高温环境下不同体力劳动强度对心血管负荷指数影响研究

基于心率变化的心血管负荷指数作为评估人体疲劳程度的指标之一,得到国内外专家学者的广泛研究。为进一步研究高温环境下不同体力劳动强度对心血管负荷指数的影响,探讨高温作业下不同劳动强度人体疲劳程度的变化,分析出不同温度下人体可接受的体力劳动强度。通过采用实验仓模拟不同的高温环境,以心血管负荷指数(%CVL)作为人体疲劳程度的分级指标,最终得到了高温环境下从事不同体力劳动强度的心血管负荷指数回归方程,以及不同高温环境下人体可承受能力下可进行的体力劳动强度,为高温环境劳动者制定合理和健康的作业安排提供科学依据。     

Cardiovascular Strain of Sawmill Workers in South-Western Nigeria

This study aimed to assess cardiovascular strain during sawmilling operations in terms of physical workload, based on heart rate changes. We measured resting and working heart rates and calculated cardiovascular load (%CVL), cardiovascular strain (%CVS) and relative heart rate (%RHR) in 35 sawmill workers. Based on heart rate only, the work in sawmills was classified as very heavy and extremely heavy. Similarly, a high-level category was recorded for %CVL and a very high range for %CVS. Thus, the workload in sawmill operations is usually very high and can lead to physiological strain of the workers. There is a need to redesign the work content of this occupation to prevent excessive strain in the workers, as this will increase their productivity and reduce their health risk.     

Thermal Strain in Fire Fighters While Wearing Task-Fitted Versus EN 469:2005 Protective Clothing During a Prolonged Rescue Drill

Fire fighters are normally overprotected during their working hours because of the tendency to keep the personal protection level sufficiently high in case of the worst possible scenarios. This study investigated the effects of task-fitted protective clothing on thermal strain in fire fighters as compared to EN 469:2005 protective clothing during a prolonged (2 1/2 hrs) job-related rescue drill under neutral and hot climates. The subjects were 23 healthy, physically fit professional male fire fighters aged 26–44 years. Measurements included cardiovascular and thermal responses and subjective assessments. Wearing task-fitted clothing during rescue tasks in a neutral climate considerably reduced total thermal and cardiovascular strain in prolonged rescue work. The fire fighters also perceived physical work as significantly harder on average, and reported more intense subjective discomfort while wearing EN 469:2005 as compared to task-fitted clothing.     

Thermal strain in fire fighters while wearing task-fitted versus en 469:2005 protective clothing during a prolonged rescue drill.

Fire fighters are normally overprotected during their working hours because of the tendency to keep the personal protection level sufficiently high in case of the worst possible scenarios. This study investigated the effects of task-fitted protective clothing on thermal strain in fire fighters as compared to EN 469:2005 protective clothing during a prolonged (2 1/2 hrs) job-related rescue drill under neutral and hot climates. The subjects were 23 healthy, physically fit professional male fire fighters aged 26-44 years. Measurements included cardiovascular and thermal responses and subjective assessments. Wearing task-fitted clothing during rescue tasks in a neutral climate considerably reduced total thermal and cardiovascular strain in prolonged rescue work. The fire fighters also perceived physical work as significantly harder on average, and reported more intense subjective discomfort while wearing EN 469:2005 as compared to task-fitted clothing.     

The Relationships Between Biomechanical and Postural Stresses,Musculoskeletal Injury Rates,and Perceived Body Discomfort Experienced by Industrial Workers: A Field Study

A combination of archival, subjective, and observational field data collection methods were used to investigate the relationship between biomechanical and postural stresses, and the resulting physical strain experienced by industrial workers of a packaging plant. Assessment of physical strain was based on the number and incidence rate of Occupational Safety and Health Administration (OSHA)-reportable injuries that were recorded over a period of 27 months, and based on the self-reported ratings of perceived body discomfort. Both the biomechanical and postural stresses correlated with the musculoskeletal injury rate. The results illustrate the usefulness of postural and biomechanical analyses for assessing the risk of injury in industry.     

