The changes of lumbar muscle flexion-relaxation phenomenon due to antero-posteriorly slanted ground surfaces

Uneven ground surface is a common occupational injury risk factor in industries such as agriculture, fishing, transportation and construction. Studies have shown that antero-posteriorly slanted ground surfaces could reduce spinal stability and increase the risk of falling. In this study, the influence of antero-posteriorly slanted ground surfaces on lumbar flexion-relaxation responses was investigated. Fourteen healthy participants performed sagittally symmetric and asymmetric trunk bending motions on one flat and two antero-posteriorly slanted surfaces (?15° (uphill facing) and 15° (downhill facing)), while lumbar muscle electromyography and trunk kinematics were recorded. Results showed that standing on a downhill facing slanted surface delays the onset of lumbar muscle flexion-relaxation phenomenon (FRP), while standing on an uphill facing ground causes lumbar muscle FRP to occur earlier. In addition, compared to symmetric bending, when performing asymmetric bending, FRP occurred earlier on the contralateral side of lumbar muscles and significantly smaller maximum lumbar flexion and trunk inclination angles were observed.

Practitioner Summary: Uneven ground surface is a common risk factor among a number of industries. In this study, we investigated the influence of antero-posteriorly slanted ground surface on trunk biomechanics during trunk bending. Results showed the slanted surface alters the lumbar tissue load-sharing mechanism in both sagittally symmetric and asymmetric bending.     

Comparison of lifting and bending demands of the various tasks performed by daycare workers

The objective of this study was to evaluate lifting and trunk postural demands of the tasks performed by daycare workers. Twenty-four caregivers were monitored for approximately 3.5 h. Eleven tasks were identified. Posture was monitored by a dosimeter with sensors at T1 and S1. Flexion-extension, lateral bending and torsion angles were investigated using Exposure Variation Analyses (EVA).Most of the lifting, in both weight lifted and repetitions, was performed during two tasks: “Preparation” (0.6 lifts/min) and “Changing diapers” (0.8 lifts/min).EVA allowed identifying the most demanding tasks in sagittal flexion for both amplitude and duration.The most asymmetric tasks (large lateral bending) were “Caring,” “Changing diapers” and “Cleaning”. All the tasks listed as demanding for posture or duration also had a low level of variability.RelevanceThis study was able to identify the most physically stressful tasks in terms of lifting and postural demands. These tasks should be redesigned in priority taking into account this information and the specific context of individual daycare centres to improve the work context of workers.     

Biomechanical evaluation of lifting tasks: A microcomputer-based model

This paper discusses a static and dynamic biomechanical evaluation of sagittal lifting activities via a microcomputer model. The input to the developed model includes operator's anthropometric data, and sex. The model provides the reactive forces and torques at the various joints of the body expressed in both British and metric systems. Also, the model shows the calculated compressive force on the spine at the fifth lumber/first sacral joint (L5/S1), and both kinematic and kinetic informations are displayed. The model has a menu of five options: (1) to analyze stress imposed on the L5/S1 during a dynamic activity; (2) to determine maximum weight to be allowed during a dynamic motion; (3) to check stress on the spine (L5/S1) for specified static postures; (4) to determine maximum weight to be allowed for a static posture; or (5) to stimulate the lifting action and determine critical postures while performing lifting tasks based on static biochemical analysis.     

Foot-ground forces on sloping ground when lifting∗

Slipping risk associated with manual material handling on inclined surfaces was investigated using a 2⁴ factorial experimental design under controlled laboratory conditions. The reaction force data at the shoe sole-sloping surface interface, the box trajectories, and the subjects’ assessment of the risk involved in carrying out the prescribed tasks were obtained and analysed both analytically and statistically. The results of these analyses are presented in this paper.     

