The load on the back in different handling operations

The study consisted of two parts. In part one the load on the back and muscle fatigue in bimanual symmetrical lifting from floor to table were studied in a lifting experiment of 1 hour' s duration. The following weights and lifting frequencies were used. 10% of max. lifting capacity (MLC) 6 and 15 times per min, 25% MLC 5 and 10 times per min and 50% MLC 3 and 6 times per min. The EMG mean amplitude from the back muscles (L3) showed that even light burdens (10 kg) cause considerable back-toads equivalent to 40–50% MVC. When lifting 50 kg burdens short lasting backloads near the MVC were present. Mean amplitudes and mean spectral frequencies of the EMG were in general increasing, respectively decreasing, as the lifting experiment progressed. Such changes in the EMG are normally interpreted as muscle fatigue caused by changes in the concentration of the chemical substances from the muscle. The EMG changes are most pronounced when lifting 50% MLC (6 times per min) and 10% MLC (15 times per min) and are to a higher extent dependent on the lifting frequency than on the weight or on the mechanical work performed on the burden. Further the RPE values from the back show the same pattern as the EMG. The V˙O₂ and HR, however, do not seem to discriminate as clearly between the different lifting tasks. In part two of the study the load on the back is studied by EMG during a number of manual handling operations applied when handling logs in the forest, i.e. frontal carrying, frontal carrying with a hook, frontal carrying with a pair of tongs, shoulder carrying and dragging with a pair of tongs. Three types of logs were used 1 m (30 kg), 3 m (30 kg), and 3 m (50 kg). All experiments were performed in the forest on two 5×3 m horizontal tracks standardized for the experiment, an easy and a difficult one. It was found that: normal manual handling operations in forestry work cause average backloads in young trained workers varying from 25% to 50% MVC, i.e. equivalent to 1400–2800 N extensor muscle tension of the back, assuming a 5 cm muscle lever arm. Backload levels equivalent to 75–100% MVC are present from a few per cent to 25% of the handling time in all the tasks studied. Asymmetrical loading of the back muscles is frequently seen most markedly in the lifting phases of the handling operations. Conclusion: the dragging method exposes the back to the smallest load on level smooth surface. Under difficult surface conditions, however, frontal carrying with hook and shoulder carrying seem to cause the smallest strain on the back. The backload measures obtained when lifting logs are considerably larger than the measures when lifting boxes of the same weight. Therefore, backload measures obtained in laboratory studies must be used with care when applied in actual working environments     

Effects of basic training on material handling ability and physical fitness of British Army recruits.

No study has yet evaluated the efficacy of British Army basic training in improving material handling performance. Therefore, the purpose of this study was to evaluate the efficacy of the current British Army basic training in improving material handling performance and physical fitness. Forty-seven males (19.4 (3.2) years of age, 1753 (59) mm in height, 71.0 (9.6) kg in weight) and 10 females (21.5 (3.5) years, 1623 (45) mm, 62.5 (5.2) kg) served as subjects. Testing was carried out in the week prior to, and in the final week of, an 11-week basic training course. Maximal box lifts to two different heights, and repetitive lifting and carrying of a 10 kg load did not improve with training. Static (38 cm upright pull) and dynamic (incremental dynamic lift to 145 cm) lifting strength data concurred with the maximal box lift data in that no improvement was observed. Repetitive lifting and carrying of a 22 kg load improved (29.5%, p < 0.001), as did 3.2 km loaded march performance with 25 kg (15.7%, p < 0.001), but march performance with a 15 kg load did not. Predicted VO2max improved from 48.4 to 51.4 ml.kg-1.min-1, a change of 6.1% (p < 0.05). Fat-free mass increased by 0.9 kg (1.5%, p < 0.01), and body fat reduced by 2.7% of body mass (20.1%, p < 0.001), resulting in a loss of 1.2 kg of body mass (1.7%, p < 0.01). It is concluded that basic training in the British Army produces some favourable adaptations in recruits, especially in terms of aerobic fitness. However, the poor development of strength and material handling ability during training fails to improve the ability of soldiers to perform simulated military tasks, and it does little to reduce future injury risk while performing these tasks.     

