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.     

Effects of work experience on work methods during dynamic pushing and pulling

Pushing and pulling are potential risk factors for work-related low back disorders (WRLBDs). While several studies have evaluated differences in work methods related to work experience, such evidence for dynamic pushing and pulling is limited. Eight novices and eight experienced workers completed dynamic push/pull tasks using a cart weighted to 250% of individual body mass in two different configurations (preferred vs. elbow handle heights). Multiple measures [hand forces, torso kinematics and kinetics, and required coefficient of friction (RCOF)] were obtained to assess WRLBD and slip risks. Experienced workers generated higher medio-lateral hand forces, during both pulls and pushes, though with a more substantial difference during pushes (∼74%), and which involved the use of hand force components other than to move the cart in an anterior-posterior direction. Experienced workers also had lower peak torso kinematics in flexion/extension and lateral bending, and lower torso flexion/extension kinetics. The latter is suggestive of a lower risk for WRLBDs, though levels of exposures to WRLBD risk were low to moderate in both groups and were often relatively small and inconsistent across the task configurations. Group-level differences in RCOF were quite small, indicating a comparable slip risk between the two groups. Thus, it was considered inconclusive whether the work methods used by experienced workers during dynamic pushing and pulling are advantageous regarding WRLBD and slip risks.     

Biomechanical analysis of materials handling manipulators in short distance transfers of moderate mass objects: joint strength, spine forces and muscular antagonism

Although often suggested as a control measure to alleviate musculoskeletal stresses, the use of mechanical assistance devices (i.e. manipulators) in load transfers has not been extensively studied. Without data describing the biomechanical effects of such devices, justification for decisions regarding implementation of such tools is difficult. An experimental study of two types of mechanical manipulators (articulated arm and overhead hoist) was conducted to determine whether biomechanical stresses, and hence injury risk, would be alleviated. Short distance transfers of loads with moderate mass were performed both manually and with manipulator assistance under a variety of task conditions. Using analysis and output from new dynamic torso models, strength demands at the shoulders and low back, lumbar spine forces, and lumbar muscle antagonism were determined. Strength requirements decreased significantly at both the shoulders and low back when using either manipulator in comparison with similar transfers performed manually. Peak spine compression and anterior-posterior (a-p) shear forces were reduced by about 40% on average, and these reductions were shown to be primarily caused by decreases in hand forces and resultant spinal moments. Two metrics of muscular antagonism were defined, and analysis showed that torso muscle antagonism was largest overall when using the hoist. The results overall suggest that hoist-assisted transfers, although better in reducing spine compression forces, may impose relatively higher demands on coordination and/or stability at extreme heights or with torso twisting motions. The relatively higher strength requirements and spine compression associated with the articulated arm may be a result of the high inertia of the system. Potential benefits of practice and training are discussed, and conclusions regarding implementation of mechanical manipulators are given.     

Muscle- and task-dependent responses to concurrent physical and mental workload during intermittent static work

Many workers experience combined physical and mental demands in their jobs, yet the contribution of these demands to the development of musculoskeletal disorders is unclear. The purpose of this study was to investigate muscle- and task-dependent responses to concurrent demands during intermittent static work. Twenty-four participants performed shoulder, wrist, and torso exertions at three levels of physical workload (PWL) in the absence (control) and presence (concurrent) of a mental arithmetic task. Compared to the control, concurrent demand conditions resulted in decreased muscle activity (4–9% decrease), increased cardiovascular load (2–4% increase), and impaired motor co-ordination (9–24% increase in force fluctuation). Furthermore, these outcomes were more prominent at higher PWL levels and within postural (shoulder and torso) muscles. Mental task performance exhibited greater interference with the physical task at low and high PWL levels. Thus, it may be important to consider these muscle- and task-specific interactions of concurrent demands during job design to address worker health and performance issues.

Practitioner Summary: Occupational tasks place both physical and mental demands on workers. These demands can adversely affect physiological responses and performance, and are muscle- and task-dependent. Findings from this research may facilitate the development of ergonomics interventions, such as task redesign and tool/workstation design, that may help reduce risk of workplace injuries.     