Effect of gloves on prehensile forces during lifting and holding tasks

The effect of gloves on the spatio-temporal characteristics of prehensile forces during lifting and holding tasks was investigated. Participants (n = 10) lifted a force transducer equipped object (weight = 0.29 N) with various types of gloves and barehanded using a two-fingered precision grip. Rubber surgical gloves of varied thicknesses (0.24, 0.61 and 1.02 mm) were worn to examine the effect of glove thickness on a rayon surface. It was found that grip force increased with thickness because the participants employed a higher safety margin above the minimum force required to hold the object. The safety margin for the barehanded condition was the smallest. The performance time for lifting the object was not influenced by the variation of glove thickness. The findings suggest that glove thickness, which presumably modifies the cutaneous sensation, influences grip force regulation. The effect of glove material (rubber and cotton) was also examined in relation to slippery (rayon) and non-slippery (sandpaper) surfaces. It was found that the participants used a larger grip force with the cotton glove than the rubber glove for the slippery surface, but not with the non-slippery surface. With use of the rubber glove, a relatively low grip force level was maintained for both slippery and non-slippery surfaces. The performance time for the cotton glove was longer than that for the rubber glove. The findings suggest that the rubber glove provides better efficiency of force and temporal control than the cotton glove in precision handling of small objects.     

Ergonomic job design in frequent manual lifting tasks: A microcomputer-based model

The main objective of this paper is to generate ergonomic software that can be used in the design and evaluation of manual materials handling tasks so as to minimize the risk of injury. Specifically, this study is aimed at developing a microcomputer-based model for the design of frequent manual lifting tasks based ont he concept of job saverity index. The microcomputer-based software package is intended to be used by non-experts in the field of MMH. Possible engineering and administrative controls are implemented in the software in case if human lifting abilities are exceeded. The software was written in AutoLISP for the IBM personal computer. The knowledge base of the software is built upon a set of two models which were developed in the present study. The models were based on 2,736 observations.     

A voice activated bi-articular exosuit for upper limb assistance during lifting tasks

Humans are favoured to conventional robotics for some tasks in industry due to their increased dexterity and fine motor skills, however, performance of these tasks can result in injury to the user at a cost to both the user and the employer. In this paper we describe a lightweight, upper-limb exosuit intended to assist the user during lifting tasks (up to 10kg) and while operating power tools, which are common activities for industrial workers. The exosuit assists elbow and shoulder flexion for both arms and allows for passive movements in the transverse plane. To achieve the design criteria an underactuated mechanism has been developed, where a single motor is used to assist two degrees of freedom per arm. In the intended application, the hands are generally busy and cannot be used to provide inputs to the robot, therefore, a voice-activated control has been developed that allows the user to give voice commands to operate the exosuit. Experiments were performed on 5 healthy subjects to assess the change in Muscular Activation (MA), inferred through Electromyography (EMG) signals, during three tasks: i) lifting and releasing a load; ii) holding a position and iii) manipulating a tool. The results showed that the exosuit is capable of reducing EMG activity (between 24.6% and 64.6%) and the recognition rate (94.8%) of the voice recognition module was evaluated.     

Development of a safety index for manual lifting tasks

The concept of a safety index (SI) for assigning a worker to a particular manual lifting task is developed, and a simple formula for its calculation is presented. The proposed index is based upon the combined measure of acceptability of the biomechanical and physiological stress responses of the worker to a lifting task. Individual capacity norms, as opposed to the norms usually given based on population percentiles, are also defined. Numerical examples are given to illustrate the SI approach.     

An electromyographic analysis of seated and standing lifting tasks

The objective of this project was to compare the muscular effort exerted during manual lifting tasks performed in standing versus seated posture. Six male undergraduate and graduate students performed 12 different static and dynamic lifts in both sitting and standing positions. During each effort electromyographic (EMG) data were collected on four muscles groups (low back, upper back, shoulder, and abdominals). Four contractions were designed to elicit maximum muscular effort in the four groups being monitored. The remaining data were then expressed as a percentage of maximum EMG. Each subject performed the following: maximum static lift when sitting; maximum static lift when standing; sitting, static lift with 15·9 kg; standing, static lift with 15·9 kg; dynamic sit-forward lift with 15·9 kg, dynamic stand-forward lift with 15·9 kg, dynamic sit-twist with 15·9 kg, dynamic stand-vertical lift with 15·9 kg. Each of the lifts was performed with a wooden tray with slotted handles. Root mean square (RMS) values of the EMG data were calculated for three second periods. EMG activity in the low back, upper back, and shoulder was greater during sitting lifting than during standing lifting. The sit-twist lift resulted in the highest EMG in the abdominal muscles. Dynamic lifts resulted in more muscle activity than did static lifts. From these data it was concluded that sitting-lifting results in greater stress in the low back, upper back, and shoulders than does lifting while standing.     

