The effect of sinusoidal rolling ground motion on lifting biomechanics

The objective of this study was to quantify the effects of ground surface motion on the biomechanical responses of a person performing a lifting task. A boat motion simulator (BMS) was built to provide a sinusoidal ground motion (simultaneous vertical linear translation and a roll angular displacement) that simulates the deck motion on a small fishing boat. Sixteen participants performed lifting, lowering and static holding tasks under conditions of two levels of mass (5 and 10 kg) and five ground moving conditions. Each ground moving condition was specified by its ground angular displacement and instantaneous vertical acceleration: A): +6°, −0.54 m/s²; B): +3°, −0.27 m/s²; C): 0°, 0 m/s²; D): −3°, 0.27 m/s²; and E): −6°, 0.54 m/s². As they performed these tasks, trunk kinematics were captured using the lumbar motion monitor and trunk muscle activities were evaluated through surface electromyography. The results showed that peak sagittal plane angular acceleration was significantly higher in Condition A than in Conditions C, D and E (698°/s² vs. 612-617°/s²) while peak sagittal plane angular deceleration during lowering was significantly higher in moving conditions (conditions A and E) than in the stationary condition C (538-542°/s² vs. 487°/s²). The EMG results indicate that the boat motions tend to amplify the effects of the slant of the lifting surface and the external oblique musculature plays an important role in stabilizing the torso during these dynamic lifting tasks.     

The effect of a lower extremity kinematic constraint on lifting biomechanics

Leaning against a stationary barrier during manual materials handling tasks is observed in many industrial environments, but the effects of this kinematic constraint on low back mechanics are unknown. Thirteen participants performed two-handed lifting tasks using both a leaning posture and no leaning posture while trunk kinematics, muscle activity and ground reaction force were monitored. Results revealed that lifting with the leaning posture required significantly less activity in erector spinae (26% vs. 36% MVC) and latissimus dorsi (8% vs. 14% MVC), and less passive tissue moment compared with the no leaning posture. Peak sagittal accelerations were lower when leaning, but the leaning posture also had significantly higher slip potential as measured by required coefficient of friction (0.05 vs. 0.36). The results suggested that the leaning lifting strategy provides reduced low back stress, but does so at the cost of increased slip potential.     

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.     

The effect of lifting protocol on comparisons with isoinertial lifting performance

The purpose of the study was threefold: (1) to determine if protocol constraints affected scores on a box-lifting task; (2) to identify any differences in impact of protocol changes on male and female scores; and (3) to determine if these protocol changes affected correlations between maximal box-lifting scores and maximal scores obtained on isoinertial lifting tests. Two hundred and sixty nine participants (143 males and 126 females) completed maximal isoinertial lifting tests to 1.50 m and 1.80 m using a constrained protocol on an Incremental Lifting Machine (ILM). Participants were divided into three samples for completion of a maximal box-lifting task, with each sample using one of the following task protocols: (1) set style; (2) free style; and (3) ergonomically redesigned. Statistical analyses using general linear models procedures revealed that changes in protocol constraints significantly affected scores on lifting tasks. Removal of protocol constraints resulted in greater percentage increases in task scores for females than for males. Furthermore, disparate patterns between genders in task-test correlations were observed. It was concluded that the ILM was unable to predict female lifting capabilities accurately using any of the three protocols.     

The effect of asymmetry on psychophysical lifting capacity for three lifting types

The effect of asymmetry on a person's lifting capacity was investigated using the psychophysical approach. Ten male college students lifted a box from pallet height (15 cm) to conveyor height (75 cm) at a frequency of one and five lifts/min. Three types of asymmetric lifting tasks (step-turn, middle twist and twist) were studied using 90 and 180 degrees task angles. Lifting capacity reductions for middle twist and twist at a 90 degrees asymmetric angle were about one-half of the 30% reduction that would be calculated by the 1991 National Institute for Occupational Safety & Health (NIOSH) lifting equation. The lifting capacity reduction for step-turn at 180 degrees was 14.9%, although that reduction cannot be calculated in the NIOSH equation. The middle twist lifting capacity was greatest among the three types at a 90 degrees task angle. The reductions for the middle twist and step-turn were not proportional to the task angle. This is contrary to the proportional reduction in the NIOSH lifting equation. Heart rate did not increase with an increase in task angle. Based on the results of this research, a different approach to assigning the asymmetric multiplier is proposed. This approach includes a task angle (as opposed to asymmetric angle) of up to 180 degrees.     

