behaviour. Push-type work is a common type of physical work, and if not designed appropriately, may lead to muscle fatigue. Previous studies on muscle fatigue mainly focus on investigating continuous force exertion, and in most of them, a constant muscle force is assumed, thereby ignoring the fluctuations present in exertion. In this study, bolt hole drilling was chosen to represent typical push-type work, and the muscle fatigue from this work was examined. The experimental system designed in this study monitored the muscle force in real time. In the experiments, different thrust angles (15°, 45°, and 75°), different relative force values (20% MVC, 40% MVC, and 60% MVC; MVC: maximum voluntary contraction) and different working time intervals (0 s, 30 s, 60 s, and 90 s) were considered. The results demonstrate that there is a significant positive correlation between the rating of perceived exertion (RPE) and muscle force attenuation (r = 0.786, p = 0). The cubic regression model (Y = − 0.00071x³ − 0.024x² − 0.334x + 1.146, R² = 0.639) fits the data most closely. Therefore, force attenuation can be used as a real-time indicator of muscle fatigue. In addition, the relative force value and thrust angle have a significant impact on the RPE score, whereas the working time interval has no major effect on it. This study provides a new method for evaluating muscle fatigue and a basis for the design of push-type work to reduce fatigue-induced accidents and musculoskeletal injuries.     

Muscular fatigue and endurance during intermittent static efforts: effects of contraction level, duty cycle, and cycle time

OBJECTIVE: To determine the effects of intermittent task parameters on muscle fatigue and endurance time during static shoulder abductions, with a long-term goal of establishing relationships between intermittent task parameters and short-term performance. BACKGROUND: Effects of intermittent work on endurance and fatigue development have been reported, and certain combinations of contraction levels and duty cycles have been proposed as design guidelines. These findings, however, were not derived from systematic manipulations of the task parameters. METHOD: Prolonged (1-hr maximum) intermittent shoulder abductions were performed at different combinations of contraction level (12% or 28% of muscle strength), duty cycle (.25 or .75), and cycle time (34 or 166 s). Fatigue was measured based on reductions in muscle strength and indirectly by changes in ratings of discomfort, electromyographic (EMG) amplitude, and EMG spectral distribution. RESULTS: Contraction level and duty cycle significantly affected endurance time and muscle fatigue, and interactive effects between these parameters were observed for some of the measures. Significant effects of cycle time were found only for EMG spectral measures. CONCLUSION: Endurance time and local fatigue were dependent on the comprehensive effects of the different task parameters. APPLICATION: Design changes to reduce the occurrence of localized fatigue during intermittent work need to take into account all the task parameters simultaneously.     

The effect of a resistance-training program on muscle strength, physical workload, muscle fatigue and musculoskeletal discomfort: An experiment

The aim of the study was to investigate the effectiveness of a resistance-training program on muscle strength of the back and neck/shoulder muscles, relative physical workload, muscle fatigue and musculoskeletal discomfort during a simulated assembly and lifting task. Twenty-two workers were randomized over an 8-week resistance-training group, and a control group. Isokinetic muscle strength was assessed using the Cybex dynamometer, muscle fatigue was measured using EMG, and perceived discomfort was measured using a 10-point scale. At the follow-up, we found no effect of the resistance-training program on isokinetic muscle strength of the back and shoulder muscles. Furthermore, we did not find any effect on EMG data, nor on musculoskeletal discomfort during the simulated work tasks. However, trained workers performed the lifting tasks for a longer time before reporting considerable discomfort than those in the control group.     

