The effect of tool handle shape on hand muscle load and pinch force in a simulated dental scaling task

Work-related upper extremity musculoskeletal disorders, including carpal tunnel syndrome, are prevalent among dentists and dental hygienists. An important risk factor for developing these disorders is forceful pinching which occurs during periodontal work such as dental scaling. Ergonomically designed dental scaling instruments may help reduce the prevalence of carpal tunnel syndrome among dental practitioners. In this study, eight custom-designed dental scaling instruments with different handle shapes were used by 24 dentists and dental hygienists to perform a simulated tooth scaling task. The muscle activity of two extensors and two flexors in the forearm was recorded with electromyography while thumb pinch force was measured by pressure sensors. The results demonstrated that the instrument handle with a tapered, round shape and a 10 mm diameter required the least muscle load and pinch force when performing simulated periodontal work. The results from this study can guide dentists and dental hygienists in selection of dental scaling instruments.     

The effect of workstation and task variables on forces applied during simulated meat cutting

The purpose of the study was to investigate factors related to force and postural exposure during a simulated meat cutting task. The hypothesis was that workstation, tool and task variables would affect the dependent kinetic variables of gripping force, cutting moment and the dependent kinematic variables of elbow elevation and wrist angular displacement in the flexion/extension and radial/ulnar deviation planes. To evaluate this hypothesis a 3 x 3 x 2 x 2 x 2 (surface orientation by surface height by blade angle by cut complexity by work pace) within-subject factorial design was conducted with 12 participants. The results indicated that the variables can act and interact to modify the kinematics and kinetics of a cutting task. Participants used greater grip force and cutting moment when working at a pace based on productivity. The interactions of the work surface height and orientation indicated that the use of an adjustable workstation could minimize wrist deviation from neutral and improve shoulder posture during cutting operations. Angling the knife blade also interacted with workstation variables to improve wrist and upper extremity posture, but this benefit must be weighed against the potential for small increases in force exposure.     

The effect of workstation and task variables on forces applied during simulated meat cutting

The purpose of the study was to investigate factors related to force and postural exposure during a simulated meat cutting task. The hypothesis was that workstation, tool and task variables would affect the dependent kinetic variables of gripping force, cutting moment and the dependent kinematic variables of elbow elevation and wrist angular displacement in the flexion/extension and radial/ulnar deviation planes. To evaluate this hypothesis a 3?×?3?×?2?×?2?×?2 (surface orientation by surface height by blade angle by cut complexity by work pace) within-subject factorial design was conducted with 12 participants. The results indicated that the variables can act and interact to modify the kinematics and kinetics of a cutting task. Participants used greater grip force and cutting moment when working at a pace based on productivity. The interactions of the work surface height and orientation indicated that the use of an adjustable workstation could minimize wrist deviation from neutral and improve shoulder posture during cutting operations. Angling the knife blade also interacted with workstation variables to improve wrist and upper extremity posture, but this benefit must be weighed against the potential for small increases in force exposure.     

Effects of posture on dynamic back loading during a cable lifting task

This study evaluated spinal loads associated with lifting and hanging heavy mining cable in a variety of postures. This electrical cable can weigh up to 10 kg per metre and is often lifted in restricted spaces in underground coal mines. Seven male subjects performed eight cable lifting and hanging tasks, while trunk kinematic data and trunk muscle electromyograms (EMGs) were obtained. The eight tasks were combinations of four postures (standing, stooping, kneeling on one knee, or kneeling on both knees) and two levels of cable load (0 N or 100 N load added to the existing cable weight). An EMG-assisted model was used to calculate forces and moments acting on the lumbar spine. A two-way split-plot ANOVA showed that increased load (p<0.05) and changes in lifting posture (p<0.05) independently affected trunk muscle recruitment and spinal loading. The increase in cable load resulted in higher EMG activity of all trunk muscles and increased axial and lateral bending moments on the spine (p<0.05). Changes in posture caused more selective adjustments in muscle recruitment and affected the sagittal plane moment (p<0.05). Despite the more selective nature of trunk EMG changes due to posture, the magnitude of changes in spinal loading was often quite dramatic. However, average compression values exceeded 3400 N for all cable lifting tasks.     