Three-dimensional spinal motion and risk of low back injury during sheep shearing

Sheep shearers are known to work in sustained flexed postures and have a high prevalence of low back pain (LBP). As sustained posture and spinal movement asymmetry under substantial loads are known risk factors for back injury our aim was to describe the 3D spinal movement of shearers while working. We hypothesised that thoraco-lumbar and lumbo-sacral movement would be tri-axial, asymmetric, and task specific. Sufficient retro-reflective markers were placed on the trunk of 12 shearers to define thoraco-lumbar and lumbo-sacral 3D motion during three tasks. Thoraco-lumbar movement consistently involved flexion, left lateral flexion, and right rotation. Lumbo-sacral movement consistently involved right lateral flexion in flexion with minimal rotation. Shearers therefore work in sustained spinal flexion where concurrent, asymmetric spinal movements into both lateral flexion and rotation occur. These asymmetric movements combined with repetitive loading may be risk factors leading to the high incidence of LBP in this occupational group.     

Biomechanical analysis of materials handling manipulators in short distance transfers of moderate mass objects: joint strength,spine forces and muscular antagonism

Although often suggested as a control measure to alleviate musculoskeletal stresses, the use of mechanical assistance devices (i.e. manipulators) in load transfers has not been extensively studied. Without data describing the biomechanical effects of such devices, justification for decisions regarding implementation of such tools is difficult. An experimental study of two types of mechanical manipulators (articulated arm and overhead hoist) was conducted to determine whether biomechanical stresses, and hence injury risk, would be alleviated. Short distance transfers of loads with moderate mass were performed both manually and with manipulator assistance under a variety of task conditions. Using analysis and output from new dynamic torso models, strength demands at the shoulders and low back, lumbar spine forces, and lumbar muscle antagonism were determined. Strength requirements decreased significantly at both the shoulders and low back when using either manipulator in comparison with similar transfers performed manually. Peak spine compression and anteriorposterior (a-p) shear forces were reduced by about 40% on average, and these reductions were shown to be primarily caused by decreases in hand forces and resultant spinal moments. Two metrics of muscular antagonism were defined, and analysis showed that torso muscle antagonism was largest overall when using the hoist. The results overall suggest that hoist-assisted transfers, although better in reducing spine compression forces, may impose relatively higher demands on coordination and/or stability at extreme heights or with torso twisting motions. The relatively higher strength requirements and spine compression associated with the articulated arm may be a result of the high inertia of the system. Potential benefits of practice and training are discussed, and conclusions regarding implementation of mechanical manipulators are given.     

Effects of prolonged load carriage on ground reaction forces, lower limb kinematics and spatio-temporal parameters in female recreational hikers

The effect of load carriage on female recreational hikers has received little attention. This study collected lower limb sagittal plane kinematic, spatio-temporal and ground reaction force (GRF) data from 15 female hikers carrying four loads (0%, 20%, 30% and 40% body weight (BW)) over 8 km. Increasing load resulted in a proportional increase in GRF up to 30% BW, increased stance time, and greater mediolateral impulse with 30% and 40% BW. Also seen were decreased velocity and cadence and increased double support and knee flexion when carrying load compared to no load. Increased distance resulted in increased knee flexion and ankle plantar flexion at initial foot-ground contact. It was concluded that, as load mass and distance increased, female hikers modified their gait to attenuate the lower limb impact forces. When carrying 30% and 40% BW loads, however, the changes aimed at attenuating the higher GRF may result in a less stable gait. PRACTITIONER SUMMARY: Limited research has investigated the biomechanical responses of female recreational hikers to prolonged load carriage. This study provides a better understanding of the effects of increasing load on lower limb kinematics, spatio-temporal parameters and the GRF generated by female hikers during prolonged load carriage. The results have implications for the development of load carriage guidelines to minimise the risk of injury to females who carry backpacks and to improve performance for this population.     

The effect of fatigue on trunk muscle activation patterns and spine postures during simulated firefighting tasks

The purpose of this study was to determine the effect of a fatiguing task (3 min intense stair climbing) on the adopted spinal postures and trunk muscular activation patterns during three highly physically demanding simulated firefighting tasks. Following the fatigue protocol, it was observed that individuals adopted significantly greater spinal flexion (16.3° maximum prior to fatigue as compared to 20.1° post fatigue) and displayed reduced abdominal muscle activation as compared to before the fatigue protocol (mean ranging from 16.6% maximum voluntary contraction (MVC) to 30.6% MVC prior to fatigue as compared to ranging from 14.6% MVC to 25.2% MVC post fatigue). The reduced abdominal activation may be due to a reduction in co-contraction during these tasks, which may compromise spinal stability. Reduced co-contraction combined with the increased spinal flexion may increase the risk of sustaining an injury to the low back.     

