Evaluation of upper-limb body postures based on the effects of back and shoulder flexion angles on subjective discomfort ratings,heart rates and muscle activities

A possible limitation of many ergonomics checklists that evaluate postures is an independent evaluation of each body segment without considering the coordination between body segments and resulting in the under-/over-estimation of body postures. A total of 20 men were selected to evaluate the effects of shoulder and back flexion angles on the upper-limb muscle activities, subjective discomforts and heart rates. Interesting findings were obtained from the coordination between back flexion angles and shoulder flexion angles. At a back flexion angle of 45°, the discomfort and heart rates were the least at a shoulder flexion angle of 45°. The %MVC also showed a similar trend. It could be inferred that the 0° shoulder flexion angle would be a natural posture, when the back flexion angle is 0°, whereas 45° shoulder flexion might be a more natural posture when the back flexion angle is 45°.

Statement of Relevance: This study evaluated the effects of back and shoulder flexion angles on subjective as well as objective measures. The findings of this study considered the coordination between two body flexion angles and could be used to improve the accuracy of existing ergonomics evaluation methods for body postures.     

The effects of knee angles on subjective discomfort ratings,heart rates,and muscle fatigue of lower extremities in static-sustaining tasks

The purpose of this study was to investigate the effects of knee-flexion angles on subjective discomfort ratings, heart rates, and muscle fatigue using median frequency (MDF) in a static-sustaining task. Thirty healthy participants maintained 13 postures including standing, squatting, sitting, and kneeling postures and then MDFs from the erector spinae, biceps femoris, vastus medialis, gastrocnemius, and tibialis anterior muscles, subjective discomfort, and heart rates were collected every 3 min during a sustained 15 min task. Results showed that the discomfort, heart rate and muscle fatigue were significantly influenced by the body postures. In general, standing and sitting postures showed less discomfort as well as lower heart rates, whereas squatting postures (KF120, KF90, KF60) had higher discomfort and heart rates. Three MDF change trends were reported associated with postures in this study. First, there were less changes of MDFs for standing and sitting postures; second, all patterns of MDFs for KF 150 and KF120 decreased, and lastly some MDFs had increasing trends and others showed decreasing trends for KF30, KF30T, and kneeling postures.     

The effects of knee angles on subjective discomfort ratings, heart rates, and muscle fatigue of lower extremities in static-sustaining tasks

The purpose of this study was to investigate the effects of knee-flexion angles on subjective discomfort ratings, heart rates, and muscle fatigue using median frequency (MDF) in a static-sustaining task. Thirty healthy participants maintained 13 postures including standing, squatting, sitting, and kneeling postures and then MDFs from the erector spinae, biceps femoris, vastus medialis, gastrocnemius, and tibialis anterior muscles, subjective discomfort, and heart rates were collected every 3 min during a sustained 15 min task. Results showed that the discomfort, heart rate and muscle fatigue were significantly influenced by the body postures. In general, standing and sitting postures showed less discomfort as well as lower heart rates, whereas squatting postures (KF120, KF90, KF60) had higher discomfort and heart rates. Three MDF change trends were reported associated with postures in this study. First, there were less changes of MDFs for standing and sitting postures; second, all patterns of MDFs for KF 150 and KF120 decreased, and lastly some MDFs had increasing trends and others showed decreasing trends for KF30, KF30T, and kneeling postures.     

Task variation during simulated,repetitive, low-intensity work – influence on manifestation of shoulder muscle fatigue,perceived discomfort and upper-body postures

Work-related musculoskeletal disorders are increasing due to industrialisation of work processes. Task variation has been suggested as potential intervention. The objectives of this study were to investigate, first, the influence of task variation on electromyographic (EMG) manifestations of shoulder muscle fatigue and discomfort; second, noticeable postural shoulder changes over time; third, if the association between task variation and EMG might be biased by postural changes. Outcome parameters were recorded using multichannel EMG, Optotrak and the Borg scale. Fourteen participants performed a one-hour repetitive Pegboard task in one continuous and two interrupted conditions with rest and a pick-and-place task, respectively. Manifestations of shoulder muscle fatigue and discomfort feelings were observed throughout the conditions but these were not significantly influenced by task variation. After correction for joint angles, the relation between task variation and EMG was significantly biased but significant effects of task variation remained absent.

