The reliability of the Extra Load Index as a measure of relative load carriage economy

Abstract

The aim of this study was to measure the reliability of the extra load index (ELI) as a method for assessing relative load carriage economy. Seventeen volunteers (12 males, 5 females) performed walking trials at 3 km·h^?1, 6 km·h^?1 and a self-selected speed. Trial conditions were repeated 7 days later to assess test–retest reliability. Trials involved four 4-minute periods of walking, each separated by 5 min of rest. The initial stage was performed unloaded followed in a randomised order by a second unloaded period and walking with backpacks of 7 and 20 kg. Results show ELI values did not differ significantly between trials for any of the speeds (p = 0.46) with either of the additional loads (p = 0.297). The systematic bias, limits of agreement and coefficients of variation were small in all trial conditions. We conclude the ELI appears to be a reliable measure of relative load carriage economy.

Practitioner Summary: This paper demonstrates that the ELI is a reliable measure of load carriage economy at a range of walking speeds with both a light and heavy load. The ELI, therefore, represents a useful tool for comparing the relative economy associated with different load carriage systems.     

Fatigue and recovery during and after static loading

Subjectively assessed endurance time (ET), resumption time (RT) and perceived discomfort, pain or fatigue (PD), and objectively measured maximum force-exerting capacity were investigated for varying loads and durations of a pushing task with two repeated trials. Beyond the main results quantifying how the load scenario affected ET, RT and PD, three additional results are of note: (1) although the maximum pushing force did not change between trials, shorter ET, longer RT and higher PD indicated accumulation of fatigue in Trial 2; (2) the PD ratings showed a trend with a linear increase during loading and a curvilinear decrease during recovery; and (3) the RT and the load level for different relative loading times were found to have an unexpected U-shaped relationship, indicating lowest fatigue at the intermediate load level. These results can be used to model a more sustainable and productive work-recovery ratio.     

Subjective and objective evaluation of shoulder muscle fatigue

In order to relate EMG signs of localized muscle fatigue to subjectively perceived muscle fatigue, a study was undertaken on 20 healthy volunteers exposing their right trapezius muscle by raising the arm to 90° of abduction. Every person performed two contractions: 0 kg hand load during 5 min and 2 kg hand load during 2.5 min. Surface EMG was recorded and analysed with respect to RMS amplitude and mean power frequency (MPF). Subjective muscle fatigue was estimated with a psychophysical rating scale (Borg's CR-10 Scale). At high load level we found a significant correlation between MPF and the CR-scores (r = ? 0.46), but at low load level there was no correlation. At high load level there was a linear decrease of MPF with increasing load dose, but at low load level the MPF did not change, despite significant subjective fatigue. There was a linear rise of the CR-score with increasing load dose, more pronounced at high load level. It was concluded, that at low load levels common in working life, MPF and subjective scores seem to provide different fatigue information. Moreover, the MPF did not seem to work as a valid estimator of muscle fatigue at this low load level. Caution is recommended if it is to be used in static low-load situations.     

Effectiveness of rest pauses and cooling in alleviation of heat stress during simulated fire-fighting activity

This study examined whether cooling a fire-fighter with a high velocity fan, during 10 min rest pauses between, and following, 10 min work periods, decreases heat stress during repetitive fire-fighting activity. Twelve professional fire-fighters (mean age 31.8 +/- 6.7 years) completed two, 40 min work/recovery trials in an environmental chamber at 40 degrees C and 70% relative humidity (RH). One trial was termed an enhanced recovery (ER) trial and the other was termed a normal recovery (NR) trial. In both conditions subjects wore full protective clothing and breathing apparatus during the work. In the ER trial a subject removed his protective coat and sat in front of a fan during each recovery period. In the NR trial a subject merely unbuckled his coat and was not cooled by a fan during either recovery period. The group mean metabolic cost (VO2), and the exercise and recovery heart rates were significantly lower (p < or = 0.05) during the ER trial than in the NR condition. Group mean rectal temperature increased by 1.5 degrees C in the NR trial but by only 0.8 degree C during the ER trial. The latter group's more effective cooling indicates the potential of fan cooling to reduce physiological strain and decrease the risk of heat exhaustion during repetitive fire-fighting activity. The results suggest that a fire-fighter's short 10 min exposure to heavy work in a hot environment of 40 degrees C and 70% RH produces minimal heat stress in a healthy fire-fighter. However, a period of fire-fighting exposure greater than 10 min without adequate rest and cooling may lead to a significant accumulation of heat stress and fatigue during further fire-fighting activity, irrespective of physical prowess.     