Shoulder muscle fatigue development in young and older female adults during a repetitive manual task

Age may modify the association between occupational physical demand and muscle loading, and ultimately increase the risk of musculoskeletal disorders. The goal of this study was to investigate age-related differences in shoulder muscle fatigue development during a repetitive manual task. Twenty participants in two age groups completed an 80-minute simulated low-intensity assembly task. Electromyographic (EMG) manifestation of muscle fatigue was observed in the upper trapezius, deltoid and infraspinatus muscles in both age groups, and coincided with an increase in the subjective ratings of perceived exertions. Compared with the younger group, older group showed a more monotonic decrease in EMG power frequency in the upper trapezius and deltoid muscles. However, the age-related difference in EMG amplitude was less consistent. Relative rest time of the upper trapezius muscle in the older group was less than the young group throughout the task. The observed patterns of EMG measures suggest that older participants may have disadvantages in fatigue resistance in the upper trapezius and posterior deltoid muscles during the simulated repetitive manual task.     

Predicted endurance times during overhead work: influences of duty cycle and tool mass estimated using perceived discomfort

Abstract

A need for overhead work remains in several industries and such work is an important risk factor for shoulder musculoskeletal problems. In this study, we evaluated the effects of duty cycle and tool mass on endurance times during overhead work. A psychophysical approach was used, via a new methodology that was implemented to more efficiently estimate endurance times (rather than through direct measurements). Participants performed a simulated overhead task in specified combinations of tool mass and duty cycle. Both duty cycle and tool mass have substantial effects on the development of fatigue and estimated endurance times, though the former was more substantial and an interactive effect was evident. Gender differences were not substantial, except when using the largest tool mass. We recommend that, for two-hour periods of overhead work, tool masses greater than 1.25 kg should be avoided, as should duty cycles greater than 50%.

Practitioner Summary: The current results may facilitate enhanced design and evaluation of overhead work tasks. In addition, the new estimation approach that was employed may enhance the efficiency of future studies using a psychophysical approach (ie using extrapolation of patterns of reported discomfort to predict longer term outcomes).     

Differences in functional performance of the shoulder musculature with obesity and aging

The workforce includes an increasing number of workers who are obese and/or older, which may lead to higher rates of workplace injuries. We examined the main and interactive effects of obesity and age on strength and functional performance during sustained isometric exertions involving shoulder flexion in two postures. Four groups of eight participants each (non-obese (18.5 < BMI < 25 kg/m²) young (18–25 years), non-obese older (50–65 years), obese (30 < BMI < 40 kg/m²) young, and obese older) completed static endurance tasks in each posture, at fixed target levels of shoulder moment. Shoulder strength was ∼25% higher with obesity and equivalent between age groups. Both obesity and age affected endurance time, with the obese and younger groups both having shorter endurance. Obesity and age did not have an interactive effect on endurance time and the results were inconclusive regarding acute fatigue effects for individuals who are older and obese. Further work is needed under more realistic task conditions, to explore the likely complex effects of these individual differences.     

The influence of age on isometric endurance and fatigue is muscle dependent: a study of shoulder abduction and torso extension

The present study examined differences in isometric muscle capacity between older (55–65 years) and younger (18 – 25 years) individuals. A total of 24 younger and 24 older participants (gender balanced within each group) performed sustained shoulder abductions and torso extensions to exhaustion at 30%, 50% and 70% of individual maximal voluntary contraction (MVC). Along with endurance time, manifestations of localized fatigue were determined based on changes in surface electromyographic signals obtained from the shoulder (middle deltoid) and the torso (multifidus and longissimus thoracis) muscles. Strength recovery was monitored using post-fatigue MVCs over a 15-min period. Compared to the younger group, older individuals exhibited lower muscular strength, longer endurance time and slower development of local fatigue. Age effects on fatigue were typically moderated by effort level, while effects of gender appeared to be marginal. Non-linear relationships between target joint torque and endurance time were observed, with effects of age differing between shoulder abduction and torso extension. Overall, the effects of age on endurance and fatigue were more substantial and more consistent for the shoulder muscle than for the torso muscles and were likely related to differences in muscle fibre type composition. For strength recovery rates, no significant age or gender effects were found in either experiment. In summary, this study suggests that differences in isometric work capacity do exist between older and younger individuals, but that this effect is influenced by effort level and the muscle tested.     