Trunk motion during lifting: The relative cost

The cost of lifting motion to back loading has been investigated traditionally by monitoring the electromyographic (EMG) recordings of trunk muscle during a controlled lift. When subjects are tested on an isokinetic dynamometer, the EMG activity decreases as the velocity increases and trunk torque production also decreases with added velocity. However, during an actual lift, the necessary torque needed to handle the load remains constant regardless of the lift speed. This research has investigated the muscle force per unit torque which is needed to support a load under various trunk velocities. Forty-five subjects were tested for maximum torque production under various velocity and angle conditions. The relative trunk loading cost of velocity was evaluated and described in an equation for slow velocity (0–30 deg/s) trunk exertions. These results were used to discuss how static lifting models might be adjusted to account for the added trunk load due to velocity.     

The role of general motion principles in asymmetrical lifting

This study has attempted to document how general motion alterations could change the loading on the lumbar spine during asymmetrical manual materials handling. Two general motion principles were explored: stability (modification of the width of the base of support) and fragmentation (insertion of a pause). It was hypothesized that during asymmetrical materials handling (1) a decrease in the width of the base of support may increase lumbar spine loading and (2) the insertion of a pause may reduce lumbar spine loading. Four male subjects performed asymmetrical tasks involving the reception and lifting of an 11.6 kg box. The magnitude of lumbar spine loading was estimated by computing 3D components of the net muscular moment, articular force and their respective loading rate at the L5/S1 joint. Comparisons were made between a wide and a narrow base of support task (stability) and between a continuous and a paused task (fragmentation). The results showed no difference for either moment, force or their loading rate between the experimental conditions, except for one component of the net moment in the fragmentation comparison. More research is needed to clarify the application of these two principles in asymmetrical materials handling.     

Effects of age and its interaction with task parameters on lifting biomechanics

This study investigated the age-related differences in lifting biomechanics. Eleven younger and 12 older participants were instructed to perform symmetric lifting tasks defined by different combinations of destination heights and load magnitudes. Lifting biomechanics was assessed. It was found that the trunk flexion in the starting posture was 32% lower and the peak trunk extension velocity was 46% lower in older participants compared with those in younger ones, indicating that older adults tended to use safer lifting strategies than did younger adults. Based on these findings, we recommend that physical exercise programmes may be a more effective ergonomic intervention for reducing the risks of low back pain (LBP) in lifting among older workers, compared with instructions of safe lifting strategies. As for younger workers, instructions of safe lifting strategies would be effective in LBP risk reduction.     

Quantification of back motion during asymmetric lifting

The objective of this study was to determine how trunk motion characteristics (in all three planes of the trunk) change as a free dynamic lifting task becomes more asymmetric. Trunk motion characteristics included range of motion, velocity (peak and average), and acceleration. Previous studies have shown that trunk motion characteristics affect trunk strength as well as the action of. the trunk musculature. These trunk motion characteristics were quantified as a function of seven task asymmetries and three task weights. The experimental task required the subject to lift materials in positions commonly seen in the workplace. The range of motion, peak velocity, average velocity, and peak acceleration in each plane of the body were documented during the tasks. Generally, trunk motion characteristics in all three planes increased with an increase in task asymmetry. However, with an increase in task weight all the sagittal plane parameters and one transverse plane parameter decreased. Models were constructed to predict trunk motion characteristics given a task asymmetry and weight. When these motion components were compared to dynamic strength estimates from previous studies it was found that dynamic asymmetric lifts could reduce available strength up to 21% of maximum static strength. The results provide new insight into factors associated with the risk of developing low back disorders.     

Effect of ship motion on spinal loading during manual lifting

This study investigated the effects of ship motion on peak spinal loading during lifting. All measurements were done on a ship at sea. In 1-min trials, which were repeated over a wide range of sailing conditions, subjects lifted an 18 kg box five times. Ship motion, whole body kinematics, ground reaction forces and electromyography were measured and the effect of ship motion on peak spinal moments and compression forces was investigated. To investigate whether people time their lifts in order to reduce the effect of ship motion on back loading, trials were performed at a free and at a constrained (lifting every 10s) work pace. With increase of the (local) vertical ship acceleration, increased moments and compression forces were found. Furthermore, lifting at a free work pace did not result in smaller effects of ship motion on spinal moments and compression forces than working at a constrained work pace.     

