Effect of hypoxia,safety shoe type,and lifting frequency on cardiovascular and ventilation responses

ObjectiveThere is limited work on the physiological demands of lifting activities at different altitudes and different lifting frequencies when wearing different types of shoes. This study aimed to examine the heart rate variability (HRV) and ventilation responses of individuals in normobaric hypoxia (ambient oxygen of 15%, 18%, and 21%) while doing lifting tasks and wearing three types of different safety shoes (“light, medium, and heavy-duty”) at two different lifting frequencies (“1 lift/min and 4 lifts/min”).MethodsUsing an experimental study design, two sessions were conducted by ten male university students that included an acclimatization and training session followed by experimental lifting. The study used a four-way repeated measures design (4 independent and twenty-one responses, i.e., twelve HRV and nine ventilation responses).ResultsThe findings highlighted substantial low HRV and ventilation parameters for the light workload stress in the form of higher ambient oxygen content and lowered lifting frequency while wearing light safety shoe type. It also presented an increase in the physical demand, followed by increased lifting frequency and replication with increased mean heart rate and decreased mean RR, very low frequency (VLF) power, low frequency (LF) power, and low frequency to a high-frequency ratio (LF/HF).ConclusionOur findings suggest that if a safe lifting load limit is applied for workers in the industrial environment, the risk of musculoskeletal disorders will be mainly decreased, and the rate of production will be better with ambient oxygen content and appropriate safety shoes. This research would safeguard industrial workers' physical capacities and future health risks.     

Review of:“Sex Differences in Human PerformanceEdited by M. A. BAKER (Chichester,England: John Wiley, 1987.) [Pp. xvi + 202.] £22·00. ISBN 0-471-91119-4.

An experiment was conducted to examine the role that maximal lifting power has in predicting maximum acceptable weight of lift (MAWL) for a frequency of one lift per 8 h. The secondary aim of the study was to compare the ability of power to predict MAWL to previously used measures of capacity including two measures of isometric strength, five measures of isokinetic strength, and isoinertial capacity on an incremental lifting test. Twenty-five male subjects volunteered to participate in the experiment. The isometric tests involved maximum voluntary contractions for composite lifting strength at vertical heights of 15 and 75 cm. Peak isokinetic strength was measured at velocities of 0.1, 0.2, 0.4, 0.6 and 0.8 m s^?1 using a modified CYBEX® II isokinetic dynamometer. Isoinertial lifting capactity was measured on the X-factor incremental lifting machine and peak power was measured on the incremental lifting machine by having subjects lift a 25 kg load as quickly as possible. The results indicate that peak isoinertial power is significantly correlated with MAWL, and this correlation was higher than any of the correlations between the other predictor variables and MAWL. The relationships between the isokinetic strength measures and MAWL were stronger than the relationships between the isometric measures and MAWL. Overall, the results suggest that tests used to predict MAWL should be dynamic rather than static.     

The effect of handle angle on MAWL, wrist posture, RPE, and heart rate

In manual material handling tasks, the handle serves as the interface between the human operator and the box (the materials). Handle angle design can affect both wrist posture and lifting ability. This study was designed to evaluate the effect of handle angle on maximal acceptable weight of lifting (MAWL), perceived whole-body exertion, whole-body workload, wrist posture, and perceived wrist exertion. The results indicate that handle angle had a significant effect on wrist posture and wrist rating of perceived exertion (RPE). A box with a 0 degrees handle angle induced the greatest ulnar deviation and the highest wrist RPE. A 75 degrees handle angle induced the greatest radial deviation and a relatively high wrist RPE. A 30 degrees handle angle resulted in the greatest MAWL and the lowest level of wrist RPE. Overall, these findings suggest that 30 degrees and 45 degrees handle angles can provide favorable coupling conditions for the cutout-type handhold container handle. Actual or practical applications include the ergonomic design of container handles for manual material handling tasks industry.     