Effects of basic training on material handling ability and physical fitness of British Army recruits

No study has yet evaluated the efficacy of British Army basic training in improving material handling performance. Therefore, the purpose of this study was to evaluate the efficacy of the current British Army basic training in improving material handling performance and physical fitness. Forty-seven males (19.4 (3.2)years of age, 1753 (59)mm in height, 71.0 (9.6)kg in weight) and 10 females (21.5 (3.5)years, 1623 (45)mm, 62.5 (5.2)kg) served as subjects. Testing was carried out in the week prior to, and in the final week of, an 11-week basic training course. Maximal box lifts to two different heights, and repetitive lifting and carrying of a 10 kg load did not improve with training. Static (38 cm upright pull) and dynamic (incremental dynamic lift to 145cm) lifting strength data concurred with the maximal box lift data in that no improvement was observed. Repetitive lifting and carrying of a 22kg load improved (29.5%, p&lt;0.001), as did 3.2km loaded march performance with 25 kg (15.7%, p&lt;0.001), but march performance with a 15kg load did not. Predicted VO2 max improved from 48.4 to 51.4 ml.kg-1.min-1, a change of 6.1% (p&lt;0.05). Fat-free mass increased by 0.9 kg (1.5%, p&lt;0.01), and body fat reduced by 2.7% of body mass (20.1%, p&lt;0.001), resulting in a loss of 1.2 kg of body mass (1.7%, p&lt;0.01). It is concluded that basic training in the British Army produces some favourable adaptations in recruits, especially in terms of aerobic fitness. However, the poor development of strength and material handling ability during training fails to improve the ability of soldiers to perform simulated military tasks, and it does little to reduce future injury risk while performing these tasks.     

Acceptable weights and physiological costs of performing combined manual handling tasks in restricted postures

Eight healthy, male underground coal miners (mean age = 36.9 yrs +/- 4.5 SD) participated in a study examining psychophysically acceptable weights and physiological costs of performing combined lifting and lowering tasks in restricted head-room conditions. Independent variables included posture (stooping or kneeling on two knees), task symmetry (symmetric or asymmetric), and vertical lift distance (35 cm or 60 cm). All tasks were 10 min in duration and were performed under a 1.22 m ceiling to restrict the subject's posture. Subjects were required to raise and lower a lifting box every 10s, and asked to adjust the box weight to the maximum amount they could handle without undue strain or fatigue. During the final 5 min of each test, data were collected to determine the energy expenditure requirements of the task. Results of this study demonstrated that psychophysical lifting capacity averaged 11.3% lower when kneeling as compared to stooping. Subjects selected 3.5% more weight in asymmetric tasks, and lifted 5.0% less weight to the 60 cm shelf compared to the 35 cm shelf. Heart rate was not significantly affected by posture, but was increased an average of 4 beats/min in asymmetric conditions, and by 3.5 beats/min while lifting/lowering to/from the high shelf. Oxygen uptake was increased by 9% when stooped, by 10% when lifting/lowering asymmetrically, and by 8.2% when performing the task to the high shelf. Results of this study indicate that, wherever possible, materials that must be lifted manually in low-seam coal mines be designed in accordance with the decreased lifting capacity exhibited in the kneeling posture.     

A training programme to improve human physical capability for manual handling jobs

The primary objectives of this study were to test whether the muscular endurance, muscular strength, cardiovascular endurance, and workload perception of individuals engaged in combined manual handling tasks could be improved through a short and intensive physical training programme. Two separate experiments were conducted to achieve the objectives of this study. The independent variables studied in each experiment were group type (training and control) and training session. Twenty male subjects participated in these experiments. The task performed in the first experiment was a combined lifting, lowering, pushing, pulling, and carrying activity. The second experiment featured an upper extremity manual handling task. Results indicated that, for both experiments, endurance time increased and heart rate decreased significantly during the course of training. For experiment 1, there were no significant changes in either static or dynamic strength with training. On the other hand, significant increases in static and dynamic strength were observed with the training group of experiment 2. The results of this study suggest that it is possible to improve muscular endurance and cardiovascular endurance with a short and intensive training programme. Moreover, an endurance training programme may increase both static and dynamic strength only if the weight of load handled during the training programme taxes the subject to 50% or more of his/her initial dynamic strength.     

