Multidirectional manual arm strength and its relationship with resultant shoulder moment and arm posture

Previous work has quantified manual force capabilities for ergonomics design, but the number of studies and range of conditions tested are limited in scope. Therefore, the aims of this study were to collect seated manual arm strength (MAS) data from 24 females in several unique exertion directions (n = 26) and hand locations relative to the shoulder (n = 8), and to investigate the associations between MAS and shoulder/elbow moments. MAS was generally highest when the direction of force application was oriented parallel to the vector from the shoulder to knuckle, and weakest when oriented orthogonal to that vector. Moderate correlations were found between MAS and: (1) resultant shoulder moment (r = 0.34), (2) resultant moment arms (r = ?0.545) and (3) elbow flexion/extension moment (r = 0.481). Our strength data will be used in the development of a comprehensive MAS predictive method, so that strength capabilities can be predicted to help design acceptable tasks in the workplace.

Practitioner Summary: This study sought to enhance our understanding of one-handed manual arm strength capabilities for ergonomics task evaluations. Our findings provide researchers and practitioners with manual strength data for off-axis force directions, as well as hand locations not previously measured. These data will contribute to future methods for predicting strength capabilities.     

The impact of work configuration,target angle and hand force direction on upper extremity muscle activity during sub-maximal overhead work

Overhead work has established links to upper extremity discomfort and disorders. As many jobs incorporate working overhead, this study aimed to identify working conditions requiring relatively lower muscular shoulder load. Eleven upper extremity muscles were monitored with electromyography during laboratory simulations of overhead work tasks. Tasks were defined with three criteria: work configuration (fixed, stature-specific); target angle (?15°, 0°, 15°, 30° from vertical); direction of applied hand force (pulling backwards, pushing forwards, downwards, sideways, upwards). Normalised electromyographic activity was greater for fixed configurations, particularly when pulling in a backward direction (total activity = 108.3% maximum voluntary exertion (MVE)) compared to pushing down or forward (total activity ranging from 10.5 to 17.3%MVE). Further, pulling backwards at angles of –15° and 0° showed the highest muscular demand (p < 0.05). These results suggest that, if possible, positioning overhead work in front of the body with exertions directed forwards will result in the lowest upper extremity muscle demand.

Statement of Relevance: Overhead work pervades occupational settings and is associated with risk of upper extremity musculoskeletal disorders. The muscular intensity associated with performing overhead work was assessed in several combinations of work placement and hand force direction. These findings should have utility for designing overhead work tasks that reduce muscular exposure.     

A systematic exploration of distal arm muscle activity and perceived exertion while applying external forces and moments

The purpose of this study was to systematically explore and describe the response of selected hand and forearm muscles during a wide range of static force and moment exertions. Twenty individuals with manual work experience performed exertions in power grip, pulp pinch and lateral pinch grips. Electromyography (EMG) from eight sites of the hand and forearm, grip force as well as ratings of perceived exertion (RPE) were monitored as each participant exerted approximately 350 short (5 s) static grip forces and external forces and moments. As expected, strong relationships were found between grip force alone without other actions and muscle activation. When the hand was used to grip and transmit forces and moments to the environment, the relationships between grip force and muscle activation were much weaker. Using grip force as a surrogate for forearm and hand tissue loading may therefore be misleading.     

The effect of handle design on upper extremity posture and muscle activity during a pouring task

In this study, the effect of container handle parameters on shoulder and upper limb muscle activity and joint posture during a pouring task is investigated. Results indicated that a low handle position and a vertical handle slope minimised the loading of the shoulder muscles. A high and sloped handle minimised the muscle activity and wrist deviation of the lower arm. The effects of diameter were not significant for most dependent variables during the lifting phase of the task; however, beneficial effects were seen with the smallest handle diameter during the pouring phase. A trade-off existed between the shoulder and the hand/wrist posture with the different handles. The findings of significance with relatively small effect size suggest a high sensitivity of the system to any changes. In the real world, speed, space and work conditions are important factors that influence how a task is performed. This emphasises the importance of proper handle design.

Practitioner Summary: In this study, the effect of container handle design on the muscle activity and postures of the upper extremity during a pouring task were analyzed using the experimental data collected from electromyography and motion tracking systems. The low handle height and vertical handle slope design yielded the lowest shoulder muscle activity.     