Significance of biomechanical and physiological variables during the determination of maximum acceptable weight of lift

The aim was to identify which biomechanical and physiological variables were associated with the decision to change the weight of lift during the determination of the maximum acceptable weight of lift (MAWL) in a psychophysical study. Fifteen male college students lifted a box of unknown weight at 4.3 lifts/min, and adjusted the weight until their MAWL was reached. Variables such as heart rate, trunk positions, velocities and accelerations were measured during the lifting, as well as estimated spinal loading in terms of moments and spinal forces in three dimensions using an EMG-assisted biomechanical model. Multiple logistic regression techniques identified variables associated with the decision to change the weights up and down prior to a subsequent lift. Results indicated that heart rate, predicted sagittal lift moment and low back disorder (LBD) risk index were associated with decreases in the weight prior to the next lift. Thus, historical measures of LBD risk (e.g. compression, shear force) were not associated with decreases in weight prior to the next lift. Additionally, the magnitudes of the predicted spinal forces and LBD risk were all very high at the MAWL when compared with literature sources of tolerance as well as observational studies on LBD risk. Our findings indicate that the psychophysical methodology may be useful for the decision to lower the weight of loads that may present extreme levels of risk of LBD; however, the psychophysical methodology does not seem to help in the decision to stop changing the weight at a safe load weight.     

Acceptable workloads for three common mining materials

A series of psychophysical lifting studies was conducted to establish maximum acceptable weights of lift (MAWL) for three supply items commonly handled in underground coal mines (rock dust bags, ventilation stopping blocks, and crib blocks). Each study utilized 12 subjects, all of whom had considerable experience working in underground coal mines. Effects of lifting in four postures (standing, stooping under a 1·5m ceiling, stooping under a l·2m ceiling, and kneeling) were investigated together with four lifting conditions (combinations of lifting symmetry and lifting height). The frequency of lifting was set at four per min, and the task duration was 15?min. Posture significantly affected the MAWL for the rock dust bag (standing MAWL was 7% greater than restricted postures and kneeling MAWL was 6·4% less than stooped); however, posture interacted with lifting conditions for both of the other materials. Physiological costs were found to be significantly greater in the stooped postures compared with kneeling for all materials. Other contrasts (standing versus restricted postures, stooping under 1·5?m ceiling versus stooping under l·2?m ceiling) did not exhibit significantly different levels of energy expenditure. Energy expenditure was significantly affected by vertical lifting height; however, the plane of lifting had little influence on metabolic cost. Recommended acceptable workloads for the three materials are 20·0?kg for the rock dust bag, 16·5?kg for the ventilation stopping block, and 14·7?kg for the crib block. These results suggest that miners are often required to lift supplies that are substantially heavier than psychophysically acceptable lifting limits.     

Association between spinal loads and the psychophysical determination of maximum acceptable force during pushing tasks

The objective of this study was to investigate potential associations between an individual's psychophysical maximum acceptable force (MAF) during pushing tasks and biomechanical tissue loads within the lumbar spine. Ten subjects (eight males, two females) pushed a cart with an unknown weight at one push every two minute for a distance of 3.9 m. Two independent variables were investigated, cart control and handle orientation while evaluating their association with the MAF. Dependent variables of hand force and tissue loads for each MAF determination and preceding push trial were assessed using a validated, electromyography-assisted biomechanical model that calculated spinal load distribution throughout the lumbar spine. Results showed no association between spinal loads and the MAF. Only hand forces were associated with the MAF. Therefore, MAFs may be dependent upon tactile sensations from the hands, not the loads on the spine and thus may be unrelated to risk of low back injury.

Practitioner Summary: Pushing tasks have become common in manual materials handling (MMH) and these tasks impose different tissue loads compared to lifting tasks. Industry has commonly used the psychophysical tables for job assent and decision of MMH tasks. However, due to the biomechanical complexity of pushing tasks, psychophysics may be misinterpreting risk.     

Psychophysically determined symmetric and asymmetric lifting capacity of Chinese males for one hour's work shifts

A laboratory experiment was conducted to determine the effects of asymmetric lifting on psychophysically determined maximum acceptable weight of lift (MAWL) and the resulting heart rate, oxygen uptake and rating of perceived exertion. Thirteen male college students were recruited as participants. Each participant performed 12 different lifting tasks involving three lifting frequencies (one-time maximum, 1 and 4 lifts/min) and four twisting angles (including the sagittal plane and three different angles of asymmetry, i.e., 0, 30, 60, and 90°) from the floor to a 76 cm high pallet for one hour's work shift using a free-style lifting technique. The results showed that: (1) The MAWLs were significantly lower for asymmetric lifting than for symmetric lifting in the sagittal plane. The MAWL decreased with an increase in the angle of asymmetry, however, the heart rate, oxygen uptake and RPE remained unchanged; (2) Lifting frequency had no significant effect on the percentage decrease in MAWL from the sagittal plane values. Correction factors of 4, 9, and 13% for MAWL at 0, 30, 60, and 90°of asymmetric lifting, respectively, are recommended; (3) Both the physiological costs (heart rate and oxygen uptake) and rating of perceived exertion increased with an increase in lifting frequency though maximum acceptable weight of lift decreased. The most stressed body parts were the lower back and the arm; and (4) The percentage decrease in MAWL with twisting angle for the Chinese participants was somewhat lower than those of the Occidental participants. In addition, even though there was a decrease in MAWL, heart rate and RPE increased with an increase in the angle of a symmetric lifting for the Occidental participants, it was different from that of the Chinese participants.