Acceptable weights and physiological costs of performing combined manual handling tasks in restricted postures

Eight healthy, male underground coal miners (mean age=36·9 yrs±4·5 SD) participated in a study examining psychophysical acceptable weights and physiological costs of performing combined lifting and lowering tasks in restricted headroom conditions. Independent variables included posture (stooping or kneeling on two knees), task symmetry (symmetric or asymmetric), and vertical lift distance (35 cm or 60cm). All tasks were 10min in duration and were performed under a 1·22 m ceiling to restrict the subject's posture. Subjects were required to raise and lower a lifting box every 10 s, and asked to adjust the box weight to the maximum amount they could handle without undue strain or fatigue. During the final 5 min of each test, data were collected to determine the energy expenditure requirements of the task. Results of this study demonstrated that psychophysical lifting capacity averaged 11·3% lower when kneeling as compared to stooping. Subjects selected 3·5% more weight in asymmetric tasks, and lifted 5·0% less weight to the 60 cm shelf compared to the 35 cm shelf. Heart rate was not significantly affected by posture, but was increased an average of 4 beats/min in asymmetric conditions, and by 3·5 beats/min while lifting/lowering to/from the high shelf. Oxygen uptake was increased by 9% when stooped, by 10% when lifting/lowering asymmetrically, and by 8·2% when performing the task to the high shelf. Results of this study indicate that, wherever possible, materials that must be lifted manually in low-seam coal mines be designed in accordance with the decreased lifting capacity exhibited in the kneeling posture.     

Oxygen consumption prediction models for individual and combination materials handling tasks

An experiment was conducted to develop models to predict oxygen consumption of males and females engaged in common materials handling tasks including lifting, lowering, pushing, pulling, (de)palletising and combination tasks involving lifting or lowering a box and carrying it a set distance and lifting or lowering it to the destination. Nineteen male and 19 female subjects participated in the study. A psychophysical approach was used to set load limits for individual subjects for the oxygen consumption protocol. The 8398 oxygen consumption values collected were entered into the initial regression analyses and 168 potential outliers were removed before the final models were run. In addition to relevant task variables, body weight was a significant predictor variable in all models. The r(2) values for the final models ranged from 0.54 to 0.82 and the root mean square errors ranged from 90.2 ml to 294.8 ml.     

Autonomous flight cycles and extreme landings of airliners beyond the current limits and capabilities using artificial neural networks

We describe the Intelligent Autopilot System (IAS), a fully autonomous autopilot capable of piloting large jets such as airliners by learning from experienced human pilots using Artificial Neural Networks. The IAS is capable of autonomously executing the required piloting tasks and handling the different flight phases to fly an aircraft from one airport to another including takeoff, climb, cruise, navigate, descent, approach, and land in simulation. In addition, the IAS is capable of autonomously landing large jets in the presence of extreme weather conditions including severe crosswind, gust, wind shear, and turbulence. The IAS is a potential solution to the limitations and robustness problems of modern autopilots such as the inability to execute complete flights, the inability to handle extreme weather conditions especially during approach and landing where the aircraft’s speed is relatively low, and the uncertainty factor is high, and the pilots shortage problem compared to the increasing aircraft demand. In this paper, we present the work done by collaborating with the aviation industry to provide training data for the IAS to learn from. The training data is used by Artificial Neural Networks to generate control models automatically. The control models imitate the skills of the human pilot when executing all the piloting tasks required to pilot an aircraft between two airports. In addition, we introduce new ANNs trained to control the aircraft’s elevators, elevators’ trim, throttle, flaps, and new ailerons and rudder ANNs to counter the effects of extreme weather conditions and land safely. Experiments show that small datasets containing single demonstrations are sufficient to train the IAS and achieve excellent performance by using clearly separable and traceable neural network modules which eliminate the black-box problem of large Artificial Intelligence methods such as Deep Learning. In addition, experiments show that the IAS can handle landing in extreme weather conditions beyond the capabilities of modern autopilots and even experienced human pilots. The proposed IAS is a novel approach towards achieving full control autonomy of large jets using ANN models that match the skills and abilities of experienced human pilots and beyond.

