Two posture analysis approaches and their application in a modified Rapid Upper Limb Assessment evaluation

This paper presents two posture risk quantification methods: first, an event-based method where the most common and the worst postures are estimated in a task; second, a time-based method where posture distributions are calculated from random samples of observed postures in the task. A ‘click-on-screen’ posture data entry method was developed for the time-based posture analysis method to make the observation process easier and to reduce possible posture categorization bias. Both methods were used to quantify various work posture parameters among a study cohort of 733 subjects from a prospective epidemiological study of upper extremity musculoskeletal disorders. Composite posture indices using a modified Rapid Upper Limb Assessment (RULA) method were also computed using data obtained by the two posture analysis methods. Results showed that both methods were able to distinguish jobs with large differences in certain posture measures. However, they did not produce the same results and could not be used interchangeably. Risk evaluation criteria should be developed, either for specific posture parameters or as a composite index, with a well-defined postural analysis method, so that users can follow exact procedures and obtain comparable results. The event-based method is easy to use and may suit practitioners better, while the time-based method adds more information to the measurement and may suit users who want more detailed information about posture exposure.     

Prospective memory while driving: comparison of time- and event-based intentions

Abstract

Prospective memories can divert attentional resources from ongoing activities. However, it is unclear whether these effects and the theoretical accounts that seek to explain them will generalise to a complex real-world task such as driving. Twenty-four participants drove two simulated routes while maintaining a fixed headway with a lead vehicle. Drivers were given either event-based (e.g. arriving at a filling station) or time-based errands (e.g. on-board clock shows 3:30). In contrast to the predominant view in the literature which suggests time-based tasks are more demanding, drivers given event-based errands showed greater difficulty in mirroring lead vehicle speed changes compared to the time-based group. Results suggest that common everyday secondary tasks, such as scouting the roadside for a bank, may have a detrimental impact on driving performance. The additional finding that this cost was only evident with the event-based task highlights a potential area of both theoretical and practical interest.

Practitioner Summary: Drivers were given either time- or event-based errands whilst engaged in a simulated drive. We examined the effect of errands on an ongoing vehicle follow task. In contrast to previous non-driving studies, event-based errands are more disruptive. Common everyday errands may have a detrimental impact on driving performance.     

Tactile interruption management: tactile cues as task-switching reminders

Tactile cuing has been suggested as a method of interruption management for busy visual environments. This study examined the effectiveness of tactile cues as an interruption management strategy in a multi-tasking environment. Sixty-four participants completed a continuous aircraft monitoring task with periodic interruptions of a discrete gauge memory task. Participants were randomly assigned to two groups; one group had to remember to monitor for interruptions while the other group received tactile cues indicating an interruption’s arrival and location. As expected, the cued participants evidenced superior performance on both tasks. The results are consistent with the notion that tactile cues transform the resource-intensive, time-based task of remembering to check for interruptions into a simpler, event-based task, where cues assume a portion of the workload, permitting the application of valuable resources to other task demands. This study is discussed in the context of multiple resource theory and has practical implications for systems design in environments consisting of multiple, visual tasks and time-sensitive information.     

Developing a verbal protocol method for collecting and analysing reports of workers' thoughts during manual handling tasks

Concurrent and retrospective verbal protocol methods were used to collect thoughts from 18 participants during a manual handling task involving the repeated transfer of loads between locations at two tables. The effectiveness of qualitative and quantitative methods of analysing the reported information was tested in the study. A simple taxonomy was developed to investigate the content of the reports (including reports on postures and loads) and determine how the participants approached the task (whether they made plans, described actions or evaluated their completion of the task). References to posture were obtained in the verbal protocol reports, indicating that the participants had some awareness of their postures during parts of the task. There were similarities in the content of the concurrent and retrospective reports, but there were differences in the amount of detail between the methods and differences in the way the reports were constructed. There could be some scope for developing the quantitative analysis of the frequencies of references to classes of information, though this can only be recommended for concurrent reports on tasks of short duration. The analyses of qualitative data gave a deeper insight into the reports, such as identifying factors that can be important when planning to handle a load, or illustrating how participants can change their focus of attention periodically throughout the task. The relative strengths of the concurrent and retrospective methods are described, along with ideas for improving the quality of information collected in future studies. A number of potential problems with the interpretation of the reported information are explained.     

