The Ergonomics Society – The Society Lectures 2003

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

Ergonomics and biology of spinal rotation

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

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.     

Differences in functional performance of the shoulder musculature with obesity and aging

The workforce includes an increasing number of workers who are obese and/or older, which may lead to higher rates of workplace injuries. We examined the main and interactive effects of obesity and age on strength and functional performance during sustained isometric exertions involving shoulder flexion in two postures. Four groups of eight participants each (non-obese (18.5 < BMI < 25 kg/m²) young (18–25 years), non-obese older (50–65 years), obese (30 < BMI < 40 kg/m²) young, and obese older) completed static endurance tasks in each posture, at fixed target levels of shoulder moment. Shoulder strength was ∼25% higher with obesity and equivalent between age groups. Both obesity and age affected endurance time, with the obese and younger groups both having shorter endurance. Obesity and age did not have an interactive effect on endurance time and the results were inconclusive regarding acute fatigue effects for individuals who are older and obese. Further work is needed under more realistic task conditions, to explore the likely complex effects of these individual differences.     

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     

Metabolic cost and subjective assessment of palletizing and subsequent recovery

Twenty-one male blue collar workers repeatedly lifted (palletized) a box weighing 22 kg six times min^-1 for 5 min to a shelf of fixed height. The experimental conditions included two planes of lifting (symmetries), two shelf clearances, and three headrooms. The metabolic (heart rate, caloric cost and ventilation volume) and psychophysical variables (rate of perceived exertion, RPE; visual analogue score, VAS; and body part discomfort ratings, BPDR) were measured during resting, palletization, and recovery phases. In palletization the heart rate and metabolic cost ranged between 25 to 35% of the maximal aerobic capacity. Of the three factors only headroom had a significant effect on metabolic cost (p < 0.02) and the BPDR for low back (p < 0.05). In the recovery phase only headroom had significantly effect (p < 0.001) on metabolic cost. The metabolic recovery took 10 min; however, recovery measured through psychophysical indices appeared to continue for 20 min.     

The effects of horizontal load speed and lifting frequency on lifting technique and biomechanics

Lifting loads that have a horizontal velocity (e.g. lifting from a conveyor) is often seen in industry and it was hypothesised that the inertial characteristics of these loads may influence lifting technique and low back stress. Seventeen male participants were asked to perform lifting tasks under conditions of four horizontal load speeds (0 m/s, 0.7 m/s, 1.3 m/s and 2.4 m/s) and two lifting frequencies (10 and 20 lifts/min) while trunk motions and trunk muscle activation levels were monitored. Results revealed that increasing horizontal load speed from 0 m/s to 2.4 m/s resulted in an increase in peak sagittal angle (73° vs. 81°) but lower levels of peak sagittal plane angular acceleration (480°/s² vs. 4°/s²) and peak transverse plane angular acceleration (200°/s per s vs. 140°/s per s) and a consistent increase in trunk muscle co-activation. Participants used the inertia of the load to reduce the peak dynamics of the lifting motion at a cost of increased trunk flexion and higher muscle activity.

Statement of Relevance: Conveyors are ubiquitous in industry and understanding the effects of horizontal load speed on the lifting motions performed by workers lifting items from these conveyors may provide some insight into low back injury risk posed by these tasks.     

Analysis of muscle fatigue in helicopter pilots

Helicopter pilots espouse ergonomically unfavourable postures and endure vibration which result in low back pain. The objective of this study was to investigate the effects of a helicopter flight on pilots back and shoulder muscles using surface Electromyography (sEMG) analysis. This study also correlates low back pain symptoms from Rehabilitation Bioengineering Group Pain Scale (RBGPS) questionnaire with muscle fatigue rates obtained. RBGPS was administered on 20 Coast Guard helicopter pilots. sEMG was acquired before and after flight from erector spinae and trapezius muscles in 8 of these 20 pilots. Statistical analysis of time and frequency domain parameters indicated significant fatigue in right trapezius muscle due to flying. Muscle fatigue correlated with average duration of flight (r² = 0.913), total service as pilot (r² = 0.825), pain (r² = 0.463) and total flying hours (r² = 0.507). However, muscle fatigue weakly correlated with Body Mass Index (BMI) (r² = 0.000144) and age (r² = 0.033).     