Effect of ship motion on spinal loading during manual lifting

This study investigated the effects of ship motion on peak spinal loading during lifting. All measurements were done on a ship at sea. In 1-min trials, which were repeated over a wide range of sailing conditions, subjects lifted an 18 kg box five times. Ship motion, whole body kinematics, ground reaction forces and electromyography were measured and the effect of ship motion on peak spinal moments and compression forces was investigated. To investigate whether people time their lifts in order to reduce the effect of ship motion on back loading, trials were performed at a free and at a constrained (lifting every 10s) work pace. With increase of the (local) vertical ship acceleration, increased moments and compression forces were found. Furthermore, lifting at a free work pace did not result in smaller effects of ship motion on spinal moments and compression forces than working at a constrained work pace.     

Quantification of back motion during asymmetric lifting.

The objective of this study was to determine how trunk motion characteristics (in all three planes of the trunk) change as a free dynamic lifting task becomes more asymmetric. Trunk motion characteristics included range of motion, velocity (peak and average), and acceleration. Previous studies have shown that trunk motion characteristics affect trunk strength as well as the action of the trunk musculature. These trunk motion characteristics were quantified as a function of seven task asymmetries and three task weights. The experimental task required the subject to lift materials in positions commonly seen in the workplace. The range of motion, peak velocity, average velocity, and peak acceleration in each plane of the body were documented during the tasks. Generally, trunk motion characteristics in all three planes increased with an increase in task asymmetry. However, with an increase in task weight all the sagittal plane parameters and one transverse plane parameter decreased. Models were constructed to predict trunk motion characteristics given a task asymmetry and weight. When these motion components were compared to dynamic strength estimates from previous studies it was found that dynamic asymmetric lifts could reduce available strength up to 21% of maximum static strength. The results provide new insight into factors associated with the risk of developing low back disorders.     

A study of lifting tasks performed on laterally slanted ground surfaces

Lifting in most industrial environments is performed on a smooth, level ground surface. There are, however, many outdoor work environments (e.g. agriculture and construction) that require manual material handling activities on variable grade ground surfaces. Quantifying the biomechanical response while lifting under these conditions may provide insight into the aetiology of lifting-related injury. The aim of the current study was to quantify the effect of laterally slanted ground surfaces on the biomechanical response. Ten subjects performed both isometric weight-holding tasks and dynamic lifting exertions (both using a 40% of max load) while standing on a platform that was laterally tilted at 0, 10, 20 and 30 degrees from horizontal. As the subject performed the isometric exertions, the electromyographic (EMG) activity of trunk extensors and knee extensors were collected and during the dynamic lifting tasks the whole body kinematics were collected. The whole body kinematics data were used in a dynamic biomechanical model to calculate the time-dependent moment about L5/S1 and the time-dependent lateral forces acting on the body segments. The results of the isometric weight-holding task show a significant (p < 0.05) effect of slant angle on the normalized integrated EMG values in both the left (increase by 26%) and right (increase by 70%) trunk extensors, indicating a significant increase in the protective co-contraction response. The results of the dynamic lifting tasks revealed a consistent reduction in the peak dynamic L5/S1 moment (decreased by 9%) and an increase in the instability producing lateral forces (increased by 111%) with increasing slant angle. These results provide quantitative insight into the response of the human lifter under these adverse lifting conditions.     

The effect of floor slope on sub-maximal lifting capacity and technique

Inclined surfaces, where both the lifter and load are on the slope, may be encountered in a jobsite situation. The purpose of this study was to determine if facing up or down a sloped surface (10 degrees and 20 degrees ) would affect maximal acceptable weights of lift (MAWL) using a 10 min psychophysical approach with symmetric freestyle technique at 4 lifts/min. Seventeen healthy men and 18 women determined floor to knuckle height MAWL while facing uphill, downhill, and on a level surface. Motion capture was also performed to examine sagittal plane joint angles and foot placement relative to a milk crate. Slope did not alter MAWL (p>0.05) with the men lifting more than the women in every condition (p<0.001) (25 kg vs. 15 kg, respectively). Foot placement relative to the box was altered by slope such that both horizontal position behind and vertical position below the box increased as slope changed from the downhill to uphill conditions (both p<0.001). Forward torso lean as well as hip, knee, and ankle (plantar) flexion generally decreased as slope changed from the downhill to uphill conditions (all p<0.001). Torso and knee motion appeared to be protected compared to the other joints, changing the least. Though trends were the same in both sexes, interactions did exist in vertical foot position and hip angle (both p0.001). In conclusion, the body is highly adaptive to floor slope, maintaining MAWL at least in the short term. However, while slight technique differences exist between men and women, care should be taken by all when facing uphill due to the tendency to stand further from the load horizontally and when facing downhill due to increased torso lean.     

