Biomechanical analyses of paramedics simulating frequently performed strenuous work tasks

Firefighters performing emergency rescue functions are at an elevated risk of musculoskeletal injuries. The objective of the current study was to analyze the biomechanical stresses placed on the body based on simulations of the following strenuous and frequently performed emergency rescue tasks: (1) transferring a patient from a bed to a stretcher using bedsheets, (2) transferring a patient from the ambulance stretcher to a hospital gurney, (3) carrying a victim down a set of stairs and through a landing using a stairchair, (4) carrying a victim down a set of stairs and through a landing using a backboard, and (5) carrying a victim down a straight set of stairs using a stretcher. Postural data were analyzed using the University of Michigan's Three-Dimensional Static Strength Prediction Program and the relative risk of low back disorder (LBD) was quantified using the trunk motion model published by Marras et al. (1993, spine 18, 617-628). Peak compression values and the probabilities from the Marras et al. (1993) model indicated that the most hazardous tasks performed as part of this simulation included pulling a victim from a bed to a stretcher, the initial descent of a set of stairs when using the stretcher, and lifting a victim on a backboard from the floor. Overall, the two models were well correlated in their assessment of the task components modelled (r = 0.78). These data indicate where engineering changes to equipment regularly used by emergency rescue personnel would have the greatest impact in reducing the risk of musculoskeletal injury.     

Postural analysis of nursing work

Back pain in the nursing profession is an acknowledged wide spread occupational hazard. This study used OWAS (Ovako Working posture Analysis System) to measure the severity of the working postures adopted by nurses on Care of the Elderly wards when carrying out manual handling operations for animate and inanimate loads. Twenty-six nurses were observed on 31 occasions to obtain 4299 observations, these data were collected and processed using the OWASCO and OWASAN programs, and then analysed by grouping the results into defined patient (animate) handling and non-patient (inanimate) handling tasks. A statistical comparison was made between the two groups using the percentage of action categories two, three and four, to the total number of action categories. A significant difference (p < 0.05) was found, demonstrating that the percentage of harmful postures adopted during patient handling tasks was significantly higher than during non-patient handling tasks. This high level of postural stress and the poor track record of risk management within the Health Care Industry leads to the recommendation that an attitudinal change is needed to successfully address and reduce the manual handling burden which is currently being carried by the nursing staff.     

A study of lifting tasks performed on laterally slanted ground surfaces

Lifting in most industrial environments is performed on a smooth, level ground surface. There are, however, many outdoor work environments (e.g. agriculture and construction) that require manual material handling activities on variable grade ground surfaces. Quantifying the biomechanical response while lifting under these conditions may provide insight into the aetiology of lifting-related injury. The aim of the current study was to quantify the effect of laterally slanted ground surfaces on the biomechanical response. Ten subjects performed both isometric weight-holding tasks and dynamic lifting exertions (both using a 40% of max load) while standing on a platform that was laterally tilted at 0, 10, 20 and 30 degrees from horizontal. As the subject performed the isometric exertions, the electromyographic (EMG) activity of trunk extensors and knee extensors were collected and during the dynamic lifting tasks the whole body kinematics were collected. The whole body kinematics data were used in a dynamic biomechanical model to calculate the time-dependent moment about L5/S1 and the time-dependent lateral forces acting on the body segments. The results of the isometric weight-holding task show a significant (p < 0.05) effect of slant angle on the normalized integrated EMG values in both the left (increase by 26%) and right (increase by 70%) trunk extensors, indicating a significant increase in the protective co-contraction response. The results of the dynamic lifting tasks revealed a consistent reduction in the peak dynamic L5/S1 moment (decreased by 9%) and an increase in the instability producing lateral forces (increased by 111%) with increasing slant angle. These results provide quantitative insight into the response of the human lifter under these adverse lifting conditions.     