A knowledge-based system for assessment of human physiological abilities in manual lifting tasks

The purpose of this paper is to develop and test an expert system for assessment of human physiological abilities in manual lifting tasks. The expert system was implemented on an IBM PC-XT personal computer. An example on how to utilize the expert system in designing manual lifting tasks from a physiological standpoint is given.     

The effect of sinusoidal rolling ground motion on lifting biomechanics

The objective of this study was to quantify the effects of ground surface motion on the biomechanical responses of a person performing a lifting task. A boat motion simulator (BMS) was built to provide a sinusoidal ground motion (simultaneous vertical linear translation and a roll angular displacement) that simulates the deck motion on a small fishing boat. Sixteen participants performed lifting, lowering and static holding tasks under conditions of two levels of mass (5 and 10 kg) and five ground moving conditions. Each ground moving condition was specified by its ground angular displacement and instantaneous vertical acceleration: A): +6°, −0.54 m/s²; B): +3°, −0.27 m/s²; C): 0°, 0 m/s²; D): −3°, 0.27 m/s²; and E): −6°, 0.54 m/s². As they performed these tasks, trunk kinematics were captured using the lumbar motion monitor and trunk muscle activities were evaluated through surface electromyography. The results showed that peak sagittal plane angular acceleration was significantly higher in Condition A than in Conditions C, D and E (698°/s² vs. 612-617°/s²) while peak sagittal plane angular deceleration during lowering was significantly higher in moving conditions (conditions A and E) than in the stationary condition C (538-542°/s² vs. 487°/s²). The EMG results indicate that the boat motions tend to amplify the effects of the slant of the lifting surface and the external oblique musculature plays an important role in stabilizing the torso during these dynamic lifting tasks.     

The effect of sinusoidal rolling ground motion on lifting biomechanics

The objective of this study was to quantify the effects of ground surface motion on the biomechanical responses of a person performing a lifting task. A boat motion simulator (BMS) was built to provide a sinusoidal ground motion (simultaneous vertical linear translation and a roll angular displacement) that simulates the deck motion on a small fishing boat. Sixteen participants performed lifting, lowering and static holding tasks under conditions of two levels of mass (5 and 10 kg) and five ground moving conditions. Each ground moving condition was specified by its ground angular displacement and instantaneous vertical acceleration: A): +6°, −0.54 m/s²; B): +3°, −0.27 m/s²; C): 0°, 0 m/s²; D): −3°, 0.27 m/s²; and E): −6°, 0.54 m/s². As they performed these tasks, trunk kinematics were captured using the lumbar motion monitor and trunk muscle activities were evaluated through surface electromyography. The results showed that peak sagittal plane angular acceleration was significantly higher in Condition A than in Conditions C, D and E (698°/s² vs. 612–617°/s²) while peak sagittal plane angular deceleration during lowering was significantly higher in moving conditions (conditions A and E) than in the stationary condition C (538–542°/s² vs. 487°/s²). The EMG results indicate that the boat motions tend to amplify the effects of the slant of the lifting surface and the external oblique musculature plays an important role in stabilizing the torso during these dynamic lifting tasks.     

A novel optimization model for predicting trunk muscle forces during asymmetric lifting tasks

