Biomechanical model to predict loads on lumbar vertebra of a tractor operator

A biomechanical model is important for prediction of loads likely to arise in specific body parts under various conditions. The biomechanical model was developed to predict compressive and shear loads at L4/L5 (lumbar vertebra) of a tractor operator seating on seats with selected seat pan and backrest cushion materials. A computer program was written to solve the model for various inputs viz. stature and weight of the tractor operators, choice of operating conditions, and reaction forces from seat pan and backrest cushions. It was observed that maximum compressive and shear forces ranged 943–1367 N and 422–991 N, respectively at L4/L5 of tractor operators steering the tractor with leg and hand control actions and occasionally viewing the implement at back. The compressive forces were maximum (1202–1367 N) with coir based composite seat backrest cushion materials (thickness of 80 mm, density of 47.19 kg/m³) and were minimum (943–1108 N) with high density polyurethane foam (thickness of 44 mm, density of 19.09 kg/m³) for the seats.Relevance to industryThe biomechanical model of a tractor operator is important for theoretical understanding the problem of sitting and is also valuable in prediction of compressive and shear loads at L4/L5 of operator under various operating conditions. It will help in design of tractor seat for operator's comfort.     

The effects of operator position,pallet orientation,and palletizing condition on low back loads in manual bag palletizing operations

Many mining commodities are packaged and shipped using bags. Small bags are typically loaded onto pallets for transport and require a significant amount of manual handling by workers. This specific task of manual bag handling has been associated with the development of musculoskeletal disorders (MSDs), especially low back disorders. This study evaluates the biomechanical demands of different work layouts when performing manual palletizing of small bags, and evaluates the biomechanical stresses associated with different stacking techniques. Results indicate that peak forward bending moments as well as spinal compression and shear forces are higher when the pallet is situated at the side of the conveyor as opposed to the end of the conveyor. At low levels of the pallet, controlled bag placement results in higher peak forward bending moments than stacking at higher levels and when dropping the bag to lower levels. The results of this study will be used to inform the development of an audit tool for bagging operations in the mining industry.Relevance to industryIn many cases for workers loading small bags, compression forces exceed the NIOSH criterion of 3400 N. Orientation of the pallet has a significant impact on spinal compression, and positioning the pallet at the end of the conveyor reduces the estimated compressive loading on the lumbar spine by approximately 800 N.     

Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances

The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Estimates of compression and shear forces at L5/S1 were calculated using the 3DSSPP program. Seventy-one percent of loading activities exceeded the safe loading level of 3.4 kN compression force at L5/S1 (mean: 3.9 kN, min–max: 2.1–7.0 kN). About 92% of the variance can be predicted from a combination of several variables, notably hand load (mean: 0.72 kN/number of paramedics) and back sagittal flexion (mean: 32°). Recommendations to reduce the risk of back injuries are proposed with regard to stretcher and ambulance loading design as well as training in stretcher lifting for paramedics.Relevance to the industryThe results of this study suggest that ambulance stretcher manufacturers should make ergonomic design changes to reduce the physical strain on paramedics’ backs during the process of loading a stretcher into an ambulance. Other preventive measures (e.g., training) must be formulated and applied to reduce the risk of back musculoskeletal disorders during the loading of stretcher patients. For instance, training should focus on back posture, teamwork and equipment/patient positioning on stretchers.     

A kinematic, kinetic and electromyographic comparison of stooped sheep shearing techniques and shearing with a sheep manipulator

Traditional sheep shearing methods require workers to adopt postures where the trunk is approximately horizontal and held in that position against gravity for long periods of time. The objective of this study was to examine the biomechanics of stooped shearing techniques and to compare the effectiveness of a new sheep manipulator in reducing the frequency of these postures and the changes in low back forces and electromyographic (EMG) activity. Five male shearers were filmed using three video cameras and EMG and three-dimensional (3D) kinematic data were derived during seven segments of the shearing action. Kinematic data were used to calculate the L5/S1 compressive and shear forces using the 3D Static Strength Prediction Program(TM). Results showed the low back forces in stooped shearing were typically between 2200 and 3000N. Also, the sheep manipulator effectively allowed the shearers to maintain a more upright posture (mean trunk angle >65 degrees) which decreased the compressive (maximum <1350N) and shear (maximum <260N) forces at L5/S1.     