Variability in mechanical exposure within and between individuals performing a highly constrained industrial work task

Data on exposure variability is an important remedy for designing and interpreting studies of occupational ergonomics. The present study aimed at retrieving the within- and between-subjects variance of several mechanical exposure parameters in a repeated, short-cycle task. Seven experienced operators repeatedly secured joints using two types of hand-held nutrunners. The joints were placed in three different locations on a rack, simulating automotive assembly. Bilateral muscle activity from the upper trapezius and the lower arm extensors, as well as head and upper arm inclination was continuously monitored. Exposure levels and their variance components were assessed in several data subsets using ANOVA. The results were interpreted in terms of statistical precision and power, and discussed as markers of important ergonomic qualities. A substantial exposure variability was found within and between subjects in all joint locations and for both tools. For mixed work across tools and locations, the necessary number of subjects to arrive at a group mean exposure with 95% confidence limits corresponding to ± 10% of the mean ranged between 8 and 158, with posture recordings tending to require smaller populations than muscle activity recordings. Within-subject variance increased 2- to 37-fold, depending on exposure parameter, when work was ‘enlarged’ from securings with a specified location and tool to a mix of all locations and tools. Systematic differences between subjects in variability and responsiveness to ‘work enlargement’ indicated individualized motor control strategies. The results illustrate the importance of exposure variability data to the design of proper measurement strategies. They also suggest that the sizes of exposure variability per se can be interpreted as operational indices of what is thought to be important ergonomic risk indicators, such as the ‘sameness’ of repeated operations and the allowance for flexible working techniques.     

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.     

The effects of load placement on the EMG activity of the low back muscles during load carrying by men and women

An electromyographic (EMG) study of the lumbar paraspinal muscles during load carrying was undertaken in a group of 24 healthy subjects, 12 male and 12 female. Two different magnitude loads (10% and 20% of the subject's body weight) and four different carrying positions were compared with walking without an external load. Results indicated changes in back muscle activity showing a significant interaction between load magnitude and carrying position. Compared to walking without an external load, lumbar paraspinal EMG activity showed slight decreases when loads were carried in a backpack position or in the hand ipsilateral to the muscle. EMG activity contralateral to the hand carrying the load was significantly increased. Significant increases occurred when loads were carried anterior to the chest with the arms and a significant difference was found between male and female subjects for this carrying position. These findings have implications for the selection of carrying methods.     

Effectiveness of an on-body lifting aid at reducing low back physical demands during an automotive assembly task: Assessment of EMG response and user acceptability

The purpose of this study was to investigate the effectiveness and user acceptability of a Personal Lift-Assist Device (PLAD) at an automotive manufacturing facility, with operators who perform an on-line assembly process requiring forward bending and static holding. Surface EMG data were collected at six sites on the low back and abdomen, and an accelerometer was used to measure trunk inclination. Use of the PLAD significantly reduced the thoracic and lumbar erector spinae activity and EMG-predicted compression at the 10th, 50th, and 90th APDF percentile levels (p ≤ 0.05), without significantly increasing rectus abdominus activity or trunk flexion. Similarly, ratings of perceived exertion were found to be significantly lower when wearing the PLAD (p = 0.006). Subjective opinions were positive, with 8/10 subjects indicating they would wear the device everyday. With slight changes, workers felt that the PLAD could be beneficial at reducing forces and discomfort in similar industrial or manual materials handling tasks that place excessive physical demands on the low back.     

Evaluation of a dynamic arm support for seated and standing tasks: a laboratory study of electromyography and subjective feedback

The goal of this study was to determine whether a new dynamic arm support system reduced shoulder and arm muscle load for seated and standing hand/arm tasks. The new system provides support for both horizontal and vertical arm motion. A total of 11 participants performed ten tasks (five seated and five standing) both with and without the arm support. Outcomes were assessed with electromyography and subjective feedback. Muscle activity was measured over the dominant side supraspinatus, triceps and forearm extensor muscles. Significant (p < 0.01) reductions in static muscle activity were observed in one of ten tasks performed with the support device for the supraspinatus muscle, in five tasks for the triceps and in one task for forearm extensor muscles. Likewise, a significant improvement in subjective measures was reported with the support device for ‘ease of task’ for two of ten tasks, for ‘forearm comfort’ for three of ten tasks and for ‘shoulder effort’ for six of ten tasks. The results suggest that a dynamic forearm support may improve subjective comfort and reduce static muscle loads in the upper extremity for tasks that involve horizontal movement of the arms. For rapid motions, the value of the support is limited due to internal inertia and friction.     

