Predictors of perceived effort in the shoulder during load transfer tasks

The mechanism of muscular effort perception in the shoulder was examined in this experiment. Two shoulder biomechanical models and experimental muscle activity data were used to assess physical exposure for a series of reaching tasks. Effort perception was quantitatively correlated to these measures of physical loading, both at the resultant torque (r(2) = 0.50) and muscle activity model-based muscle force predictions (MFPs): r(2) = 0.42, electromyography (EMG): r(2) = 0.26) levels. Muscle data did not explain variation in effort perception more fully than torque data. The inclusion of subject and task variables improved the ability of each model to explain variability in effort perception (torque: r(2) = 0.74; MFP: r(2) = 0.67, EMG: r(2) = 0.64). These results suggest that effort perception may not be fully explained by only an image of the motor command, but is rather a complex integrative quantity that is affected by other factors, such as posture and task goals, which may be dependent on sensory feedback.     

Spatial dependency of shoulder muscle demands in horizontal pushing and pulling

Pushing and pulling account for nearly half of all manual material handling tasks. The purpose of this investigation was to develop a 3-D spatial muscle activity map for the right upper extremity during pushing and pulling tasks. Nineteen males performed 140 ramped directional hand exertions (70 push; 70 pull) at locations along three axes aligned with the anatomical planes. Electromyography (EMG) of 14 sites on the right upper extremity was recorded. Two directional 3-way repeated measures ANOVAs assessed the influence of hand position on EMG. Hand position and exertion direction influenced total and individual muscle demand. During pulling exertions, all three hand location parameters influenced total muscle activity (p < 0.001) and similarly in pushing exertions (p < 0.002), though less pronounced than in pulling. Data were used to create equations to predict the muscle activity of untested hand locations for novel work design scenarios.     

An electromyographic analysis of seated and standing lifting tasks.

The objective of this project was to compare the muscular effort exerted during manual lifting tasks performed in standing versus seated posture. Six male undergraduate and graduate students performed 12 different static and dynamic lifts in both sitting and standing positions. During each effort electromyographic (EMG) data were collected on four muscles groups (low back, upper back, shoulder, and abdominals). Four contractions were designed to elicit maximum muscular effort in the four groups being monitored. The remaining data were then expressed as a percentage of maximum EMG. Each subject performed the following: maximum static lift when sitting; maximum static lift when standing; sitting, static lift with 15.9 kg; standing, static lift with 15.9 kg; dynamic sit-forward lift with 15.9 kg, dynamic stand-forward lift with 15.9 kg, dynamic sit-twist with 15.9 kg, dynamic stand-vertical lift with 15.9 kg. Each of the lifts was performed with a wooden tray with slotted handles. Root mean square (RMS) values of the EMG data were calculated for three second periods. EMG activity in the low back, upper back, and shoulder was greater during sitting lifting than during standing lifting. The sit-twist lift resulted in the highest EMG in the abdominal muscles. Dynamic lifts resulted in more muscle activity than did static lifts. From these data it was concluded that sitting-lifting results in greater stress in the low back, upper back, and shoulders than does lifting while standing.     

Interface stability influences torso muscle recruitment and spinal load during pushing tasks

Handle or interface design can influence torso muscle recruitment and spinal load during pushing tasks. The objective of the study was to provide insight into the role of interface stability with regard to torso muscle recruitment and biomechanical loads on the spine. Fourteen subjects generated voluntary isometric trunk flexion force against a rigid interface and similar flexion exertions against an unstable interface, which simulated handle design in a cart pushing task. Normalized electromyographic (EMG) activity in the rectus abdominus, external oblique and internal oblique muscles increased with exertion effort. When using the unstable interface, EMG activity in the internal and external oblique muscle groups was greater than when using the rigid interface. Results agreed with trends from a biomechanical model implemented to predict the muscle activation necessary to generate isometric pushing forces and maintain spinal stability when using the two different interface designs. The co-contraction contributed to increased spinal load when using the unstable interface. It was concluded that handle or interface design and stability may influence spinal load and associated risk of musculoskeletal injury during manual materials tasks that involve pushing exertions.     