Ergonomic evaluation of masons laying concrete masonry units and autoclaved aerated concrete

Masons working with concrete masonry unit block have high rates of work-related musculoskeletal disorders to the low back and shoulders associated with repetitively lifting and buttering heavy block. A new material, autoclaved aerated concrete, may reduce the risk of shoulder and back injury but, ergonomic evaluation is needed. This study evaluated shoulder exposure parameters, low back stress, and worker perceptions in two groups of journey level masons, one using CMU and the other using AAC block. Results indicate that for the left arm AAC masons spent significantly more time than CMU masons in static (38.2% versus 31.1%, respectively), and less time in slow motions (48.2% versus 52.2%, respectively) and faster motions (13.6% versus 16.7%, respectively) (p < 0.05). CMU masons had significantly greater shoulder and low back pain (p = 0.009) and they held block significantly longer than AAC masons (p < 0.001). Low back compressive forces were high for both materials. Masons handling AAC demonstrated less left upper extremity stress but both materials were estimated to be hazardous to the low back.     

Posture and lifting exposures for daycare workers

Daycare employees, specifically caregivers, are a distinct population that may experience increased risk of injury due to the high exposure to bent postures, lifting conditions and high stress associated with their work. The objectives of the study were to collect up to date data on daycare workers and to compare the data between groups working with children of different ages (Infant, Toddler and Preschool). The study consisted of two distinct phases: Phase 1 – Questionnaire distribution, Phase 2 – Observation and analysis involving three dimensional postural monitoring and video recording as well as an analysis of the low back forces and moments in lifting. Phase 1: Consisted of the distribution of questionnaires to all employees in each of the participating daycares (n = 73). Of the 73 questionnaires distributed 32 responses were obtained (44%). Of the 32 employees who completed the questionnaires, 19 caregivers volunteered to participate in Phase 2 of the study. An additional 5 caregivers participated in phase 2 of the study, but did not complete any questionnaires. The questionnaires indicated 81% of the workers have experienced low back pain. Phase 2: Observational data were collected on site in five local daycares, throughout the first half of each subject's shift (∼3.5 h). Caregivers from each of the three classroom age groups were recruited for participation in the direct observation (Infant: n = 7, Toddler: n = 7, Preschool: n = 8). Posture analysis revealed that on average, workers adopted trunk flexion angles greater than 55°, for 10% of the collection time, and greater than 70°, for 5% of the collection time. These postures correspond to both moderate and severe flexed postures respectively. The lifting analysis (completed using the data recorded in phase 2) revealed that workers lifted with frequencies of 0.25 lifts/minute, lifted a total weight of 501 kg (over 3.3 h) and experienced average compression and shear forces of 3323 N and 371 N, respectively. A between-group comparison showed that when compared to the Preschool group, the Infant (p = 0.008) and Toddler (p = 0.001) groups demonstrated higher relative flexed postures and lifting frequencies, and the Toddler group (p = 0.023) demonstrated higher total weight lifted. Results suggested that these employees experience an elevated risk of low back injury caused by their occupational tasks and thus, further research is required to determine appropriate worker accommodations and safe work practices to help mediate these risks for all daycare caregivers.Relevance to industryIt is thought that the results from this study could lead to the development of safe working and job sharing guidelines for daycare workers.     

Mechanical loading of the low back and shoulders during pushing and pulling activities

The objective of this study was to quantify the mechanical load on the low back and shoulders during pushing and pulling in combination with three task constraints: the use of one or two hands, three cart weights, and two handle heights. The second objective was to explore the relation between the initial and sustained exerted forces and the mechanical load on the low back and shoulders. Detailed biomechanical models of the low back and shoulder joint were used to estimate mechanical loading. Using generalized estimating equations (GEE) the effects were quantified for exerted push/pull forces, net moments at the low back and shoulders, compressive and shear forces at the low back, and compressive forces at the glenohumeral joint. The results of this study appeared to be useful to estimate ergonomics consequences of interventions in the working constraints during pushing and pulling. Cart weight as well as handle height had a considerable effect on the mechanical load and it is recommended to maintain low cart weights and to push or pull at shoulder height. Initial and sustained exerted forces were not highly correlated with the mechanical load at the low back and shoulders within the studied range of the exerted forces.     