The effects of speed,frequency, and load on measured hand forces for a floor to knuckle lifting task

The purpose of this study was to describe and quantify measured hand forces during floor to knuckle lifting of various loads. Hand forces of five subjects were measured with a strain gauge apparatus for normal and fast speeds of lifting at 1,4, and 8 l/min. The pattern of hand force over time exhibited peaks in force in the shape of a spike for all fast lifts, indicating that subjects did not lift smoothly. For normal speed of lift, only one of the five subjects executed some lifts smoothly, indicating that it may be possible to lift smoothly, but most lifters probably do not. Peaks of horizontal and vertical components of hand force were tabulated by speed of lift, frequency, and load.     

Strengths and limitations of a musculoskeletal model for an analysis of simulated meat cutting tasks

This study assessed the capacity of a musculoskeletal model to predict the relative muscle activation changes as a function of the workbench height and the movement direction during a simulated meat cutting task. Seven subjects performed a cutting task alternating two cutting directions for 20 s at four different workbench heights. Kinematics, electromyography (EMG), and cutting force data were collected and used to drive a musculoskeletal model of the shoulder girdle. The model predicted the muscle forces exerted during the task. Both the recorded and computed activation of the muscles was then compared by means of cross-correlation and by comparison of muscle activation trends with respect to the workstation parameters, i.e. cutting direction and workbench height. The results indicated that cutting movements involving arm flexion are preferable to movement requiring internal arm rotation and abduction. The optimal bench height for meat cutting tasks should be between 20 and 30 cm below the worker's elbow height. The present study underlines a beneficial use of musculoskeletal models for adjusting workstation parameters.     

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.     

The effects of speed, frequency, and load on measured hand forces for a floor to knuckle lifting task.

The purpose of this study was to describe and quantify measured hand forces during floor to knuckle lifting of various loads. Hand forces of five subjects were measured with a strain gauge apparatus for normal and fast speeds of lifting at 1, 4, and 8 l/min. The pattern of hand force over time exhibited peaks in force in the shape of a spike for all fast lifts, indicating that subjects did not lift smoothly. For normal speed of lift, only one of the five subjects executed some lifts smoothly, indicating that it may be possible to lift smoothly, but most lifters probably do not. Peaks of horizontal and vertical components of hand force were tabulated by speed of lift, frequency, and load.     

Analysis of the musculoskeletal system of the hand and forearm during a cylinder grasping task

Musculoskeletal disorders of the hand are mostly due to repeated or awkward manual tasks in the work environment and are considered a public health issue. To prevent their development, it is necessary to understand and investigate the biomechanical behavior of the musculoskeletal system during the movement. In this study a biomechanical analysis of the upper extremity during a cylinder grasping task is conducted by using a parameterized musculoskeletal model of the hand and forearm. The proposed model is composed of 21 segments, 28 musculotendon units, and 20 joints providing 24 degrees of freedom. Boundary conditions of the model are defined by the three-dimensional coordinates of 43 external markers fixed to bony landmarks of the hand and forearm and tracked with an optoelectronic motion capture system. External marker positions from five healthy participants were used to test the model. A task consisting of closing and opening fingers around a cylinder 25 mm in diameter was investigated. Based on experimental kinematic data, an inverse dynamics process was performed to calculate output data of the model (joint angles, musculotendon unit shortening and lengthening patterns). Finally, based on an optimization procedure, joint loads and musculotendon forces were computed in a forward dynamics simulation. Results of this study assessed reproducibility and consistency of the biomechanical behavior of the musculoskeletal hand system.     

Effect of a redesigned two-wheeled container for refuse collecting on mechanical loading of low back and shoulders

The objective of this study was to compare the mechanical and perceived workload when working with a redesigned two-wheeled container and working with a standard two-wheeled container for refuse collecting. The three changes in the design of the container were a displacement of the position of the centre of mass in the direction of the axis of the wheels, a slight increase in the height of the handle and a slight increase in the horizontal distance between the handle and the wheel-axis, and an increase in the diameter of the wheels. The volume of the container remained 0.240 m³. Nine refuse collectors performed some of their most frequent daily activities with both types of containers in the laboratory. Kinematics and exerted hand forces were assessed as input for detailed 3D biomechanical models of the low back and shoulder to estimate net moments at the low back and shoulders, compressive forces at the low back and contact forces at the glenohumeral joint. Also, the refuse collectors rated the ease of handling the two-wheeled containers on a five point scale. The use of the redesigned container resulted in a decrease of the exerted hand forces of 27%, decreases in the net moments at the low back and shoulders of 8% and 20%, respectively, and a decrease of 32% of the contact force at the glenohumeral joint when compared to the standard container. However, pulling an empty redesigned container on to the pavement resulted in an increase of the shoulder moment of more than 100%. No differences between container types were found for the compressive forces at the low back. Pushing and pulling with the redesigned container was rated as easier than pushing and pulling with the standard container. No differences in subjective ratings were found for the tasks of turning the container or pulling an empty container onto the pavement. It is concluded that, provided that empty containers are placed back onto the pavement as infrequently as possible, the introduction of the redesigned container could result in a reduction of the low back and shoulder load for refuse collectors.     