Interface stability influences torso muscle recruitment and spinal load during pushing tasks

Handle or interface design can influence torso muscle recruitment and spinal load during pushing tasks. The objective of the study was to provide insight into the role of interface stability with regard to torso muscle recruitment and biomechanical loads on the spine. Fourteen subjects generated voluntary isometric trunk flexion force against a rigid interface and similar flexion exertions against an unstable interface, which simulated handle design in a cart pushing task. Normalized electromyographic (EMG) activity in the rectus abdominus, external oblique and internal oblique muscles increased with exertion effort. When using the unstable interface, EMG activity in the internal and external oblique muscle groups was greater than when using the rigid interface. Results agreed with trends from a biomechanical model implemented to predict the muscle activation necessary to generate isometric pushing forces and maintain spinal stability when using the two different interface designs. The co-contraction contributed to increased spinal load when using the unstable interface. It was concluded that handle or interface design and stability may influence spinal load and associated risk of musculoskeletal injury during manual materials tasks that involve pushing exertions.     

An electromyographic analysis of seated and standing lifting tasks

The objective of this project was to compare the muscular effort exerted during manual lifting tasks performed in standing versus seated posture. Six male undergraduate and graduate students performed 12 different static and dynamic lifts in both sitting and standing positions. During each effort electromyographic (EMG) data were collected on four muscles groups (low back, upper back, shoulder, and abdominals). Four contractions were designed to elicit maximum muscular effort in the four groups being monitored. The remaining data were then expressed as a percentage of maximum EMG. Each subject performed the following: maximum static lift when sitting; maximum static lift when standing; sitting, static lift with 15·9 kg; standing, static lift with 15·9 kg; dynamic sit-forward lift with 15·9 kg, dynamic stand-forward lift with 15·9 kg, dynamic sit-twist with 15·9 kg, dynamic stand-vertical lift with 15·9 kg. Each of the lifts was performed with a wooden tray with slotted handles. Root mean square (RMS) values of the EMG data were calculated for three second periods. EMG activity in the low back, upper back, and shoulder was greater during sitting lifting than during standing lifting. The sit-twist lift resulted in the highest EMG in the abdominal muscles. Dynamic lifts resulted in more muscle activity than did static lifts. From these data it was concluded that sitting-lifting results in greater stress in the low back, upper back, and shoulders than does lifting while standing.     

Trapezius muscle motor unit activity in symptomatic participants during finger tapping using properly and improperly adjusted desks

Work-related musculoskeletal disorders in the neck-shoulder area and upper extremities are common among computer users, especially women. We compared temporal changes of motor unit (MU) activation in the trapezius muscle during finger tapping using both appropriate and inappropriate ergonomic desk adjustments. Sixteen intensive and nonintensive computer users with either moderate or severe musculoskeletal disorders participated in the study. Six-channel intramuscular electromyographic (EMG) signals and 2-channel surface EMG were recorded from 2 positions of the trapezius muscle. A statistically significant increase in activity was observed with a desk adjusted 5 cm higher than appropriate and was attributable mainly to increased duration of MU activity. Participants with severe symptoms activated more MUs, and these were also active longer. In women, on average, MUs were active nearly twice as long as in men during the same tapping task. This study demonstrates that it is possible to evaluate ergonomic topics on the MU level and that incorrectly adjusted office equipment, in addition to motor demands imposed by the work task, results in prolonged activity of MUs. A potential application of this research is an increased awareness that certain individuals who work with incorrectly adjusted office equipment may be at greater risk of developing work-related musculoskeletal disorders.     

An electromyography study in three high risk poultry processing jobs

This paper presents the results of a muscle load study of poultry processing operators performing three different jobs: basket packing, cutting/packing and trimming. Eighteen operators participated in this study. Surface electromyography (EMG) was recorded from bilateral upper trapezius, right forearm flexor and extensor muscles during the job performance. Results showed high muscle loads of the forearm flexor and extensor muscles for the operators conducting all three jobs. The static loading for both trapezius muscles was low (<1% MVC). However, the peak load could be up to 24% MVC on the upper trapezius muscles in some individuals. The job of cutter/packer had significantly higher trapezius loads, while trimmer operators had significantly higher peak forearm flexor and median extensor loads than the other jobs. Lack of ergonomic consideration of workstation designs may be one of the reasons causing the high trapezius loads for some of the cutting/packing operators and basket packers. Repetitive pinching operations and the frequent use of knives in cutting may be a major contributing factors causing high forearm muscle loads. An efficient knife sharpening program or alternative cutting methods (mechanical knives or scissors), modified processing procedures in order to reduce the pinching effort, and properly adjusted workstation may be able to improve the muscle loading conditions for the high risk poultry processing jobs.