Assessment of gastroesophageal reflux disease,musculoskeletal symptoms and quality of life in dentists

Background and aimGastroesophageal reflux disease (GERD) has been associated with sick leave, decreased work productivity and poor quality of life. Another possible cause for the development of GERD is the relationship with maintaining the posture in flexion of the spine. The aim of this study was: (1) to compare gastro esophageal reflux with musculoskeletal disorders and quality of life of dentists, (2) to evaluate the association between gastro esophageal reflux such as time in the profession, time working while sitting, musculoskeletal disorders and quality of life of dentists.Methods83 dentists (23 males and 60 females; average age 39.3 years old) participated in the study, who were evaluated for their time in the profession, sitting time, musculoskeletal disorders, quality of life (SF-12v2) and the GERD symptoms using the Frequency Scale for Symptoms of GERD (FSSG) questionnaire.ResultsThe results showed that the majority were female (72.3%) and sendentary (74.7%). A difference was found between the level of GERD with musculoskeletal disorders (p < 0.05) and quality of life (p < 0.05). An association was also found between GERD and working time (p < 0.01), sitting working time (p < 0.05), headache (p < 0.01) and quality of life (p < 0, 01).ConclusionThis study showed that there was an association with working time, sitting time, musculoskeletal disorders, quality of life and GERD in dentists.     

The accuracy of self-report and trained observer methods for obtaining estimates of peak load information during industrial work

The purpose of this study was to determine how well self-report (questionnaire=QR) and trained observer (checklist=OBS) data recording methods compared with more expensive video analysis (VID) for estimating various peak physical loading exposure variables on the low backs of 99 employees during work in an automobile assembly plant. The variables studied were L4/L5 spine compression and shear forces, L4/L5 moment, trunk angle, and hand load. Peak low back loads associated with the working postures of, and the applied loads on, each worker were estimated using a 2D biomechanical model that could accommodate inertial forces acting in various directions on the hands independently. Correlations between the VID and OBS methods were greater for each variable than between VID and QR methods, with ranges in coefficients from 0.6 to 0.8, and 0.1 to 0.4, respectively, giving a discouraging impression of the QR, and the OBS method to a lesser degree, for peak low back exposure assessment. Despite the better performance of OBS method for individuals, it was still only able to account for between 36% and 64% of the variance relative to the VID method. When all workers were considered as a single group, compression and shear forces, moment and hand load estimates were the same regardless of method used to collect the data. Self-reported trunk flexion was significantly greater than that reported by trained observers or on video (p<0.0001).Relevance to industryConsiderable time and expense could be saved in large scale studies if it were possible to rely on worker's reports or observation of the physical demands of their jobs instead of traditional video and biomechanical analyses. Assessments of peak exposure of individuals using the self-report and observation methods were discouraging. Analysis of a single group proved more promising, but other groups need to be studied. Interview assisted self-reports may help to improve assessments of individuals and also need to be investigated in the future.     

Biomechanical loading of the shoulder complex and lumbosacral joints during dynamic cart pushing task

The primary objective of this study was to quantify the effect of dynamic cart pushing exertions on the biomechanical loading of shoulder and low back. Ten participants performed cart pushing tasks on flat (0°), 5°, and 10° ramped walkways at 20 kg, 30 kg, and 40 kg weight conditions. An optoelectronic motion capturing system configured with two force plates was used for the kinematic and ground reaction force data collection. The experimental data was modeled using AnyBody modeling system to compute three-dimensional peak reaction forces at the shoulder complex (sternoclavicular, acromioclavicular, and glenohumeral) and low back (lumbosacral) joints. The main effect of walkway gradient and cart weight, and gradient by weight interaction on the biomechanical loading of shoulder complex and low back joints was statistically significant (all p < 0.001). At the lumbosacral joint, negligible loading in the mediolateral direction was observed compared to the anterioposterior and compression directions. Among the shoulder complex joints, the peak reaction forces at the acromioclavicular and glenohumeral joints were comparable and much higher than the sternoclavicular joint. Increased shear loading of the lumbosacral joint, distraction loading of glenohumeral joint and inferosuperior loading of the acromioclavicular joint may contribute to the risk of work-related low back and shoulder musculoskeletal disorder with prolonged and repetitive use of carts.     

