A detailed description of the short-term musculoskeletal and cognitive effects of prolonged standing for office computer work

Due to concerns about excessive sedentary exposure for office workers, alternate work positions such as standing are being trialled. However, prolonged standing may have health and productivity impacts, which this study assessed. Twenty adult participants undertook two hours of laboratory-based standing computer work to investigate changes in discomfort and cognitive function, along with muscle fatigue, movement, lower limb swelling and mental state. Over time, discomfort increased in all body areas (total body IRR [95% confidence interval]: 1.47[1.36–1.59]). Sustained attention reaction time (β = 18.25[8.00–28.51]) deteriorated, while creative problem solving improved (β = 0.89[0.29–1.49]). There was no change in erector spinae, rectus femoris, biceps femoris or tibialis anterior muscle fatigue; low back angle changed towards less lordosis, pelvis movement increased, lower limb swelling increased and mental state decreased. Body discomfort was positively correlated with mental state. The observed changes suggest replacing office work sitting with standing should be done with caution.

Practitioner Summary: Standing is being used to replace sitting by office workers; however, there are health risks associated with prolonged standing. In a laboratory study involving 2 h prolonged standing discomfort increased (all body areas), reaction time and mental state deteriorated while creative problem-solving improved. Prolonged standing should be undertaken with caution.     

Experimental investigation of psychophysiological stress-reactions induced by different system response times in human-computer interaction∗

In human-computer interaction, system response times are considered to have important effects on operator performance and stress response. To evaluate the effects of short (2s) and long (8s), as well as constant and variable, system response times, a laboratory study was conducted with 68 subjects in four independent groups working at a simulated computer workplace. Subjects had to perform a simple detection and correction task at a visual display terminal in six trials of 20min each, the first being a training trial with identical conditions for all subjects. Performance and physiological measures (heart rate, electrodermal activity, and blood pressure) were taken during the trials, and subjective measures of mood and physical state as well as physiological measures were done in the resting periods iiftcr the trials. In addition to a general adaptation effect over the trials, experimental effects were shown mainly for the duration factor: subjects under conditions of long, as compared to those under short, system response times showed a lower mean error rate (p < 0·01) in the performance measures without differences in work speed. In the physiological measures, lower levels of systolic blood pressure (p < 0·05) were seen under long system response times, but a greater number of skin conductance reactions (p < 0·05). Pain symptoms (headache, p < 0·05; eye pain, p < 0·05) were more pronounced under short system response times. The results are interpreted as differential effects of duration of system response times on variables indicating stress responses. In general, the results obtained in this study confirm the results of a previous pilot study. Further research will be necessary to evaluate the effects of system response time variability.     

A Review of :“Leu Accidents du Travail.” By JACQUES LEPLAT et XAVIER CUNY. (Paris: Presses Universities de France, 1974.( [Pp.128. £0·00.

Police officers spend large amounts of time performing duties within a police cruiser and report a high prevalence of musculoskeletal problems. This study evaluated the effects of driver seat and duty belt design on posture, pressure and discomfort. Ten male and 10 female university students attended two sessions involving simulated driving in a standard police seat (CV) and an active lumbar support (ALS) seat. Participants wore a full duty belt (FDB) or reduced duty belt (RDB) in each seat. Lumbar postures, driver-seat and driver-duty belt pressures and perceived discomfort were measured. Gender × Seat interactions were found for pelvic (p = 0.0001) and lumbar postures (p = 0.003). Females had more lumbar flexion than males and were more extended in the ALS seat (?9.8 ± 11.3°) than CV seat (?19.8 ± 9.6°). The FDB had greater seat pressure than the RDB (p < 0.0001), which corresponded to increased pelvis discomfort. This study supports the use of an ALS seat and RDB to reduce injury risk associated with prolonged sitting in police officers.

Practitioner Summary: Police officers report a high prevalence of musculoskeletal problems to the lower back, associated with prolonged driving and further investigation is needed to reduce injury risk. This simulated driving study investigated seat and duty belt configuration on biomechanical measures and discomfort. Seat design had the greatest impact, regardless of gender and males benefited more from a reduced belt configuration.     