Relevance to industry

It is generally believed that asymmetric lifting involving torso twisting is more harmful to back spine than symmetric lifting. However, the previous studies were conducted in Europe and North America, and the data were obtained from the Caucasian populations. This work, therefore, aims to investigate the influence of asymmetric lifting on the lifting capacity of the Chinese participants, and to compare the differences with the Occidental populations.     

A comprehensive lifting model: beyond the NIOSH lifting equation

A comprehensive lifting model (CLM) for the evaluation and design of manual tasks was developed in two stages using 11 task, personal and environmental variables. In the first stage, the model was built using the psychophysical data. In the second stage, discounting factors of various variables were tested and adjusted using the physiological and biomechanical data. Two lifting indices are proposed to evaluate lifting tasks for a group of workers (relative lifting safety index or RLSI) and for an individual worker (personal lifting safety index or PLSI).     

Psychophysical modelling of lifting capacity of Chinese males using strength variables

This study used the psychophysical approach to determine the maximum acceptable weight of lift (MAWL) for 12 young Chinese male subjects, and used strength variables as predictors to develop prediction models. Each subject performed 12 different lifting tasks involving three lifting heights and four lifting frequencies. The results showed that both the dynamic and static models developed in this study could predict the MAWL with a reasonable degree of accuracy. However, a comparison of the models revealed that the use of the dynamic model resulted in less PRESS (PRediction Error Sum of Squares) statistics and higher [Formula: see text] values than the static model. Isoinertial 1.83 m maximum strength (T1) and the isoinertial elbow-height strength, tested on an incremental weightlifting machine, were found to be the best screening test. This was different from a previous study that recommended T1 as the most promising single screening test for Occidentals.     

Maximum acceptable weights for asymmetric lifting of Chinese females

This study used the psychophysical approach to evaluate the effects of asymmetric lifting on the maximum acceptable weight of lift (MAWL) and the resulting heart rate, oxygen uptake and rating of perceived exertion (RPE). A randomized complete block factorial design was employed. Twelve female college students lifted weights at three different lifting frequencies (one-time maximum, 1 and 4 lifts/min) in the sagittal plane and at three different asymmetric angles (30 degrees, 60 degrees, and 90 degrees ) from the floor to a 68-cm height pallet. This lifting experiment was conducted for a 1-h work period using a free-style lifting technique. The MAWLs for asymmetric lifting were significantly lower than those for symmetric lifting in the sagittal plane. The MAWL decreased with the increase in the angle of asymmetry. However, the heart rate, oxygen uptake and RPE remained unchanged. Though the MAWL decreased significantly with lifting frequency, both the physiological costs (heart rate and oxygen uptake) and rating of perceived exertion increased with the increase in lift frequency. The most stressed body part was the arm. Lifting frequency had no significant effect on the percentage decrease in MAWL from the sagittal plane values. On average, decreases of 5%, 9% and 14% for MAWL at 30 degrees, 60 degrees and 90 degrees asymmetric lifting, respectively, were revealed. This result was in agreement with the findings of Chinese males studied by Wu [Int. J. Ind. Ergonom. 25 (2000) 675]. The percentage decrease in MAWL with twisting angle for the Chinese participants was somewhat lower than those for Occidental participants. In addition, even though there was an increase in heart rate and RPE with the increase in the symmetrical lift angle for Occidental participants, it was different from the Chinese participants. Lastly, the 1991 NIOSH equation asymmetry multiplier is more conservative in comparison with the results of the present study.     