R2: Drilling into concrete: Effect of feed force on handle vibration and productivity

Approximately 1.6 million commercial construction workers in the US use rotary hammer drills for drilling into concrete to insert anchor bolts or rebar. The exposure to vibration may lead to hand-arm vibration syndrome and other musculoskeletal disorders depending on handle vibration acceleration level, hand grip force, and duration of exposure. There is little information on the relationship between feed force (FF), e.g., the push force applied by the worker, and handle vibration. A robotic test bench for rotary hammer drills was used to evaluate the effects of different FF on handle vibration and productivity (e.g., penetration rate and holes drilled). Increasing FF from 95 to 163 N was associated with an increase in total weighted handle vibration (a_hv) of 7.2–8.5 m/s² (slope, p < 0.001) but from 163 to 211 N there was no change in vibration level (slope, p = 0.17). Increasing FF from 95 to 185 N was associated with an increase in penetration rate of 7.2–8.5 m/s² (slope, p < 0.001) but from 185 to 211 N there was no change in penetration rate (slope, p = 0.49). Based on the maximum allowable duration of exposure to hand vibration, specified by the ISO and ACGIH Action Limits, and the penetration rate, the drilling productivity, in m drilled per day, is greatest for the lowest FF tested. Contractors and construction workers should be informed that when drilling into concrete, the lowest exposure to harmful hand vibration and the best overall productivity occurs when the lowest operational FF is applied during hammer drilling.     

A comparison of low back kinetic estimates obtained through posture matching, rigid link modeling and an EMG-assisted model

This study examined errors introduced by a posture matching approach (3DMatch) relative to dynamic three-dimensional rigid link and EMG-assisted models. Eighty-eight lifting trials of various combinations of heights (floor, 0.67, 1.2 m), asymmetry (left, right and center) and mass (7.6 and 9.7 kg) were videotaped while spine postures, ground reaction forces, segment orientations and muscle activations were documented and used to estimate joint moments and forces (L5/S1). Posture matching over predicted peak and cumulative extension moment (p < 0.0001 for all variables). There was no difference between peak compression estimates obtained with posture matching or EMG-assisted approaches (p = 0.7987). Posture matching over predicted cumulative (p < 0.0001) compressive loading due to a bias in standing, however, individualized bias correction eliminated the differences. Therefore, posture matching provides a method to analyze industrial lifting exposures that will predict kinetic values similar to those of more sophisticated models, provided necessary corrections are applied.     

Ergonomic evaluation of an alternative tool for cake decorating

AimCake decorating involves several hand intensive steps with high grip force during the application of icing. The purpose of this laboratory study was to evaluate forearm muscle activity, discomfort, productivity, and usability of an alternative tool for cake decorating compared to decorating with the traditional piping bag.MethodsParticipants (n = 17) performed 2 h of cake decorating tasks using the two tools. Subjective hand and arm fatigue, usability, upper extremity posture, and muscle activity from three forearm muscles were assessed for each tool. Outcome measures were evaluated using the Wilcoxon Signed Rank test and the paired t-test.ResultsLess fatigue was reported in the dominant hand (p = 0.001), forearm (p = 0.003) and shoulder (p = 0.02) for the alternative tool when compared to the piping bag. Average median (APDF 50%) and peak (APDF 90%) muscle activity was significantly less for the alternative tool across all three forearm muscles. The alternative tool significantly reduced grip force, an important risk factor for distal upper extremity pain and disorders. Participants rated usability of the alternative tool superior for refill and comfort but the traditional method was rated better for accuracy, stability, positioning and control.ConclusionsThe alternative tool was associated with less dominant arm fatigue, muscle activity, and grip force when compared with the piping bag. However, the alternative tool did not receive the best overall usability rating due to problems with accuracy and overflow, especially with smaller decorating tips. Recommendations were made for addressing these problems with the alternative tool.     

Effect of ergonomic Armrest® forearm support on wrist posture related to carpal tunnel pressure during computer mouse work

ObjectiveWe validated the effect of moveable arm support (Armrest®) on wrist posture during three standardized tasks.BackgroundThe use of the computer mouse has been increasing over the years and it has been identified as one of the occupational activities related to carpal tunnel syndrome (CTS). The main mechanism for CTS is carpal tunnel pressure (CTP) that could be estimated from the wrist posture.MethodUsing an electronic goniometer, we assessed wrist extension/flexion and ulnar-radial flexion in 15 participants (age: 34.8 [8.7] years) and calculated the time the wrist posture was outside the threshold values previously related to CTP. Specifically, we estimated time when wrist posture yielded >25 mmHg of CTP: wrist extension >32.7°; wrist flexion < −48.6°; wrist ulnar flexion >14.5°; and wrist radial flexion < −21.8°.ResultsAverage wrist extension/flexion tends to be 13.4° lower (p = 0.063), while radial-ulnar flexion was 13.2° lower (p = 0.025) when Armrest® forearm support was used in comparison to fixed forearm support. Furthermore, the time spent outside the threshold wrist extension was 25.8% (p = 0.018) lower and ulnar flexion was 37.2% (p = 0.017) lower when using Armrest® compared to a fixed forearm support. Results were independent from tasks.ConclusionArmrest® diminished the time spent outside the threshold values related to 25 mmHg of CTP indicative of CTS.ApplicationA moveable arm support is a simple and effective way to increase occupational health during computer mouse work.     