Biomechanical analysis of upper trapezius,erector spinae and brachioradialis fatigue in repetitive manual packaging tasks: Evidence from Chinese express industry workers

This study aims to assess the effects of repetitive motion-induced fatigue during manual packaging on kinematics and muscle activity of the arm, back and shoulder. Eighteen participants performed a 60-min manual packaging task. Electromyography median frequency of RUT, RES, LES and RB decreased by 13.2% (p < 0.05), 12.8% (p < 0.05), 11.3% (p < 0.05) and 21% (p < 0.001), respectively over time. The head flexion and the right upper arm flexion angles significantly (p < 0.001) differed among different packaging sizes, and similar results were observed for left upper arm flexion and rotation. The trunk and pelvis angles significantly (p < 0.05) differed over time under three kinds of packaging. The results showed there was an increase in the rating of perceived exertion from 8.56 to 16.94 (p<0.01) during the task. The outcomes of this study indicate repetitive movements in the manual packaging task resulted in elevated prevalence of muscle discomfort in packaging workers, especially the right brachioradialis. Interventions such as specific work: rest ratios, workplace redesign should be explored to relieve muscle fatigue and discomfort.Relevance to industryFor workers performing repetitive manual packaging tasks, biomechanical analysis of different muscles groups can help in developing appropriate ergonomic interventions.     

Workplace slip,trip and fall injuries and obesity

The objective of this study was to examine the relationship between slip, trip and fall injuries and obesity in a population of workers at the Idaho National Laboratory (INL) in Idaho Falls, Idaho. INL is an applied engineering facility dedicated to supporting the US Department of Energy's mission. An analysis was performed on injuries reported to the INL Medical Clinic to determine whether obesity was related to an increase in slip, trip and fall injuries. Records were analysed that spanned a 6-year period (2005–2010), and included 8581 employees (mean age, 47 ± 11 years and body mass index [BMI], 29 ± 5 kg/m²; 34% obesity rate). Of the 189 people who reported slip, trip and fall injuries (mean age, 48 ± 11 years), 51% were obese (P < 0.001 compared with uninjured employees), and their mean BMI was 31 ± 6 kg/m² (P < 0.001). Obesity in this population was associated with a greater rate of slip, trip and fall injuries.     

The immediate effect of the abdominal drawing-in maneuver technique on stature change in seated sedentary workers with chronic low back pain

Abstract

Many studies have measured stature change arising from loads imposed on the spine during sitting. To improve stature recovery, it is important to stabilise the lumbar spine and compensate forces from the upper body. The abdominal drawing-in maneuver (ADIM) technique has been found to mainly activate deep trunk muscles. The purpose of this study was to determine whether activation of deep trunk muscles by the ADIM technique could immediately improve stature recovery during prolonged sitting. Twenty-four patients with chronic low back pain (CLBP) were randomly allocated into different orders of experimental conditions: control (sitting without ADIM technique) and intervention conditions (sitting with ADIM technique). The latter condition required participants to complete ADIM technique for 1?min and repeat it three times throughout 41?min prolonged sitting time. Stature recovery was improved by 3.292?mm in the intervention condition compared with control condition (p-value = 0.001). Our finding demonstrated that ADIM technique improved stature recovery.

Practitioner Summary: Prolonged sitting seemingly harms sedentary workers’ health, particularly affecting the lower back. Activation of deep trunk muscles using abdominal drawing-in maneuver technique can promote spinal recovery. Clinicians can teach abdominal drawing-in maneuver technique to activate deep trunk muscles in chronic low back pain, thereby promoting self-management of seated stature recovery.

Abbrevations: ADIM: abdominal drawing-in maneuver; RA: rectus abdominis; ICLT: iliocostalis lumborum pars thoracis; LM: lumbar multifidus; TrA: transversus abdominis; IO: internal oblique; CLBP: chronic low back pain; LBP: low back pain; RMDQ: Roland Morris disability questionnaire; NRS: numerical rating scale.     

The effects of military body armour on trunk and hip kinematics during performance of manual handling tasks*

Musculoskeletal injuries are reported as burdening the military. An identified risk factor for injury is carrying heavy loads; however, soldiers are also required to wear their load as body armour. To investigate the effects of body armour on trunk and hip kinematics during military-specific manual handling tasks, 16 males completed 3 tasks while wearing each of 4 body armour conditions plus a control. Three-dimensional motion analysis captured and quantified all kinematic data. Average trunk flexion for the weightiest armour type was higher compared with control during the carry component of the ammunition box lift (p?<?0.001) and sandbag lift tasks (p?<?0.001). Trunk rotation ROM was lower for all armour types compared with control during the ammunition box place component (p?<?0.001). The altered kinematics with body armour occurred independent of armour design. In order to optimise armour design, manufacturers need to work with end-users to explore how armour configurations interact with range of personal and situational factors in operationally relevant environments.

Practitioner Summary: Musculoskeletal injuries are reported as burdening the military and may relate to body armour wear. Body armour increased trunk flexion and reduced trunk rotation during military-specific lifting and carrying tasks. The altered kinematics may contribute to injury risk, but more research is required.     