The influence of rice plow handle design and whole-body posture on grip force and upper-extremity muscle activation

A previous job screening study revealed ergonomics risk factors in rice field plowing. This work motivated the present experimental investigation of the influence of plow handle design and farmer whole-body posture on grip force and arm muscle activity. A total of 24 experienced farmers performed a simulated plowing task, including walking on even and uneven ground while rolling a tiller equipped with conventional horizontal and proposed vertical handles. Results revealed the proposed handles, designed to promote neutral wrist posture, to increase upper-arm muscle use between 47% and 70% across ground types, as compared with conventional handles. The ratio of grip force to forearm muscle activity (or efficiency in muscle use) increased from 1.85 when using conventional handles on uneven ground to 2.16 when using the proposed handles with symmetrical body posture on even ground. However, participants perceived higher discomfort when using the proposed handles, as they were accustomed to the conventional design.     

Algorithmically detectable directional changes in upper extremity motion indicate substantial myoelectric shoulder muscle fatigue during a repetitive manual task

Repetitive workplace tasks are associated with fatigue-induced changes to shoulder muscular strategies, potentially altering kinematics and elevating susceptibility to tissue overexposures. Accessible and reliable methods to detect shoulder muscle fatigue in the workplace are therefore valuable. Detectable changes in joint motion may provide a plausible fatigue identification method. In this investigation, the onset of the first kinematic changes, as identified by a symbolic motion representation (SMSR) algorithm, and the onset of substantial surface electromyography (sEMG) mean power frequency (MPF) fatigue were not significantly different, both occurring around 10% of task duration. This highlights the potential utility of SMSR identified directional changes in joint motion during repetitive tasks as a cue of substantial muscle fatigue, enabling ergonomics responses that can mitigate shoulder muscular fatigue accumulation and its associated deleterious physical effects.

Practitioner Summary: The onset of substantial muscle fatigue during a repetitive dynamic task was assessed using kinematics and myoelectric-based techniques. Algorithmically detectable directional changes in upper extremity joint motion occurred with the onset of substantial muscle fatigue, highlighting the potential of this as a useful approach for workplace fatigue identification.     

Analysis and recognition of operations using SEMG from upper arm muscles

Accurate muscular force estimation (from upper arm muscles) based on surface electromyogram forms an important issue in upper limb prosthetic design applications. The whole system consists of surface electrodes, signal acquisition protocols, and signal conditioning at different levels. Labview soft scope was used to acquire the surface electromyogram signal from the designed hardware. The study is concerned with the estimation of characteristics of recorded signals, and for that, statistical techniques of PCA were exercised for verifying the effectiveness of the processed signal against different upper arm motions before its classification. Thereafter, artificial neural network classifier was implemented for the classification surface electromyogram signals with best classification rate of 89.30%. Finally, the processing technique was used to significantly (p < .05) improve classification rate, without much loss of information.     

The relationship between anthropometry and hand grip strength among elderly Malaysians

It is known that the ageing process will result in a decrease in anthropometric dimensions as well as loss of hand grip strength, which is natural among elderly people. Previous studies have shown that the decrease in anthropometric dimensions may influence hand grip strength of elderly people. Hence, this paper seeks to determine the relationship between anthropometric dimensions and hand grip strength among elderly Malaysians. A total of 112 elderly subjects aged 60 years and above residing in Petaling Jaya, Selangor, are recruited in this study. The subjects comprise 56 males (age range 60–79 years, mean: 66.88, SD: 5.35) and 56 females (age range: 60–82 years, mean: 66.98, SD: 5.16). In this study, 38 anthropometric dimensions are measured, along with hand grip strength. The anthropometric dimensions are measured using a professional standard anthropometry set whereas hand grip strength (in Newtons) is measured using a dynamometer. The mean values, standard deviations and percentiles are determined and the data are analysed by correlation analysis. The results show that there is a significant correlation between the following anthropometric dimensions (stature, sitting hip breadth, wrist circumference, hand circumference and heel ankle circumference) and hand grip strength. These findings of this study are indeed useful for product designers to design and develop ergonomic hand-held products for elderly Malaysians.     

The effect of upper extremity support on upper extremity posture and muscle activity during keyboard use

Forearm support during keyboard use has been reported to reduce neck and shoulder muscle activity and discomfort. However, the effect of forearm support on wrist posture has not been examined. The aim of this study was to examine the effect of 3 different postures during keyboard use: forearm support, wrist support and "floating". The floating posture (no support) was used as the reference condition. A wrist rest was present in all test conditions. Thirteen participants completed 20 min wordprocessing tasks in each of the test conditions. Electromyography was used to monitor neck, shoulder and forearm muscle activity. Bilateral and overhead video cameras recorded left and right wrist extension, shoulder and elbow flexion and radial and ulnar deviation. The forearm support condition resulted in significantly less ulnar deviation (p < or = 0.007), less time spent in extreme ulnar deviation (p = 0.002) and less reports of discomfort than the "floating" condition (p = 0.002). The wrist support but not the forearm support condition resulted in less trapezius and anterior deltoid muscular activity (p < 0.007). These findings indicate that typing with upper extremity support in conjunction with a wrist rest may be preferable to the "floating" posture implicit in current guidelines.     