Comparison of OWAS,RULA and REBA for assessing potential work-related musculoskeletal disorders

This study compared three representative observational methods for assessing musculoskeletal loadings: Ovako Working Posture Analysis System (OWAS), Rapid Upper Limb Assessment (RULA), and Rapid Entire Body Assessment (REBA). The comparison was based on 209 cases of upper-body musculoskeletal disorders (MSDs) diagnosed by medical doctors. The most awkward/stressful posture in each participant's tasks was assessed using these techniques. Postural loadings were rated more highly by the RULA than by the OWAS and REBA (p < 0.01). The chi-square test and logistic regression analysis showed that only RULA grand score and action level, and REBA action level were associated with MSD work-relatedness (p < 0.01, p < 0.05, and p < 0.05, respectively). The percentage concordant values of the logistic model for the RULA grand score and action level were 52.4% and 44.8%, respectively, while the percentage concordant value for the REBA action level was 22.1%. Therefore, the RULA may be the best system for estimating the postural loads and work-relatedness of MSDs.Relevance to industryWork-related musculoskeletal disorders are the leading cause of workplace disability in the developed countries. For preventing the disorders, quantification of musculoskeletal loads is required.     

Foot positioning instruction,initial vertical load position and lifting technique: effects on low back loading

This study investigated the effects of initial load height and foot placement instruction in four lifting techniques: free, stoop (bending the back), squat (bending the knees) and a modified squat technique (bending the knees and rotating them outward). A 2D dynamic linked segment model was combined with an EMG assisted trunk muscle model to quantify kinematics and low back loading in 10 subjects performing 19 different lifting movements, using 10.5 kg boxes without handles. When lifting from a 0.05 m height with the feet behind the box, squat lifting resulted in 19.9% (SD 8.7%) higher net moments (p < 0.001) and 17.0% (SD 13.2%) higher compression forces (p < 0.01) than stoop lifting. This effect was reduced to 12.8% (SD 10.7%) for moments and a non-significant 7.4% (SD 16.0%) for compression forces when lifting with the feet beside the box and it disappeared when lifting from 0.5 m height. Differences between squat and stoop lifts, as well as the interaction with lifting height, could to a large extent be explained by changes in the horizontal L5/S1 intervertebral joint position relative to the load, the upper body acceleration, and lumbar flexion. Rotating the knees outward during squat lifts resulted in moments and compression forces that were smaller than in squat lifting but larger than in stoop lifting. Shear forces were small ( < 300 N) at the L4/L5 joint and substantial (1100 – 1400 N) but unaffected by lifting technique at the L5/S1 joint. The present results show that the effects of lifting technique on low back loading depend on the task context.     

Lower back muscle forces in pushing and pulling

Abstract

In the investigation of lower back stress, the muscle forces of the erector spinae and the rectus abdominis are often calculated using the two-dimensional biomechanical model. These muscle forces are used to estimate the compressive forces at L5/S1 disc This paper presents a study of the muscle forces predicted by a two-dimensional biomechanical model during pushing and pulling and myoelectric activity from the corresponding muscles. The goal was to investigate whether a simple two muscle torso model would reasonably estimate the muscle actions in pushing and pulling tasks. Six subjects participated in the experiment. EMG (rms) value was used as an indicator of muscle forces. The results show high correlation between the predicted muscle forces and the measured root-mean-square EMG values in trunk pushing and pulling (r²=0.93) and hand pushing and pulling (r²=0.96) in an erect posture with hips braced but low in hand pushing and pulling using a free posture (r²=0.37).     

