Ergonomic evaluation of the effects of forearm conditions and body postures on trapezius muscle activity during smartphone texting

Neck-shoulder and upper back musculoskeletal symptoms in smartphone users have gained increasing attention. We evaluated trapezius muscle activity and fatigue using an objective method (surface electromyography, sEMG), and discomfort using a subjective method (questionnaire), in smartphone users during the performance of different text-entry tasks. Fifteen participants were recruited to perform six text-entry tasks under different forearm conditions (floating and supported) and body postures (sitting, standing, lying, and walking). We collected upper trapezius (UT) and lower trapezius (LT) sEMG data, and recorded muscle discomfort scores after each task. We found that static postures (especially sitting) during smartphone use predisposed to lower muscle activity with higher fatigue level and discomfort scores than dynamic posture; there was a significant main effect of body posture on average sEMG amplitude (aEMG) and discomfort scores of both muscles (all p < 0.05). Moreover, using a smartphone with the forearm supported can reduce muscle activity, fatigue level, and discomfort scores; there was a significant main effect of the forearm condition on aEMG and discomfort scores of both muscles (all p < 0.05). Our study indicates that smartphone use with the forearm floating for a long time in a static posture should be avoided (especially while sitting).     

Interactive effects of acute experimental pain in trapezius and sored wrist extensor on the electromyography of the forearm muscles during computer work

We investigated the interactive effects of shoulder pain and wrist extensor muscle soreness on surface electromyography (EMG) during computer mouse work. On day one, subjects (N = 12) performed computer work with/without acute muscle pain induced in the trapezius muscle. Subsequently, eccentric exercise was performed to induce delayed onset muscle soreness (DOMS) in wrist extensor muscles. In presence of DOMS on day two, computer work recordings with/without pain were repeated. EMG signals were recorded from the descending part of trapezius bilaterally, flexor carpi ulnaris and extensor carpi radialis brevis. Experimental muscle pain in trapezius led to a decrease in the muscular activity of the wrist extensor (P < 0.02) and decreased the relative rest time in the wrist flexor even in presence of DOMS (P < 0.01). The present result suggests that shoulder pain plays a role in the coordination of wrist flexors and extensors during computer work.     

Back pain and exposure to whole body vibration in helicopter pilots

Abstract

In a questionnaire survey the prevalence of back pain in 163 helicopter pilots was compared to that in a control group of 297 non-flying air force officers who underwent the same pre-employment medical examination. Since pilots document their hours of flight in a personal flight log, an accurate estimate of the duration of exposure could be made. In addition, vibration levels of the helicopters were measured and an accumulative vibration dose was calculated for each pilot. 'Transient' back pain of a short duration was more frequent amongst the pilots compared to the control group, and the prevalence of 'chronic' back pain of a persistent nature was also higher amongst the helicopter pilots. Transient back pain seemed to be most strongly related to the average hours of flight per day, whereas chronic back pain was more closely related to total hours of flight or the accumulative vibration dose. A significant higher prevalence of this chronic back pain was observed only after 2000 hours of flight or a vibration dose of 400 m^h/s. The observed health effects may be due to vibration or constrained posture but are most likely due to concomitant exposure to both factors.     

Relationship between leg and back strength with inter-joint coordination of females during lifting

The role of strength and fatigue in the lifting technique is not very clear, especially with regards to inter-joint coordination. We examined the relationships between muscle strength and endurance with inter-joint coordination of the knee-hip (KH) and hip-back (HB) during a lifting task performed until exhaustion. Thirteen healthy females were recruited to participate in the study. Significant negative correlations were found between HB maximum relative phase angle and leg lifting strength (r = −0.805), knee extensor strength (r = −0.705), knee flexor strength (r = −0.633), back extensor strength (r = −0.593) and back flexor strength (r = −0.596). The greater the strength of these muscles, the more synchronized the hip-back inter-joint coordination. However, no significant relationships were found with endurance test performance. Moreover, although the lifting task induced muscle fatigue, there were no significant fatigue-induced changes in lifting coordination.     

