Differences in muscle load between computer and non-computer work among office workers

Introduction of more non-computer tasks has been suggested to increase exposure variation and thus reduce musculoskeletal complaints (MSC) in computer-intensive office work. This study investigated whether muscle activity did, indeed, differ between computer and non-computer activities. Whole-day logs of input device use in 30 office workers were used to identify computer and non-computer work, using a range of classification thresholds (non-computer thresholds (NCTs)). Exposure during these activities was assessed by bilateral electromyography recordings from the upper trapezius and lower arm. Contrasts in muscle activity between computer and non-computer work were distinct but small, even at the individualised, optimal NCT. Using an average group-based NCT resulted in less contrast, even in smaller subgroups defined by job function or MSC. Thus, computer activity logs should be used cautiously as proxies of biomechanical exposure. Conventional non-computer tasks may have a limited potential to increase variation in muscle activity during computer-intensive office work.     

Posture variation among office workers when using different information and communication technologies at work and away from work

Office workers perform tasks using different information and communication technologies (ICT) involving various postures. Adequate variation in postures and muscle activity is generally believed to protect against musculoskeletal complaints, but insufficient information exists regarding the effect on postural variation of using different ICT. Thus, this study among office workers aimed to determine and compare postures and postural variation associated with using distinct types of ICT. Upper arm, head and trunk postures of 24 office workers were measured with the Physiometer® over a whole day in their natural work and away-from-work environments. Postural variation was quantified using two indices: APDF_(90-10) and EVA_(sd). Various ICT had different postural means and variation. Paper-based tasks had more non-neutral, yet also more variable postures. Electronics-based tasks had more neutral postures, with less postural variability. Tasks simultaneously using paper- and electronics-based ICT had least neutral and least variable postures. Tasks without ICT usually had the most posture variability. Interspersing tasks involving different ICT could increase overall exposure variation among office workers and may thus contribute to musculoskeletal risk reduction.     

Job enlargement and mechanical exposure variability in cyclic assembly work

Cyclic assembly work is known to imply a high risk for musculoskeletal disorders. To have operators rotate between work tasks is believed to be one way of decreasing this risk, since it is expected to increase variation in mechanical and psychological exposures (physical and mental loads). This assumption was investigated by assessing mechanical exposure variability in three assembly tasks in an electronics assembly plant, each on a separate workstation, as well as in a ‘job enlargement’ scenario combining all three stations. Five experienced operators worked for 1?h on each station. Data on upper trapezius and forearm extensor muscle activity were obtained by means of electromyography (EMG), and working postures of the head and upper arms were assessed by inclinometry. The cycle-to-cycle variance of parameters representing the three exposure dimensions: level, frequency and duration was estimated using ANOVA algorithms for each workstation separately as well as for a balanced combination of all three. For a particular station, the variability of trapezius EMG activity levels relative to the mean was higher than for extensor EMG: between-cycles coefficients of variation (CV) about 0.15 and 0.10, respectively. A similar relationship between CV applied to the parameter describing frequency of EMG activity. Except for head inclination levels, the between-cycles CV was larger for posture parameters than for EMG. The between-cycles variance increased up to six fold in the job enlargement scenario, as compared to working at only one station. The difference in mean exposure between workstations was larger for trapezius EMG parameters than for forearm extensor EMG and postures, and hence the effect of job enlargement on exposure variability was more pronounced for the trapezius. For some stations, job enlargement even implied less cycle-to-cycle variability in forearm extensor EMG parameters than working at that station only. Whether the changes in exposure variability associated with job enlargement were sufficient to imply a decreased risk for musculoskeletal disorders is not known.     