     

A biomechanical evaluation of lifting speed using work- and moment-related measures.

A biomechanical evaluation of lifting speed was conducted in the laboratory. The study investigated the effects of lifting speed on several predetermined biomechanical cost functions. The lifting tasks consisted of five lifting speeds labelled as the slowest, slow, normal, fast and fastest, and three weights, 50, 65 and 80% of their maximum acceptable weight of lift. The speed at each level was determined individually by each subject according to their capability. The study found that work-related measures, including the total net muscle work, total absolute net muscle work and work done to the load, decreased significantly as the lifting speed increased (p < 0.05, < 0.001 and < 0.001, respectively). The time integral of sum of squared ratio of joint moment and strength also decreased significantly (p < 0.001). This indicates that lifting at a faster speed tends to reduce the work the body has to do. The peak speed of load occurred at 70% of total lifting time for the slowest lifts, but at 30% of total lifting time for other lifting speeds. Performing lifts at the minimum speeds changed the usual speed coordination technique the subjects used.     

Effect of safety shoes type,lifting frequency,and ambient temperature on subject's MAWL and physiological responses

ObjectiveThe purpose of this paper is to evaluate the lifting capabilities of individuals while wearing safety shoes in a hot environment and to investigate the behavior of the physiological responses induced by the lifting process associated with those variables.MethodsIn order to achieve the objectives of this research, two sequential studies were conducted. The first part was an acclimatization and training program followed by a psychophysical experiment. Seven male workers participated in this experiment from the university. A three-way repeated measures design, with three independent variables and seven response variables, was utilized in this study. The independent variables studied in the psychophysical experiment were: 1) environmental temperature (20 and 30 °C WBGT), 2) lifting frequency (1 and 5 lifts/min), and 3) safety shoes (light-duty, medium-duty and heavy-duty). The response variables for this experiment were: 1) maximum acceptable weight of lift (MAWL), 2) heart rate, 3) aural-canal temperature, 4) muscle electromyography (EMG) of four muscle groups (biceps brachii, anterior deltoid, trapezius, and erector spinae), 5) rating of perceived exertion, 6) rating of thermal sensation and7) safety shoes discomfort rating.ResultsThe psychophysical experiment results showed that the weights selected by participants at higher levels of the independent variables were significantly less than those selected at lower levels of the independent variables. Some of the interaction effects were also significant.ConclusionThis study found evidence that – in addition to lifting frequency, which is well reported in the literature – heat stress increases the workload intensity in manual lifting tasks influencing the psychophysical selection of MAWL and the physiological responses of the human body represented in aural-canal temperature, heart rate and muscular activities. The study findings demonstrated the necessity of accounting for work environmental temperature and type of worn safety shoes, which is a safety requirement by most employers, when calculating the recommended weight limits.Practitioner summaryMost of the manual materials handling studies had investigated worker's capacity to perform lifting tasks in different environmental conditions not considering the effect of wearing safety shoes. This research fills the gap by presenting safety guidelines regarding lifting tasks in a hot environment while wearing safety shoes.     

Oxygen consumption prediction models for individual and combination materials handling tasks

An experiment was conducted to develop models to predict oxygen consumption of males and females engaged in common materials handling tasks including lifting, lowering, pushing, pulling, (de)palletising and combination tasks involving lifting or lowering a box and carrying it a set distance and lifting or lowering it to the destination. Nineteen male and 19 female subjects participated in the study. A psychophysical approach was used to set load limits for individual subjects for the oxygen consumption protocol. The 8398 oxygen consumption values collected were entered into the initial regression analyses and 168 potential outliers were removed before the final models were run. In addition to relevant task variables, body weight was a significant predictor variable in all models. The r² values for the final models ranged from 0.54 to 0.82 and the root mean square errors ranged from 90.2 ml to 294.8 ml.     

Endurance time and physiological responses to prolonged arm lifting

The main objective of this study was to examine the effects of prolonged arm lifting tasks on endurance time and physiological responses. Ten male college students participated in the study. The independent variables were the frequency of handling and weight of load. The dependent variables were endurance time, oxygen consumption, minute ventilation, heart rate, and ratings of perceived exertion of the shoulder, arm, back, leg and overall body. The results indicated that: (1) endurance time decreased with an increase in frequency or load; (2) oxygen consumption and heart rate limits were dependent on the interaction of frequency and load; (3) oxygen consumption and heart rate limits for arm lifting were generally lower than limits for leg lifting tasks; and (4) for arm work, average physiological responses recorded over short durations were not significantly different from those based on long durations.     