Maximum acceptable weight of lift reflects peak lumbosacral extension moments in a functional capacity evaluation test using free style, stoop and squat lifting

It is unclear whether the maximum acceptable weight of lift (MAWL), a common psychophysical method, reflects joint kinetics when different lifting techniques are employed. In a within-participants study (n = 12), participants performed three lifting techniques--free style, stoop and squat lifting from knee to waist level--using the same dynamic functional capacity evaluation lifting test to assess MAWL and to calculate low back and knee kinetics. We assessed which knee and back kinetic parameters increased with the load mass lifted, and whether the magnitudes of the kinetic parameters were consistent across techniques when lifting MAWL. MAWL was significantly different between techniques (p = 0.03). The peak lumbosacral extension moment met both criteria: it had the highest association with the load masses lifted (r > 0.9) and was most consistent between the three techniques when lifting MAWL (ICC = 0.87). In conclusion, MAWL reflects the lumbosacral extension moment across free style, stoop and squat lifting in healthy young males, but the relation between the load mass lifted and lumbosacral extension moment is different between techniques. PRACTITIONER SUMMARY: Tests of maximum acceptable weight of lift (MAWL) from knee to waist height are used to assess work capacity of individuals with low-back disorders. This article shows that the MAWL reflects the lumbosacral extension moment across free style, stoop and squat lifting in healthy young males, but the relation between the load mass lifted and lumbosacral extension moment is different between techniques. This suggests that standardisation of lifting technique used in tests of the MAWL would be indicated if the aim is to assess the capacity of the low back.     

Lifting in stooped and kneeling postures: Effects on lifting capacity,metabolic costs,and electromyography of eight trunk muscles

Twelve healthy, experienced underground coal miners performed lifting capacity tests in stooped and kneeling postures using a modified psychophysical, procedure. Subjects adjusted weight in a lifting box to the maximum they could handle without undue fatigue in an asymmetric lifting task. Lifting periods were 20 min in duration and the frequency was 10 lifts/min. Tests were performed under a 48-in. roof that restricted the subject's posture. Psychophysical, physiological, and biomechanical dependent measures included the maximum acceptable weight of lift (MAWL), heart rate (HR), rate of oxygen consumption (V̇O₂), ventilation volume rate (V̇_E), respiratory exchange ratio (R), and integrated electromyography (EMG) of eight trunk muscles. Results indicated that the MAWL was significantly lower when kneeling than when stooped (p < 0.05). Furthermore, metabolic demands were greater in terms of HR (p < 0.005) and VO₂ (p < 0.05) when kneeling. Left and right erectores spinae muscles exhibited increased EMG activity in the kneeling posture (p < 0.001). It was concluded that psychophysical lifting capacity is decreased, while the metabolic stress and internal load on the spine are increased, in the kneeling posture. Results of this Bureau of Mines study indicate that it may be advisable to reduce the weight of materials that are handled repetitively in the kneeling posture.     

Maximal and sub-maximal functional lifting performance at different platform heights

Introducing valid physical employment tests requires identifying and developing a small number of practical tests that provide broad coverage of physical performance across the full range of job tasks. This study investigated discrete lifting performance across various platform heights reflective of common military lifting tasks. Sixteen Australian Army personnel performed a discrete lifting assessment to maximal lifting capacity (MLC) and maximal acceptable weight of lift (MAWL) at four platform heights between 1.30 and 1.70 m. There were strong correlations between platform height and normalised lifting performance for MLC (R² = 0.76 ± 0.18, p < 0.05) and MAWL (R² = 0.73 ± 0.21, p < 0.05). The developed relationship allowed prediction of lifting capacity at one platform height based on lifting capacity at any of the three other heights, with a standard error of < 4.5 kg and < 2.0 kg for MLC and MAWL, respectively.     

The effects of container size, frequency and extended horizontal reach on maximum acceptable weights of lifting for female industrial workers