Better combination of thickness and hardness of mattress topper for supine sleeping posture: A physiological measurements evaluation

Placing a topper on a sleeping system is common practice to enhance sleeping comfort. The aim of this study was to determine the thickness and hardness effect of a mattress topper by measuring the four physiological measurements from 40 healthy males. The results showed that the use of a thin mattress topper (30 mm) significantly induced lower body pressure and temperature, higher muscle activities in the biceps femoris, and a straighter spinal alignment in the T12–L4 vertebrae. The use of a hard mattress topper significantly induced a higher body pressure, a lower body temperature in the lower extremities, a higher EMG (%MVC) in the trapezius, but a lower EMG (%MVC) in the biceps femoris, and a straighter spinal alignment at T1–T4, T4–T6, and T6–T8. Overall, a soft topper of 30-mm thickness was suggested as the best combination. The findings can provide very useful information for topper design and selection.     

Integrating a hip belt with body armour reduces the magnitude and changes the location of shoulder pressure and perceived discomfort in soldiers*

Soldiers carry heavy loads that may cause general discomfort, shoulder pain and injury. This study assessed if new body armour designs that incorporated a hip belt reduced shoulder pressures and improved comfort. Twenty-one Australian soldiers completed treadmill walking trials wearing six different body armours with two different loads (15 and 30 kg). Contact pressures applied to the shoulders were measured using pressure pads, and qualitative assessment of comfort and usability were acquired from questionnaires administered after walking trials. Walking with hip belt compared to no hip belt armour resulted in decreased mean and maximum shoulder pressures (p < 0.005), and 30% fewer participants experiencing shoulder discomfort (p < 0.005) in best designs, although hip discomfort did increase. Laterally concentrated shoulder pressures were associated with 1.34-times greater likelihood of discomfort (p = 0.026). Results indicate body armour and backpack designs should integrate a hip belt and distribute load closer to shoulder midline to reduce load carriage discomfort and, potentially, injury risk.

Practitioner Summary: Soldiers carry heavy loads that increase their risk of discomfort and injury. New body armour designs are thought to ease this burden by transferring the load to the hips. This study demonstrated that designs incorporating a hip belt reduced shoulder pressure and shoulder discomfort compared to the current armour design.     

The effects of age,viewing distance,display type,font type,colour contrast and number of syllables on the legibility of Korean characters

This study evaluated the effects of age (20s and 60s), viewing distance (50 cm, 200 cm), display type (paper, monitor), font type (Gothic, Ming), colour contrast (black letters on white background, white letters on black background) and number of syllables (one, two) on the legibility of Korean characters by using the four legibility measures (minimum letter size for 100% correctness, maximum letter size for 0% correctness, minimum letter size for the least discomfort and maximum letter size for the most discomfort). Ten subjects in each age group read the four letters presented on a slide (letter size varied from 80 pt to 2 pt). Subjects also subjectively rated the reading discomfort of the letters on a 4-point scale (1 = no discomfort, 4 = most discomfort). According to the ANOVA procedure, age, viewing distance and font type significantly affected the four dependent variables (p < 0.05), while the main effect of colour contrast was not statistically significant for any measures. Two-syllable letters had smaller letters than one-syllable letters in the two correctness measures. The younger group could see letter sizes two times smaller than the old group could and the viewing distance of 50 cm showed letters about three times smaller than those at a 200 cm viewing distance. The Gothic fonts were smaller than the Ming fonts. Monitors were smaller than paper for correctness and maximum letter size for the most discomfort. From a comparison of the results for correctness and discomfort, people generally preferred larger letter sizes to those that they could read. The findings of this study may provide basic information for setting a global standard of letter size or font type to improve the legibility of characters written in Korean.

Statement of Relevance: Results obtained in this study will provide basic information and guidelines for setting standards of letter size and font type to improve the legibility of characters written in Korean. Also, the results might offer useful information for people who are working on design of visual displays.     

The discomfort produced by noise and whole-body vertical vibration presented separately and in combination

This study investigated the prediction of the discomfort caused by simultaneous noise and vibration from the discomfort caused by noise and the discomfort caused by vibration when they are presented separately. A total of 24 subjects used absolute magnitude estimation to report their discomfort caused by seven levels of noise (70–88 dBA SEL), 7 magnitudes of vibration (0.146–2.318 ms^? 1.75) and all 49 possible combinations of these noise and vibration stimuli. Vibration did not significantly influence judgements of noise discomfort, but noise reduced vibration discomfort by an amount that increased with increasing noise level, consistent with a ‘masking effect’ of noise on judgements of vibration discomfort. A multiple linear regression model or a root-sums-of-squares model predicted the discomfort caused by combined noise and vibration, but the root-sums-of-squares model is more convenient and provided a more accurate prediction of the discomfort produced by combined noise and vibration.     