Adaptions in back muscle activity in long-haul truck drivers during prolonged driving with and without seat-integrated stimulation

ObjectiveThe aim of this study was to investigate the development of back muscle activity during a simulated 4.5-h truck drive with professional long-haul truck drivers and to assess the effects of a seat-integrated stimulation on muscle activity during the drive.MethodMuscle activity was compared intra-individually between a stimulation condition (with seat-integrated stimulation) and a no-stimulation condition (without seat-integrated stimulation) in a simulated driving study (N = 16). During the drive, sEMGs of the m. trapezius pars descendens, m. trapezius pars ascendens and m. erector spinae were recorded bilaterally and the RMS values of the sEMG amplitudes were analyzed.ResultsThere was a significant increase in muscle activity within 1-h driving periods (in m. trapezius pars descendens and m. trapezius pars ascendens) in both the stimulation and the no-stimulation condition but not within the whole sitting duration (in all muscles). Contrary to our expectations, the RMS values did not differ between conditions.ConclusionShort-term effects on back muscle activity of long-haul truck drivers during 1-h driving periods were found with and without the seat-integrated stimulation. However, interruptions of the driving task seemed to be sufficient to eliminate these effects. These findings on back muscle activity in long-haul drivers reveal new insights as to what affects the musculoskeletal system in prolonged driving.OutlookIn future studies, an uninterrupted driving task under real conditions should be used to investigate possible effects of prolonged driving on truck drivers’ muscle activity in general and of seat-integrated stimulation on back muscle activity in particular.     

Muscle fatigue based evaluation of bicycle design

Bicycling posture leads to considerable discomfort and a variety of chronic injuries. This necessitates a proper bicycle design to avoid injuries and thereby enhance rider comfort. The objective of this study was to investigate the muscle activity during cycling on three different bicycle designs, i.e., rigid frame (RF), suspension (SU) and sports (SP) using surface electromyography (sEMG). Twelve male volunteers participated in this study. sEMG signals were acquired bilaterally from extensor carpi radialis (ECR), trapezius medial (TM), latissimus dorsi medial (LDM) and erector spinae (ES), during 30 min of cycling on each bicycle and after cycling. Time domain (RMS) and frequency domain (MPF) parameters were extracted from acquired sEMG signals. From the sEMG study, it was found that the fatigue in right LDM and ES were significantly (p < 0.05) higher in SP bicycle. This was corroborated by a psychophysical assessment based on RBG pain scale. The study also showed that there was a significantly lesser fatigue with the SU bicycle than the RF and SP bicycles.     

Effects of a novel neck balance system on neuromuscular fatigue of neck muscles during repeated flexions and extensions

This study aimed at investigating the effects of a novel neck balance system (NBS), which is a baseball cap with counterweights in the occipital part, on neuromuscular fatigue of neck muscles during and after a full‐range repeated neck flexion‐extension task. Surface electromyography (sEMG) of sternocleidomastoid (SCM) and semispinalis capitis (SC) muscles was recorded in 15 healthy individuals during full‐range flexion‐extension movements of the neck lasting 5 min at a fixed pace (1 Hz), with or without NBS. Maximal isometric force and sEMG were recorded before and after the fatiguing task. During the fatiguing task, the SC muscle showed a higher decline in amplitude of sEMG with NBS than without NBS, while no differences in the SCM muscle emerged between the two conditions. Maximal isometric force of both neck flexor and extensor muscles decreased significantly after the fatiguing task, both with NBS (p < .05) and without NBS (p < .05), with no differences between the two conditions. In conclusion, adopting the NBS promotes an increase of the activation of neck extensor muscles, possibly leading to earlier decline of the neuromuscular performance and to diminished ability to actively stabilize neck structures. For these reasons, the adoption of the NBS during dynamic, fatiguing contractions may not be appropriate.     

Analysis of upper-limb muscle fatigue in the process of rotary handling

Workers engaged in repetitive manual material handling (MMH) generally suffer from work-related musculoskeletal disorders (WMSDs), particularly in the arms, shoulders, neck, and waist; this significantly limits the individual's strength and ability to work. Currently, research on upper-limb injuries affecting manufacturing workers focusses on the effect of different working conditions on specific muscle fatigue. However, research on the fatigue transformation relationship among various muscles in the process of working is lacking. Therefore, the purpose of this study was to investigate the fatigue changes between the upper-limb muscles during rotary handing. In this study, 13 male subjects were studied to simulate rotating handling during the manual handling process using surface electromyography (sEMG). Handling angles of 90°, 45°, and 0° were arranged as single variables to conduct the single-factor experiment. The sEMG of the brachioradialis, biceps brachii, trapezius, and multifidus muscle was measured during the operation. The results of this study indicate that the characteristics of muscle fatigue are different at different rotation angles: the multifidus muscle and trapezius were fatigued when the rotation was 90°. Under the condition of a 45° rotation, the activities of the four muscles fluctuated significantly. The slope of the median frequency of the muscles was positive, the load of the four muscles was evenly distributed, and no local fatigue was observed. Under the condition of a 0° rotation, the sEMG indicated that the brachioradialis muscle was fatigued, while the other three muscles had lower loads.     