Characterization of the metabolic demands of simulated shipboard Royal Navy fire-fighting tasks.

The purpose of this study was to quantify the metabolic demand of simulated shipboard fire-fighting procedures currently practised by men and women in the Royal Navy (RN) and to identify a minimum level of cardiovascular fitness commensurate with satisfactory performance. Thirty-four males (M) and 15 females (F) volunteered as subjects for this study (n=49). Maximal oxygen uptake (VO2max) and heart rate (fcmax) of each subject was assessed during a standardized treadmill test. During the main trials, volunteers were randomly assigned to complete several 4-min simulated shipboard fire-fighting tasks (boundary cooling (BC), drum carry (DC), extinguisher carry (EC), hose run (HR), ladder climb (LC)), at a work rate that was endorsed as a minimum acceptable standard. Heart rate (fc) and oxygen uptake (VO2) were recorded at 10-s intervals during rest, exercise and recovery. Participants completed all tasks within an allocated time with the exception of the DC task, where 11 subjects (all females) failed to maintain the endorsed work rate. The DC task elicited the highest (p<0.01) group mean peak metabolic demand (PMD) in males (43 ml min(-1) kg(-1)) and females (42 ml min(-1) kg (-1)) who were able to maintain the endorsed work rate. The BC task elicited the lowest PMD (23 ml min(-1) kg(-1)), whilst the remaining three tasks elicited a remarkably similar PMD of 38-39 ml min(-1) kg(-1). The human endurance limit while wearing a self-contained breathing apparatus (SCBA) dictates that RN personnel are only able to fire-fight for 20-30 min, while wearing a full fire-fighting ensemble (FFE) and performing a combination of the BC, HR and LC tasks, which have a group mean metabolic demand of 32.8 ml min(-1) kg(-1). Given that in healthy subjects fire-fighting can be sustained at a maximum work intensity of 80% VO2max when wearing SCBA for this duration, it is recommended that all RN personnel achieve a VO2max of 41 ml min(-1) kg(-1) as an absolute minimum standard. Subjects with a higher VO2max than the above quoted minimum are able to complete the combination of tasks listed with greater metabolic efficiency and less fatigue.     

A modified version of the three-compartment model to predict fatigue during submaximal tasks with complex force-time histories

The three-compartment model (3CM) was validated previously for prediction of endurance times by modifying its fatigue and recovery rates. However, endurance times do not typically represent work demands, and it is unknown if the current version of the 3CM is applicable for ergonomics analysis of all occupational tasks. The purpose of this study was to add biological fidelity to the 3CM, and validate the model against a series of submaximal force plateaus. The fatigue and recovery rates were modified to represent graded physiological motor unit characteristics (termed 3CM_GMU). In nine experiments of submaximal efforts, the 3CM_GMU produced a root-mean squared difference (RMSD) of 4.1 ± 0.5% MVC over experiments with an average strength loss (i.e. fatigue) of 31.0 ± 1.1% MVC. The 3CM_GMU model performed poorly for endurance tasks. The 3CM_GMU model is an improvement for evaluating submaximal force patterns consisting of intermittent muscle contractions of the hand and forearm.

Practitioner Summary: We modified an existing fatigue model using known physiological properties in order to predict fatigue during nine different submaximal force profiles; consistent with efforts seen in industrial work. We expect this model to be included in digital human modelling software, for the assessment of repetitive work and muscle fatigue in repetitive tasks.

