Measures of localized spinal muscle fatigue

The objective of this study was to determine the best variable, if any, to indicate the level of localized muscle fatigue. Six male and six female subjects were studied while they exerted their maximal voluntary contraction and 40% of maximal voluntary contraction of spinal extensors in an isometric lifting activity. The electromyography (EMG) of erectores spinae at thoracic and lumbar levels was measured bilaterally. Also, the muscle bed blood volume, level of blood oxygenation to erector spinae at L3 level and heart rate were measured. The initial and final values of subjective feelings of fatigue through visual analogue score, rate of perceived exertions and body part discomfort rating were recorded. The mean maximal voluntary contraction forces for males and females were 899 (238) N and 431 (135) N respectively. The mean durations of hold in maximal voluntary fatiguing contraction were 68.1 (39.9) s and 72.3 (37.0) s for men and women respectively. By the end of the hold the force declined to 52% for males and 62% for females. The EMG amplitudes and median frequencies also progressively declined (p < 0.01). ANOVA revealed that the task percentile values of all variables were significantly different (p < 0.01). Gender had a significant main effect (p < 0.01). The correlation coefficients between force and other individual variables were weak to modest, but significant (p < 0.001). None of the single variables predicted fatigue reliably for either gender and levels of contraction. The regression equations developed were highly significant (p < 0.01) and they explained 96 to 98% of variance in both genders and contractions.     

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.     

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.     

Changes in trunk muscle activation and lumbar-pelvic position associated with abdominal hollowing and reach during a simulated manual material handling task

The purpose of this study was to investigate the effect of abdominal hollowing (AH) on trunk muscle activation and lumbar-pelvic motion during a controlled lift and replace task. Surface electromyograms were recorded from five abdominal and two back muscle sites. Sagittal lumbar-pelvic motion was recorded by video. Subjects lifted a 3.8 kg load in normal, maximum and extreme reaches, first while performing their preferred lifting style (PLS) and then maintaining an AH technique. The external oblique muscle site activities were significantly higher (p < 0.05) for the AH technique (ranging from 7–20% of maximal voluntary activation (MVIC)) than at any of the abdominal sites for the PLS (ranging from 2–10% MVIC). Differences were found among abdominal sites for the AH, but not for the PLS. The back muscle site activities (ranging from 9–30% MVIC) were significantly higher (p < 0.05) than for any of the abdominal muscles for all conditions, except for the anterior external oblique for AH. The pelvic and lumbar angles changed significantly (p < 0.05) between normal and maximal reaches and between techniques. The AH technique altered abdominal muscle activation amplitudes, with minimal differences in trunk extensors compared to the PLS. The AH resulted in more posterior pelvic tilt.     

Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience

The purpose of this study was to examine muscle activity patterns during patient handling during manual transfers, and transfers using floor and ceiling lifts. EMG patterns during transfers from bed to wheelchair and wheelchair to bed as well as patient repositioning in novices and experienced participants were examined. Surface EMG was recorded from the upper and lower erector spinae, latissimus dorsi and trapezius muscles bilaterally. Overall, normalized mean and peak muscle activity were lowest using the ceiling lift, increasing with the floor lift, which were lower than manual transfers (novices: all p?<?0.01). Experienced patient handlers demonstrated approximately two times greater trapezius and latissimus dorsi activity than novices, combined with lower mean erector spinae activity (p?<?0.05, for most tasks). Integrated EMG for all muscles was directly proportional to the transfer time and was lowest during the manual transfer followed by the ceiling lift, with the floor lift being highest. The difference between the muscle activity patterns between the experienced and novice patient handlers may suggest a learned behaviour to protect the spine by distributing load to the shoulder. Further examination of the muscle activation patterns differences between experience levels could improve training techniques to develop better patient handling strategies.     