Evaluation of Different Scales for Measurement of Perceived Physical Strain During Performance of Manual Tasks

The main objective of this study was to evaluate different scales of perceived strain during the performance of various physical tasks. A total of 52 male and female participants took part in 4 experiments to achieve the study objective. The results suggest that a bipolar comfort-discomfort scale is a more appropriate instrument than a discomfort scale for assessing cumulative physical stresses at work, especially at the beginning of the shift. For assessing discomfort at the end of the work shift, a unipolar scale may also be used. On the basis of the obtained results, red, green, and yellow zones are suggested to establish priorities for work redesign efforts in ergonomic control programs.     

Work Content and Eye Discomfort in VDT Work

A questionnaire study of Swedish public employees with frequent and different types of VDT work (n = 2,025) was conducted. Eight different kinds of eye discomfort were examined, and an additive index was constructed. Eye discomfort was statistically related to aspects of work organization. The highest levels of discomfort were reported by computer-aided design (CAD), data entry, and word processing groups; groups with mixed VDT tasks displayed the lowest level of symptoms. Time spent at a VDT, low degree of work control, time pressure, and high pace of work were all associated with relatively high levels of eye discomfort. There was significant interaction between experience of stress and time spent at a VDT with respect to both the eye discomfort index and three specific symptoms (itching, gritty feeling, and dryness). Whereas dryness, smarting, and itching of the eyes seem most strongly related to work conditions, redness and watery eyes seem most weakly related.     

Assessing gait changes in firefighters due to fatigue and protective clothing

Each year, roughly 11,000 firefighters are injured as a result of slips, trips and falls, which account for over 25% of all fireground injuries. Wearing personal protective equipment (PPE) can increase risk of fall-related injuries due to its weight, restrictiveness, and increased heat stress. Modification of PPE may serve to mitigate firefighter injuries related to loss of balance and falls. We examined the effects of choosing ‘enhanced’ protective clothing (lightweight, breathable, and less restrictive compared to typical firefighting PPE) and simulated firefighting tasks (18-min bout over four activities) on subsequent gait performance. To assess the effect of wearing protective clothing and firefighting activity, seven gait parameters and three movement errors were assessed during level and obstacle-crossing walking tasks. Forty-four firefighters wore one of two types of PPE (‘Standard’, ‘Enhanced’) during three testing conditions (baseline in station uniform, pre-firefighting activity in PPE, and post-firefighting activity in PPE). The effect of donning any PPE was found to significantly impair gait performance. Fatigue may impact effective mobility since more movement errors were observed during post-activity than pre-activity assessments. Although the Enhanced PPE did not lead to any significant differences in gait parameters compared to Standard PPE, participants in Enhanced PPE made twice as many movement errors, potentially attributed to lack of familiarity with the gear. These results suggest that wearing firefighting PPE and heat-stress induced fatigue are associated with reduced gait performance and increased risk for tripping over obstacles.     

Prediction of Musculoskeletal Discomfort in a Pick and Place Task (A pilot study)

A pilot study was conducted regarding the effects of working posture, handling frequency, and task duration on musculoskeletal discomfort. Participants rated their discomfort perceived while performing a repetitive task at 8 different combinations of manipulations. Pauses between the work periods lasted 15 min. Discomfort was rated according to Borg’s category-ratio scale CR-10 and postures were recorded by an optoelectronic movement registration system. From linear multiple regression analysis equations for predicting discomfort at various body regions were obtained. Coefficients of determination especially point to trunk inclination and handling frequency as major determinants of musculoskeletal discomfort.     

Physical Strain and Work Ergonomics in Farmers with Disabilities

In agriculture, occupational injuries are common, and several of them lead to permanent physical disability. The objective of this case study was to assess the strain and the ergonomic needs of four farmers (aged 34–49 years) with physical disabilities. A maximal bicycle ergometer test or an arm-crank test was done to assess their maximal heart rate (HR _max) and maximal oxygen consumption (V0_2max). The strain at work was analyzed by measuring heart rate (HR), muscle activity (EMG), and the rating of perceived exertion (RPE). The farmers were interviewed as to possible and impossible work tasks and the ergonomic redesign measures taken to improve the work environment. The work tasks performed were mainly light or moderate work for the cardiorespiratory system according to mean HR (88-102 beats/min), the percentage of HR range (17–31% HRR), and the relative V0₂ (22–46% V0_2max). The mean activity of the trapezius muscles was 0.4-9% of the maximal voluntary contraction (%MVC). All the participants had work tasks they were unable to perform. They had made ergonomie redesign changes mainly to the tractor. This case study showed that some agricultural work tasks were possible for farmers with physical disabilities and that the physical strain associated with these tasks was mainly light or moderate.     