Practitioner Summary: Comparing a one-hour continuous, repetitive Pegboard task with two interrupted conditions revealed no significant influences of task variation. We did observe that the relation between task variation and EMG was biased by posture and therefore advise taking account for posture when investigating manifestations of muscle fatigue in assembly tasks.     

Effects of shoulder rotation combined with elbow flexion on discomfort and EMG activity of ECRB muscle

Work related MusculoSkeletal Disorders (WMSDs) are injuries or dysfunctions caused by occupational or non occupational tasks involving bad postures, high frequency of exertions or high force levels. In the present study, the effects of shoulder flexion/extension combined with elbow flexion angle on discomfort score were investigated for repetitive gripping task. A laboratory experimental simulation was conducted. Ten male participants volunteered in this study. Four levels of shoulder flexion/extension (−45° extension, 0° neutral, 45° & 90° flexion) with three levels of elbow flexion angle (45°, 90° & 135°) were taken as levels of independent variables. There were 12 combinations available for each participant and the experiment was conducted on the basis of random order of experimental combinations for each participant. Discomfort score on 100 mm visual analogue scale (VAS) and Electromyography (EMG) activity of Extensor Carpi Radialis Brevis (ECRB) muscle were dependent variables for the analyses. The task for the experiment was of 150N ± 5N grip force at a frequency of 15 exertions/minute for five minutes duration. After performing the MANOVA on the recorded data, the results showed that the shoulder flexion/extension and elbow flexion both were highly significant (p < 0.001). Also it was found that −45° shoulder extension combined with 45° elbow flexion angle was the most discomfort posture. The practical relevance of the study is that, in industrial tasks such posture should be avoided to minimize risk of WMSDs.Relevance to industryThe findings in terms of relationship between discomfort/EMG vs. shoulder rotation combined with elbowflexion are important to design Industrial tasks with the reduced risk of WMSDs. Such as, sheet metal cutting, fabrication of sheet metal work, die casting, and drilling operations may require the shoulder movements in extenion/flexion combined with elbowflexion.     

Effects of handle angle and work orientation on hammering: II. Muscle fatigue and subjective ratings of body discomfort

This research investigated how changes in hammer handle angle and hammering orientation affected muscle fatigue in the forearm and subjective ratings of body discomfort. Forearm muscle fatigue and discomfort ratings were not significantly affected by handle angle, but they were significantly higher in the wall hammering orientation than in the bench orientation. The research in this article and in the companion article (Part I) reveal that for novices, hammers with handles angled in the range of 20-40 deg are advantageous because (1) they reduce ulnar deviation and may possibly decrease the incidence of hand/wrist disorders, and (2) they do not significantly affect hammering performance in the bench conditions, forearm muscle fatigue, or subjective ratings of body discomfort.     

Effects of low back disability status on lower back discomfort during sustained and cyclical trunk flexion

A laboratory study was conducted to determine the effects of back disability status on endurance time and perceived discomfort during trunk flexion. Eighty participants (40 with chronic or recurrent low back pain (CRLBP), 40 pain-free) were tested. The trunk was flexed to 15°, 30°, 45° and 60° under three conditions: 1) continuous static flexion; 2) cyclical flexion with 20% rest; and 3) cyclical flexion with 40% rest. Each condition was performed for up to 600?s or until the participant reached his/her pain tolerance limit. Dependent variables included time to distracting discomfort (TDD), total endurance time (TET) and perceived discomfort. For continuous exertions, CRLBP participants had lower TDD (p?<?0.001), lower TET (p?<?0.001) and greater discomfort (p?<?0.001) compared to pain-free controls. In both groups, TDD and TET decreased and perceived discomfort increased as the flexion angle increased. For intermittent exertions, CRLBP participants reported greater discomfort than pain-free participants (p?<?0.001). Increasing rest from 20 to 40% reduced discomfort in CRLBP participants, but produced no consistent benefit in pain-free participants. To accommodate persons with CRLBP, consideration should be given to reducing both the magnitude (angle) and duration of trunk flexion required by their jobs.     