Low back pain (LBP) is a social and economic problem throughout industry. Repetitive asymmetric postures frequently occur in manual materials handling tasks and such asymmetric lifting has been epidemiologically linked to LBP. Therefore, biomechanical lifting models must be developed to predict muscle forces during asymmetric lifting tasks. This paper proposes an optimization model that was revised to take into account the activities of trunk muscles during asymmetric lifting tasks. Also, three optimization models (minimize maximum muscle intensity: MIN_I_MAX, minimize sum of magnitudes of the muscle forces raised to power 3: MIN_F³, and minimize sum of the muscle intensities raised to power 3: MIN_I³) are compared under various asymmetric lifting conditions. The revised model not only reflects the twisting effect of muscle force vectors for eight primary trunk muscles when trunk rotation is involved, but also accurately predicts the forces of left erector spinae, left latissimus dorsi and left external oblique muscles when compared with EMG signals obtained from experiments. Furthermore, MIN_I_MAX exhibits the best prediction capability among the three optimization models.Relevance to industryA novel optimization model proposed herein considers the twisting effect of muscle force vectors for eight trunk muscles when trunk rotation is involved. An accurate biomechanical model which reflects the asymmetric lifting conditions would significantly facilitate the evaluation of job and workplace design as well as provide a practical clinical evaluation technique.     

An electromyographic analysis of seated and standing lifting tasks.

The objective of this project was to compare the muscular effort exerted during manual lifting tasks performed in standing versus seated posture. Six male undergraduate and graduate students performed 12 different static and dynamic lifts in both sitting and standing positions. During each effort electromyographic (EMG) data were collected on four muscles groups (low back, upper back, shoulder, and abdominals). Four contractions were designed to elicit maximum muscular effort in the four groups being monitored. The remaining data were then expressed as a percentage of maximum EMG. Each subject performed the following: maximum static lift when sitting; maximum static lift when standing; sitting, static lift with 15.9 kg; standing, static lift with 15.9 kg; dynamic sit-forward lift with 15.9 kg, dynamic stand-forward lift with 15.9 kg, dynamic sit-twist with 15.9 kg, dynamic stand-vertical lift with 15.9 kg. Each of the lifts was performed with a wooden tray with slotted handles. Root mean square (RMS) values of the EMG data were calculated for three second periods. EMG activity in the low back, upper back, and shoulder was greater during sitting lifting than during standing lifting. The sit-twist lift resulted in the highest EMG in the abdominal muscles. Dynamic lifts resulted in more muscle activity than did static lifts. From these data it was concluded that sitting-lifting results in greater stress in the low back, upper back, and shoulders than does lifting while standing.     

A psychophysical study of high-frequency arm lifting

Ergonomics research on worker lifting in industry, and the many tools and methods that have resulted from it, have most often concentrated on the maximum amount of weight that a worker is capable and willing to lift in a given situation. In most psychophysical research on lifting, the frequency is one of a number of controlled variables along with container size, lift range, etc. Most of the relatively few studies that have investigated frequency as the response variable have used relatively heavy loads. In the study reported here, the focus was on the lifting of light weights and the subject acceptance of maximum frequency of lift for a two-handed lifting task. The lift range was set at approximately knuckle to shoulder height and was intended to simulate industrial jobs where the worker is tasked with either loading or unloading relatively light weight items to or from a processing line operation. Twelve college-age male subjects were used. Two conditions of weight, 0.7 kg (1.5 lb.) and 4.45 kg (10 lb.) were used and the subject adjusted his frequency of lift by communicating with the researcher, who adjusted a metronome to pace the task. The subjects were instructed to work at as fast a rate as they could for an hour period without becoming overheated, overly tired, out of breath or in pain. Measurements of oxygen consumption and heart rate were taken to supplement the psychophysical measure of lift frequency. Two replications of each weight condition were performed. At the conclusion of the metronome-paced sessions, an additional session for each weight condition was performed where the subject was instructed to lift as fast and consistently as they could with no external cuing device. The mean frequencies of lift identified in the experiment were 31.21 lifts per minute and 23.50 lifts per minute for the 0.7 kg and 4.5 kg lift weights respectively. The two weight conditions were significantly different from each other in their effects on subject metabolic energy expenditure with the subjects tending to work significantly harder physiologically at the heavier weight.     