Characterization of posture and comfort in laptop users in non-desk settings

Laptop computers may be used in a variety of postures not coupled to the office workstation. Using passive motion analysis, this study examined mean joint angles during a short typing/editing task in college students (n=20), in up to seven positions. Comfort was assessed after task execution through a body map. For three required postures, joint angles in a prone posture were different than those while seated at a couch with feet either on floor or on ottoman. Specifically, the prone posture was characterized by comparatively non-neutral shoulders, elbows and wrists, and pronounced neck extension. Significantly greater intensity and more regions of discomfort were marked for the prone posture than for the seated postures. It is recommended that the prone posture only be assumed briefly during laptop use. Exposure to laptops outside of the office setting should be assessed in future epidemiologic studies of musculoskeletal complaints and computer use.     

Metabolic costs of stoopwalking and crawling

This paper is a study of the metabolic costs of crawling and stoopwalking as performed by trained male and female subjects. After training, male and female subjects crawled and stoopwalked at a range of task speeds and in task postures set at 100, 90, 80, 70, and 60% of each subject's erect stature. It was found that as the task posture became more stooped, or the task speed increased, there were marked increases in metabolic cost. Further analysis found these increases to be due to the task speed within a posture rather than from the task posture. It was also found that in some task postures, the combination of speed and posture resulted in metabolic costs of performance which would be limiting in terms of non-fatigued task performance time.     

Electromyography of the thigh muscles during lifting tasks in kneeling and squatting postures

Underground coal miners who work in low-seam mines frequently handle materials in kneeling or squatting postures. To assess quadriceps and hamstring muscle demands in these postures, nine participants performed lateral load transfers in kneeling and squatting postures, during which electromyographic (EMG) data were collected. EMG activity was obtained at five points throughout the transfer for three quadriceps muscles and two hamstring muscles from each thigh. ANOVA results indicated that EMG data for nine of 10 thigh muscles were affected by an interaction between posture and angular position of the load lifted (p < 0.001). Muscles of the right thigh were most active during the lifting portion of the task (lifting a block from the participant's right) and activity decreased as the block was transferred to the left. Left thigh muscles showed the opposite pattern. EMG activity for the majority of thigh muscles was affected by the size of the base of support provided by different postures, with lower EMG activity observed with a larger base of support and increased activity in postures where base of support was reduced (p < 0.05). Thigh EMG activity was lowest in postures with fully flexed knees, which may explain worker preference for this posture. However, such postures are also associated with increased risk of meniscal damage. STATEMENT OF RELEVANCE: Kneeling and squatting postures are sometimes used for manual lifting activities, but are associated with increased knee injury risk. This paper examines the EMG responses of knee extensors/flexors to lifting in these postures, discusses the impact of posture and kneepads on muscle recruitment and explores the implications for work in such postures.     

The effect of viewing angle on wrist posture estimation from photographic images using novice raters

Observational assessment of wrist posture using photographic methods is theoretically affected by camera view angle. A study was conducted to investigate whether wrist flexion/extension and radial/ulnar deviation postures were estimated differently by raters depending on the viewing angle and compared to predictions using a quantitative 2D model of parallax. Novice raters (n = 26) estimated joint angles from images of wrist postures photographed from ten different viewing angles. Results indicated that ideal views, orthogonal to the plane of motion, produced more accurate estimates of posture compared to non-ideal views. The neutral (0°) posture was estimated the most accurately even at different viewing angles. Raters were more accurate than model predictions. Findings demonstrate a need for more systematic methods for collecting and analyzing photographic data for observational studies of posture. Renewed caution in interpreting existing studies of wrist posture where viewing angle was not controlled is advised.     

Can postural modification reduce kinetic and kinematic loading during the bowing postures of Islamic prayer?