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.     

Types of manual materials handling (MMH) and occupational incidents and musculoskeletal disorders (MSDs) in motor vehicle parts manufacturing (MVPM) industry

The motor vehicle parts manufacturing (MVPM) works include various types of manual materials handling (MMH). This study analyzes occupational incidents and musculoskeletal disorders (MSDs) caused by MMH in the MVPM industry. Also, this study conducted a risk assessment for predicting the possibility and severity of the injuries and MSDs. This study examined 236 injured persons registered for occupational incidents and MSDs caused by MMH tasks. Of the 236 injuries, 124 (52.5%) were caused by lifting/lowering, followed by 92 (39.0%) pushing/pulling and 20 (8.5%) carrying. MSDs were the highest at 36.9%, followed by struck by (22.9%), caught in (19.5%), and slip/fall (9.7%) incidents. In the case of incidents, the percentage caused by pushing/pulling was the highest at 55.7%, followed by lifting/lowering (35.6%) and carrying (8.7%). However, in the case of MSDs, the percentage caused by lifting/lowering was the highest at 81.6%, followed by pushing/pulling (10.3%) and carrying (8.0%). However, the rate of severe injured with over 180 work-loss days was higher in carrying works, women, or older workers over 50 years. The highest prevalence of MSDs was low back (63.2%), followed by shoulders (17.2%), and arm/hand regions (16.1%). In risk assessment according to the work process, ‘struck by incidents during pushing/pulling carts in the logistics process’ is the most possible and the highest average of work-loss days.Relevance to industryThis study presents the overview of actual nationwide compensation records occurred during MMH tasks in the MVPM industry. Also, this study shows the outlines of occupational incidents and MSDs, and the most possible and severe incident according to the types of MMH and work process.     

Evaluating lifting tasks using subjective and biomechanical estimates of stress at the lower back

The objective of this study was to evaluate five different lifting tasks based on subjective and biomechanical estimates of stress at the lower back. Subjective estimates were obtained immediately after the subjects performed the lifting tasks. Rankings for different tasks were obtained according to the perceived level of stress at the lower back. A biomechanical model was used to predict the compressive force at the L5/S1 disc for the weight lifted considering link angles for the particular posture. The tasks were also ranked according to the compressive force loading at the L5/S1 disc. The weight lifted in these tasks for obtaining the subjective estimate of stress was the maximum acceptable weight of lift (MAWOL). This was determined separately for each subject using a psychophysical approach. Subjective estimates of stress were obtained for infrequent lifting, specifically for a single lift, as well as for lifting at a frequency of four lifts per min. The results showed that a lifting task acceptable from the biomechanical point of view may not be judged as a safe or acceptable task by the worker based on his subjective perception. This may result in a risk of the worker not performing the recommended task or not following the recommended method.     

The effects of task duration on psychophysically-determined maximum acceptable weights and forces

The purpose of this experiment was to investigate maximum acceptable weights and forces when performing manual handling tasks continuously for four hours at frequencies of 4.3 min-1 or slower. Twelve female and ten male second shift industrial workers performed 18 varieties of lifting, lowering, pushing, pulling, and carrying. A psychophysical methodology was employed, whereby the subjects were asked to select a workload they could sustain for 8 h 'without straining themselves or without becoming unusually tired, weakened, overheated or out of breath'. Measurements of heart rate, oxygen consumption, dynamic and static strengths were also taken. The weights selected after 40 min were not significantly different from the weights selected after four hours. The average oxygen consumption for the fast tasks was 28% VO2 max, within physiological guidelines for eight hours. The results also revealed that the maximum acceptable weights for the combination task of lifting, carrying, and lowering were limited by the lifting and lowering components. It is concluded from the results of this study that the psychophysical methodology is appropriate for determining maximum acceptable weights for task frequencies of 4.3 min-1 or slower. It is also concluded that the maximum acceptable weight for a combination task is limited by the lowest acceptable weight of any of the components.     