Saddle seat reduces musculoskeletal discomfort in microsurgery surgeons

Background. Microsurgery is a surgical procedure requiring a high degree of precision and is commonly facilitated through the use of an intraoperative microscope. When operating the microscope system, the long-term posture leads to musculoskeletal disorders in surgeons, and seats are commonly employed to diminish these problems. The present study was conducted to evaluate musculoskeletal discomfort during work with a saddle seat in comparison with conventional seats for microscopic work. Methods. Two types of seats, a saddle and a conventional one, were evaluated for 73 microsurgical surgeons in terms of musculoskeletal discomfort. Corlett and Bishop's body part discomfort scale was used to assess musculoskeletal discomfort before and after working with the seats. Results. The highest amount of discomfort that microsurgical surgeons acquire in the workplace was focused on their neck, shoulders, arms and back. During work with a saddle seat, a significant reduction was found for discomfort values in the neck, shoulder, arm, back, elbow and forearm, as well as the whole body (p?<?0.05). Conclusion. This study showed that the use of saddle seats provides a more appropriate physical posture at work, and can decrease musculoskeletal discomfort in different parts of the body of microsurgical surgeons.     

Effect of External Load at Varying Hand Positions on Perceived Discomfort

The purpose of this study was to assess the effect of external load at varying hand positions on discomfort, and to provide a new classification of external load. An experiment was carried out in which 16 postures with an external load of 0, 1.5, 3 kg were tested. The postures were controlled by 2 independent variables of hand distance and hand height. The subjects were instructed to rate their perceived discomfort with magnitude estimation after holding a given posture for 1 min. Analysis of variance (ANOVA) exhibited that the main effects of the 3 independent variables were statistically significant for discomfort. Discomfort increased linearly with external load and hand distance. Hand height showed a quadratic relation with discomfort, which exhibited a slightly different trend from hand distance and external load. Based on the results, a new classification of external load was proposed with 3 classes grouped by perceived discomfort.     

Stress reactions in computerized administrative work

Ninety-five white-collar workers employed by an insurance company using visual display units (VDU) connected by telecommunication to a central computer filled in a questionnaire concerning psychosocial stressors in connection with work at the VDU. Eleven persons with extensive and ten with no work at VDUs were also studied during regular work, during breakdown of machinery, and in their leisure time. Self-reports on mood and alertness were recorded along with blood pressure, heart rate, and excretion of adrenaline and noradrenaline. Results indicate that (1) stress and mental strain occurred in association with delayed response times in the computer system and unpredicted interruptions of system operation, (2) such a temporary interruption caused an increase of blood pressure and adrenaline excretion, (3) complaints of stress and strain were repotted mainly by data-entry staff, (4) data-entry groups displayed a higher level of physiological arousal during post-work hours than a control group, and (5) that a majority of those who worked continuously at a VOU reported physical discomfort within 1.5 hours. It is concluded that stress and strain in computerized work may be counteracted at the technological and the organizational level: by reducing the duration and frequency of breakdowns, by reducing response times in the system, and by eliminating pure data-entry tasks.     

Cardiovascular stress, energy expenditure and subjective perceived ratings of fire fighters during typical fire suppression and rescue tasks.

The study determined physiological and psychophysical responses to fire fighters' typical activities. Self-reported assessment of the most demanding fire fighting/rescue tasks were collected with a questionnaire. Then 19 voluntary fire fighters performed 3 simulated fire fighting/rescue tasks in protective clothing. Heart rate (HR), blood pressure and energy expenditure were measured; the rating of perceived exertion (RPE) was assessed with the Borg scale. The questionnaires showed that carrying out victims, fire suppression and resuscitation were classified as heavy load; climbing stairs with a hose as moderate load. According to RPE the subjects considered their effort during ladder climbing fairly light and only somewhat harder during stair climbing and carrying out injured people. The study demonstrated that typical fire fighting/rescue tasks were associated with high energy expenditure and imposed considerable cardiovascular stress. The Borg scale appeared not suitable for assessing perceived exertion in fire fighters during simulated tasks.     