As stooped postures are known to increase kinematic and kinetic loading on the lumbar spine they can be problematic for people with low back pain and postural task modification is often recommended. For the Muslim with low back pain, the bowing postures during prayer can aggravate low back symptoms. The aims of this study were to describe lumbo-sacral and pelvic tilt kinematics and lumbo-sacral kinetics during the standard bowing postures of Islam and to compare these to kinematic and kinetic data gathered during a clinically recommended modified bowing posture. The study was a repeated measures within subject cross-over design with 33 healthy male Muslim participants. 3-D motion analysis data were gathered to calculate body joint angles during the two bowing postures. A 3-D biomechanical model was then used to calculate spinal loads. Paired t-test analyses showed that the use of the modified posture resulted in significantly less pelvic tilt range of motion and anterior shear force and compressive force L5/S1, at stages 1 and 5 of bowing. Although this study was conducted with healthy young Muslim males, the use of this modified bent knee posture is recommended for all Muslims with low back pain. Clinical trials are being considered to determine the clinical utility of this postural manoeuvre as an intervention.

Statement of Relevance:The presence of low back pain may hinder a Muslim's ability to use the traditional Islamic bowing posture. Muslims who have low back pain may benefit from adopting a modification to the traditional bowing posture,which has been found to reduce the loads and postural demands on the lower back.     

Can postural modification reduce kinetic and kinematic loading during the bowing postures of Islamic prayer?

As stooped postures are known to increase kinematic and kinetic loading on the lumbar spine they can be problematic for people with low back pain and postural task modification is often recommended. For the Muslim with low back pain, the bowing postures during prayer can aggravate low back symptoms. The aims of this study were to describe lumbo-sacral and pelvic tilt kinematics and lumbo-sacral kinetics during the standard bowing postures of Islam and to compare these to kinematic and kinetic data gathered during a clinically recommended modified bowing posture. The study was a repeated measures within subject cross-over design with 33 healthy male Muslim participants. 3-D motion analysis data were gathered to calculate body joint angles during the two bowing postures. A 3-D biomechanical model was then used to calculate spinal loads. Paired t-test analyses showed that the use of the modified posture resulted in significantly less pelvic tilt range of motion and anterior shear force and compressive force L5/S1, at stages 1 and 5 of bowing. Although this study was conducted with healthy young Muslim males, the use of this modified bent knee posture is recommended for all Muslims with low back pain. Clinical trials are being considered to determine the clinical utility of this postural manoeuvre as an intervention. STATEMENT OF RELEVANCE: The presence of low back pain may hinder a Muslim's ability to use the traditional Islamic bowing posture. Muslims who have low back pain may benefit from adopting a modification to the traditional bowing posture, which has been found to reduce the loads and postural demands on the lower back.     

Objective and subjective responses of seated subjects while reading Hindi newspaper under multi axis whole-body vibration

Train passengers often read newspapers while traveling. Vibration is one of the key factors that may occasionally inhibit this activity. An experimental study was, therefore, conducted to investigate the extent of interference perceived in reading task by seated subjects in two postures under random vibration. 30 healthy male subjects were exposed to vibration magnitudes of 0.4, 0.8 and 1.2 m/s² in mono, dual and multi axis in the low frequency range 1–20 Hz. The task required subjects to read a given paragraph of Hindi national newspaper, in two seated postures (lap posture with backrest support and table posture with leaning over the table). The reading performance was evaluated by both degradation in performance in terms of time required to complete the task and subjective rating using Borg CR10 scale. Both the methods of reading performance evaluation exhibit progressive increase with an increase in vibration magnitude for both the subject postures in all the direction of vibration and are found to be higher in lateral and vertical direction among mono axes. The effects of multi axis vibration on perceived difficulty have been found to be similar to dual axes vibration and greater than mono axes vibration; however degradation in reading performance in multi axis vibration was also found to be similar to that for lateral direction. A comparison of the effect of postures by both evaluation methods revealed that the reading performance was adversely affected for table posture in all direction of vibration, however for lap posture, only the X-axis vibration effect was more severe.