Relevance to industry

Detailed quantitative information on the muscle loading of poultry processing operators provides insight to the risk factors causing musculoskeletal disorders and may be used to help evaluate ergonomic intervention measures for reducing these risk factors.     

Alternative computer mouse design and testing to reduce finger extensor muscle activity during mouse use

OBJECTIVE: The purpose of this study was to design and test alternative computer mouse designs that attempted to reduce extensor muscle loading of the index and middle fingers by altering the orientation of the button switch direction and the force of the switch. BACKGROUND: Computer users of two-button mouse designs exhibit sustained lifted finger behaviors above the buttons, which may contribute to hand and forearm musculoskeletal pain associated with intensive mouse use. METHODS: In a repeated-measures laboratory experiment, 20 participants completed point-and-click, steering, and drag tasks with four alternative mouse designs and a reference mouse. Intramuscular and surface electromyography (EMG) measured muscle loading, and movement times recorded by software provided a measure of performance. RESULTS: Changing the direction of the switch from a conventional downward to a forward design reduced (up to 2.5% maximum voluntary contraction [MVC]) sustained muscle activity (10th percentile EMG amplitude distribution) in the finger extensors but increased (up to 0.6% MVC) flexor EMG and increased movement times (up to 31%) compared with the reference mouse (p < .001). Implementing a high switch force design also increased flexor EMG but did not differ in movement times compared with the reference mouse (p < .001). CONCLUSION: The alternative mouse designs with altered switch direction reduced sustained extensor muscle loading; however, trade-offs with higher flexor muscle loading and lower performance existed. APPLICATION: Potential applications of this study include ergonomic and human computer interface design strategies in reducing the exposure to risk factors that may lead to upper extremity musculoskeletal disorders.     

Placement of forearm surface EMG electrodes in the assessment of hand loading in manual tasks

Surface electromyography (EMG) is commonly used to study the loading of the forearm. Pro-supination movements cause surface electrodes to move in relation to the underlying muscles. We studied the effects of different electrode locations and forearm postures on the association between the EMG signals and external hand load in a laboratory experiment. Eleven subjects performed simulated work tasks with the forearm in neutral, pronated or supinated postures and with systematic variation of external load. The tasks included isometric gripping, pushing and pulling, and lifting and lowering weights. Surface EMG was recorded by six pairs of electrodes located on the forearm. The associations were studied using multiple regression models. EMG activity varied according to the forearm posture, location of electrodes and type of simulated task. Variation was lowest with a through-forearm setting of electrodes. This setting also showed the highest correlation between external loads and the EMG activity [coefficient of determination (R ²) = 0.25–0.66].

Practitioner Summary: Moving of surface electrodes in relation to the underlying muscles interferes with the assessment of loading in ergonomic settings. This laboratory experiment showed that a through-forearm location of electrodes seems to be an optimal option in the assessment of forearm loading.     

Predictors of perceived effort in the shoulder during load transfer tasks

The mechanism of muscular effort perception in the shoulder was examined in this experiment. Two shoulder biomechanical models and experimental muscle activity data were used to assess physical exposure for a series of reaching tasks. Effort perception was quantitatively correlated to these measures of physical loading, both at the resultant torque (r² = 0.50) and muscle activity model-based muscle force predictions (MFPs): r² = 0.42, electromyography (EMG): r² = 0.26) levels. Muscle data did not explain variation in effort perception more fully than torque data. The inclusion of subject and task variables improved the ability of each model to explain variability in effort perception (torque: r² = 0.74; MFP: r² = 0.67, EMG: r² = 0.64). These results suggest that effort perception may not be fully explained by only an image of the motor command, but is rather a complex integrative quantity that is affected by other factors, such as posture and task goals, which may be dependent on sensory feedback.     

Stress-induced muscle effort as a cause of repetitive strain injury?