Effects of low back disability status on lower back discomfort during sustained and cyclical trunk flexion

A laboratory study was conducted to determine the effects of back disability status on endurance time and perceived discomfort during trunk flexion. Eighty participants (40 with chronic or recurrent low back pain (CRLBP), 40 pain-free) were tested. The trunk was flexed to 15 degrees, 30 degrees, 45 degrees and 60 degrees under three conditions: 1) continuous static flexion; 2) cyclical flexion with 20% rest; and 3) cyclical flexion with 40% rest. Each condition was performed for up to 600 s or until the participant reached his/her pain tolerance limit. Dependent variables included time to distracting discomfort (TDD), total endurance time (TET) and perceived discomfort. For continuous exertions, CRLBP participants had lower TDD (p < 0.001), lower TET (p < 0.001) and greater discomfort (p < 0.001) compared to pain-free controls. In both groups, TDD and TET decreased and perceived discomfort increased as the flexion angle increased. For intermittent exertions, CRLBP participants reported greater discomfort than pain-free participants (p < 0.001). Increasing rest from 20 to 40% reduced discomfort in CRLBP participants, but produced no consistent benefit in pain-free participants. To accommodate persons with CRLBP, consideration should be given to reducing both the magnitude (angle) and duration of trunk flexion required by their jobs.     

The effects of lumbar massage on muscle fatigue,muscle oxygenation,low back discomfort,and driver performance during prolonged driving

This paper reviews results of comparisons between novice and expert operators in the supervision of dynamic environments. Firstly, the characteristics of expertise and its operational definitions are discussed. Secondly, the main dimensions of the complexity of these environments are described and the difficulties operators have in coping with complexity are examined. Research work carried out in field studies is then overviewed in order to assess the role of expertise in the three components of process control: monitoring, diagnosis and decision-making and executive control. The discussion stresses the convergent results of various studies. In spite of the diversity of task domains and of novice-expert definitions, results converge on three points: experts are better at producing inference, in anticipating, and have a more functional view of the process. Divergent results on directionality of reasoning, depth of knowledge in relation to performance and synchronization of actions are also discussed. Finally, further research trends are outlined.     

The effects of lumbar massage on muscle fatigue, muscle oxygenation, low back discomfort, and driver performance during prolonged driving

An increasing dependence of society on automobiles for both work and leisure and the corresponding increase in time spent seated in the car has been correlated with a greater risk of low back pain and absence from work (Porter and Gyi 2002). This study examined the effects of three types of lumbar massage units on seating comfort, muscle fatigue, muscle oxygenation, muscle blood flow and driving performance during a 1 h simulated driving task. Electromyographic (EMG) signals were recorded from the right and left thoracic and lumbar erector spinae musculature. Average EMG (AEMG), mean power frequency (MPF), gaps and amplitude probability distribution function (APDF) parameters were analysed from the three massage seats and compared to a control seat. Near infrared spectroscopy (NIRS) and skin temperature from the right thoracic and lumbar erector spinae were used as an indication of muscle oxygenation and blood flow throughout the driving task. Ratings of perceived discomfort were used to assess driver discomfort, and driving performance was assessed by calculating mean lap times for the duration of each driving trial. The results showed statistically significant increases in skin temperature compared with the control seat after 60 min of driving. The NIRS results reflected these trends although the results were not statistically significant. AEMG and MPF measures showed no significant differences between the seats. MPF measures were found to increase over time, effects attributed to increases in muscle temperature. Gaps and APDF analyses revealed greater rest times and lower activation levels, respectively, with the control seat, which could result in increased loading of passive structures. This study demonstrated the beneficial effects of lumbar massage systems in increasing muscle blood flow and oxygenation. Although EMG parameters were not significantly different, the trends support the significant blood flow results. Future research should include longer driving times and adjustments in EMG measures to account for the effects of increasing muscle temperature on AEMG and MPF measures.     

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).     