Postural stability when walking and exposed to lateral oscillatory motion: benefits from hand supports

While walking on a treadmill, 20 subjects experienced lateral oscillations: frequencies from 0.5 to 2 Hz and velocities from 0.05 to 0.16 m s^? 1 rms. Postural stability was indicated by ratings of ‘discomfort or difficulty in walking’, the movement of the centre of pressure beneath the feet and lateral forces applied to a hand support. Hand support improved postural stability with all frequencies and all velocities of oscillatory motion: the lateral velocity of the centre of pressure reduced by 30–50% when using support throughout motion, by 20–30% when instructed to use the support only when required and by 15% during normal walking without oscillation. Improvements in stability, and the forces applied to the hand support, were independent of support height when used continuously throughout motion. When support was used only when required, subjects preferred to hold it 118–134 cm above the surface supporting the feet.     

Use of the average electromyogram in design evaluation Investigation of a whole-body task

The information content of the average electromyogram (AEMG) was investigated in a whole-body task, load carriage. Four subjects walked for approximately 2 hours at 5-6km/h with each of three different loads (20, 25 or 32 kg) in each of two placements on the back. EMG was sampled for 15 strides after 5, 37 and 97min walking. The myoelectric signal was telemetered from the tibialis anterior, vastus lateralis, biceps femoris, erector spinae and trapezius muscles, then processed digitally to yield the time average of the rectified electromyogram (AEMG).

Analyses of variance indicated a significant load magnitude by load placement by duration interaction on the trapezius muscle. The 20 kg load tended to elicit more EMG from trapezius than the other two over the entire duration of load carriage, but only for the high load placement. In the low placement all three loads elicited similar AEMG values from trapezius after 97min load carriage. Subjects responded quite differently to the independent variables, but all showed appreciable EMG changes in several of the experimental conditions. Individual differences, important in work task assessments, tended to be masked by examining group means alone.

The results indicate that AEMG measures do provide useful information in the investigation of whole-body tasks, but that their use is less straightforward in this capacity than in the investigation of more constrained or simplified tasks.     

Measures of localized spinal muscle fatigue

The objective of this study was to determine the best variable, if any, to indicate the level of localized muscle fatigue. Six male and six female subjects were studied while they exerted their maximal voluntary contraction and 40% of maximal voluntary contraction of spinal extensors in an isometric lifting activity. The electromyography (EMG) of erectores spinae at thoracic and lumbar levels was measured bilaterally. Also, the muscle bed blood volume, level of blood oxygenation to erector spinae at L3 level and heart rate were measured. The initial and final values of subjective feelings of fatigue through visual analogue score, rate of perceived exertions and body part discomfort rating were recorded. The mean maximal voluntary contraction forces for males and females were 899 (238) N and 431 (135) N respectively. The mean durations of hold in maximal voluntary fatiguing contraction were 68.1 (39.9) s and 72.3 (37.0) s for men and women respectively. By the end of the hold the force declined to 52% for males and 62% for females. The EMG amplitudes and median frequencies also progressively declined (p < 0.01). ANOVA revealed that the task percentile values of all variables were significantly different (p < 0.01). Gender had a significant main effect (p < 0.01). The correlation coefficients between force and other individual variables were weak to modest, but significant (p < 0.001). None of the single variables predicted fatigue reliably for either gender and levels of contraction. The regression equations developed were highly significant (p < 0.01) and they explained 96 to 98% of variance in both genders and contractions.     

Age-related difference in perceptual responses and interface pressure requirements for driver seat design

Due to typical physiological changes with age, older individuals are likely to have different perceptual responses to and different needs for driver–seat interface design. To assess this, a study was conducted in which a total of 22 younger and older participants completed six short-term driving sessions. Three subjective ratings (comfort, discomfort and overall) were obtained, along with 36 driver–seat interface pressure measures, and were used to assess differences and similarities between the two age groups. For both age groups, localised comfort ratings were more effective at distinguishing between driver seats and workspaces. Older individuals appeared to be less sensitive to discomfort than younger individuals. Across age groups, two distinct processes were used in determining whole-body comfort and discomfort perceptions based on localised comfort/discomfort perceptions. Whole-body discomfort levels were largely affected by lower back discomfort in the younger group versus upper back discomfort in the older group. Four specific pressure measures at several body regions differed between the age groups, suggesting distinct contract pressure requirements and loading patterns among these groups.     