The effect of fatigue on trunk muscle activation patterns and spine postures during simulated firefighting tasks

The purpose of this study was to determine the effect of a fatiguing task (3 min intense stair climbing) on the adopted spinal postures and trunk muscular activation patterns during three highly physically demanding simulated firefighting tasks. Following the fatigue protocol, it was observed that individuals adopted significantly greater spinal flexion (16.3 degrees maximum prior to fatigue as compared to 20.1 degrees post fatigue) and displayed reduced abdominal muscle activation as compared to before the fatigue protocol (mean ranging from 16.6% maximum voluntary contraction (MVC) to 30.6% MVC prior to fatigue as compared to ranging from 14.6% MVC to 25.2% MVC post fatigue). The reduced abdominal activation may be due to a reduction in co-contraction during these tasks, which may compromise spinal stability. Reduced co-contraction combined with the increased spinal flexion may increase the risk of sustaining an injury to the low back.     

Active trunk stiffness during voluntary isometric flexion and extension exertions

OBJECTIVE: Compare muscle activity and trunk stiffness during isometric trunk flexion and extension exertions. BACKGROUND: Elastic stiffness of the torso musculature is considered the primary stabilizing mechanism of the spine. Therefore, stiffness of the trunk during voluntary exertions provides insight into the stabilizing control of pushing and pulling tasks. METHODS: Twelve participants maintained an upright posture against external flexion and extension loads applied to the trunk. Trunk stiffness, damping, and mass were determined from the dynamic relation between pseudorandom force disturbances and subsequent small-amplitude trunk movements recorded during the voluntary exertions. Muscle activity was recorded from rectus abdominus, external oblique, lumbar paraspinal, and internal oblique muscle groups. RESULTS: Normalized electromyographic activity indicated greater antagonistic muscle recruitment during flexion exertions than during extension. Trunk stiffness was significantly greater during flexion exertions than during extension exertions despite similar levels of applied force. Trunk stiffness increased with exertion effort. CONCLUSION: Theoretical and empirical analyses reveal that greater antagonistic cocontraction is required to maintain spinal stability during trunk flexion exertions than during extension exertions. Measured differences in active trunk stiffness were attributed to antagonistic activity during flexion exertions with possible contributions from spinal kinematics and muscle lines of action. APPLICATION: When compared with trunk extension exertions, trunk flexion exertions such as pushing tasks require unique neuromuscular control that is not simply explained by differences in exertion direction. Biomechanical analyses of flexion tasks must consider the stabilizing muscle recruitment patterns when evaluating spinal compression and shear loads.     

A biomechanical analysis of anterior load carriage

Front load carriage is a common occupational task in some industries (e.g. agriculture, construction), but, as compared to lifting tasks, relatively little research has been conducted on the biomechanical loading during these activities. The focus of this study was to explore the low back biomechanics during these activities and, specifically, to examine the effects of load height and walking speed on trunk muscle activity and trunk posture. Eleven male participants participated in two separate front load-carriage experiments. The first experiment called for carrying a barbell (with weight corresponding to 20% of elbow flexion strength) at three heights (knuckle height, elbow height and shoulder height) at a constant horizontal distance from the spine. The second experiment called for participants to carry a bucket of potatoes weighing 14 kg at the same three heights, but with no further restrictions in technique. In both experiments, the participants performed this task while either standing still or walking at a self-selected speed. As they performed these tasks, the activity levels of the right-side muscle of the rectus abdominis, external oblique, biceps brachii, anterior deltoid and three levels (T9, T12 and L3) of the erector spinae were sampled. Mid-sagittal plane trunk posture was also quantified using three magnetic field-based motion sensors at T9, T12 and L3. The results showed a significant effect of both walking speed and load height on trunk posture and trunk muscle activity levels in both the barbell and bucket experiments. In the barbell experiment, the walking trials generated 43% more trunk muscle activity than the standing trials. Trials at shoulder height produced 11% more muscle activity than trials at elbow height in the T9 erector spinae muscles and 71% more muscle activity in the anterior deltoid. In the bucket experiment, trunk muscle activity responded in a similar fashion, but the key result here was the quantification of the natural hyperextension posture of the spine used to balance the bucket of potatoes. These results provide insight into muscle activation patterns in dynamic settings, especially (load) carrying biomechanics, and have implications in industrial settings that require workers to carry loads in front of their bodies.     