Postural analysis of paramedics simulating frequently performed strenuous work tasks

Paramedics who perform emergency rescue functions are highly susceptible to musculoskeletal injuries. Through an interview and survey process firefighters, many of whom are cross-trained paramedics in a consortium of 14 suburban fire departments, identified and rated tasks that were perceived to be both strenuous and frequently performed. The objective of the current study was to describe the working postures and the forces applied as firefighter/paramedics (FF/Ps) simulated specific roles within the following tasks identified by the survey: (1) transferring a patient from a bed to a stretcher using bedsheets, (2) transferring a patient from the ambulance stretcher to a hospital gurney, (3) carrying a victim down a set of stairs and around a landing using a stairchair, (4) carrying a victim down a set of stairs and around a landing using a backboard, and (5) carrying a victim down a set of stairs using a stretcher. Ten two-person teams of FF/Ps participated and were videotaped to obtain postural data for the upper and lower extremities as they performed each role in the simulated two-person tasks. Trunk postures were obtained using lumbar motion monitors. Static hand forces were estimated using a hand-held dynamometer at the most physically demanding points for each role within each task. The postural and force data were averaged across subjects performing identical roles to quantify the postures assumed by the FF/Ps at the most strenuous moments during task performance. Based on these analyses we concluded that: (1) when transferring victims from a bed to a stretcher the FF/P on the bed was able to maintain an upright and more stable posture by standing as opposed to kneeling, (2) an interface board should be used to reduce the frictional forces when transferring victims from a bed to a stretcher or from a stretcher to a gurney, thereby reducing the need to lift the victim with flexed torsos and/or shoulders, and (3) equipment and training that encourages the FF/P in the leader role to walk facing forward during victim transport, especially when descending stairs, potentially results in safer transit.     

Impact of order and load knowledge on trunk kinematics during repeated lifting tasks

OBJECTIVE: To determine if lifting random unknown weights is more detrimental than lifting sequences of unknown weights and to investigate whether load knowledge impacts the effect of lifting random box weights. BACKGROUND: Much research has investigated lifting under known load conditions, but few studies have investigated unknown loads, especially when presented in random order. There has been some documentation of alteration in trunk mechanics when there is an overestimation of the unknown load. METHOD: Ten men and 10 women performed three lifting tasks: random unknown, random known, and same weight. A lumbar motion monitor was used to collect kinematic data, and Borg's Rating of Perceived Exertion (RPE) and a task risk rating were also assessed. RESULTS: Both presentation order and load knowledge impacted trunk kinematics during repeated lifting tasks. However, these differences were relatively low in magnitude. Furthermore, kinematic response and perceived risk and exertion for these conditions varied between genders. CONCLUSION: Lifting random unknown loads appears to alter kinematic responses, particularly for men. Women attempt to modify the effect of random unknown loads by changing the lifting style through alterations in upper limb motions (e.g., drag box toward them prior to lifting). However, a need remains for a more comprehensive biomechanical investigation (e.g., spine loading) into the effects of random unknown loads because many of the effect sizes were small. APPLICATION: Small kinematic adaptations resulting from tasks involving unknown and random loads may be mediated by the use of visual cues, order of presentation, or a change in lifting style.     

Biomechanical analyses of paramedics simulating frequently performed strenuous work tasks

Firefighters performing emergency rescue functions are at an elevated risk of musculoskeletal injuries. The objective of the current study was to analyze the biomechanical stresses placed on the body based on simulations of the following strenuous and frequently performed emergency rescue tasks: (1) transferring a patient from a bed to a stretcher using bedsheets, (2) transferring a patient from the ambulance stretcher to a hospital gurney, (3) carrying a victim down a set of stairs and through a landing using a stairchair, (4) carrying a victim down a set of stairs and through a landing using a backboard, and (5) carrying a victim down a straight set of stairs using a stretcher. Postural data were analyzed using the University of Michigan's Three-Dimensional Static Strength Prediction Program and the relative risk of low back disorder (LBD) was quantified using the trunk motion model published by Marras et al. (1993, spine 18, 617-628). Peak compression values and the probabilities from the Marras et al. (1993) model indicated that the most hazardous tasks performed as part of this simulation included pulling a victim from a bed to a stretcher, the initial descent of a set of stairs when using the stretcher, and lifting a victim on a backboard from the floor. Overall, the two models were well correlated in their assessment of the task components modelled (r = 0.78). These data indicate where engineering changes to equipment regularly used by emergency rescue personnel would have the greatest impact in reducing the risk of musculoskeletal injury.