Predictive discomfort of supine humans in whole-body vibration and shock environments

This work presents a predictive model to evaluate discomfort associated with supine humans during transportation, where whole-body vibration and repeated shock are predominant. The proposed model consists of two parts: (i) static discomfort resulting from body posture, joint limits and ambient discomfort; and (ii) dynamic discomfort resulting from the relative motion between the body segments as a result of transmitted vibration. Twelve supine subjects were exposed to single and 3D random vibrations and 3D shocks mixed with vibrations. The subjects’ reported discomfort and biodynamic response were analysed under different support conditions, including a rigid surface, a stretcher and a stretcher with a spinal backboard. The results demonstrated good correlations between the predictive discomfort and the reported discomfort for the different conditions under consideration, with R² = 0.69–0.94 for individual subjects and R² = 0.94 for the group mean. The results also indicated a strong relationship between the head-neck and trunk angular velocities and discomfort during supine transportation.

Practitioner Summary: The quantification of discomfort of supine humans under vibration and shocks by using a predictive model is an important contribution to this field, whereby the efficacy of different transport systems can be compared. The predictive discomfort model can be used as design criteria for ergonomic enhancement in supine transportation of humans.     

Optimal work–rest cycles for an isometric intermittent gripping task as a function of force,posture and grip span

The aim of this study was to investigate the maximum acceptable contraction frequencies (i.e. work–rest cycles) for an isometric-intermittent handgrip task as a function of grip span, applied force and shoulder posture using psychophysical and physiological approaches. Twelve healthy males served as subjects. The three grip spans investigated were the optimal, 2 cm narrower than the optimal, and 2 cm wider than the optimal. The grip force levels studied were 15% and 30% of maximum voluntary grip force and the two shoulder postures were 25° flexion and 30° abduction. The psychophysical results indicate that subjects work faster with the narrower grip span at 15% of maximum voluntary grip force level in comparison to working with the optimal and the wider spans. However, when the task required 30% of maximum grip force level, the subjects worked faster with the optimal grip span. These findings were supported by the results of electromyography, heart rate, blood pressure and perceived discomfort. The study suggests that grip span of a tool is an important factor to be considered in predicting optimal work–rest cycles for hand grip tasks, and the optimum setting of grip span of the hand-tool depends on the required task force level. That is, the optimality is relative rather than absolute. In addition, it appears that weaker subjects can work at a higher rate than stronger ones at the same relative force level.     

Evaluation of quantitative glare technique based on the analysis of bio-signals

Abstract

This laboratory study evaluated the effect of glare source (halogen, HID and LED) and its illumination levels (0.7, 2 and 5 lx) using a quantitative methodology. Pupil diameter and electroencephalography were measured using FaceLab and Biopac systems, respectively. The discomfort glare was assessed subjectively with Borg’s CR-10 scale. Twenty healthy subjects participated. Pupil size was significantly affected by the headlamp type and illumination condition. Pupil size was smaller when exposed to the LED headlamp than other headlamps (Halogen > HID > LED). In addition, when the illumination increased, pupil size decreased (0.7 lx > 2 lx > 5 lx). Also, driver’s discomfort increased when pupil size was small, and theta waves were high. This discomfort may cause reduced attention and safety of the driver. These results can be applied to design and development of headlamps. Further investigation is necessary with adopted methodology to evaluate other headlamps in different illumination conditions.

Practitioner Summary: This study evaluated pupil size and electroencephalography under different glare source (halogen, HID and LED) and illumination levels (0.7, 2 and 5 lx). Driver’s discomfort increased when pupil size was small, and theta waves were high. This discomfort may cause reduced attention and safety of the driver.     

Dynamic pushing on three frictional surfaces: maximum acceptable forces,cardiopulmonary and calf muscle metabolic responses in healthy men

Pushing is an important materials handling activity in many occupations; however, pushing-related physiological investigations are still in infancy. The purpose was to evaluate maximum acceptable forces and physiological responses while pushing on: treadmill (TREAD); plywood floor (PLY); and Teflon floor (TEF). Acceptable forces, cardiopulmonary and calf muscle oxygenation and blood volume responses were collected simultaneously while 12 men (age 39 ± 13 years; height 178 ± 6 cm; and body mass 91.5 ± 16 kg) pushed for 2 h on each surface at their psychophysical workload. Participants selected higher forces on the PLY, resulting in higher pulmonary oxygen uptake compared to that of TEF (by ～9%) and TREAD (by ～18%). Pushing on the TEF demonstrated 50–56% lower blood volume changes and 1.5–1.8 times more oxygenation-force ratio than that for other surfaces. It is concluded that, to avoid a potential slip, participants were conservative in selecting acceptable forces to push on the slippery TEF. Part of this compensatory strategy on the TEF resulted in less muscle activity and, therefore, less demand for oxygen delivery to the calf muscle than for other surfaces. The present findings of significant force- and physiological-related differences in treadmill vs. high inertia pushcart clearly demonstrate that pushing experiments are essential to evaluate functional abilities of the workers.     