Assessment of early onset of driver fatigue using multimodal fatigue measures in a static simulator

Driver fatigue is an important contributor to road accidents. This paper reports a study that evaluated driver fatigue using multimodal fatigue measures, i.e., surface electromyography (sEMG), electroencephalography (EEG), seat interface pressure, blood pressure, heart rate and oxygen saturation level. Twenty male participants volunteered in this study by performing 60 min of driving on a static simulator. Results from sEMG showed significant physical fatigue (ρ < 0.05) in back and shoulder muscle groups. EEG showed significant (ρ < 0.05) increase of alpha and theta activities and a significant decrease of beta activity during monotonous driving. Results also showed significant change in bilateral pressure distribution on thigh and buttocks region during the study. These findings demonstrate the use of multimodal measures to assess early onset of fatigue. This will help us understand the influence of physical and mental fatigue on driver during monotonous driving.     

Neck and shoulder muscle activity during standardized work-related postural tasks

The aim of the present study was to assess the activity levels of the sternocleidomastoid muscle and upper trapezius muscle during static postures under controlled and standardized conditions, and to determine whether the muscle activity differed between sexes. Electromyographic (EMG) activity was recorded unilaterally from the sternocleidomastoid and upper trapezius muscle in 17 participants whilst they were performing various postural tasks. EMG amplitude was measured by the root mean square values of the raw signals and normalized to peak maximum contractile values for each muscle (%MVC). The intensity of muscle activity was ranked as light (<3%MVC), moderate (3%MVC ≤ EMG ≤ 8%MVC), and substantial (>8%MVC). During most tasks the two muscles contracted light to moderately. Head leaning and shoulder shrugging postures yielded substantial muscle activity in both muscles. Muscle activity did not differ significantly between male and female participants (F = 3.1; p = 0.078). Our findings provided normative values, which will enhance future studies of muscle activity during work in a natural, unrestrained environment.     

Helicopter pilots’ views of air traffic controller responsibilities: a mismatch

Abstract

Controllers and pilots must work together to ensure safe and efficient helicopter flight within the London control zone. Subjective ratings of pilot perception of controller responsibility for five key flight tasks were obtained from thirty helicopter pilots. Three types of airspace were investigated. Results indicate that there is variation in pilot understanding of controller responsibility compared to the formal regulations that define controller responsibility. Significant differences in the perception of controller responsibility were found for the task of aircraft separation in class D airspace and along helicopter routes. Analysis of the patterns of response suggests that task type rather than the airspace type may be the key factor. Results are framed using the concept of a shared mental model. This research demonstrates that pilots flying in complex London airspace have an expectation of controller responsibility for certain flight tasks, in certain airspace types that is not supported by aviation regulation.

Practitioner Summary: The responsibility for tasks during flight varies according to the flight rules used and airspace type. Helicopter pilots may attribute responsibility to controllers for tasks when controllers have no responsibility as defined by regulation. This variation between pilot perceptions of controller responsibility could affect safety within the London control zone.     

Shoulder muscular activity in individuals with low back pain and spinal cord injury during seated manual load transfer tasks*

This study aimed to compare the activity of four shoulder muscles in individuals with low back pain (LBP), spinal cord injuries (SCI) and a control group, during one-handed load transfer trials. Nine individuals with minimum one-year of LBP, eleven with thoracic/lumbar SCI and nine healthy controls participated in this study. The activations of anterior deltoid, upper trapezius, infraspinatus and pectoralis major were recorded by surface EMG during one-handed transferring of a cylinder from a home shelve to six spatially distributed target shelves. The integrated EMG values were compared using repeated measure ANOVA. Both LBPs and SCIs had higher anterior deltoid activation and LBPs required more upper trapezius activation than controls (p < 0.05). The spatial position of the targets also significantly influenced demands for these two muscles. The anterior deltoid and upper trapezius in LBP and SCI individuals are under higher demand during occupational load transfer tasks.

Practitioner Summary: This study aimed to compare the activation of four shoulder muscles in individuals with low back pain, spinal cord injuries and healthy condition. EMG analysis showed that the injured groups required more upper trapezius and anterior deltoid activation during load transfer tasks, which may predispose them to muscle overexertion.     