Computer-telephone interactive tasks: predictors of musculoskeletal disorders according to work analysis and workers' perception

Sixty-two workers engaged in computer-telephone interactive tasks in an active telemarketing center and a telephone call center of an international bank subsidiary in S?o Paulo. Brazil, were assessed by means of a work analysis and a self-administered questionnaire aiming to determine the statistical relationship of ergonomic, organizational and psychosocial characteristics of their jobs with the report of symptoms in neck-shoulder and hand-wrist for more than 7 consecutive days and any time away from work during the current job due to musculoskeletal disorders (MSD). According to chi-square univariate tests and multiple logistic regression models, active telemarketing operations, duration in the job and the low level of satisfaction with the physical arrangement of the workstation emerged as the factors most related to neck-shoulder and hand-wrist MSD and MSD-induced time away from work. This study emphasizes the role of psychosocial factors and duration in the job in MSD occurrence and induced absenteeism among workers engaged in computer-telephone interactive tasks.     

Identification of physically demanding tasks performed during bushfire suppression by Australian rural firefighters

PurposeTo identify and characterize the physically demanding tasks undertaken during multi-day wildfire (known as bushfire in Australia) suppression by Australian rural firefighters.MethodsDuring semi-structured group interviews, thirty-one experienced male firefighters reviewed 53 firefighting tasks that could be performed during tanker-based bushfire suppression. Participants were asked to nominate the most physically demanding tasks and then define their typical frequencies, durations, operational importance and the dominant actions and activity types in each task.ResultsSeven tasks were identified as physically demanding. They were further categorized into three hose and four handtool (e.g., rakehoe) related activities. These tasks were assessed as moderately important to critical and were thought to occur less than one up to 700 times in a four-month bushfire ‘season’. Each task’s duration was estimated to last approximately 2–30 min depending on the task. Dominant actions were carry, drag, dig/rake actions in seven, three and four of the demanding tasks, respectively. ‘Strength-endurance’ was the dominant activity type for five of the seven tasks.ConclusionSeven fireground tasks, three using a hose and four using handtools were classified as physically demanding by incumbent firefighters. The combination of hose and handtool work indicates that the tanker-based bushfire suppression tactics used by Australian rural firefighters appears to be a hybrid of structural and wildfire firefighting techniques and may require a dedicated physiological analyses before the job demands for these firefighters can be quantified.     

Psychological evaluation and design of work tasks: two examples

Abstract

Practical experience with flexible production automation has provoked rising demands for human oriented job design. Prospective evaluation of work tasks based on status-quo analyses with the psychological instrument VERA, developed for the assessment of the available scope of action in fulfilling the task, has led to design proposals concerning technical and organizational aspects as well as questions of training and retraining. Procedure and results are shown by presenting two case studies dealing with a small flexible manufacturing system and a planned ‘production island’.     

Vision at work visual defect and the visual demand of tasks

Several related studies of visual tasks in a large communications undertaking have revealed much defect of vision and many sources of visual fatigue and inefficiency. The nature of visual fatigue is described briefly and a programme to facilitate visual tasks is outlined.     

Hybrid work stealing of locality-flexible and cancelable tasks for the APGAS library

Since large parallel machines are typically clusters of multicore nodes, parallel programs should be able to deal with both shared memory and distributed memory. This paper proposes a hybrid work stealing scheme, which combines the lifeline-based variant of distributed task pools with the node-internal load balancing of Java’s Fork/Join framework. We implemented our scheme by extending the APGAS library for Java, which is a branch of the X10 project. APGAS programmers can now spawn locality-flexible tasks with a new asyncAny construct. These tasks are transparently mapped to any resource in the overall system, so that the load is balanced over both nodes and cores. Unprocessed asyncAny-tasks can also be cancelled. In performance measurements with up to 144 workers on up to 12 nodes, we observed near linear speedups for four benchmarks and a low overhead for cancellation-related bookkeeping.     

Exact scheduling analysis of non-accumulatively monotonic multiframe tasks

In this paper, we present exact analysis for the worst case response time of the general multiframe (MF) task model executing on a uniprocessor according to the fixed priority scheduling scheme. The analysis is developed in four stages. Firstly, we present the basic response time analysis where we optimize the number of frames that have to be considered in such analysis; we show how their number can be significantly reduced by eliminating non critical frames that are dominated by other frames. Secondly, we extend this analysis to be applicable to MF tasks with arbitrary deadlines. Thirdly, the basic analysis is extended to cope with frame specific deadlines. Lastly, the two models of frame specific deadlines and arbitrary deadlines are combined and the relative analysis is presented. An optimal priority assignment scheme for the frame specific deadline scenario is also presented in this paper.     