The influence of stress-induced muscle effort during computer utilization was tested in patients with repetitive strain injury (RSI). Twenty academic researchers with a formal medical diagnosis of RSI and 20 matched controls, randomly selected from a sample of 71 colleagues with and without RSI, typed after stress (induced via an intelligence/skill task under social pressure) and after relaxation. Results indicated that both groups had more electromyography (EMG) activity in the shoulder muscles during typing after stress than after relaxation, but that patients started with higher baseline muscle activity. Furthermore, EMG activity of different muscle groups during typing after stress correlated among controls, but not among patients. Finally, analysis of intake forms showed that patients scored higher than controls on neuroticism and alexithymia, but not on extraversion, openness, agreeableness and conscientiousness. It was concluded that deviations in muscle activity during computer utilization, as well as neuroticism and alexithymia, may be risk factors for RSI.     

Stress-induced muscle effort as a cause of repetitive strain injury?

The influence of stress-induced muscle effort during computer utilization was tested in patients with repetitive strain injury (RSI). Twenty academic researchers with a formal medical diagnosis of RSI and 20 matched controls, randomly selected from a sample of 71 colleagues with and without RSI, typed after stress (induced via an intelligence/skill task under social pressure) and after relaxation. Results indicated that both groups had more electromyography (EMG) activity in the shoulder muscles during typing after stress than after relaxation, but that patients started with higher baseline muscle activity. Furthermore, EMG activity of different muscle groups during typing after stress correlated among controls, but not among patients. Finally, analysis of intake forms showed that patients scored higher than controls on neuroticism and alexithymia, but not on extraversion, openness, agreeableness and conscientiousness. It was concluded that deviations in muscle activity during computer utilization, as well as neuroticism and alexithymia, may be risk factors for RSI.     

Electromyography as an aid in the prevention of excessive shoulder strain

Disorders in the musculo-skeletal system constitute the most common reasons for lowered working capacity and sick-leave in the engineering industry. The symptoms are often located in the neck-shoulder-arm and are greatly influenced by unfavourable muscle loads. A method for the routine study of muscular activity has been developed and tested for the purpose of reducing the risk of such work-related disorders. This method is based on the application of an electromyographic (EMG) technique and is primarily intended to facilitate the ergonomic assessment and the selection of alternative work postures. The tests performed confirm that EMG studies, in a simplified version for the shop-floor, may constitute a valuable aid for an objective analysis. They demonstrate that the EMG equipment used offers good possibilities to detect differences in muscle load in different work postures and that it meets the requirements for rapid presentation of the measured values, a simple analysis procedure, use on the shop-floor and simple handling.     

An ergonomic evaluation of manual Cleco plier designs: effects of rubber grip, spring recoil, and worksurface angle

The present study evaluated two design modifications (rubber grip and torsion spring) to the conventional manual Cleco pliers by electromyography (EMG), hand discomfort, and design satisfaction. This study also surveyed workers' satisfaction with selected design features of the pliers for ergonomic improvement. A two-way (plier design x worksurface angle) within-subject (nested within gender and hand size) design was employed. Eleven workers simulated the plier task in an adjustable workstation for different plier designs and worksurface angles (0 degrees , 60 degrees , and 90 degrees ). Lower EMG values were obtained for the pliers with rubber grip and at 60 degrees of worksurface angle. EMG values varied significantly between the participants, but showed low correlations (Spearman's rank correlation = -0.27 approximately -0.58) with their work experience with the pliers. The hand discomfort and design satisfaction evaluations identified that the grip span (max = 14.0 cm) and grip force requirement (peak = 220.5 N) of the current pliers need ergonomic modification. The present study shows the needs of both the ergonomic design of a hand tool and the training of a proper work method to control work-related musculoskeletal disorders at the workplace.     

Work load and fatigue in repetitive arm elevations

Six females performed continuous series of concentric and eccentric flexions in the shoulder between 0 and 90 degrees with 0 to 3.1 kg weights held in a powergrip. Heart rate (H R), perceived exertion (RPE) and myoelectric activity (EMG) from the descending part of the trapezius muscle, the anterior part of the deltoid muscle, and the biceps brachii were measured during the tasks. The increase of RPE was faster than the increase of HR with work load indicating an increased importance of local factors (i.e. strain on muscles and tendons) with load in the perceived exertion. The local muscular load determined by EMG on the trapezius muscle was closely correlated with the external torque produced in the glenohumeral joint. The time constants of EMG amplitude increase were correlated with work load, endurance time and with slope coefficients of RPE-HR linear regression. Symptoms and complaints 24 hours after the task were often localized to the descending part of the trapezius muscle. It is suggested that exertion of the descending part of the trapezius muscle in tasks involving repetitive shoulder flexion may promote discomfort and complaints referred to the neck.     