Ergonomic evaluation of an alternative tool for cake decorating

AimCake decorating involves several hand intensive steps with high grip force during the application of icing. The purpose of this laboratory study was to evaluate forearm muscle activity, discomfort, productivity, and usability of an alternative tool for cake decorating compared to decorating with the traditional piping bag.MethodsParticipants (n = 17) performed 2 h of cake decorating tasks using the two tools. Subjective hand and arm fatigue, usability, upper extremity posture, and muscle activity from three forearm muscles were assessed for each tool. Outcome measures were evaluated using the Wilcoxon Signed Rank test and the paired t-test.ResultsLess fatigue was reported in the dominant hand (p = 0.001), forearm (p = 0.003) and shoulder (p = 0.02) for the alternative tool when compared to the piping bag. Average median (APDF 50%) and peak (APDF 90%) muscle activity was significantly less for the alternative tool across all three forearm muscles. The alternative tool significantly reduced grip force, an important risk factor for distal upper extremity pain and disorders. Participants rated usability of the alternative tool superior for refill and comfort but the traditional method was rated better for accuracy, stability, positioning and control.ConclusionsThe alternative tool was associated with less dominant arm fatigue, muscle activity, and grip force when compared with the piping bag. However, the alternative tool did not receive the best overall usability rating due to problems with accuracy and overflow, especially with smaller decorating tips. Recommendations were made for addressing these problems with the alternative tool.     

A comparison of muscle activity in using touchscreen smartphone among young people with and without chronic neck–shoulder pain

This study aimed to examine differences in muscle activity between young people with and without neck–shoulder pain (n = 20 in each group), when they performed texting on a smartphone. Texting was compared between using both hands (‘bilateral texting’) and with only one hand (‘unilateral texting’). Texting tasks were also compared with computer typing. Surface electromyography from three proximal postural muscles and four distal hand/thumb muscles on the right side was recorded. Compared with healthy controls, young people with neck–shoulder pain showed altered motor control consisting of higher muscle activity in the cervical erector spinae and upper trapezius when performing texting and typing tasks. Generally, unilateral texting was associated with higher muscle loading compared with bilateral texting especially in the forearm muscles. Compared with computer typing, smartphone texting was associated with higher activity in neck extensor and thumb muscles but lower activity in upper and lower trapezius as well as wrist extensors.     

Lower back muscle forces in pushing and pulling

Abstract

In the investigation of lower back stress, the muscle forces of the erector spinae and the rectus abdominis are often calculated using the two-dimensional biomechanical model. These muscle forces are used to estimate the compressive forces at L5/S1 disc This paper presents a study of the muscle forces predicted by a two-dimensional biomechanical model during pushing and pulling and myoelectric activity from the corresponding muscles. The goal was to investigate whether a simple two muscle torso model would reasonably estimate the muscle actions in pushing and pulling tasks. Six subjects participated in the experiment. EMG (rms) value was used as an indicator of muscle forces. The results show high correlation between the predicted muscle forces and the measured root-mean-square EMG values in trunk pushing and pulling (r²=0.93) and hand pushing and pulling (r²=0.96) in an erect posture with hips braced but low in hand pushing and pulling using a free posture (r²=0.37).     

Co-activation and maximal EMG activity of forearm muscles during key tapping

Many workers with repetitive motion tasks develop work related musculoskeletal diseases. In this study, the impact of required forces in dynamic key touch pressure and key displacements on forearm extensor and flexor muscles was investigated. The aims were to evaluate the co-activation of forearm extensor and flexor muscles during a 2 min tapping task at 4 Hz and to assess possible changes in maximal surface electromyography (sEMG) activation during tapping using different keys with variable force–displacement characteristics. 13 subjects took part in the experiment and performed ten tapping sequences, using a different key make (with different force-displacement characteristics) each time. Two channels of sEMG were used to monitor forearm muscle activation. Results showed (a) that the co-activation of forearm extensor and flexor muscles increases with rising key makes force, and (b) that coordination between extensor and flexor muscles improves over time.The findings indicate that keyboards with make-force levels over 0.59 N are ergonomically inadequate. Differences in key displacement were less important.

Relevance to industry

Chronic pain in the forearm due to repetitive tasks is common among employees working with computers. This paper presents and discusses results showing higher muscle activity and bad intramuscular coordination when using high make-force keys.     