Social Media Summary: The proposed model has applications for estimating task fatigue in proactive ergonomic analyses of complex force patterns using digital human models.     

Force, frequency and gripping alter upper extremity muscle activity during a cyclic push task

Factors, such as high repetition, high force and gripping play a role in the development of upper extremity work-related musculoskeletal disorders. The purpose of this study was to systematically examine the effects of push load and frequency on muscle activity with and without concurrent gripping. A total of 10 men and 10 women performed a cyclic bimanual pushing task. All combinations of three push loads (1 kg, 2 kg, 4 kg), three frequencies (4/min, 8/min, 16/min) and two grip conditions (no required grip and 30% of maximum grip force) were performed in randomised order. The muscle activity of the upper arm and shoulder complex reflected both frequency and load, often with significant interactions, thus may be better described by workload, the product of force and frequency. In the forearm, muscle activities were generally low but adding a submaximal grip superseded the effects of push load, with the activity reflecting frequency and grip. PRACTITIONER SUMMARY: Force and frequency are important risk factors for upper extremity disorders. We found that upper extremity muscle activity responds to workload (force × frequency) in a complex way which may be superseded if a grip is present. This electromyographic study provides physiological insights to muscular loading as basis for a variety of workplace disorders.     

Characterization of the metabolic demands of simulated shipboard Royal Navy fire-fighting tasks

The purpose of this study was to quantify the metabolic demand of simulated shipboard fire-fighting procedures currently practised by men and women in the Royal Navy (RN) and to identify a minimum level of cardiovascular fitness commensurate with satisfactory performance. Thirty-four males (M) and 15 females (F) volunteered as subjects for this study (n = 49). Maximal oxygen uptake ([Vdot]O_2max) and heart rate (fc _max) of each subject was assessed during a standardized treadmill test. During the main trials, volunteers were randomly assigned to complete several 4-min simulated shipboard fire-fighting tasks (boundary cooling (BC), drum carry (DC), extinguisher carry (EC), hose run (HR), ladder climb (LC)), at a work rate that was endorsed as a minimum acceptable standard. Heart rate (fc) and oxygen uptake ([Vdot]O2) were recorded at 10-s intervals during rest, exercise and recovery. Participants completed all tasks within an allocated time with the exception of the DC task, where 11 subjects (all females) failed to maintain the endorsed work rate. The DC task elicited the highest (p< 0.01) group mean peak metabolic demand (PMD) in males (43 ml min^-1 kg^-1) and females (42 ml min^-1 kg^-1) who were able to maintain the endorsed work rate. The BC task elicited the lowest PMD (23 ml min^-1 kg^-1), whilst the remaining three tasks elicited a remarkably similar PMD of 38–39 ml min^-1 kg^-1. The human endurance limit while wearing a self-contained breathing apparatus (SCBA) dictates that RN personnel are only able to fire-fight for 20–30 min, while wearing a full fire-fighting ensemble (FFE) and performing a combination of the BC, HR and LC tasks, which have a group mean metabolic demand of 32.8 ml min^-1 kg^-1. Given that in healthy subjects fire-fighting can be sustained at a maximum work intensity of 80% [Vdot]O_2max when wearing SCBA for this duration, it is recommended that all RN personnel achieve a [Vdot]O_2max of 41 ml min^-1 kg^-1 as an absolute minimum standard. Subjects with a higher [Vdot]O_2max than the above quoted minimum are able to complete the combination of tasks listed with greater metabolic efficiency and less fatigue.     