The effect of wearing high-heels and carrying a backpack on trunk biomechanics

Carrying a bag while wearing high-heels during daily life could potentially cause back pain. No study has investigated the combined effects of wearing a backpack and high-heels on trunk biomechanics from a system-level interaction viewpoint. Consequently, this study aimed to investigate the effects of high-heel height, backpack weight, and habituation in high-heels use on upper body biomechanics. Sixteen female study participants, all in their 20s, were divided into high-heel USER and NON-USER groups, and asked to carry a backpack with 0%, 5% and 10% of their body weight while either not wearing or wearing (0 cm and 9 cm) high-heels. Trunk kinematics and muscle activations were measured under the neutral standing posture while gazing straight ahead in experimental trials. First, the USERS tended to show hyper-lumbar lordosis when wearing high-heels, but the NON-USERS experienced lumbar kyphosis. In line with this, the USERS showed significantly greater recruitment of back muscles (35.5%), but the NON-USERS tended to recruit significantly more abdominal muscles (80%) to control their posture. Second, carrying a backpack sequentially induced posterior pelvic tilting, lumbar kyphosis, and forward head posture which is a stereotype posture of the hyper-kyphotic back and which suggests a system-level interaction from the lower extremity to the head. Third, the backpack weight eliminated the effect of wearing high-heels in the lumbar flexion angle, which may act as a counterbalance to pull the center of gravity (CoG) posteriorly.Relevance to industryCaution must be taken in the long-term use of high-heels and a backpack. Carrying a backpack weighing about 5% of the body weight is recommended to counterbalance the hyper-lordotic lumbar posture when wearing high-heels if unavoidable.     

A window moving inverse dynamics optimization for biomechanics of motion

The application of musculoskeletal models to estimate muscle and joint reaction forces usually requires optimization strategies, regardless of using inverse or forward dynamics approaches. Most studies combined inverse dynamics and Static Optimization (SO) to solve the redundant muscle force distribution problem. However, the SO does not allow the simulation of time-dependent physiological criteria or of the time-dependent physiological nature of muscles. The Extended Inverse Dynamics (EID), which solves all instants of time simultaneously, was proposed to overcome these limitations of the SO, but the feasibility of this procedure is limited by the size of the optimization problem that can be realistically considered. This work proposes a new method that overcomes the aforementioned limitations of the SO and EID, i.e., that is able to handle time-dependent physiological criteria and has no limitations on the size of the problem to be solved. The proposed procedure, named here Window Moving Inverse Dynamics Optimization (WMIDO), consists in considering a moving window with the size of \(k\) instants of time in which the muscle force distribution problem is solved. The window moves iteratively across all instants of time until the muscle force distribution problem has been solved. The SO, EID, and WMIDO are applied to solve an upper limb abduction in the frontal plane, for which results are widely available in the literature, to demonstrate that similar optimal solutions are obtained for a time-independent physiological criterion if the redundant problem is not too large. Although the WMIDO is not as efficient as the SO for the type of problem tested, it is significantly faster than the EID. Moreover, the WMIDO is able to solve the motion under analysis regardless of the discretization level considered, whereas the EID fails due to memory limitations. Overall, the results show the WMIDO as a viable alternative to the current optimization procedures based on inverse dynamics.     

The effect of feedback training on lumbosacral compression during simulated occupational lifting

This study measured the effect of a feedback training program on lumbar compression during simulated occupational lifting. Two distinct types of feedback were compared: real-time electromyographic feedback, vs. an acceleration index delivered verbally post-lift. Kinematic data were collected from 28 subjects during symmetrical sagittal plane lifts. Following a baseline session, two feedback training sessions were provided, with a 1-week interval between each session. A control group followed the same protocols, but without receiving feedback training. A post-training session, using protocols identical to the baseline session, was used to assess pre-to-post changes in the dependent variable: peak lumbosacral compression computed using a dynamic linked-segment model. All three groups showed reductions in peak compression from pre-to-post: on average the control group improved by 11.2%, the EMG group by 16.7%, and the acceleration group by 25.3%. The results revealed an interaction between the improvement and the group (p=0.023), and a difference between the improvement in the control group and that in the verbal acceleration feedback group (p<0.01). These reductions in lumbosacral compression persisted after a 7-day interval without feedback training, suggesting that this approach could provide sustained risk-reduction during manual materials handling.