Electromyographic fatigue in neck/shoulder muscles and endurance in women with repetitive work

EMG was recorded with surface electrodes from the trapezius and deltoid muscles during a static endurance test at approximately 20% of maximal voluntary contraction. Objective parameters for localized muscular fatigue were derived from the time course of the root mean square (RMS) and mean power frequency (MPF) of the EMG recordings. Isotonic regression is introduced as a tool for assessment of such parameters. The most pronounced sign of fatigue for trapezius was an increase in the RMS values, while for deltoid it was a decrease in the MPF values. This could be explained by the different functions of the two muscles. The endurance time for a group of 11 women in industrial work with repetitive short-cycled work tasks who were diagnosed with neck/shoulder disorders (tension neck) was significantly shorter (p<0·05) than for a group with the same work, but without neck/shoulder disorders (n=ll), and shorter than for a control group (n=ll). Regarding the EMG fatigue measures, there were no significant differences between the three groups. We did not find any relationships between endurance time and the EMG parameters. The results indicate that neck/shoulder disorders were not associated with divergent mechanisms for developing fatigue in the muscles, as recorded with surface EMG.     

Influence of arm and wrist support on forearm and back muscle activity in computer keyboard operation

The effects of forearm and wrist supports on the upper extremity postures in computer keying tasks and associated EMG activity of arm and back muscles were examined (N=8). Four positions were forearms unsupported (floating) and supported, wrists supported by bead packed (WR1) and gel-filled (WR2) wrist rest. The right and left elbow extensions were 65° and 68°, respectively, in unsupported forearms. Bilateral elbow extension increased with the forearm/wrist supports and mostly, the elbow was maintained at around 90° or greater. The wrist extension decreased with forearm/wrist supports over the unsupported condition. The forearm support significantly reduced the activity of forearm extensor digitorum, i.e., right (F_{(1, 47)}=12.19, p<0.01) and left (F_{(1, 47)}=5.38, p<0.05) and upper trapezius muscles over the floating posture. Wrist rests, however, increased load on the upper trapezius; the activities of flexor digitorum superficialis and erector spinae were close to the resting EMG activity for both forearm and/or wrist support. The type of wrist rests was a concern and this study indicated that the gel filled wrist rest was advantageous in reducing the forearm muscle load, in comparison to the bead packed cushions.     

Precarious employment, working hours, work-life conflict and health in hotel work

Precarious or temporary work is associated with adverse outcomes including low control over working hours, work-life conflict and stress. The rise in precarious employment is most marked in the service sector but little research has been done on its health effects in this sector. This study compares permanent and temporary workers in the hotel industry, where working hours are highly variable. Survey data from 150 workers from eight 3-Star hotels in urban and regional areas around Sydney were analyzed. Forty-five per cent were male and 52 per cent were female. Fifty four per cent were permanent full-time and 46 per cent were temporary workers. The effects of employment status on perceived job security, control over working hours, and work-life conflict are investigated using PLS-Graph 3.0. The effects of control over working hours, on work-life conflict and subsequent health outcomes are also explored. Temporary workers perceived themselves as less in control of their working hours, than permanent workers (β = .27). However, they also reported lower levels of work intensity (β = .25) and working hours (β = .38). The effects of low hours control (β = .20), work intensity (β = .29), and excessive hours (β = .39) on work-life conflict (r² = .50), and subsequent health effects (r² = .30), are illustrated in the final structural equation model.     

Relationship between trapezius muscle activity and typing speed: taping effect

Clinically, over-activation of upper trapezius (UT) muscular activity is a common cause of symptoms in computer users. The purpose of this study was to investigate the correlation between trapezius muscular activity and typing speed with and without taping. Twelve participants performed a typing task for 15 min with and without taping on the UT muscle. Electromyography (EMG) of the muscular activity of UT and lower trapezius (LT) was recorded. With or without taping, there was a significantly positive correlation (r = 0.40, p = 0.04) between typing speed and UT/LT. Additionally, UT and UT/LT ratios were lower with taping than without taping (difference = 5.2% and 26.9%). The LT ratio was higher with taping than without taping (difference = 5.8%). Taping can alter the muscular activity of the trapezius during typing and may have the potential to be applied in computer users to prevent over-activation of UT muscular activity.

Practitioner Summary: The effect of taping was tested on typing speed and trapezius muscular activity. With or without taping, typing speed was correlated with trapezius activity. The muscle activity of the trapezius, however, was lower with taping than without taping. Thus, taping has the potential to prevent over-activation of UT muscular activity during typing.