The size of cycle-to-cycle variability in biomechanical exposure among butchers performing a standardised cutting task

The effects of employment duration and pain development on motor variability were investigated during repetitive work. Electromyographic (EMG) and kinematics data from two previous studies were re-analysed. Newly employed butchers were followed prospectively in relation to employment duration and pain development. Healthy butchers with long-term experience were compared with novices. The variability of the cycle time, EMG ratio and arm and trunk movement was expressed as cycle-to-cycle standard deviations. During the first 6 months of employment, cycle time variability decreased, while posture and movement variability increased (p < 0.05). In presence of pain, the variability of the initial arm position decreased while it increased for the trunk (p < 0.05). Experienced butchers showed a larger variability than novices for work cycle and several kinematic variables, but a smaller EMG ratio variability (p < 0.05). These findings indicate that the variability of motor patterns in repetitive work changes with experience and pain. A change towards a more variable motor strategy may protect workers from work-related musculoskeletal disorders.     

The effect of fatigue on trunk muscle activation patterns and spine postures during simulated firefighting tasks

The purpose of this study was to determine the effect of a fatiguing task (3 min intense stair climbing) on the adopted spinal postures and trunk muscular activation patterns during three highly physically demanding simulated firefighting tasks. Following the fatigue protocol, it was observed that individuals adopted significantly greater spinal flexion (16.3° maximum prior to fatigue as compared to 20.1° post fatigue) and displayed reduced abdominal muscle activation as compared to before the fatigue protocol (mean ranging from 16.6% maximum voluntary contraction (MVC) to 30.6% MVC prior to fatigue as compared to ranging from 14.6% MVC to 25.2% MVC post fatigue). The reduced abdominal activation may be due to a reduction in co-contraction during these tasks, which may compromise spinal stability. Reduced co-contraction combined with the increased spinal flexion may increase the risk of sustaining an injury to the low back.     

Variation at work: alternations between physically and mentally demanding tasks in blue-collar occupations

Abstract

The aims of this questionnaire study were to describe the occurrence and desired number of alternations between mental and physical tasks in industrial and non-industrial blue-collar work, and determine to which extent selected personal and occupational factors influence these conditions. On average, the 122 participating workers (55 females) reported to have close to four alternations per day between mental and physical tasks, and to desire more alternations than they actually had. They also expressed a general preference for performing a physical task after a mental task and vice versa. In univariate regression models, the desired change in task alternations was significantly associated with gender, age, occupation, years with current work tasks and perceived job control, while occupation was the only significant determinant in a multiple regression model including all factors. Our results suggest that alternations between productive physical and mental tasks could be a viable option in future job rotation.

Practitioner Summary: We addressed attitudes among blue-collar workers to alternations between physically and mentally demanding tasks. More alternations were desired than those occurring in the job, and workers preferred performing a physical task after a mental and vice versa. Alternating physical and mental tasks could, thus, be a viable option in job rotation.     

Effect of work station design on sitting posture in young children

The purpose of the study was to compare muscular activity levels and sitting posture displayed by 10 children (mean age =4·7 years) when performing tracing tasks while seated at a traditional work station (level desk top, 5^° backward sloping seat) and at an ergonomically designed work station (15^° sloping desk top, 15^° forward sloping seat). EMG profiles of latissimus dorsi (LD), erector spine (ES), and superior trapezius (ST) were sampled using Medi-trace disposable surface electrodes for 10min on the non-dominant side. Muscle activity was sampled (1000 Hz) every 2min for 5000 ms while the subjects performed the tracing tasks at each station. Raw EMG signals of the five trials for each muscle were processed by removing signal offset, full-wave rectification, and integration. The subjects' posture was monitored from a lateral view using a Panasonic VHS video camera while the children were seated at each work station. Neck flexion angle and the angle between the torso and thigh (hip angle) were manually sampled from the video images each 1 min as an indication of the posture adopted by the subjects during the tracing tasks. Use of f-tests for dependent means indicated that there was no significant difference in either mean ES or ST muscle activity as a function of work station design. However, subjects demonstrated significantly less LD activity when seated at the ergonomic work station (mean = 20·9 V ms) compared with the traditional work station (mean = 24·4 V ms, t = ? 2·88, p = 0·018). When seated at the ergonomically designed work station, subjects demonstrated less neck flexion (mean = 34·4^°) and a significantly larger hip angle (mean = 107·8^°, t= ? 3·46, p = 0·003) than when seated at the traditional work station (neck flexion = 38·7^°, hip angle = 95·5^°). It was concluded that use of the ergonomic work station could assist in maintaining a more efficient anatomical alignment of young children when sitting and writing.     