Task and sex differences in muscle oxygenation during handgrip fatigue development

Abstract

The purpose of this study was to examine task and sex differences in forearm muscle oxygenation, measured using near infrared spectroscopy, during sustained submaximal handgrip exercises. Forty-eight adults (50% males) performed fatiguing handgrip exercises at 20, 40, 60 and 80% of their maximum handgrip strength. While males and females exhibited similar levels of relative fatigability, forearm oxygenation was found to be task (i.e. contraction intensity and phase of fatigue development) and sex dependent. Higher contraction intensities were associated with greater desaturation over time. Compared to females, males exhibited greater desaturation as fatigue progressed and this was augmented at higher contraction intensities. These may be likely affected by sex differences in muscle mass, morphology and strength differences during exercises at relative intensities. Future work that explores sex differences in muscle oxygenation during absolute force intensities are needed, which may have implications for muscle fatigue development and potential fatigue mitigation strategies.

Practitioner Summary: Muscle oxygenation impacts fatigue development that can in turn affect worker health and productivity. Males exhibit greater forearm desaturation than females at higher relative work intensities, despite similar fatigue levels. Females may be predisposed to greater muscle delivery and oxygenation challenges that can increase their fatigability during work at absolute load levels.     

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.     

Task rotation effects on upper extremity and back muscle activity

Job rotation is an intuitive approach to distributing work to minimize muscular fatigue. The purpose of the current study was to evaluate rotation between lifting and gripping on muscle activity and effort. Ten male participants performed all 4 combinations of two 15 min tasks in 30 min trials split between separate days to prevent fatigue. The tasks of lifting a 12 kg box and gripping at 20% of maximum were performed 6 times per minute (5 s work: 5 s rest). Muscle activity (percentiles, gaps) and perceived effort were significantly affected by the task combinations. The forearm and upper erector spinae muscles did not benefit as greatly from rotating between lifting and gripping tasks as the lower erector spinae, deltoid or trapezius. In addition to gross task differences, overlaps in muscle activity between “low back” and “upper extremity” tasks must be considered when creating effective job rotation schemes.     

Evaluation of total grip strength and individual finger forces on opposing (A-type) handles among Koreans

The present study evaluated the effect of grip span on finger forces and defined the best grip span for maximising total grip strength based on the finger forces and subjective discomfort in a static exertion. Five grip spans (45, 50, 55, 60 and 65 mm) of the opposing (A-type) handle shape were tested in this study to measure total grip strength and individual finger force among Korean population. A total of 30 males who participated in this study were asked to exert a maximum grip force with two repetitions, and to report the subjective discomfort experienced between exertions using the Borg's CR-10 scale. The highest grip strength was obtained at 45 mm and 50 mm grip spans. Results also showed that forces of all fingers, except for the middle finger force, significantly differed over the grip spans. The lowest subjective discomfort was observed in the 50 mm grip span. The results might be used as development guidelines for ergonomic opposing (A-type) hand tools for Korean population.     

Effects of glovebox gloves on grip and key pinch strength and contact forces for simulated manual operations with three commonly used hand tools

This study examined the effects of glovebox gloves for 11 females on maximum grip and key pinch strength and on contact forces generated from simulated tasks of a roller, a pair of tweezers and a crescent wrench. The independent variables were gloves fabricated of butyl, CSM/hypalon and neoprene materials; two glove thicknesses; and layers of gloves worn including single, double and triple gloving. CSM/hypalon and butyl gloves produced greater grip strength than the neoprene gloves. CSM/hypalon gloves also lowered contact forces for roller and wrench tasks. Single gloving and thin gloves improved hand strength performances. However, triple layers lowered contact forces for all tasks. Based on the evaluating results, selection and design recommendations of gloves for three hand tools were provided to minimise the effects on hand strength and optimise protection of the palmar hand in glovebox environments.     