Low mean level sustained and intermittent grip exertions: Influence of age on fatigue and recovery

The goal of this study was to quantify localised muscle fatigue resulting from low mean levels of exertion in younger (< 40 years) and older (>50 years) adults. Fatigue, elicited in the finger flexor muscles by intermittent (10% mean maximum voluntary contraction (MVC)) and sustained (8% MVC) handgrip exercises, was quantified by a muscle twitch force response before, immediately after and during 3 h following exercise. Despite greater mean loads, recovery time was shorter following intermittent than sustained contractions, which suggests that recovery from fatigue is more sensitive to rest within the work cycle than mean work. The more pronounced effects for younger than older individuals following the sustained exertion indicate that changes in muscle fibre type composition might predispose older individuals to be more resistant to fatigue resulting from sustained contractions of low level. Performing hand exertion tasks requiring low mean force levels contributes to similar long-lasting fatigue effects regardless of gender and age. Intermittent periods of complete rest reduce muscle fatigue. Since fatigue was not perceived during recovery from the tested sustained and intermittent contractions, subjective evaluations may not be a reliable indicator of localised muscle fatigue.     

Muscle fatigue during intermittent isokinetic shoulder abduction: Age effects and utility of electromyographic measures

Most existing evidence regarding the effects of age on muscular fatigue has focused on prolonged isometric contractions, repeated maximum dynamic contractions and individuals beyond traditional retirement age (>65 years). In the present study, age-related differences in muscle fatigue during submaximal dynamic efforts were examined. There were 24 younger (18–25 years) and 24 older (55–65 years) participants, all of whom were healthy and active, with equal numbers of each gender within each age group. Participants performed repetitive, intermittent shoulder abductions until exhaustion, at peak moments of 30% and 40% of individual maximum voluntary isokinetic contraction (MVIC) and with cycle durations of 20 and 40 s. Fatigue development was determined based on changes in MVIC, electromyographic (EMG) signals and ratings of perceived discomfort (RPD). Following the exhaustive exercises, strength recovery was monitored using a series of MVICs over a 15-min period. Results indicated the existence of an age-related fatigue resistance, with the older group demonstrating significantly slower rates of MVIC decline and RPD increase and smaller modifications in EMG-based fatigue measures. These age effects were generally more pronounced at the higher effort level. Main effects of effort level and cycle duration were also significant, while gender effects appeared to be marginal. Rates of strength recovery were not significantly influenced by age. In addition, the utility of standard EMG-based fatigue measures was assessed. Findings indicated that time-dependent changes in static and dynamic EMG-based measures were roughly comparable in terms of sensitivity and variability, supporting the use of standard EMG analyses for fatigue monitoring during intermittent dynamic contractions.     

Decrease of force capabilities as an index of upper limb fatigue

The aim of the study was to assess upper limb fatigue on the basis of the force change index (FCI), which expresses changes in developed force, and to demonstrate that this index differentiates muscle fatigue of the upper limb depending on external load. The study was performed on ten young men in 12 conditions of external load. Ten conditions characterized repetitive work in a two-period cycle, in which both or one of the periods were loaded, and two conditions characterized continuous work with constant load. The participants tried to maintain hand-grip force at an imposed level during a determined time in the standard upper limb posture. Changes in values of recorded force exerted during successive cycles were approximated by a regression function. In most cases there was a strong correlation between the measurement data and the logarithmic regression curve. However, several cases of lower external load showed absence of such correlation. In 75% of the cases, there were statistically significant differences between the values of FCI calculated for individual conditions of external load. That means that FCI not only expresses muscle fatigue quantitatively but also points to the differences in upper limb fatigue resulting from differences in the external load. The study results have shown that the developed index (FCI) can be applied for fatigue assessment and discrimination with a more sophisticated model of a repetitive task than just a simple two-period work and rest model.     

Decrease of force capabilities as an index of upper limb fatigue

The aim of the study was to assess upper limb fatigue on the basis of the force change index (FCI), which expresses changes in developed force, and to demonstrate that this index differentiates muscle fatigue of the upper limb depending on external load. The study was performed on ten young men in 12 conditions of external load. Ten conditions characterized repetitive work in a two-period cycle, in which both or one of the periods were loaded, and two conditions characterized continuous work with constant load. The participants tried to maintain hand-grip force at an imposed level during a determined time in the standard upper limb posture. Changes in values of recorded force exerted during successive cycles were approximated by a regression function. In most cases there was a strong correlation between the measurement data and the logarithmic regression curve. However, several cases of lower external load showed absence of such correlation. In 75% of the cases, there were statistically significant differences between the values of FCI calculated for individual conditions of external load. That means that FCI not only expresses muscle fatigue quantitatively but also points to the differences in upper limb fatigue resulting from differences in the external load. The study results have shown that the developed index (FCI) can be applied for fatigue assessment and discrimination with a more sophisticated model of a repetitive task than just a simple two-period work and rest model.     