A study by EMG stick diagrams of the muscular activities in the trunk flexion and extension movement

The activity of the leg and abdominal muscles in trunk flexion and extension was investigated with reference to the sudden decreases and increases of the erectores spinae activity. The movement was performed under conditions with and without an additional load, and with and without fatigue. Surface EMGs were recorded from the erectores spinae, the gluteus maximus, the semitendinosus, the rectus abdominis and the external oblique. The pattern of activity was analysed using EMG stick diagrams. Under the condition without fatigue, the semitendinosus activity increased during the sudden changes of the erectores spinae activity, but the abdominal muscles were not activated during the movement. However, the rectus abdominis was activated whenever the semitendinosus activity did not increase during the changes of the erectores spinae activity. Under the condition of fatigue, the leg muscle was vigorously active during the movement, and the abdominal muscles were activated before and after the erectores spinae activity changed suddenly. The results suggest that the leg muscle plays some important part during the sudden changes of the erectores spinae activity.     

A biomechanical analysis of anterior load carriage

Front load carriage is a common occupational task in some industries (e.g. agriculture, construction), but, as compared to lifting tasks, relatively little research has been conducted on the biomechanical loading during these activities. The focus of this study was to explore the low back biomechanics during these activities and, specifically, to examine the effects of load height and walking speed on trunk muscle activity and trunk posture. Eleven male participants participated in two separate front load-carriage experiments. The first experiment called for carrying a barbell (with weight corresponding to 20% of elbow flexion strength) at three heights (knuckle height, elbow height and shoulder height) at a constant horizontal distance from the spine. The second experiment called for participants to carry a bucket of potatoes weighing 14 kg at the same three heights, but with no further restrictions in technique. In both experiments, the participants performed this task while either standing still or walking at a self-selected speed. As they performed these tasks, the activity levels of the right-side muscle of the rectus abdominis, external oblique, biceps brachii, anterior deltoid and three levels (T9, T12 and L3) of the erector spinae were sampled. Mid-sagittal plane trunk posture was also quantified using three magnetic field-based motion sensors at T9, T12 and L3. The results showed a significant effect of both walking speed and load height on trunk posture and trunk muscle activity levels in both the barbell and bucket experiments. In the barbell experiment, the walking trials generated 43% more trunk muscle activity than the standing trials. Trials at shoulder height produced 11% more muscle activity than trials at elbow height in the T9 erector spinae muscles and 71% more muscle activity in the anterior deltoid. In the bucket experiment, trunk muscle activity responded in a similar fashion, but the key result here was the quantification of the natural hyperextension posture of the spine used to balance the bucket of potatoes. These results provide insight into muscle activation patterns in dynamic settings, especially (load) carrying biomechanics, and have implications in industrial settings that require workers to carry loads in front of their bodies.     

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.     

Lumbar posture and trunk muscle activation during a typing task when sitting on a novel dynamic ergonomic chair

Low back pain (LBP) is a common musculoskeletal disorder and prolonged sitting often aggravates LBP. A novel dynamic ergonomic chair (‘Back App’), which facilitates less hip flexion while sitting on an unstable base has been developed. This study compared lumbar posture and trunk muscle activation on this novel chair with a standard backless office chair. Twelve painfree participants completed a typing task on both chairs. Lumbar posture and trunk muscle activation were collected simultaneously and were analysed using paired t-tests. Sitting on the novel dynamic chair significantly (p < 0.05) reduced both lumbar flexion and the activation of one back muscle (Iliocostalis Lumborum pars Thoracis). The discomfort experienced was mild and was similar (p > 0.05) between chairs. Maintaining lordosis with less muscle activation during prolonged sitting could reduce the fatigue associated with upright sitting postures. Studies with longer sitting durations, and in people with LBP, are required.

Practitioner Summary: Sitting on a novel dynamic chair resulted in less lumbar flexion and less back muscle activation than sitting on a standard backless office chair during a typing task among pain-free participants. Facilitating lordotic sitting with less muscle activation may reduce the fatigue and discomfort often associated with lordotic sitting postures.     

Effects of work experience on fatigue-induced biomechanical changes during repetitive asymmetric lifts/lowers

Repetitive lifting/lowering is associated with an increased risk of work-related low back disorders (WRLBDs), and fatigue may exacerbate such risk. Work methods used by experienced workers are potential models for developing worker training to reduce WRLBDs, though whether experience modifies the effects of fatigue on WRLBD risk is largely unknown. Here, six novices and six experienced workers completed 185 cycles of repetitive, asymmetric lifts/lowers. Physical demands, whole-body balance and torso movement stability were assessed using torso kinematics/kinetics, linear/angular momenta and Lyapunov exponents, respectively. Several fatigue-induced changes in movement strategies were evident. Novices decreased and experienced workers increased peak lumbar moments post-fatigue, suggesting lower WRLBD risks among the former in terms of torso kinetics. Other than lumbar moments, though, fatigue substantially reduced group-level differences in torso twisting velocities and accelerations. Post-fatigue movement strategies of experienced workers thus did not appear to be advantageous in terms of WRLBD risk.