Usability of the revised NIOSH lifting equation

Following the revision of the 1981 National Institute for Occupational Safety and Health (NIOSH) lifting equation, research needs related to the new equation were outlined. Aside from epidemiological studies, the need to evaluate the usability of the 1991 NIOSH equation in realistic work environments was expressed. This paper reports on extensive experiences with training users and application of the equation in varied work settings. Qualitative results from training sessions indicated that frequency, asymmetry and duration were the parameters that required relatively longer instruction periods and resulted in the most questions. Field applications indicated that the variable nature of lifting/lowering demands found in many jobs resulted in difficulty applying the equation. Approximately 35% of 1103 lifting and lowering tasks had at least one parameter outside of acceptable ranges, while a majority of workers (62.8%) reported other manual handling tasks that are counter to assumptions made in the development of the equation. The practical implications of the findings are discussed.     

Usability of the revised NIOSH lifting equation

Following the revision of the 1981 National Institute for Occupational Safety and Health (NIOSH) lifting equation, research needs related to the new equation were outlined. Aside from epidemiological studies, the need to evaluate the usability of the 1991 NIOSH equation in realistic work environments was expressed. This paper reports on extensive experiences with training users and application of the equation in varied work settings. Qualitative results from training sessions indicated that frequency, asymmetry and duration were the parameters that required relatively longer instruction periods and resulted in the most questions. Field applications indicated that the variable nature of lifting/lowering demands found in many jobs resulted in difficulty applying the equation. Approximately 35% of 1103 lifting and lowering tasks had at least one parameter outside of acceptable ranges, while a majority of workers (62.8%) reported other manual handling tasks that are counter to assumptions made in the development of the equation. The practical implications of the findings are discussed.     

The Ergonomics Society The Society's Lecture 1978. THE DESIGN OF MANUAL HANDLING TASKS

Abstract

Manual materials handling is the principal source of compensatable work injuries in the United States, and 79% of the manual handling injuries affect the lower back. The prevention of low back injuries in industry has traditionally been attemped by (1) careful selection of workers, (2) good training procedures in safe lifting, and (3) designing the job to fit the worker. This paper discusses the latter approach by describing seven studies of lifting, lowering, pushing, pulling, carrying and walking. Among the variables investigated were the height, distance and frequency of the task; the size and weight of the object; the differences in worker sex. age, and physical physique; and the effects of heat stress. The psychophysical methodology used in six of the studies is discussed, and the results are used to develop a series of tables for evaluating the design ofmanual handling tasks. The tables present the maximum weights that are acceptable to 10, 25, 50, 75 and 90% of the working population. The effectiveness of this approach in reducing low back injuries was investigated by analyzing 191 randomly selected back injuries. The results indicate that designing the job to fit the worker can reduce up to one-third of industrial back injuries. Job design is obviously not a total solution to low back injuries, but it was found to be significantly more effective than selecting the worker for the job, or training the worker to lift properly.     

Manual handling of supplies in free and restricted headroom

The handling of mining supplies still involves manual lifting and carrying, some of which is, of necessity, carried out in restricted headroom conditions. Laboratory studies previously reported in the literature have shown that a reduction in ceiling height led to a progressive increase in truncal stress as measured by intra-abdominal pressure (IAP). However, such studies involved standard stylised lifting procedures. Whether such effects of restricted headroom occurred when free-style lifting, or if the operator compensated by change in lifting style for the restriction, was not known. The effect of reduced headroom was examined on two handling tasks carried out in a simulated underground roadway using eight mining instructors as subjects. Both handling tasks involved the loading, unloading and carrying of stonedust bags (25–30 kg) into different vehicle types.

The expected increase in IAP did not occur in the reduced headroom condition for one handling task and only a slight increase (average 3 mm Hg), corresponding to a 7% reduction in lifting capacity, was found for the second handling task. It appears that the subjects, who were free to adopt any posture and handling method, were able to compensate in some way for the effects of the restricted headroom. The vehicle type had a highly significant effect, both in free and restricted headroom conditions, which highlights the importance of design for manual handling tasks.