The effects of shoulder posture on neck and shoulder musculoskeletal loading and discomfort during smartphone usage

While using their smartphone, users tend to adopt awkward neck and shoulder postures for an extended duration. Such postures impose the risk of MSDs on those body parts. Numerous studies have been undertaken to examine neck posture; however, few studies have investigated shoulder postures. This study examined various shoulder postures during smartphone use and their effect on neck and shoulder kinematics, muscle loading, and neck/shoulder discomfort. Thirty-two asymptomatic young adult smartphone users randomly performed texting tasks for 3 min at four different shoulder flexion angles (15°, 30°, 45°, and 60°), while maintained a neck posture in the neutral position (0° neck flexion angle). Measures were taken of neck and shoulder muscle activity of the cervical erector spinae (CES), anterior deltoid (AD), upper trapezius (UT) and lower trapezius (LT), and kinematic data (angle, distance and gravitational moment). Results showed AD and LT muscle activity significantly increased when the shoulder flexion angle increased with an opposite effect on CES and UT. A recommended shoulder posture was identified as 30° flexion, as this yielded the best compromise between activation levels of the four muscles studied. This angle also induced the lowest neck/shoulder discomfort score. The findings suggest smartphone users hold their device at approximately 30° shoulder flexion angle with their neck in a neutral posture to reduce the risk of shoulder and neck musculoskeletal disorders when smartphone texting.Relevance to industrySmartphone use in the manufacturing and service industries is an integral part of work and useful means of communication tool. Awkward postures during extensive smartphone use impose an increased risk of both neck and shoulder musculoskeletal disorders. Shoulder flexion angles need consideration when making recommendations about safe work postures during smartphone use.     

The effect of police cruiser restraint cage configuration on shoulder discomfort,muscular demands,upper limb postures,and task performance during simulated police patrol

Advances in police-specific technology have led to changes in work layout and physical occupational demands of mobile police officers. This study investigated the influence of police cruiser compartment configuration on perceived discomfort, muscle activation, shoulder kinematics, and typing performance during simulated police patrol. Participants completed a one-hour session including simulated driving and 2-min typing trials in a standard compartment configuration with a fixed mobile data terminal (MDT) location (ST), and in a modified compartment configuration with an MDT in front of the user and a rearward translated seat (MOD). The MOD configuration resulted in reductions of 55–65% in perceived shoulder discomfort, up to 3.4% MVC in shoulder muscle demands, and more neutral humeral orientations (shoulder elevation reduced by 13–25°). These improvements associated with the MOD configuration may have ergonomic implications for future police car designs, particularly as new technology is introduced in the mobile environment and advanced solutions are sought.     

The effect of shoulder posture on performance,discomfort and muscle fatigue whilst working on a visual display unit

An investigation was conducted to determine the relationship between posture and performance while working on a VDU. Twenty-one female subjects performed a 20 min choice reaction time task in a within-subject design with shoulder flexion (0° versus 30°) and noise (55 dB versus 75 dB) as factors. Discomfort measures, electromyography (EMG) measures and measures of performance including reaction time and percentage of errors were collected. The results suggested poorer performance in the 30° shoulder flexion posture compared to the 0° shoulder flexion posture (performance index F_1,20 = 3.95, p = 0.061). There was also significantly greater discomfort and fatigue, as indicated by EMG, in the 30° shoulder flexion compared to 0° shoulder flexion (discomfort: F_1,20 = 99.30; p = 0.0001 EMG: F_1,20 = 4.25, p = 0.052). The results of this study provide the most direct evidence that the posture of VDU users can affect their performance at a task. A number of possible mechanisms for posture to affect performance are explored using the data. The utility of data showing the effect of posture on performance data is discussed in terms of financial modelling to justify the cost of ergonomic intervention. Relevance to industryPoor posture whilst working at a VDU has been previously linked with the development of poor health but has not been directly linked with poor performance. This paper provides evidence to show posture can effect VDU performance. This enables organisations to use estimates of performance changes to model the costs of investment in ergonomic interventions.     

Joint angles of isocomfort for female subjects based on the psychophysical scaling of static standing postures

This study investigated the joint angles of isocomfort (JAIs) for females based on the psychophysical scalings for static standing postures held for 60?s, which were obtained in a laboratory experiment. The subjects were instructed to rate their comfort levels for varyious joint postures by using the free modulus method of magnitude estimation. The comfort scores for the joint postures and the related verbal comfort categories were subjected to regression analysis in order to obtain the JAIs corresponding to verbal categories. The results showed that the JAIs were significantly different depending upon the joints and joint postures investigated (p?<?0.01), and that the JAIs for female subjects were significantly different than those for males (p?<?0.01) which had been obtained in an earlier study (Kee and Karwowski, ). Compared to the corresponding range of joint motion values, the JAIs for hip postures were the smallest of all joint postures dealt with in this study, while those for the neck were the largest of all postures, which means that hip postures are more stressful than any other joint posture. Based on this study, it is recommended that the gender-based JAI values should be used for design applications.     