Different computer tasks affect the exposure of the upper extremity to biomechanical risk factors

In order to determine differences in biomechanical risk factors across computer tasks, a repeated measures laboratory experiment was completed with 30 touch-typing adults (15 females and 15 males). The participants completed five different computer tasks: typing text, completing an html-based form with text fields, editing text within a document, sorting and resizing objects in a graphics task and browsing and navigating a series of intranet web pages. Electrogoniometers and inclinometers measured wrist and upper arm postures, surface electromyography measured muscle activity of four forearm muscles and three shoulder muscles and a force platform under the keyboard and force-sensing computer mouse measured applied forces. Keyboard-intensive tasks were associated with less neutral wrist postures, larger wrist velocities and accelerations and larger dynamic forearm muscle activity. Mouse-intensive tasks (graphics and intranet web page browsing) were associated with less neutral shoulder postures and less variability in forearm muscle activity. Tasks containing a mixture of mouse and keyboard use (form completion and text editing) were associated with higher shoulder muscle activity, larger range of motion and larger velocities and accelerations of the upper arm. Comparing different types of computer work demonstrates that mouse use is prevalent in most computer tasks and is associated with more constrained and non-neutral postures of the wrist and shoulder compared to keyboarding.     

The size of cycle-to-cycle variability in biomechanical exposure among butchers performing a standardised cutting task

The effects of employment duration and pain development on motor variability were investigated during repetitive work. Electromyographic (EMG) and kinematics data from two previous studies were re-analysed. Newly employed butchers were followed prospectively in relation to employment duration and pain development. Healthy butchers with long-term experience were compared with novices. The variability of the cycle time, EMG ratio and arm and trunk movement was expressed as cycle-to-cycle standard deviations. During the first 6 months of employment, cycle time variability decreased, while posture and movement variability increased (p < 0.05). In presence of pain, the variability of the initial arm position decreased while it increased for the trunk (p < 0.05). Experienced butchers showed a larger variability than novices for work cycle and several kinematic variables, but a smaller EMG ratio variability (p < 0.05). These findings indicate that the variability of motor patterns in repetitive work changes with experience and pain. A change towards a more variable motor strategy may protect workers from work-related musculoskeletal disorders.     

Upper trapezius muscle activity in healthy office workers: reliability and sensitivity of occupational exposure measures to differences in sex and hand dominance

Patterns of cervical muscle activity may contribute to overuse injuries in office workers. The purpose of this investigation was to characterise patterns of upper trapezius muscle activity in pain-free office workers using traditional occupational exposure measures and a modified Active Amplitude Probability Distribution Function (APDF), which considers only periods of active muscle contraction. Bilateral trapezius muscle activity was recorded in 77 pain-free office workers for 1–2 full days in their natural work environment. Mean amplitude, gap frequency, muscular rest and Traditional and Active APDF amplitudes were calculated. All measures demonstrated fair to substantial reliability. Dominant muscles demonstrated higher amplitudes of activity and less muscular rest compared to non-dominant, and women demonstrated less muscular rest with no significant difference in amplitude assessed by Active APDF compared to men. These findings provide normative data to identify atypical motor patterns that may contribute to persistence or recurrence of neck pain in office workers.

Practitioner Summary: Upper trapezius muscle activity was characterised in a large cohort of pain-free workers using electromyographic recordings from office environments. Dominant muscles demonstrated higher activity and less rest than non-dominant, and women demonstrated less rest than men. Results may be used to identify atypical trapezius muscle activity in office workers.     