Electromyography of spinal and abdominal muscles during garden raking with two rakes and rake handles

Fifteen young normal subjects (4 males, 11 females) participated in the study. They were required to assume a staggered upright posture with left leg leading in front of a 75 × 75 cm raking box with 20-cm deep evenly distributed dry and wet sand and dirt. The subjects raked using a pulling and pushing action and a 60 cm stroke length at a self-selected optimum pace with a normal straight handled rake and with a rake with a modified handle. The handle modification consisted of three curvatures of 50, 60 and 50°, with an effective rake length of 150cm. While the subjects performed the raking their EMG was recorded from erectores spinae at L₁ and L₃ levels, external obliques and rectus abdominis bilaterally. The pulling activities with both rakes generated significantly different EMGs from pushing (p<0·01). The normal rake generated marginally higher activity compared to the modified rake. However, in pushing the modified rake generated much higher EMG activity than the normal rake (p < 0·01). The medium being raked and the moisture in it also had a significant effect on EMG (p < 0·02). On the basis of the results of this study, the normal rake was concluded to be a better rake.     

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.     

Are hybrid sit–stand postures a good compromise between sitting and standing?

Potential alternatives for conventional sitting and standing postures are hybrid sit-stand postures (i.e. perching). The purposes of this study were (i) to identify where lumbopelvic and pelvic angles deviate from sitting and standing and (ii) to use these breakpoints to define three distinct postural phases: sitting, perching, and standing, in order to examine differences in muscle activations and ground reaction forces between phases. Twenty-four participants completed 19 1-min static trials, from sitting (90°) to standing (180°), sequentially in 5°trunk–thigh angle increments. The perching phase was determined to be 145–175° for males and 160–175° for females. For both sexes, knee extensor activity was lower in standing compared to perching or sitting (p < .01). Anterior–posterior forces were the highest in perching (p < .001), requiring ～15% of body-weight. Chair designs aimed at reducing the lower limb demands within 115–170° trunk–thigh angle may improve the feasibility of sustaining the perched posture.

Practitioner summary: Individuals who develop low back pain in sitting or standing may benefit from hybrid sit-stand postures (perching), yet kinematic and kinetic changes associated with these postures have not been investigated. Perching can improve lumbar posture at a cost of increased lower limb demands, suggesting potential avenues for chair design improvement.

Abbreviations: A/P: anterior-posterior; M/L: medial-lateral; LBP: low back pain; EMG: electromyography; TES: thoracic erector spinae; LES: lumbar erector spinae; VMO: vastus medialis obliquus; MVC: maximum voluntary contraction; ASIS: anterior superior iliac spine; PSIS: posterior superior iliac spine; BW: body weight; RMSE: root mean square error; SD: standard deviation; ROM: range of motion     

Maximal and sub-maximal functional lifting performance at different platform heights

Introducing valid physical employment tests requires identifying and developing a small number of practical tests that provide broad coverage of physical performance across the full range of job tasks. This study investigated discrete lifting performance across various platform heights reflective of common military lifting tasks. Sixteen Australian Army personnel performed a discrete lifting assessment to maximal lifting capacity (MLC) and maximal acceptable weight of lift (MAWL) at four platform heights between 1.30 and 1.70 m. There were strong correlations between platform height and normalised lifting performance for MLC (R² = 0.76 ± 0.18, p < 0.05) and MAWL (R² = 0.73 ± 0.21, p < 0.05). The developed relationship allowed prediction of lifting capacity at one platform height based on lifting capacity at any of the three other heights, with a standard error of < 4.5 kg and < 2.0 kg for MLC and MAWL, respectively.     

Metabolic demands of law enforcement personal protective equipment during exercise tasks

Many occupations require the use of personal protective equipment (PPE) but the added metabolic demands are unknown for certain professions. The purpose of this study was to quantify metabolic and perceptual differences between activity with and without the PPE ensemble required for police officers. Twelve participants were asked to complete experimental and control exercise sessions consisting of three modes of exercise (walking, jogging and stepping). A significant main effect (p < 0.01) for gear was found for heart rate (beats per minute) and VO₂ (L/min) between conditions. Dependent t-tests revealed significant differences for perceived effort, discomfort and session rating of perceived exertion between trials. Medium to large effect sizes for all variables with significant main effects between modes (p < 0.01, η² = 0.51–0.96, 1–β = 0.98–1.0, d = 0.42–2.7) were observed. These findings help to increase awareness of how PPE affects metabolic demands and perception of discomfort during exercise.     