Relevance to industry

Available ride comfort standards for vehicles do not include the effects of vibrations on passenger activities. Assessment of activity discomfort would be useful for vehicle design optimization to facilitate activity comfort.     

Effect of head-mounted displays on posture

OBJECTIVE: The aim of the present study was to determine if a wearable system based on a head-mounted display (HMD) causes users to alter their head position and adopt postures that place greater stress on the musculoskeletal system. BACKGROUND: HMDs are common output devices used with wearable computers. HMDs provide the wearer with visual information by projecting computer-generated virtual images in front of the eyes. Deviations of neck posture from a neutral upright position increase the stresses on the musculoskeletal system of the head and neck. METHOD: Seven paramedics simulated the treatment of a patient under a normal condition and when using an HMD wearable computer system. During the simulations a posture analysis was performed using the Rapid Upper Limb Assessment method. RESULTS: The postures adopted when wearing an HMD, as compared with a normal condition, scored significantly higher for the neck (z = 2.463, p < .05) and for overall body posture (left side of the body: z = 2.447, p < .05; right side of the body: z = 2.895, p < .05). CONCLUSION: Wearing an HMD can force the wearers to modify their neck posture. As such, the musculoskeletal system of the head and neck may be placed under increased levels of stress. APPLICATION: Potential users should be made aware that HMDs could dictate modifications in neck posture, which may have detrimental effects and may compound the weight effect of the HMD.     

Relationship analysis between body flexion angles and smartphone tilt during smartphone use

Although smartphones are used as essential devices in everyday life, many users are exposed to joint diseases owing to prolonged use. The objectives of this study were to analyze how posture and smartphone tasks affect various body flexion angles and develop an algorithm to classify posture/task and estimate body flexion angles using smartphone tilt data. Eighteen participants performed two tasks (playing a game and reading news) in two postures (sitting and standing) in a laboratory environment. The three-axis orientation data (azimuth, pitch, and roll) of the smartphone and the participants’ body flexion angles were measured simultaneously. This study found that the cervical, thoracic, lumbar, and overall flexion angles were all statistically significantly different depending on the posture of the smartphone user, and the cervical flexion angle was significantly different depending on the task. Furthermore, task and task × posture can be classified with high accuracy based on smartphone tilt data, and tilt data had a high correlation with body flexion angles. Relevance to industry: The results of this study can be used as a reference for designing various products and interfaces for neck health. The results can be applied as a smartphone alarm or a built-in application, which can inform the user of the need to stretch his or her neck.     

基于地域特征和异构社交关系的事件推荐算法研究

近几年,在基于事件的社交网络(EBSNs)服务中,为便于增强用户体验,事件推荐任务一直被广泛研究。本文基于对EBSN中用户行为数据的详细分析,提出了一种新型的融合多种数据特征的潜在因子模型。该模型综合考虑EBSN中两种新型的数据特征: 异构的社交关系特征(线上社交关系+线下社交关系)和用户参与行为的地域性特征。基于真实的Meetup数据集,实验结果表明我们的算法在解决事件推荐问题时比传统的算法有更好的性能。
     

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).     

Model-based analysis of hand posture

Researchers have successfully recognized specific fingers of the hand by silhouette images and distinguished a small set of hand signs by contour features of images. However, the silhouette or contour features recovered from the images do not provide sufficient information to generate a 3D hand posture with the fingers positioned properly. This failure led to our study, which developed a new method employing a hand model that can automatically analyze 3D hand postures using static stereo images. Guided by internal constraints and external forces, the model is automatically fitted to the hand image. Our method differs from previous methods in that it captures 27 interacting hand parameters, including finger joint angles, enabling suitable reconstruction of 3D hand posture     

Factors affecting posture for machine sewing tasks: the need for changes in sewing machine design

Sewing machinists suffer from musculoskeletal problems, which have been attributed to poor working postures as well as to the repetitive hand and arm movements. Their posture is constrained by both the visual and the manual aspects of the task, and the design of the sewing machine and table have a considerable influence on the posture adopted. The potential for improvement of industrial sewing machines was investigated in a study of the effects of two design parameters (table inclination and view of the needle). It was shown that both trunk posture and head/neck flexion could be improved significantly by altering these design parameters. Trunk posture was found to be strongly related to the manual aspects of the task, and could be improved by altering the working positions for the arm. Head posture was most influenced by the view of the task/needle and could be improved by improving the visual condition for the task.     