Dependence of grip strength on shoulder position and its implications for ergonomics practice

Grip strength (GS) variability due to positional changes in the upper extremity joints is of importance while designing workstations and work methods. This study was conducted to analyze the GS variations due to positional changes at shoulder joint when some important variables were under control. The GSs of dominant and nondominant hands were measured in eight shoulder (0°, 45°, 90°, and 135° of flexion and abduction) and standard test positions (STP). One hundred and thirteen subjects 20–30 years old completed the study. At the dominant side, no significant difference was observed in the pairwise comparisons between STP and the others. Maximum and minimum GSs were obtained in 0° abduction and 45° flexion and abduction, respectively. At the nondominant side, GSs were significantly lower (p < 0.001) in the corresponding test positions and demonstrated more variability. The findings of this study can contribute to the available knowledge to guide occupational ergonomists in their practices.     

Effects of electromyographic and mechanomyographic biofeedback on upper trapezius muscle activity during standardized computer work

The purpose of this laboratory study was to investigate the effects of surface electromyography (EMG)- and mechanomyography (MMG)-based audio and visual biofeedback during computer work. Standardized computer work was performed for 3 min with/without time constraint and biofeedback in a randomized order. Biofeedback was given on the basis of an individual preset threshold value for the right trapezius EMG and MMG signal and a time factor (repetition of events above the threshold). The duration of muscle activity above the preset threshold, the right trapezius EMG and MMG root mean square (RMS) values as well as the work performance in terms of number of completed graph/mouse clicks/errors, the rating of perceived exertion (RPE) and the usefulness of the biofeedback were assessed. The duration of muscle activity above the threshold was significantly lower with MMG compared with EMG as source of biofeedback (p < 0.05). Biofeedback led to a significant decrease in the right trapezius EMG RMS, lower RPE and decreased number of errors and mouse clicks, but also decreased number of completed graphs (p < 0.05). Audio and visual biofeedbacks were as effective. MMG-based biofeedback is a potential reliable alternative to EMG in ergonomics. A lowering of the trapezius muscle activity may contribute to diminish the risk of work related musculoskeletal disorders development.     

Sex differences in glenohumeral muscle activation and coactivation during a box lifting task

Abstract

Manual material handling is associated with shoulder musculoskeletal disorders, especially for women. Sex differences in glenohumeral muscle activity may contribute to women’s higher injury risk by affecting shoulder load and stability. We assessed the effects of sex (25 women vs 26 men) and lifting load (6?kg vs 12?kg) on muscle activation during box lifting from hip to eye level. Surface and intramuscular electromyography were recorded from 10 glenohumeral muscles. Most muscles were more activated for the heavier box and for women. These effects were larger for ‘prime movers’ than for stabilisers and antagonists. Despite their apparently heterogeneous effects on muscle activity, sex and mass did not affect Muscle Focus, a metric of coactivation. This may be partly related to the limited sensitivity of the Muscle Focus. Nevertheless, sex differences in strength, more than in coactivation patterns, may contribute to the sex imbalance in the prevalence of musculoskeletal disorders.

Practitioner summary: We studied sex differences in glenohumeral muscle activity in a lifting task to eye level. Women lifting a 6-kg box activated their muscles similarly to men lifting a 12-kg box, i.e. up to 48% of their maximum capacity. Interventions minimising shoulder load should be implemented, especially for women.

Abbreviations: BB: biceps brachii; DeltA: anterior deltoid; DeltL: lateral deltoid; DeltP: posterior deltoid; DoF: degrees of freedom; ED: effect duration; EMG: electromyography; ES: effect size; Infra: infraspinatus; Lat: latissimus dorsi; MF: muscle focus; MMH: manual material handling; MVA: maximal voluntary activation; Pect: pectoralis major; Subscap: subscapularis; Supra: supraspinatus; TB: triceps brachii     

Full-shift and task-specific upper extremity muscle activity among US large-herd dairy parlour workers

Abstract

US large-herd dairy parlour workers experience a high prevalence of musculoskeletal symptoms in the upper extremity. The purpose of this study was to estimate and compare full-shift and task-specific muscle activity of the upper extremity among parlour workers. Surface electromyography data were recorded continuously throughout a full work shift for each participant (n = 60). For a subset of participants (n = 33), muscular effort was estimated for milking task cycles. Lower muscle activity levels and higher per cent muscular rest was observed among rotary parlour participants as compared to herringbone and parallel parlour participants for anterior deltoid, forearm flexor and forearm extensor muscles. These findings suggest rotary parlours may offer workstation designs or work organisational dynamics which may be more beneficial to the health and performance of the worker, as compared to parallel or herringbone parlours.

Practitioner Summary: Study findings suggest milking parlour configurations present different biomechanical demands on workers which may influence worker health and performance. Our findings will enable more informed decisions regarding both engineering (e.g. parlour configuration or milking equipment) and administrative (e.g. work organisation) control strategies for large-herd milking parlours.