Constraint network analysis of 3-dimensional insertion tasks

Flexible assembly machines may be improved and costs reduced by relaxing constraints on part fixturing accuracy and employing compliant devices in assembly effectors. An effector-mounted remote center compliance device that corrects for spatial misalignments of prismatic parts of general cross section has recently been demonstrated. This spatial RCC was designed by planning for the possible fine motion assembly contact states given a range of initial position and orientation uncertainty between the mating parts. These fine motion contact states are arranged in a constraint network in the fashion of a Petri net controller, however, the control transitions are mediated by compliances reacting to contact forces rather than from force sensing and discrete event controller schemes. A path through the constraint network of a square peg and hole task is found from initial to final assembly states. This path defines a single compliance relationship that is realized with a practical assembly device. Extensions of this design technique to other assembly tasks are discussed.     

A two-phase mathematical-programming heuristic for flexible assignment of activities and tasks to work shifts

In the service industry, workers perform work shifts and are assigned to interruptible activities and uninterruptible tasks during their shifts. The work shifts of regular employees are often established several weeks in advance of the operations when the activity and task demands are still uncertain. Just a few days before the operations when these demands are unveiled with more certainty, the planned schedules can be slightly modified and on-call temporary employees can be scheduled to satisfy the demands as best as possible. As acceptable modifications, extending the planned shifts and moving workers’ meal breaks are considered. In this paper, we are interested in the scheduling problem encountered in this second step, which also involves assigning activities and tasks to the scheduled work shifts. To produce good-quality solutions in fast computational times for large-sized instances, we develop a two-phase heuristic. In the first phase, an approximate mixed-integer programming model is used to suggest temporary shifts and extensions to regular shifts and to schedule and assign tasks. In the second phase, a column-generation heuristic embedded in a rolling horizon procedure determines the final shifts and assigns activities to them. Computational results obtained on randomly generated instances are reported to evaluate the validity of the proposed solution method.     

The development and application of psychophysical methods in upper-extremity work tasks and task elements

This paper examines an approach to modeling the relationship between perceived acceptable work exposures and physical stressors in upper-extremity tasks using psychophysical methods. Several years of laboratory-based studies and results from a variety of simulated work tasks and task elements are summarized. The original impetus of these studies was founded in the pioneering work and successful application of psychophysical methods applied to manual materials handling tasks (e.g., lifting) generally beginning in the 1960s and 1970s. This approach provided unique and feasible solutions to work design problems involving exposure to the hazard of cumulative trauma. Presently, these methods were adapted to studying common upper-extremity tasks and task elements. Results provide conclusive evidence of the impact of required posture, force, gender and other variables on acceptable task frequency. These results and the psychophysical method in general, may be particularly helpful in establishing realistic and reasonable work design guidelines when workers are exposed to multiple, simultaneous hazards such as force, frequency, with deviated posture, etc, and in the absence of well-defined biomechanical or physiological-based models. Finally, a review of psychophysical theory and methods which can be applied to a wide range of occupational activities is provided.     

The ability of non-computer tasks to increase biomechanical exposure variability in computer-intensive office work

Postures and muscle activity in the upper body were recorded from 50 academics office workers during 2 hours of normal work, categorised by observation into computer work (CW) and three non-computer (NC) tasks (NC seated work, NC standing/walking work and breaks). NC tasks differed significantly in exposures from CW, with standing/walking NC tasks representing the largest contrasts for most of the exposure variables. For the majority of workers, exposure variability was larger in their present job than in CW alone, as measured by the job variance ratio (JVR), i.e. the ratio between min–min variabilities in the job and in CW. Calculations of JVRs for simulated jobs containing different proportions of CW showed that variability could, indeed, be increased by redistributing available tasks, but that substantial increases could only be achieved by introducing more vigorous tasks in the job, in casu illustrated by cleaning.     

Dynamic estimation of worker reliability in crowdsourcing for regression tasks: Making it work

One of the biggest challenges in crowdsourcing is detecting noisy and incompetent workers. A possible way of handling this problem is to dynamically estimate the reliability of workers as they do work and accept only those workers who are deemed to be reliable to date. Although many approaches to dynamic estimation of rater reliability exist, they are often only appropriate for very specific categories of tasks, for example, only for binary classification. They also can make unrealistic assumptions such as requiring access to a large number of gold standard answers or relying on the constant availability of any rater. In this paper, we propose a novel approach to the dynamic estimation of rater reliability in regression (DER³) using multi-armed bandits. This approach is specifically suited for real-life crowdsourcing scenarios, where the task at hand is labelling or rating corpora to be used in supervised machine learning, and the annotations are continuous ratings, although it can be easily generalised to multi-class or binary classification tasks. We demonstrate that DER³ provides high-accuracy results and at the same time keeps the cost of the rating process low. Although our main motivating example is the recognition of emotion in speech, our approach shows similar results in other application areas.     