Oxygen uptake and muscle activity limitations during stepping on a stair machine at three different climbing speeds

Abstract

This laboratory study examined human stair ascending capacity and constraining factors including legs’ local muscle fatigue (LMF) and cardiorespiratory capacity. Twenty-five healthy volunteers, with mean age 35.3 years, maximal oxygen uptake (VO_2max) of 46.7?mL·min^?1·kg^?1 and maximal heart rate (HR) of 190 bpm, ascended on a stair machine at 60 and 75% (3?min each) and 90% of VO_2max (5?min or until exhaustion). The VO₂, maximal heart rate (HR_max) and electromyography (EMG) of the leg muscles were measured. The average VO_2highest reached 43.9?mL·min^?1·kg^?1, and HR_highest peaked at 185 bpm at 90% of VO_2max step rate (SR). EMG amplitudes significantly increased at all three levels, p?<?.05, and median frequencies decreased mostly at 90% of VO_2max SR evidencing leg LMF. Muscle activity interpretation squares were developed and effectively used to observe changes over time, confirming LMF. The combined effects of LMF and cardiorespiratory constraints reduced ascending tolerance and constrained the duration to 4.32?min.

Practitioner Summary: To expedite ascending evacuation from high-rise buildings and deep underground structures, it is necessary to consider human physical load. This study investigated the limiting physiological factors and muscle activity rate changes (MARC) used in the muscle activity interpretation squares (MAIS) to evaluate leg local muscle fatigue (LMF). LMF and cardiorespiratory capacity significantly constrain human stair ascending capacities at high, constant step rates.     

The Ergonomics Society – The Society Lectures 2003

Spinal rotation, though being a very common motion of the body, is poorly understood. Furthermore, this motion and the extent of its development is unique to the human. Beyond the extent of its need in common activities, spinal rotation is a destabilizating motion for an inherently unstable structure. Spinal rotation has been argued to be an essential feature for an efficient bipedal gait. Also, it provides leverage to the upper extremities in delivering a forceful impact. An artificial restriction/elimination of spinal rotation resulted in significantly shorter stride length, slower walking velocity, and higher energy consumption in walking (p?<?0.05). Spinal rotation also decreases the amount of force the spinal muscles can generate (to 25% of spinal extension). However, its extensive employment in industrial activities has been associated with 60.4% of back injuries. It is further stated that the amount of scientific information currently available is inadequate to biomechanically model the spinal response in a working environment. For example, when the spine is pre-rotated, a further rotation in the direction of pre-rotation decreases the force production significantly (p?<?0.01) and increases the EMG activity significantly (p?<?0.01) but the pattern changes with effort in the opposite direction. This and other properties (described in the paper) render biomechanical models inadequate. Muscle activation pattern and neuromotor behaviour of spinal muscles in flexion/extension and rotation of the spine are significantly different from each other (p?<?0.01). The localized fatigue in different spinal muscles in the same contraction is significantly different and has been called differential fatigue. Finally, the trunk rotation, being pivotal for bipedal locomotion has brought many back problems to the human race.     

Association of job strain with working hours,shift-dependent perceived workload,sleepiness and recovery

We explored the relationship of job strain with working hours, shift-dependent perceived workload, sleepiness and recovery. Nurses/nursing assistants (n = 95) were recruited from wards that belonged to either the top (high-strain group, HJS) or the bottom (low-strain group, LJS) job strain quartiles of a Job Content Questionnaire survey of employees in five health care districts and four cities in Finland. Three-week field measurements during naturally occurring shift schedules and a subset of pre-selected shift arrangements consisted of the Karolinska Sleepiness Scale, perceived workload and recovery. The HJS group (n = 42) had more single days off and quick returns than the LJS group (n = 53, p < 0.01), and both mental workload and physical workload were rated as higher (p < 0.01). During naturally occurring shift arrangements, severe sleepiness was more common in the HJS group only in quick returns (p = 0.04) and the HJS group recovered on average more poorly from work after all shifts (p = 0.01) and morning shifts (p = 0.02). During pre-selected shift arrangements, the differences between the groups were only minor. In conclusion, job strain-related differences in sleepiness and recovery were mostly attributable to differences in shift arrangements.     