Microbreak length, performance, and stress in a data entry task

The effects of brief rest pauses on performance and well-being were evaluated for a highly repetitive, data entry task. Experienced data entry operators (N = 20) performed the task in a two-day experiment in a simulated office environment. Each day was divided into six, 40-min work periods. Subjects took a brief rest pause at the workstation (microbreak) in the middle of each work period. Subjects were instructed to terminate this microbreak when ready to resume work. Keystroke rate, error rate, correction rate, heart rate and heart rate variability were scored for each half of the work period. In addition, mood states before and during the work period were assessed. Microbreaks were found to average 27.4 s in duration. High ratings of fatigue and boredom during the work period were associated with longer microbreaks, suggesting that the break period was self-adjusted relative to mood state. In addition, correction rate and heart rate were lower following long microbreaks, implying that the degree of recovery was linked to the length of the microbreak. Comparison of keystroke output and correction rate before and after the microbreak, however, revealed that performance worsened after the microbreak, suggesting that subjects terminated microbreaks before complete recovery could occur.     

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     

The influence of age on isometric endurance and fatigue is muscle dependent: a study of shoulder abduction and torso extension

The present study examined differences in isometric muscle capacity between older (55–65 years) and younger (18 – 25 years) individuals. A total of 24 younger and 24 older participants (gender balanced within each group) performed sustained shoulder abductions and torso extensions to exhaustion at 30%, 50% and 70% of individual maximal voluntary contraction (MVC). Along with endurance time, manifestations of localized fatigue were determined based on changes in surface electromyographic signals obtained from the shoulder (middle deltoid) and the torso (multifidus and longissimus thoracis) muscles. Strength recovery was monitored using post-fatigue MVCs over a 15-min period. Compared to the younger group, older individuals exhibited lower muscular strength, longer endurance time and slower development of local fatigue. Age effects on fatigue were typically moderated by effort level, while effects of gender appeared to be marginal. Non-linear relationships between target joint torque and endurance time were observed, with effects of age differing between shoulder abduction and torso extension. Overall, the effects of age on endurance and fatigue were more substantial and more consistent for the shoulder muscle than for the torso muscles and were likely related to differences in muscle fibre type composition. For strength recovery rates, no significant age or gender effects were found in either experiment. In summary, this study suggests that differences in isometric work capacity do exist between older and younger individuals, but that this effect is influenced by effort level and the muscle tested.     

Algorithmically detectable directional changes in upper extremity motion indicate substantial myoelectric shoulder muscle fatigue during a repetitive manual task

Repetitive workplace tasks are associated with fatigue-induced changes to shoulder muscular strategies, potentially altering kinematics and elevating susceptibility to tissue overexposures. Accessible and reliable methods to detect shoulder muscle fatigue in the workplace are therefore valuable. Detectable changes in joint motion may provide a plausible fatigue identification method. In this investigation, the onset of the first kinematic changes, as identified by a symbolic motion representation (SMSR) algorithm, and the onset of substantial surface electromyography (sEMG) mean power frequency (MPF) fatigue were not significantly different, both occurring around 10% of task duration. This highlights the potential utility of SMSR identified directional changes in joint motion during repetitive tasks as a cue of substantial muscle fatigue, enabling ergonomics responses that can mitigate shoulder muscular fatigue accumulation and its associated deleterious physical effects.

Practitioner Summary: The onset of substantial muscle fatigue during a repetitive dynamic task was assessed using kinematics and myoelectric-based techniques. Algorithmically detectable directional changes in upper extremity joint motion occurred with the onset of substantial muscle fatigue, highlighting the potential of this as a useful approach for workplace fatigue identification.     