Observed differences in upper extremity forces, muscle efforts, postures, velocities and accelerations across computer activities in a field study of office workers

This study, a part of the PRedicting Occupational biomechanics in OFfice workers (PROOF) study, investigated whether there are differences in field-measured forces, muscle efforts, postures, velocities and accelerations across computer activities. These parameters were measured continuously for 120 office workers performing their own work for two hours each. There were differences in nearly all forces, muscle efforts, postures, velocities and accelerations across keyboard, mouse and idle activities. Keyboard activities showed a 50% increase in the median right trapezius muscle effort when compared to mouse activities. Median shoulder rotation changed from 25 degrees internal rotation during keyboard use to 15 degrees external rotation during mouse use. Only keyboard use was associated with median ulnar deviations greater than 5 degrees. Idle activities led to the greatest variability observed in all muscle efforts and postures measured. In future studies, measurements of computer activities could be used to provide information on the physical exposures experienced during computer use. Practitioner Summary: Computer users may develop musculoskeletal disorders due to their force, muscle effort, posture and wrist velocity and acceleration exposures during computer use. We report that many physical exposures are different across computer activities. This information may be used to estimate physical exposures based on patterns of computer activities over time.     

Task-specific postures in low-seam underground coal mining

The objective of this study was to determine low-seam mine worker exposure to various postures as they pertain to job classifications and job tasks. Sixty-four mine workers from four low-seam coal mines participated. The mine workers reported the tasks they were required to complete and the two postures they used most frequently to perform them. They were provided with a schematic of postures from which to select. The two postures reported most frequently were identified for each task along with the job classification of the workers performing the tasks. Of the 18 tasks reported, over two thirds were performed by at least two different job classifications and over one third were performed by four or more job classifications. Across tasks, the postures used appeared to vary greatly. However, when grouped by job classification, the most frequently reported posture across all job classifications was kneeling near full flexion. Operating the continuous miner was associated with frequent squatting and was likely used because it affords great mobility, allowing operators to move quickly to avoid hazards. However, for environments with a restricted vertical height such as low-seam mining, the authors recommend squatting be avoided as data demonstrates that large amounts of femoral rollback and high muscle activity for the extensors when performing lateral lifts in this posture. Kneeling near full flexion was reported as the most frequently used posture by all job classifications and was likely due to the fact that it requires the least amount of muscle activity to maintain and has reduced pressures at the knee. However, the authors recommend this posture be avoided when performing lateral lifting tasks. Like squatting, kneeling near full flexion results in increased femoral rollback and may increase the stresses applied to the meniscus. Unlike lateral lifting, maintaining a static posture results in knee loading and muscle activity such that the mine worker should consider kneeling near full flexion and sitting on their heels. Although kneeling near full flexion is associated with injuries, there are benefits to this posture that are realized when statically kneeling (minimal muscle activity, allows worker to maintain an upright torso in low heights, and decreased loading at the knee). However, cartilage is avascular and nourished by synovial fluid. Therefore, one should frequently rotate between postures, assuming a more upright kneeling posture when possible and frequently fully flexing and extending the knee allowing nutrients to the cartilage.Relevance to industryIn 2009, over one fourth of underground coal mines that produced coal in the United States were considered low seam with an average working height of <109.2 cm (MSHA, 2009) restricting workers to their knees. Data exists regarding the biomechanical implications of kneeling postures and demonstrates the possibility of detrimental consequences to varying degrees for each posture. With each posture posing a different level of exposure to musculoskeletal disorder risk factors, it is essential to determine the postures mine workers use to perform their job tasks and how their postural options are restricted by the low-seam underground mining environment.