Fatigue and recovery during and after static loading

Subjectively assessed endurance time (ET), resumption time (RT) and perceived discomfort, pain or fatigue (PD), and objectively measured maximum force-exerting capacity were investigated for varying loads and durations of a pushing task with two repeated trials. Beyond the main results quantifying how the load scenario affected ET, RT and PD, three additional results are of note: (1) although the maximum pushing force did not change between trials, shorter ET, longer RT and higher PD indicated accumulation of fatigue in Trial 2; (2) the PD ratings showed a trend with a linear increase during loading and a curvilinear decrease during recovery; and (3) the RT and the load level for different relative loading times were found to have an unexpected U-shaped relationship, indicating lowest fatigue at the intermediate load level. These results can be used to model a more sustainable and productive work-recovery ratio.     

Enhancing Ergonomic Safety Effectiveness of Repetitive Job Activities: Prediction of Muscle Fatigue in Dominant and Nondominant Arms of Industrial Workers

Work?related musculoskeletal disorders are very common in the workplace, especially with tasks involving repetitive lifting and motions. Repetitive lifting of excessively heavy objects in the workplace could increase the severity and rates of work?related musculoskeletal disorders. In this article, the physiological effect of muscle fatigue on the dominant and nondominant arms of adult industrial workers performing various repetitive tasks was predicted using a muscular endurance model. Twenty?four (n = 24) industrial workers (18–45 years old) were randomly selected for this research. The effects of electromyography (EMG) were observed during incremental loading of 5–40 kg on the muscle of the dominant and nondominant arms of the subjects during static lifting activities. Results of the analysis showed that the endurance time decreased with the application of additional loads on the dominant and nondominant arms of all the subjects. This inverse relationship was used to predict the behavior of muscle fatigue. Additional findings indicated that workers performing repetitive lifting tasks could maintain maximum load capacities ranging from 20 to 30 kg. The acceptable maximum load capacity of 23 kg recommended by the National Institute for Occupational Safety and Health is within this range. The results obtained from this research could be used in the beginning steps of the efforts to reevaluate and reestablish guidelines and limits in the design of industrial jobs involving repetitive motion. © 2014 Wiley Periodicals, Inc.     

Muscle fatigue based evaluation of bicycle design

Bicycling posture leads to considerable discomfort and a variety of chronic injuries. This necessitates a proper bicycle design to avoid injuries and thereby enhance rider comfort. The objective of this study was to investigate the muscle activity during cycling on three different bicycle designs, i.e., rigid frame (RF), suspension (SU) and sports (SP) using surface electromyography (sEMG). Twelve male volunteers participated in this study. sEMG signals were acquired bilaterally from extensor carpi radialis (ECR), trapezius medial (TM), latissimus dorsi medial (LDM) and erector spinae (ES), during 30 min of cycling on each bicycle and after cycling. Time domain (RMS) and frequency domain (MPF) parameters were extracted from acquired sEMG signals. From the sEMG study, it was found that the fatigue in right LDM and ES were significantly (p < 0.05) higher in SP bicycle. This was corroborated by a psychophysical assessment based on RBG pain scale. The study also showed that there was a significantly lesser fatigue with the SU bicycle than the RF and SP bicycles.     

Muscle fatigue modelling: Solving for fatigue and recovery parameter values using fewer maximum effort assessments

A three-compartment controller model (3CC) predicts muscle fatigue development. Determination of fatigue (F) and recovery (R) model parameters is critical for model accuracy. Numerical methods can be used to determine parameter values using maximum voluntary contractions (MVCs) as input. We tested the effects of using reduced MVC data on parameter solutions using twenty published datasets of intermittent, isometric contractions. The work here examines three sampling variations using approximately half of the MVCs: MVC measurements distributed equally (dMVC), split between the initial and final times (sMVC), and only during the first half (fMVC). Furthermore, solved F and R parameters were used to model fatigue development for three hypothetical task scenarios. Both model parameters and predictions were statistically insensitive to measured data reduction using dMVC, followed closely by sMVC. However, using the fMVC reduction frequently resulted in overestimated parameter values and produced significantly larger prediction errors. We conclude that parameter solutions are robust when using fewer MVCs as long as they are sampled in a manner that captures later fatigue behavior.     