Validity of the Acti4 software using ActiGraph GT3X+accelerometer for recording of arm and upper body inclination in simulated work tasks

The validity of inclinometer measurements by ActiGraph GT3X+ (AG) accelerometer, when analysed with the Acti4 customised software, was examined by comparison of inclinometer measurements with a reference system (TrakStar) in a protocol with standardised arm movements and simulated working tasks. The sensors were placed at the upper arm (distal to the deltoid insertion) and at the spine (level of T1-T2) on eight participants. Root mean square errors (RMSEs) values of inclination between the two systems were low for the slow- and medium-speed standardised arm movements and in simulated working tasks. Fast arm movements caused the inclination estimated by the AG to deviate from the reference measurements (RMSE values up to ～10°). Furthermore, it was found that AG positioned at the upper arm provided inclination data without bias compared to the reference system. These findings indicate that the AG provides valid estimates of arm and upper body inclination in working participants.     

Variance in direct exposure measures of typing force and wrist kinematics across hours and days among office computer workers

To determine the number of direct measurements needed to obtain a representative estimate of typing force and wrist kinematics, continuous measures of keyboard reaction force and wrist joint angle were collected at the workstation of 22 office workers while they completed their own work over three days, six hours per day. Typing force and wrist kinematics during keyboard, mouse and idle activities were calculated for each hour of measurement along with variance in measurements between subjects and between day and hour within subjects. Variance in measurements between subjects was significantly greater than variance in measurements between days and hours within subjects. Therefore, we concluded a single, one-hour period of continuous measures is sufficient to identify differences in typing force and wrist kinematics between subjects. Within subjects, day and hour of measurement had a significant effect on some measures and thus should be accounted for when comparing measures within a subject. PRACTITIONER SUMMARY: The dose response relationship between exposure to computer related biomechanical risk factors and musculoskeletal disorders is poorly understood due to the difficulty and cost of direct measures. This study demonstrates a single hour of direct continuous measures is sufficient to identify differences in wrist kinematics and typing force between individuals.     

The effect of banner animation on fixation behavior and recall performance in search tasks

Previous findings suggested that banner ads have little or no impact on perceptual behavior and memory performance in search tasks, but only in browsing paradigms. This assumption is not supported by the present eye-tracking study. It investigates whether task-related selective attention is disrupted depending on the animation intensity of banner ads when users are in a search mode as well as the impact of banner animation on perceptual and memory performance.     

The influence of equivocality in purchasing tasks on the selection of transaction channels in online auctions

Online auctions are one of the most active business models used in electronic commerce. Previous researchers address issues of online auction behaviour focusing on the factors influencing bidding intentions, but how bidders choose transaction channels to complete the consumption process is not examined before. This study conducts an experiment to manipulate the equivocality of purchasing task. Results show that when purchasing a product with higher task equivocality, bidders tend to choose a communication channel with higher information richness, and select a payment and product delivery channel with lower risk. When purchasing a product with lower task equivocality, bidders tend to select a communication channel with lower information richness, and tolerate higher risk to complete the payment and product delivery process.     

Effects of differences in office chair controls, seat and backrest angle design in relation to tasks

In this study the influence of chair characteristics on comfort, discomfort, adjustment time and seat interface pressure is investigated during VDU and non-VDU tasks: The two investigated office chairs, both designed according to European and Dutch standards are different regarding: 1) seat cushioning and shape, 2) backrest angle and 3) controls. Thirty subjects in total, both male and female, participated in two experiments: twenty in the first and ten in the second.Significant differences are found for ease of adjustment and adjustment time of controls, independent of the tasks. Related to tasks, a significant difference was found for the backrest range of motion. For non-VDU tasks a larger range of backrest motion was preferred by 70% of the subjects. The chair design differences were most clear for comfort and adjustment time of controls, followed by comfort of backrest angle. No differences are found between seat pan comfort and discomfort, first impressions and peak interface pressure.     