Muscular fatigue measurements for push‐down tasks in ground demolitions

Demolition hammering tasks are physically demanding tasks that could cause muscle fatigue and musculoskeletal disorders. Electromyography (EMG) data have been adopted to assess levels of muscular activity and onset of muscular fatigue for both industrial tasks and physical activities. An experiment simulating a manual demolition task on the ground was performed on 23 healthy male participants. The objectives were to test the hypotheses that the handle height and the force applied to affect the EMG amplitude, the increase of the EMG amplitude, and the decline of the mean power frequency (MPF) of the EMG for performing the tasks. This study also aimed at finding the most fatigued muscles which dominate the end of the sustained push‐down tasks in ground demolitions. The results showed that the EMG amplitude required to perform the tasks was significantly affected by the handle height and force applied. Significant increases in EMG amplitude and decreases in MPF were found. Bicep brachii, tricep brachii, and pectoralis major muscles were the most fatigued muscles that dominated the termination of the tasks. Pushing with body leaning forward to utilize partial body weight was less fatiguing than the other two postures. Elbow flexion is undesirable and should be avoided when performing such tasks.     

Effects of antagonistic co-contraction on differences between electromyography based and optimization based estimates of spinal forces

Estimates of spinal forces are quite sensitive to model assumptions, especially regarding antagonistic co-contraction. Optimization based models predict co-contraction to be absent, while electromyography (EMG) based models take co-contraction into account, but usually assume equal activation of deep and superficial parts of a muscle. The aim of the present study was to compare EMG based and optimization based estimates of spinal forces in a wide range of work tasks. Data obtained from ten subjects performing a total of 28 tasks were analysed with an EMG driven model and three optimization models, which were specifically designed to test the effects of the above assumptions. Estimates of peak spinal forces obtained using the different modelling approaches were similar for total muscle force and its compression component (on average EMG based predictions were 5% higher) and were closely related (R >?0.92), while differences in predictions of the peak shear component of muscle force were more substantial (with up to 39% lower estimates in optimization based models, R >?0.79). The results show that neither neglecting antagonistic co-contraction, nor assuming equal activation of deep and superficial muscles, has a major effect on estimates of spinal forces. The disparity between shear force predictions was due to an overestimation of activity of the lateral part of the internal oblique muscle by the optimization models, which is explained by the cost function preferentially recruiting larger muscles. This suggests that a penalty for active muscle mass should be included in the cost function used for predicting trunk muscle recruitment.     

Effects of antagonistic co-contraction on differences between electromyography based and optimization based estimates of spinal forces

Estimates of spinal forces are quite sensitive to model assumptions, especially regarding antagonistic co-contraction. Optimization based models predict co-contraction to be absent, while electromyography (EMG) based models take co-contraction into account, but usually assume equal activation of deep and superficial parts of a muscle. The aim of the present study was to compare EMG based and optimization based estimates of spinal forces in a wide range of work tasks. Data obtained from ten subjects performing a total of 28 tasks were analysed with an EMG driven model and three optimization models, which were specifically designed to test the effects of the above assumptions. Estimates of peak spinal forces obtained using the different modelling approaches were similar for total muscle force and its compression component (on average EMG based predictions were 5% higher) and were closely related (R > 0.92), while differences in predictions of the peak shear component of muscle force were more substantial (with up to 39% lower estimates in optimization based models, R > 0.79). The results show that neither neglecting antagonistic co-contraction, nor assuming equal activation of deep and superficial muscles, has a major effect on estimates of spinal forces. The disparity between shear force predictions was due to an overestimation of activity of the lateral part of the internal oblique muscle by the optimization models, which is explained by the cost function preferentially recruiting larger muscles. This suggests that a penalty for active muscle mass should be included in the cost function used for predicting trunk muscle recruitment.