In the development of our present manual materials handling (MMH) guidelines (Snook, S.H., Ciriello, V.M., 1991. The design of manual tasks: revised tables of maximum acceptable weights and forces. Ergonomics 34, 1197-1213), the assumption was made that the effects of frequency on maximum acceptable weights (MAWs) of lifting with a large box (hand distance, 38 cm from chest) were similar to that of lifting with a small box (hand distance, 17 cm from chest). The first purpose of the present experiment was to investigate this assumption with female industrial workers. The second purpose was to study the effects of extended horizontal reach lifting (hand distance, 44.6 cm from chest) on MAWs as a confirmation of the results of a previous studies on this variable with males (Ciriello, V.M., Snook, S.H., Hughes, G.J., 1993. Further studies of psychophysically determined maximum acceptable weights and forces. Hum. Factors 35(1), 175-186; Ciriello, V.M., 2003. The effects of box size, frequency, and extended horizontal reach on maximum acceptable weights of lifting. Int. J. Ind. Ergon. 32, 115-120). Lastly, we studied the effects of high frequency (20 lifts/min) on MAWs of lifting. Ten female industrial workers performed 15 variations of lifting using our psychophysical methodology whereby the subjects were asked to select a workload they could sustain for 8h without "straining themselves or without becoming unusually tired weakened, overheated or out of breath". The results confirmed that MAWs of lifting with the large box was significantly effected by frequency. The frequency factor pattern in this study was similar to the frequency pattern from a previous study using the small box (Ciriello, V.M., Snook, S.H., 1983. A study of size distance height, and frequency effects on manual handling tasks. Hum. Factors 25(5), 473-483) for all fast frequencies down to one lift every 2 min with deviations of 7%, 15%, and 13% for the one lift every 5 and 30 min tasks and the one lift in 8h task, respectively. The effects of lifting with an extended horizontal reach decreased MAW 22% and 18% for the mid and center lift and the effects of the 20 lifts/min frequency resulted in a MAW that was 47% of a 1 lift/min MAW. Incorporating these results in future guidelines should improve the design of MMH tasks for female workers.     

Prediction of the maximum acceptable weight of lift from the frequency of lift

It is known that maximum acceptable weight of lift (MAWL) decreases as the frequency of lifting increases. The purpose of this study was to quantify the relationship between lifting frequency and the MAWL, and to generate models for predicting the mean MAWLs for males and females from frequency of lifting. Published experimental studies that have reported the MAWL at different lifting frequencies were identified and regression methods were used to evaluate the relationship between the frequency of lifting and the MAWL. The best fitting models were logarithmic but they accounted for less than 50% of the variance. This reflects the heterogeneity of the experiments included. Normalising the MAWL to the MAWL at one lift per minute improved the predictive power of the models, accounting for more than 80% of the variance. Linear and power models for predicting work rate in kg/min showed even higher levels of accuracy.     

The effects of container design and stair climbing on maximal acceptable lift weight, wrist posture, psychophysical, and physiological responses in wafer-handling tasks

Despite the high level of automation in semiconductor manufacturing processes, many manual operations are still involved in the workplace. Due to inadequate human–machine interface design, stairs are frequently used to help operators perform wafer-handling tasks. This study was designed to evaluate the effects of climbing stairs and carrying wafer containers (pods) on psychophysical responses (maximal acceptable weight of lift—MAWL, and ratings of perceived exertion—RPE), physiological responses (oxygen consumption—VO₂, and heart rate—HR), and wrist posture (ulnar and radial deviations). Each of 12 subjects (six males and six females) performed six sessions (3 climbing stairs×2 pods types). The results indicate that climbing stairs had a significant influence on MAWL and VO₂ (p<0.01). The type of pod effect on wrist posture was significant (p<0.01). Gender effect differences on MAWL, VO₂ and wrist posture were also significant (p<0.05). Job design implications are discussed.     

Relationship between posture and lifting capacity

This study investigates the effect of changes in posture caused by wearing high-heeled shoes on the maximum lifting capacity. Nine female college students, ages 20 to 25 years, participated in this study. Three heel heights (flat, 5 cm and 7.6 cm), two lifting heights (floor to knuckle and knuckle to shoulder), and lifting frequency of 4 per minute were examined. The results indicate that a significant difference exists between MAWOL with flats and that with 7.6 cm heels for both lifting heights. Subjects lifted 21.5% less weight using 7.6 cm heels than wearing flats. No significant difference was found between MAWOL with flats and 5 cm high heels. In addition, in evaluating the tasks subjectively, the subjects reported that they experienced a stress ontheir legs when lifting with 5 cm and 7.6 cm high-heeled shoes. The conclusion of this study indicates that a change in posture affects lifting capacity, and individuals should adjust their predetermined MAWOL while wearing high-heeled shoes.     

The design of manual handling tasks: revised tables of maximum acceptable weights and forces.

Four new manual handling experiments are reviewed. The experiment used male and female subjects to study lifting, lowering, pushing, pulling, and carrying tasks. Each experiment used a psychophysical methodology with measurements of oxygen consumption, heart rate, and anthropometric characteristics. Independent variables included task frequency, distance, height and duration; object size and handles; extended horizontal reach; and combination tasks. The results of the four experiments were integrated with the results of seven similar experiments published previously by this laboratory. The integrated data were used to revise maximum acceptable weights and forces originally published in 1978. The revised tables are presented and compared with the original tables.