Post-error expression of speed and force while performing a simple,monotonous task with a haptic pen

Control errors often occur in repetitive and monotonous tasks, such as manual assembly tasks. Much research has been done in the area of human error identification; however, most existing systems focus solely on the prediction of errors, not on increasing worker accuracy. The current study examines force responses before, during and after errors in a simulated assembly line task in order to determine an optimal feedback system for error reduction. Confirming previous findings, enhanced movement speed and reduced force occurred before erroneous trials and slowing occurred after erroneous trials. Given the results, we suggest a haptic feedback system which stimulates users to exert increased force levels after completing an erroneous task in order to increase degree of control and re-build worker confidence and thereby reduce overall error rate.     

Effects of glovebox gloves on grip and key pinch strength and contact forces for simulated manual operations with three commonly used hand tools

This study examined the effects of glovebox gloves for 11 females on maximum grip and key pinch strength and on contact forces generated from simulated tasks of a roller, a pair of tweezers and a crescent wrench. The independent variables were gloves fabricated of butyl, CSM/hypalon and neoprene materials; two glove thicknesses; and layers of gloves worn including single, double and triple gloving. CSM/hypalon and butyl gloves produced greater grip strength than the neoprene gloves. CSM/hypalon gloves also lowered contact forces for roller and wrench tasks. Single gloving and thin gloves improved hand strength performances. However, triple layers lowered contact forces for all tasks. Based on the evaluating results, selection and design recommendations of gloves for three hand tools were provided to minimise the effects on hand strength and optimise protection of the palmar hand in glovebox environments.     

Effect of friction and load on pinch force in a hand transfer task

The effect of friction and load on pinch force was studied in a simple hand transfer task using a repeated measures design and ten men. Subjects moved a container between two targets, 450?mm apart, at a slow, self-paced speed. The levels of mass in the container were set at 0·8, 2·5 and 4·2?kg (7·5, 24·5 and 41·5?N respectively). The handle materials were sandpaper and smooth aluminium. Applied pinch force was measured via a strain gauge mounted in a specially-designed handle attached to the container. Dependent variables were peak and ‘steady-state’ pinch force. The main and interaction effects of load and friction were significant. The friction effect was significant only for the highest load which, on average, elicited peak pinch forces of 16-70% of maximum voluntary force. This suggests that these men were not sensitive to friction effects at the lower loads. Results suggest that the use of tool handle friction enhancements may reduce required pinch forces for objects requiring upwards of 50% or more of maximum pinch strength     

The effects of shoulder load and pinch force on electromyographic activity and blood flow in the forearm during a pinch task

The object of the current study was to determine whether static contraction of proximal musculature has an effect on the blood flow more distally in the upper extremity. Static contractions of muscles in the neck shoulder region at three levels (relaxed, shoulders elevated and shoulders elevated loaded with 4.95 kg each) were combined with intermittent pinch forces at 0, 10 and 25% of the maximum voluntary contraction (MVC). Blood flow to the forearm was measured with Doppler ultrasound. Myoelectric activity of the forearm and neck-shoulder muscles was recorded to check for the workload levels. Across all levels of shoulder load, blood flow increased significantly with increasing pinch force (21% at 10% MVC and by 44% at 25% MVC). Blood flow was significantly affected by shoulder load, with the lowest blood flow at the highest shoulder load. Interactions of pinch force and shoulder load were not significant. The myoelectric activity of forearm muscles increased with increasing pinch force. The activation of the trapezius muscle decreased with increasing pinch force and increased with increasing shoulder load. The precise mechanisms accounting for the influence of shoulder load remains unclear. The results of this study indicate that shoulder load might influence blood flow to the forearm.