Utilization Bounds for Multiprocessor Rate-Monotonic Scheduling

In this paper, we extend Liu and Layland's utilization bound for fixed priority scheduling on uniprocessors to homogeneous multiprocessor systems under a partitioning strategy. Assuming that tasks are pre-emptively scheduled on each processor according to fixed priorities assigned by the Rate-Monotonic policy, and allocated to processors by the First Fit algorithm, we prove that the utilization bound is (n–1)(2^1/2–1)+(m–n+1)(2^1/(m–n+1)–1), where m and n are the number of tasks and processors, respectively. This bound is valid for arbitrary utilization factors. Moreover, if all the tasks have utilization factors under a value , the previous bound is raised and the new utilization bound considering is calculated. Finally, simulation provides the average-case behavior.     

A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck–shoulder pain

This study aimed to examine differences in muscle activity between young people with and without neck–shoulder pain (n = 20 in each group), when they performed texting on a smartphone. Texting was compared between using both hands (‘bilateral texting’) and with only one hand (‘unilateral texting’). Texting tasks were also compared with computer typing. Surface electromyography from three proximal postural muscles and four distal hand/thumb muscles on the right side was recorded. Compared with healthy controls, young people with neck–shoulder pain showed altered motor control consisting of higher muscle activity in the cervical erector spinae and upper trapezius when performing texting and typing tasks. Generally, unilateral texting was associated with higher muscle loading compared with bilateral texting especially in the forearm muscles. Compared with computer typing, smartphone texting was associated with higher activity in neck extensor and thumb muscles but lower activity in upper and lower trapezius as well as wrist extensors.     

Static lifting strength in different lifting postures among Malaysian adults

This laboratory‐based study aims to evaluate maximum static lifting strengths for one‐handed (left hand or right hand) and two‐handed exertions in four lifting types (back lifting, upper‐body lifting, arm lifting, and shoulder lifting) across three horizontal distances (toes were anterior to, aligned with, and posterior to the exerted handle). This study recruited 48 men and 48 women, right‐handed undergraduates aged 18 to 25 years. The results showed that the static lifting strength ratio of one‐handed lifting to two‐handed lifting ranged from 61% to 71%. No significant difference (p > 0.05) was observed between right‐handed (dominant) and left‐handed lifting strengths. This study showed a significant difference (p < 0.001) in men's and women's lifting strengths in all lifting conditions. This study also showed a significant difference (p < 0.05) in respondents with normal body mass index (BMI; <25) and abnormal BMI (BMI ≥ 25) in all lifting types. The lifting strengths in four lifting types across three horizontal distances were significantly different. The results showed that upper‐body lifting with near horizontal distance (toes anterior to the exerted handle) has the highest reading of lifting strength. The results encouraged two‐handed lifting due to higher lifting strength and less strain. The results also indicated the need to account for differences between the genders and BMI categories when disseminating lifting tasks. This study recommends that practitioners not overlook the effects of the lifting types and horizontal distances when evaluating one's lifting strength for screening purposes. © 2011 Wiley Periodicals, Inc.     

Prevalence of work-related musculoskeletal symptoms among grocery workers

Work-related musculoskeletal disorders (WMSDs) affect all sectors of the working population, and grocery workers have especially high rates. Although the incidence of WMSDs among any worker population can be estimated from workers' compensation claims, musculoskeletal symptom surveys can be used as a proxy estimate of WMSDs. The purposes of this cross-sectional study were to describe the prevalence of work-related musculoskeletal symptoms in grocery store employees from many different departments, and to determine the association between exposure to physical risk factors and presence of symptoms. Study participants (N = 254) were grocery store workers from five different stores in a medium sized grocery chain. Participants completed a self-administered survey consisting of demographic information and job history; the modified Nordic Questionnaire (MNQ); and physical component (PCS) and mental component (MCS) summary measures of the SF-36v2^®. Rodgers Muscle Fatigue Analysis (Rodgers) was used to assess exposure to physical risk factors in the most difficult tasks in certain store departments. Prevalence of musculoskeletal symptoms was estimated for each body region and for various subgroups, and multivariable logistic regression analysis was used to identify independent predictors of presence of musculoskeletal symptoms. Approximately 78% of grocery store workers reported work-related musculoskeletal symptoms in at least one body region, with most workers complaining of low back and feet symptoms. The high prevalence of foot symptoms has not been previously reported for this population. Approximately 11% of employees missed work because of symptoms and 25% sought medical care for symptoms. There were no differences among Rodgers rating groups for proportions reporting symptoms. SF-36v2^® scores were inconsequential predictors for musculoskeletal symptoms. Gender and age were both significant predictors of symptoms, and age predicted healthcare utilization. These findings are relevant to the grocery industry in order to target WMSD preventive interventions to specific body regions for high-risk activities within a grocery store position.     