Postural and trunk muscle response to sudden release during stoop lifting tasks before and after fatigue of the trunk erector muscles

The effect of fatigue on the muscular and postural response to sudden release of different stoop lifting loads was studied. Ten male volunteers performed a series of stoop lifting trials before and after fatigue of the erector spinae. Trials were performed using loads of 20, 40, 60, and 80 N, and sudden release of load was triggered randomly on one of the repetitions using an electromagnetic release. The onset of release was registered by an accelerometer, centre of pressure (COP) motion was recorded via a forceplate, and EMG activities of the latissimus dorsi (LD), erector spinae (ES), rectus abdominus (RA), external oblique (EO) and internal oblique (IO) muscles were recorded. A slightly reduced lifting speed was seen after fatigue, particularly at the higher loads, but this had little effect on the perturbing force at release, which was dominated by the release load. A significant effect of fatigue was seen on the antero-posterior COP motion, with the postural disturbance being decreased after fatigue. Fatigue resulted in a significant increase in ES (p = 0.029) and LD (p = 0.015) relaxation times and, while the response patterns (relaxation, contraction or no response) of the anterior trunk muscles (RA, EO, IO) were not always consistent, the proportion of response by relaxation was greater after fatigue. This resulted in a lower incidence but longer duration of co-contraction of the ES-RA, ES-EO and ES-EO muscle groups following fatigue, such that the mean co-contraction duration of these groups showed no significant differences before and after fatigue. The response to sudden release is a balance between maintaining postural stability and at the same time preventing the trunk musculature from overloading the spine and risking tissue injury. While fatigue of the trunk extensors does not appear to increase either the risk of fall or stumble or the incidence of co-contraction following sudden release of stoop lifting tasks, the duration of co-contraction appears to increase following fatigue. Further study is required to quantify the loading on the spine during sudden release of different lifting tasks before and after more realistic fatigue conditions.     

Postural and trunk muscle response to sudden release during stoop lifting tasks before and after fatigue of the trunk erector muscles

The effect of fatigue on the muscular and postural response to sudden release of different stoop lifting loads was studied. Ten male volunteers performed a series of stoop lifting trials before and after fatigue of the erector spinae. Trials were performed using loads of 20, 40, 60, and 80N, and sudden release of load was triggered randomly on one of the repetitions using an electromagnetic release. The onset of release was registered by an accelerometer, centre of pressure (COP) motion was recorded via a forceplate, and EMG activities of the latissimus dorsi (LD), erector spinae (ES), rectus abdominus (RA), external oblique (EO) and internal oblique (IO) muscles were recorded. A slightly reduced lifting speed was seen after fatigue, particularly at the higher loads, but this had little effect on the perturbing force at release, which was dominated by the release load. A significant effect of fatigue was seen on the antero-posterior COP motion, with the postural disturbance being decreased after fatigue. Fatigue resulted in a significant increase in ES (p = 0.029) and LD (p = 0.015) relaxation times and, while the response patterns (relaxation, contraction or no response) of the anterior trunk muscles (RA, EO, IO) were not always consistent, the proportion of response by relaxation was greater after fatigue. This resulted in a lower incidence but longer duration of co-contraction of the ES-RA, ES-EO and ES-EO muscle groups following fatigue, such that the mean co-contraction duration of these groups showed no significant differences before and after fatigue. The response to sudden release is a balance between maintaining postural stability and at the same time preventing the trunk musculature from overloading the spine and risking tissue injury. While fatigue of the trunk extensors does not appear to increase either the risk of fall or stumble or the incidence of co-contraction following sudden release of stoop lifting tasks, the duration of co-contraction appears to increase following fatigue. Further study is required to quantify the loading on the spine during sudden release of different lifting tasks before and after more realistic fatigue conditions.