Task variation during simulated,repetitive, low-intensity work – influence on manifestation of shoulder muscle fatigue,perceived discomfort and upper-body postures

Work-related musculoskeletal disorders are increasing due to industrialisation of work processes. Task variation has been suggested as potential intervention. The objectives of this study were to investigate, first, the influence of task variation on electromyographic (EMG) manifestations of shoulder muscle fatigue and discomfort; second, noticeable postural shoulder changes over time; third, if the association between task variation and EMG might be biased by postural changes. Outcome parameters were recorded using multichannel EMG, Optotrak and the Borg scale. Fourteen participants performed a one-hour repetitive Pegboard task in one continuous and two interrupted conditions with rest and a pick-and-place task, respectively. Manifestations of shoulder muscle fatigue and discomfort feelings were observed throughout the conditions but these were not significantly influenced by task variation. After correction for joint angles, the relation between task variation and EMG was significantly biased but significant effects of task variation remained absent.

Practitioner Summary: Comparing a one-hour continuous, repetitive Pegboard task with two interrupted conditions revealed no significant influences of task variation. We did observe that the relation between task variation and EMG was biased by posture and therefore advise taking account for posture when investigating manifestations of muscle fatigue in assembly tasks.     

Climatic stress in the workplace: its effect on thermoregulatory responses and muscle fatigue in female workers

The present study was designed to determine the differences in thermoregulatory responses and the levels of muscle fatigue in the seated worker, performing a task involving a light metabolic load (typing), versus the standing worker, undertaking a task of a heavier metabolic load (lifting), in different climatic conditions (neutral and hot, humid). The results showed that environmental heat significantly influenced the cardiovascular and thermoregulatory systems in workers performing both light and heavy work tasks. In addition, environmental heat was shown to influence the magnitude of the frequency shift during the fatiguing muscle contraction in the typists rather than the lifters. These results suggest that: (1) performance of even sedentary workers performing a light manual task may be deleteriously affected by environmental heat; and (2) environmental heat may be of secondary importance to the nature of the task investigated on the level of muscle fatigue.     

The Effect of Repetition of Relevant and Irrelevant Tasks over Day and Night Work Periods

Abstract

The effects of repetition on the Wilkinson Vigilance Task and an unobtrusive performance measure (crossword completion) were examined in 18 subjects over two 8 h work periods. Vigilance trials alternated with breaks in 25min segments across a work period from 0900 to 1700 h and a period from 2400 to 0800 h. Performance decrements were seen in hit rate and on the irrelevant task measure across the night session, and in hit rate across the day session. Decrements were greater at night than during the day on both measures. The number of attempts on the vigilance task decreased across trials similarly in both testing sessions. It was concluded that specific task repetition results in performance decrements, even when circadian incremental effects would be predicted, and that the placement of such task repetition at night magnifies those decrements and extends them to intrinscially as well as extrinsically motivated tasks.     

Efficacy of three interventions at mitigating the adverse effects of muscle fatigue on postural control

This study evaluated the efficacy of three interventions at reducing the adverse effects of muscle fatigue on postural control. The first provided rest breaks according to perceived decrements in postural stability, while the other two involved auditory stimulations (static pure tone and moving conversation). Sixteen participants performed repetitive box handling (lifting + lowering) over 1.5 h to induce muscle fatigue mainly in the lumbar extensors. Trials of quiet upright stance were completed at 10-min intervals, during which the interventions (or a control condition) were applied. Postural control was assessed using perceived stability (PS) and several measures derived from centre-of-pressure (COP) time series. Allowance of rest breaks did not significantly affect any of the objective measures, though a trend indicated an offset to fatigue-induced decreases in PS. Both the static pure tone and moving conversation led to significant changes in the dependent measures indicating a mitigation of fatigue-induced postural instability. PRACTITIONER SUMMARY: We examined the effects of three control strategies on postural control in the presence of muscle fatigue induced by a simulated occupational task. The findings can facilitate the development of future strategies or practical interventions to reduce falling risk and prevent falls.