Joint angles of isocomfort for female subjects based on the psychophysical scaling of static standing postures

This study investigated the joint angles of isocomfort (JAIs) for females based on the psychophysical scalings for static standing postures held for 60 s, which were obtained in a laboratory experiment. The subjects were instructed to rate their comfort levels for varyious joint postures by using the free modulus method of magnitude estimation. The comfort scores for the joint postures and the related verbal comfort categories were subjected to regression analysis in order to obtain the JAIs corresponding to verbal categories. The results showed that the JAIs were significantly different depending upon the joints and joint postures investigated (p < 0.01), and that the JAIs for female subjects were significantly different than those for males (p < 0.01) which had been obtained in an earlier study (Kee and Karwowski, 2001). Compared to the corresponding range of joint motion values, the JAIs for hip postures were the smallest of all joint postures dealt with in this study, while those for the neck were the largest of all postures, which means that hip postures are more stressful than any other joint posture. Based on this study, it is recommended that the gender-based JAI values should be used for design applications.     

The effects of air temperature on office workers’ well-being, workload and productivity-evaluated with subjective ratings

Productivity bears a close relationship to the indoor environmental quality (IEQ), but how to evaluate office worker’s productivity remains to be a challenge for ergonomists. In this study, the effect of indoor air temperature (17 °C, 21 °C, and 28 °C) on productivity was investigated with 21 volunteered participants in the laboratory experiment. Participants performed computerized neurobehavioral tests during exposure in the lab; their physiological parameters including heart rate variation (HRV) and electroencephalograph (EEG) were also measured. Several subjective rating scales were used to tap participant’s emotion, well-being, motivation and the workload imposed by tasks. It was found that the warm discomfort negatively affected participants’ well-being and increased the ratio of low frequency (LF) to high frequency (HF) of HRV. In the moderately uncomfortable environment, the workload imposed by tasks increased and participants had to exert more effort to maintain their performance and they also had lower motivation to do work. The results indicate that thermal discomfort caused by high or low air temperature had negative influence on office workers’ productivity and the subjective rating scales were useful supplements of neurobehavioral performance measures when evaluating the effects of IEQ on productivity.     

The effects of air temperature on office workers’ well-being,workload and productivity-evaluated with subjective ratings

Productivity bears a close relationship to the indoor environmental quality (IEQ), but how to evaluate office worker’s productivity remains to be a challenge for ergonomists. In this study, the effect of indoor air temperature (17 °C, 21 °C, and 28 °C) on productivity was investigated with 21 volunteered participants in the laboratory experiment. Participants performed computerized neurobehavioral tests during exposure in the lab; their physiological parameters including heart rate variation (HRV) and electroencephalograph (EEG) were also measured. Several subjective rating scales were used to tap participant’s emotion, well-being, motivation and the workload imposed by tasks. It was found that the warm discomfort negatively affected participants’ well-being and increased the ratio of low frequency (LF) to high frequency (HF) of HRV. In the moderately uncomfortable environment, the workload imposed by tasks increased and participants had to exert more effort to maintain their performance and they also had lower motivation to do work. The results indicate that thermal discomfort caused by high or low air temperature had negative influence on office workers’ productivity and the subjective rating scales were useful supplements of neurobehavioral performance measures when evaluating the effects of IEQ on productivity.     

The effects of the duration on the subjective discomfort of a rigid seat and a cushioned automobile seat

The subjective discomfort caused by the seat would affect the judgements of discomfort for the seated subjects. However, there have been few studies concerned with the discomfort on the rigid seat in static states, especially for a relatively long duration. This paper investigated the subjective discomfort caused by a rigid seat and a cushioned automobile seat for an hour. Twelve students (eight males and four females) rated the overall discomfort on a category-ratio scale and the local body discomfort on a 6-point rating scale every 10 min caused by two seats in two separate days. The static discomfort increased with increasing time, and the rigid seat caused greater discomfort than the cushioned seat. The local discomfort on the back dominated on the automobile seat, whereas the local discomfort on the buttock area dominated on the rigid seat. We established the empirical equations to predict the relations between the discomfort and duration of the two types of seats, for benchmark in the future studies on vibration and noise discomfort.