Practitioner Summary: Fatigue induced changes in movement strategies during a repetitive, asymmetric lifting/lowering task. Novices and experienced workers adapted to fatigue differently, with diminished post-fatigue differences in lifting strategies. Regarding work-related low back disorder risks, the post-fatigue movement strategies of experienced workers did not appear superior to those of novices.     

A laboratory study of the effects of wrist splint orthoses on forearm muscle activity and upper extremity posture

OBJECTIVE: To evaluate the effects of wrist splint orthoses (WSOs) on forearm muscle activity and upper extremity/torso postures. BACKGROUND: WSOs are ubiquitous in industry, but the literature as to their biomechanical effects is limited. METHOD: Study 1: Participants performed single-plane wrist exertions with or without a WSO while the electromyographic (EMG) activity of the flexor carpi radialis, flexor carpi ulnaris, and extensor carpi ulnaris was captured. Study 2: Participants performed simple computer jumper installation tasks with or without a WSO while upper extremity/torso postures were recorded. RESULTS: Study 1: A significant interaction between WSOs and wrist angle was observed in the response of forearm muscles (e.g., normalized EMG of the flexor carpi radialis increased from 4.2% to 15.9% as flexion increased from 0 degree to 36 degrees in the orthosis conditions, whereas in the no-orthosis condition it remained approximately 5% at all wrist flexion angles). Study 2: WSOs were found to effect wrist, torso, and shoulder postures, with the orthoses creating a 48% decrease (36 degrees vs. 18.6 degrees) in wrist flexion and 80% decrease (15 degrees vs. -3 degrees) in ulnar deviation but at a cost of increased shoulder abduction of 22% (36.5 degrees vs. 44.5 degrees) and increased lateral bend of torso of 30% (6 degrees vs. 7.8 degrees). CONCLUSIONS: WSOs increased forearm muscle activity at large wrist deviation angles and induced awkward shoulder postures in tasks requiring significant wrist deviation. APPLICATION: Use of WSOs in occupational settings should be carefully considered relative to task requirements, as orthoses may do more harm than good.     

Responsiveness of selected biomarkers of tissue damage to external load and frequency during repetitive lumbar flexion/extension

Quantifying biomarkers related to tissues commonly injured in occupational settings may be useful for exposure assessment or predicting injury risk. Here, serum levels of Cartilage Oligomeric Matrix Protein (COMP), Interleukin-6 (IL6), and Creatine Kinase (CK) were obtained before and after participants completed a repetitive lumbar flexion/extension task. The task was done for one hour, using five combinations of external load and frequency. COMP levels did not change over time or between exposure conditions. IL6 levels were significantly affected by time and by external load, while CK levels were significantly affected by the load × frequency interaction. Greater external load and frequency (for CK only) resulted in greater peak values of IL6 and CK, and both biomarkers recovered by 24 h after task completion. Since IL6 and CK levels exhibited a dose–response relationship to exposure levels, they may have potential use in the occupational domain.Relevance to industryThis study investigated the effects of external load and frequency, during repetitive lumbar flexion/extension, on biomarkers that reflect tissue injury. Responses of biomarkers related to muscle use and damage (IL6 and CK) support earlier epidemiological evidence, and these may have future value in predicting occupational injury risk.     

Evaluation of the effect of backpack load and position during standing and walking using biomechanical,physiological and subjective measures

Recommendations on backpack loading advice restricting the load to 10% of body weight and carrying the load high on the spine. The effects of increasing load (0%–5%–10%–15% of body weight) and changing the placement of the load on the spine, thoracic vs. lumbar placement, during standing and gait were analysed in 20 college-aged students by studying physiological, biomechanical and subjective data. Significant changes were: (1) increased thorax flexion; (2) reduced activity of M. erector spinae vs. increased activation of abdominals; (3) increased heart rate and Borg scores for the heaviest loads. A trend towards increased spinal flexion, reduced pelvic anteversion and rectus abdominis muscle activity was observed for the lumbar placement. The subjective scores indicate a preference for the lumbar placement. These findings suggest that carrying loads of 10% of body weight and above should be avoided, since these loads induce significant changes in electromyography, kinematics and subjective scores. Conclusions on the benefits of the thoracic placement for backpack loads could not be drawn based on the parameter set studied.