Spine loading and probability of low back disorder risk as a function of box location on a pallet

It is widely believed that depalletizing operations in manufacturing and service environments substantially increase the risk of occupationally related low back disorders (LBDs). It has been established that the weight of the box lifted off a pallet can affect the risk of occupationally related LBD but few have considered the influence of the location of the box on the pallet (region) when assessing risk. Thus, the objective of this study was to assess spinal loading characteristics and the probability of high LBD risk as a function of box weight and its location on the pallet. Ten experienced order selectors were recruited from a local distribution center and were evaluated as they transferred boxes of different weights (40, 50, and 60 lb) from six different locations (regions) of a pallet to a pallet jack. Workers were monitored for their trunk motion characteristics as well as the electromyographic (EMG) activity of ten trunk muscles as they performed the task. Workplace factors as well as trunk kinematic and EMG information were used as inputs to: (1) a risk assessment model, and (2) an EMG-assisted model that was used to predict the three-dimensional spine loadings that occurred during the task. The results indicated that conditions where a worker must reach to a low level of the pallet increased spinal load and risk probability far more than changes in the weight of the box. Thus, spinal loads were significantly large in magnitude and would be expected to lead to an increase in low back disorders when workers lifted form the lowest layer of the pallet. The load moment was found to be strongly influenced by pallet region, which resulted in increased spinal loading and risk probability as the moment increased. This effort has also facilitated our understanding as to why spine loading increases under the various conditions studied in this experiment. Nearly all differences in spinal loading can be explained by a corresponding difference in coactivation of the trunk musculature. This in turn significantly increases the synergistic forces supplied by each muscle to the spine and results in an increase in spinal loading. © 1997 John Wiley & Sons, Inc.     

The influence of a back support harness on spinal forces during sheep shearing

Previous research has classified the occupation of sheep shearing as heavy work where shearers flex their spine and hips for long periods of time, handle awkward loads and expend high amounts of energy. The aim of this research was to investigate the magnitude of spinal forces produced during the shearing phase of the work and to determine whether the use of a commercially available back support harness would reduce these forces. Following discussion on task complexity and risk of back injury with senior shearing instructors, three component tasks of the shearing phase were identified as posing high risk of injury and were prioritized for primary analysis. Although the dragging out of a sheep in preparation for shearing and an unexpected loss of animal control were also identified as being of high risk, technological and instrumentation difficulties precluded their analysis. Twelve experienced shearers were videotaped while shearing with and without the use of a back harness. Surface mounted retro-reflective markers placed on the trunk defined three linked segments: Pelvis, Lumbar and Head, Arms, and Upper Trunk (HAUT). A 3D, link segment, top down, inverse dynamics approach was used to describe the motion and to estimate forces involved during the identified tasks of shearing. The spinal force/time profiles of this sample of shearers demonstrated large compressive and shear forces for all three tasks that are close to the NIOSH and University of Waterloo action limits for compressive and shear forces respectively (McGill , Yingling and McGill , Marras ). The use of the back support harness reduced these forces by substantial and statistically significant amounts. This effect was consistent across all three tasks. The results of this study demonstrate the production of high levels of compressive and shear forces within the spine of shearers during the three shearing tasks studied and that the use of a back support harness can substantially reduce these forces. Therefore the use of a back harness may reduce the cumulative load on the spine during shearing thereby moderating damage to the articular structures. However it is not known whether the harness would protect the spine from a sudden or unexpected force.     

Comparing standing posture and use of a sit-stand stool: Analysis of vascular,muscular and discomfort outcomes during simulated industrial work

Sit-stand stools are available for use in industrial settings, but there is a lack of quantitative evidence demonstrating benefits for lower limb, back and/or neck/shoulder outcomes. In this paper we describe an experiment conducted to compare and contrast posture and time-related differences in muscular and vascular outcomes during 34 min of manual repetitive work performed in either standing or sit-standing work posture. We measured vascular parameters in the lower limbs, and muscular parameters in the trunk and neck/shoulder, and discomfort in the three regions as participants accomplished a repetitive box-folding task. Results show that blood flow in the foot (p = 0.022) and ankle mean arterial pressure (p < 0.001) were greater during standing. Left gluteus medius and external oblique activation was higher during standing, while sit-standing work resulted in higher levels of co-activation between the left erector spinae and external oblique muscle pair (p = 0.026). Neck/shoulder muscle activity was not significantly different between the conditions. Reported discomfort did not differ significantly for the trunk and neck/shoulder region, but standing resulted in higher level of reported discomfort in the lower limb. The sit-stand posture used in this experiment appears to prevent the undesirable lower limb outcomes associated with static standing work posture.Relevance to industryThis work demonstrates quantitative evidence to support the potential use of a sit-stand stool for industrial work operations, at least over relatively short durations.