Design and evaluation of a curved computer keyboard

Conventional, straight keyboards remain the most popular design among keyboards sold and used with personal computers despite the biomechanical benefits offered by alternative keyboard designs. Some typists indicate that the daunting medical device-like appearance of these alternative ‘ergonomic’ keyboards is the reason for not purchasing an alternative keyboard design. The purpose of this research was to create a new computer keyboard that promoted more neutral postures in the wrist while maintaining the approachability and typing performance of a straight keyboard. The design process created a curved alphanumeric keyboard, designed to reduce ulnar deviation, and a built-in, padded wrist-rest to reduce wrist extension. Typing performance, wrist postures and perceptions of fatigue when using the new curved keyboard were compared to those when using a straight keyboard design. The curved keyboard reduced ulnar deviation by 2.2° ± 0.7 (p < 0.01). Relative to the straight keyboard without a built-in wrist-rest, the prototype curved keyboard with the built-in padded wrist-rest reduced wrist extension by 6.3° ± 1.2 (p < 0.01). There were no differences in typing speed or accuracy between keyboards. Perceived fatigue ratings were significantly lower in the hands, forearms and shoulders with the curved keyboard. The new curved keyboard achieved its design goal of reducing discomfort and promoting more neutral wrist postures while not compromising users' preferences and typing performance.     

Reducing whole-body vibration and musculoskeletal injury with a new car seat design

A new car seat design, which allows the back part of the seat (BPS) to lower down while a protruded cushion supports the lumbar spine, was quantitatively tested to determine its effectiveness and potentials in reducing whole-body vibration (WBV) and musculoskeletal disorders in automobile drivers. Nine subjects were tested to drive with the seat in: 1) the conventional seating arrangement (Normal posture); and 2) the new seating design (without BPS (WO-BPS) posture). By reducing contact between the seat and the ischial tuberosities (ITs), the new seating design reduced both contact pressure and amplitude of vibrations transmitted through the body. Root-mean-squared values for acceleration along the z-axis at the lumbar spine and ITs significantly decreased 31.6% (p < 0.01) and 19.8% (p < 0.05), respectively, by using the WO-BPS posture. At the same time, vibration dose values significantly decreased along the z-axis of the lumbar spine and ITs by 43.0% (p < 0.05) and 34.5% (p < 0.01). This reduction in WBV allows more sustained driving than permitted by conventional seating devices, by several hours, before sustaining unacceptable WBV levels. Such seating devices, implemented in large trucks and other high-vibration vehicles, may reduce the risk of WBV-related musculoskeletal disorders among drivers.     

Assessment of physical demands and comparison of multiple exposure definitions in a repetitive sawmill job: board edger operator

The primary objectives of the study were to 1) describe the physical exposures in a sawmill job with a high incidence of upper extremity musculoskeletal injuries in terms of multiple measures of posture, exertion and frequency (with varying definitions) and 2) to examine the comparability of those definitions. Surface electromyography and electrogoniometry were used to quantify the muscle demands and joint motions. Fourteen board edger operators from two sawmill facilities participated. All exposure assessments, with the exception of surface EMG measurements, were performed on the production lines. EMG measurements were performed within the facility in a location removed from the production line. The measurements showed that, on average, ranges of motions of 59, 102 and 84 degrees respectively in the planes of wrist radial/ulnar deviation, flexion/extension and pronation/supination were required to perform the job. Significant differences (p < .001) were observed between ranges of motion defined by peak postures and those due to peak postures required to perform the primary task only. Performance of the primary task required an average of 32% of maximum voluntary contraction from the forearm muscles assessed. Repetitions per day ranged, on average, from 2,015 to 9,365. Incidence of reported upper extremity musculoskeletal injuries in the two facilities assessed was found to be higher with the greater total exposure. However, examination of the trend with a standardized measure of injury incidence was not possible.