Speed Scaling of Processes with Arbitrary Speedup Curves on a Multiprocessor

We consider the setting of a multiprocessor where the speeds of the m processors can be individually scaled. Jobs arrive over time and have varying degrees of parallelizability. A nonclairvoyant scheduler must assign the processes to processors, and scale the speeds of the processors. We consider the objective of energy plus flow time. We assume that a processor running at speed s uses power s ^α for some constant α>1. For processes that may have side effects or that are not checkpointable, we show an W(m^(a-1)/a2)\Omega(m^{(\alpha -1)/\alpha^{2}}) bound on the competitive ratio of any randomized algorithm. For checkpointable processes without side effects, we give an O(log m)-competitive algorithm. Thus for processes that may have side effects or that are not checkpointable, the achievable competitive ratio grows quickly with the number of processors, but for checkpointable processes without side effects, the achievable competitive ratio grows slowly with the number of processors. We then show a lower bound of Ω(log ^1/α m) on the competitive ratio of any randomized algorithm for checkpointable processes without side effects.     

Characterization of cashier shoulder and low back muscle demands

Cashiers commonly report musculoskeletal discomfort in their shoulders, neck, and low back. This may result from excessive loading, awkward postures, insufficient rest, or task repetition. Recently, widespread introduction of reusable, consumer-supplied bags has introduced challenges in assessing exposures in this occupational group. Limited information exists on the physical demands associated with cashier work, particularly in the context of multiple bagging formats; this study was thus designed to generate a novel data set describing standard grocery packaging tasks. Twenty-five experienced cashiers completed 36 grocery packaging tasks consisting of twice performing all combinations of workload intensity (6, 20 items), workstation height (low, medium, high), and packaging type (plastic bags, reusable bags, bins). Surface electromyography (EMG) was measured bilaterally for 5 shoulder and 3 low back muscles and processed to generate integrated muscle demand for each combination evaluated. A mixed effect ANOVA was used to assess the influences of gender, intensity, package type, side, (muscles on the right or left side of the body) and workstation height on individual and total muscular demands. High workload intensity combined with several other factors to increase muscle demands, including using plastic or reusable bags for packaging and increasing workstation height. Gender and side also interacted with workload intensity to influence muscle activity. Encouraging rest breaks, the use of bins for packaging, and decreasing cashier workstation height may help reduce potentially injurious muscular effort for cashiers.     

Shoulder muscular activity in individuals with low back pain and spinal cord injury during seated manual load transfer tasks*

This study aimed to compare the activity of four shoulder muscles in individuals with low back pain (LBP), spinal cord injuries (SCI) and a control group, during one-handed load transfer trials. Nine individuals with minimum one-year of LBP, eleven with thoracic/lumbar SCI and nine healthy controls participated in this study. The activations of anterior deltoid, upper trapezius, infraspinatus and pectoralis major were recorded by surface EMG during one-handed transferring of a cylinder from a home shelve to six spatially distributed target shelves. The integrated EMG values were compared using repeated measure ANOVA. Both LBPs and SCIs had higher anterior deltoid activation and LBPs required more upper trapezius activation than controls (p < 0.05). The spatial position of the targets also significantly influenced demands for these two muscles. The anterior deltoid and upper trapezius in LBP and SCI individuals are under higher demand during occupational load transfer tasks.

Practitioner Summary: This study aimed to compare the activation of four shoulder muscles in individuals with low back pain, spinal cord injuries and healthy condition. EMG analysis showed that the injured groups required more upper trapezius and anterior deltoid activation during load transfer tasks, which may predispose them to muscle overexertion.     

A space and time efficient algorithm for SimRank computation

SimRank has become an important similarity measure to rank web documents based on a graph model on hyperlinks. The existing approaches for conducting SimRank computation adopt an iteration paradigm. The most efficient deterministic technique yields O(n³)O\left(n^3\right) worst-case time per iteration with the space requirement O(n²)O\left(n^2\right), where n is the number of nodes (web documents). In this paper, we propose novel optimization techniques such that each iteration takes O (min{ n ·m , n^r })O \left(\min \left\{ n \cdot m , n^r \right\}\right) time and O ( n + m )O \left( n + m \right) space, where m is the number of edges in a web-graph model and r ≤ log₂ 7. In addition, we extend the similarity transition matrix to prevent random surfers getting stuck, and devise a pruning technique to eliminate impractical similarities for each iteration. Moreover, we also develop a reordering technique combined with an over-relaxation method, not only speeding up the convergence rate of the existing techniques, but achieving I/O efficiency as well. We conduct extensive experiments on both synthetic and real data sets to demonstrate the efficiency and effectiveness of our iteration techniques.