The development and application of psychophysical methods in upper-extremity work tasks and task elements

This paper examines an approach to modeling the relationship between perceived acceptable work exposures and physical stressors in upper-extremity tasks using psychophysical methods. Several years of laboratory-based studies and results from a variety of simulated work tasks and task elements are summarized. The original impetus of these studies was founded in the pioneering work and successful application of psychophysical methods applied to manual materials handling tasks (e.g., lifting) generally beginning in the 1960s and 1970s. This approach provided unique and feasible solutions to work design problems involving exposure to the hazard of cumulative trauma. Presently, these methods were adapted to studying common upper-extremity tasks and task elements. Results provide conclusive evidence of the impact of required posture, force, gender and other variables on acceptable task frequency. These results and the psychophysical method in general, may be particularly helpful in establishing realistic and reasonable work design guidelines when workers are exposed to multiple, simultaneous hazards such as force, frequency, with deviated posture, etc, and in the absence of well-defined biomechanical or physiological-based models. Finally, a review of psychophysical theory and methods which can be applied to a wide range of occupational activities is provided.     

The efforts in the forearm during the use of anti-vibration gloves in simulated work tasks

The objective of this article is to analyze the levels of forearm muscular contraction associated with the use of anti-vibration gloves, in which the contraction levels with gloves and without gloves are compared. Two different vibrating tools - a Bosch Compact Duty Multi-Cutter and a Bosch Rotary Hammer carrying an Ø20 mm bit - were used in a simulated work environment. Standard operations were performed by each subject (n = 14) in an 80 × 40 mm pine bar (cross-sectional cuts with the Multi-Cutter) and on a concrete slab 2 × 2 m, 70 mm thick (20 mm holes with the Rotary Hammer). The forearm muscular efforts were measured by surface electromyography (EMG) in four different muscles: the flexor digitorum superficialis (FDS), flexor carpi ulnaris (FCU), extensor carpi radialis longus (ECRL) and extensor carpi ulnaris (ECU). For the flexor muscles (FDS and FCU), a decrease tendency (p > 0.05) in the measured EMG was observed when the operations are performed with gloves relative to the bare hand (a reduction of 5-23% in the percentage of maximum voluntary exertion (%MVE)). For the extensor muscles (ECU), a tendency toward increased (p > 0.05) muscular contraction was observed when the operations were performed with gloves (an increase of 3-20% in the %MVE). No such tendency was found in the ECRL muscle. The ECU was the muscle with the highest %MVE for 10 and 11 operators (n = 14), during the operations, respectively, with the Multi-Cutter and the Rotary Hammer. As a final conclusion from the study, anti-vibration gloves may increase forearm fatigue in the posterior forearm (ECU muscle) and decrease forearm fatigue in the FDS muscle during operations with the above-mentioned tools.

Relevance to industry

Anti-vibration gloves have been applied in industry to reduce the vibration transmitted into the hand and arms through the palms and fingers. This study analyzed forearm muscular efforts during simulated work tasks performed with two different vibrating tools, operated with the bare hand and with three different gloves, based on the analysis of EMG data.     

The accuracy of conventional 2D video for quantifying upper limb kinematics in repetitive motion occupational tasks

Marker-less 2D video tracking was studied as a practical means to measure upper limb kinematics for ergonomics evaluations. Hand activity level (HAL) can be estimated from speed and duty cycle. Accuracy was measured using a cross-correlation template-matching algorithm for tracking a region of interest on the upper extremities. Ten participants performed a paced load transfer task while varying HAL (2, 4, and 5) and load (2.2 N, 8.9 N and 17.8 N). Speed and acceleration measured from 2D video were compared against ground truth measurements using 3D infrared motion capture. The median absolute difference between 2D video and 3D motion capture was 86.5 mm/s for speed, and 591 mm/s² for acceleration, and less than 93 mm/s for speed and 656 mm/s² for acceleration when camera pan and tilt were within ± 30 degrees. Single-camera 2D video had sufficient accuracy ( < 100 mm/s) for evaluating HAL.