The influence of lift frequency,lift duration and work experience on discomfort reporting

Discomfort surveys are commonly used to assess risk in the workplace and prioritize jobs for interventions before an injury or illness occurs. However, discomfort is a subjective measure and the relationship of discomfort to work-related factors is poorly understood. The objective of this study was to understand how reports of discomfort relate to work-related risk factors for the low back. A total of 12 novice and 12 experienced manual materials handlers performed repetitive, asymmetric lifts at different load levels and at six different lift frequencies throughout an 8-h exposure period. Discomfort was recorded hourly throughout the day. Analyses were performed to determine which experimental factors influenced reporting of discomfort and if discomfort trends matched spine loading trends. Novice lifters reported significantly higher discomfort levels than experienced subjects. They also reported increases in discomfort as moment exposure increased and as the exposure time increased. Novices lifting at 8 Nm load moment level reported increased discomfort from 0.07 to 0.63 by the end of the day, at 36 Nm they reported an increase from 0.04 to 0.40 and at 85 Nm they reported an increase from 0.37 to 3.06. Experienced subjects, on the other hand, reported low levels of discomfort regardless of moment exposure, lift frequency or exposure duration. The reported discomforts were generally unrelated to the biomechanical loading on the spine. Discomfort reporting appears to be more a reflection of experience than of work risk factor exposure. Experienced subjects may have more efficient motor patterns, which reduce spinal load and thus discomfort. Novice subjects seemed to have a lower threshold of discomfort. Caution is needed when using discomfort reporting as a means to identify jobs in need of interventions, in that biomechanical loading may not be accurately represented. Discomfort should only be used as a supplement to objective measures, such as spinal loading, to assess the risk of low back disorders.     

The effects of knee angles on subjective discomfort ratings, heart rates, and muscle fatigue of lower extremities in static-sustaining tasks

The purpose of this study was to investigate the effects of knee-flexion angles on subjective discomfort ratings, heart rates, and muscle fatigue using median frequency (MDF) in a static-sustaining task. Thirty healthy participants maintained 13 postures including standing, squatting, sitting, and kneeling postures and then MDFs from the erector spinae, biceps femoris, vastus medialis, gastrocnemius, and tibialis anterior muscles, subjective discomfort, and heart rates were collected every 3 min during a sustained 15 min task. Results showed that the discomfort, heart rate and muscle fatigue were significantly influenced by the body postures. In general, standing and sitting postures showed less discomfort as well as lower heart rates, whereas squatting postures (KF120, KF90, KF60) had higher discomfort and heart rates. Three MDF change trends were reported associated with postures in this study. First, there were less changes of MDFs for standing and sitting postures; second, all patterns of MDFs for KF 150 and KF120 decreased, and lastly some MDFs had increasing trends and others showed decreasing trends for KF30, KF30T, and kneeling postures.     

The effects of knee angles on subjective discomfort ratings,heart rates,and muscle fatigue of lower extremities in static-sustaining tasks

The purpose of this study was to investigate the effects of knee-flexion angles on subjective discomfort ratings, heart rates, and muscle fatigue using median frequency (MDF) in a static-sustaining task. Thirty healthy participants maintained 13 postures including standing, squatting, sitting, and kneeling postures and then MDFs from the erector spinae, biceps femoris, vastus medialis, gastrocnemius, and tibialis anterior muscles, subjective discomfort, and heart rates were collected every 3 min during a sustained 15 min task. Results showed that the discomfort, heart rate and muscle fatigue were significantly influenced by the body postures. In general, standing and sitting postures showed less discomfort as well as lower heart rates, whereas squatting postures (KF120, KF90, KF60) had higher discomfort and heart rates. Three MDF change trends were reported associated with postures in this study. First, there were less changes of MDFs for standing and sitting postures; second, all patterns of MDFs for KF 150 and KF120 decreased, and lastly some MDFs had increasing trends and others showed decreasing trends for KF30, KF30T, and kneeling postures.