Impact of pulling direction and magnitude of force exertion on the activation of shoulder muscles

Shoulder musculoskeletal disorders (MSD) are frequently associated with the work activities that demand forceful arm exertions in pushing and pulling directions. Considering the ability of shoulder joint to exert forces in nearly any direction, our understanding of the shoulder muscles activation as affected by pushing and pulling exertions is limited. In this study the activation of seven shoulder muscles were studied for 10 male participants during pulling exertions performed in five directions (pull right, pull left, pull back, pull down and pull up) using three force levels (22.24 N, 33.36 N and 44.48 N). Exertions performed in pulling right and pulling up directions produced higher activation and received higher perceived exertion ratings than the exertions performed in the other directions. Rotator cuff and middle deltoid muscles activation were consistently higher during pulling up and pulling right exertions compared to the other muscles. A high correlation was found between the activation of rotator cuff and deltoid muscles and the perceived exertion ratings. The rotator cuff and middle deltoid muscles activation observed during the pulling up and pulling right exertions can be explained by the concavity compression mechanism which stabilizes the glenohumeral joint of shoulder.Relevance to industryThe muscle activation data expressed in terms of Maximum Voluntary Contraction (MVC) and perceived exertion ratings are widely used by the ergonomic practitioners to design and/or evaluate workplace exertions. This study provides such data for several shoulder muscles during pulling exertions performed under different conditions.     

Rapid Communication Effects of posture,weight and frequency on trunk muscular activity and fatigue during repetitive lifting tasks

Abstract

We examined the effects of posture, weight and frequency on trunk muscular activity and fatigue during repetitive dynamic lifting. Electromyographic (EMG) signals from eight primary trunk muscles were collected during 120 min for four different task conditions. The patterns of muscle recruitment and the levels of relative activation were analysed using the normalized EMG data. Median power frequency (MPF) shift patterns were analysed to examine muscular fatigue. The muscles in the dorsal part of the trunk were activated at the symmetric posture, while the muscles on the contralateral side to the workload were more strongly activated at the asymmetric posture. Decreasing trends of MPFs were found in some active muscles, and they were more pronounced for the asymmetric posture than for the symmetric posture. It was also seen that the muscles became fatigued faster for the light load-high frequency task than for the heavy load-low frequency task.     

A novel approach for determining fatigue resistances of different muscle groups in static cases

In ergonomics and biomechanics, muscle fatigue models based on maximum endurance time (MET) models are often used to integrate fatigue effect into ergonomic and biomechanical application. However, due to the empirical principle of those MET models, the disadvantages of this method are: 1) the MET models cannot reveal the muscle physiology background very well; 2) there is no general formation for those MET models to predict MET. In this paper, a theoretical MET model is extended from a simple muscle fatigue model with consideration of the external load and maximum voluntary contraction in passive static exertion cases. The universal availability of the extended MET model is analyzed in comparison to 24 existing empirical MET models. Using mathematical regression method, 21 of the 24 MET models have intraclass correlations over 0.9, which means the extended MET model could replace the existing MET models in a general and computationally efficient way. In addition, an important parameter, fatigability (or fatigue resistance) of different muscle groups, could be calculated via the mathematical regression approach. Its mean value and its standard deviation are useful for predicting MET values of a given population during static operations. The possible reasons influencing the fatigue resistance were classified and discussed, and it is still a very challenging work to find out the quantitative relationship between the fatigue resistance and the influencing factors.

Relevance to industry

MSD risks can be reduced by correct evaluation of static muscular work. Different muscle groups have different properties, and a generalized MET model is useful to simplify the fatigue analysis and fatigue modeling, especially for digital human techniques and virtual human simulation tools.