Practitioner Summary: This study demonstrated that 2D video tracking had sufficient accuracy to measure HAL for ascertaining the American Conference of Government Industrial Hygienists Threshold Limit Value^® for repetitive motion when the camera is located within ± 30 degrees off the plane of motion when compared against 3D motion capture for a simulated repetitive motion task.     

Evaluation of foot swelling and lower-limb temperatures in relation to leg activity during long-term seated office work

Seven healthy females were studied during three experimental days, each comprising 8 hours of seated office work at different well-defined levels of leg activity. The mean foot swelling was 4·8% in the case of no leg activity (‘inactive sitting’), 2·3% when the legs were moved freely (‘ semi-active sitting’) and 0·8% at the highest activity level (‘active sitting’). The activity of the soleus muscle was evaluated by EMG and discussed in relation to the function of the musculovenous pump. The decrease in skin temperature (T_sk ) of the foot and lower leg was completed after half the working day, and on average it was 4·6°C/2·8°C (foot) and 3·3°C/l·6°C (lower leg) during ‘inactive sitting’/‘active sitting’. The mean temperature in the flexor hallucis longus muscle (T_m ) decreased by 3·7°C during the 8 hours of ‘inactive sitting’, but was almost constant during ‘active sitting’. The discomfort of the lower leg and foot was significantly correlated to foot swelling and T_m , but not to T_sk . The mean heart rate was highest during ‘inactive sitting’.

The results indicate that it is possible to reduce physiological and discomfort problems in the lower legs and feet during prolonged sedentary work by introducing modest leg activity as a natural part of the seated work.     

The ability of limited exposure sampling to detect effects of interventions that reduce the occurrence of pronounced trunk inclination

Ergonomics interventions often focus on reducing exposure in those parts of the job having the highest exposure levels, while leaving other parts unattended. A successful intervention will thus change the form of the job exposure distribution. This disqualifies standard methods for assessing the ability of various exposure measurement strategies to correctly detect an intervention's effect on the overall job exposure of an individual worker, in particular for the safety or ergonomics practitioner who with limited resources can only collect a few measurements. This study used a non-parametric simulation procedure to evaluate the relationship between the number of measurements collected during a self-paced manufacturing job undergoing ergonomics interventions of varying effectiveness, and the probability of correctly determining whether and to which extent the interventions reduced the overall occurrence of pronounced trunk inclination, defined as an inclination of at least 20°. Sixteen video-recordings taken at random times on multiple days for each of three workers were used to estimate the time distribution of each worker's exposure to pronounced trunk inclination. Nine hypothetical ergonomics intervention scenarios were simulated, in which the occurrence of pronounced trunk inclination in the upper 1/8, 1/4, and 1/2 of the job exposure distribution was reduced by 10%, 30% and 50%. Ten exposure measurement strategies were explored, collecting from one to ten pre- and post-intervention exposure samples from an individual worker. For each worker, intervention scenario and sampling strategy, data were bootstrapped from the measured (pre-intervention) and simulated (post-intervention) exposure distributions to generate empirical distributions of the estimated intervention effect. Results showed that for the one to three intervention scenarios that had the greatest effect on the overall occurrence of trunk inclination in the job, one to four pre- and post-intervention measurements, depending on worker, were sufficient to reach an 80% probability of detecting that the intervention did, indeed, have an effect. However, even for the intervention scenario that had the greatest effect on job exposure, seven or more samples were needed for two of the three workers to obtain a probability larger than 50% of estimating the magnitude of the intervention effect to within ±50% of its true size. For almost all interventions affecting 1/8 or 1/4 of the job, limited exposure sampling led to low probabilities of detecting any intervention effect, let alone its correct size.