Examining RULA’s Postural Scoring System With Selected Physiological and Psychophysiological Measures

The Rapid Upper Limb Assessment (RULA) survey is a posture-sampling tool used specifically to examine the level of risk associated with upper limb disorders of individual workers. This paper examines the relationship between RULA’s postural scoring system and measures of surface electromyography (EMG), self-reports of discomfort, and job attitude questionnaires. Twenty participants each performed a 30-min typing task on a computer in 3 working postures based on RULA’s scoring system. A statistically significant difference was found only in perceived discomfort. The perceived discomfort results demonstrated that RULA was able to identify “high risk” postures. The next question we need to ask is, does perceived discomfort result in tissue damage, or does tissue damage yield discomfort?     

Refinery firefighters: assessing fitness for duty.

Firefighting is a hazardous and physically demanding activity. The demanding nature of the tasks involved in firefighting requires a high level of fitness both for the safety of the firefighting personnel as well as for the adequate performance of their tasks. Here, the characteristics (body weight, lung function, etc.) of a small group of refinery firefighters were investigated using exploratory factor analysis and discriminant analysis. The results indicated that there is a group of factors that characterize those individuals meeting minimum fitness requirements as described previously in the literature. The factors that were identified included those related to anthropometry (such as body composition and weight) and those related to physical capabilities (such as push-ups). Since these data are collected relatively easily in most occupational settings, they may offer an efficient surrogate method to determine fitness for duty among firefighters.     

A Comparative Ergonomics Postural Assessment of Potters and Sculptors in the Unorganized Sector in West Bengal,India

Potters and sculptors perform their work in very awkward postures. The purpose of this study was to analyse these postures. The modified Nordic questionnaire was used to analyse musculoskeletal discomfort. Rapid entire body assessment (REBA) and rapid upper limb assessment (RULA) were used to evaluate the subjects’ postures. There were no significant differences between times of discomfort and the group of subjects. However, there were significant differences in discomfort in different body parts. The analysis indicated that various body postures were harmful to the subjects and that there were profound deviations from natural curvature of various body parts due to awkward body postures. Ergonomics intervention was required to improve the quality of life.     

Physiological evaluation of chemical protective suit systems (CPSS) in hot conditions.

This job-related experiment investigated physiological strain in subjects wearing impermeable chemical protective suit systems (CPSSs) weighing about 28 kg. Two types of CPSSs were studied: the self-contained breathing apparatus was carried either inside or outside the suit. Eight healthy and physically fit male firefighter instructors aged 32 to 45 years volunteered for the study. The test drill, performed at a dry, windless ta of 40 degrees C, was divided into 2 consecutive work sessions of 14.5 min (a 20-min rest between) including typical operational work tasks. Considerable thermal and maximal cardiovascular strain and intense subjective discomfort measured in the firefighters emphasize the need to limit working time in hot conditions to only 10-12 min while wearing CPSSs. The present results indicate that the exceptionally heavy physical load and psychological stress during operations in chemical emergencies must be considered in the assessment of the cardiovascular capacity of ageing firefighters using CPSSs.     

A model for occupational injury risk assessment of musculoskeletal discomfort and their frequencies in computer users

Occupational injuries pose a major problem in workplaces where computers are widely used. Intensive, repetitive and long period computer use results in costly health problems (direct cost), and lost productivity (indirect cost). Yet, the effect of musculoskeletal discomfort and their frequencies associated with the use of computers have not received considerable attention. This paper presents the findings of a risk assessment model through a scientific research to determine the effect of discomfort factors that contribute to musculoskeletal disorders resulting from intensive use of computers in the workplaces. In this context a questionnaire was given to 130 intensive computer users working in the university sector. A list of significant predictor variables for musculoskeletal disorders was developed to assess and analyze workplace ergonomics, worker attitudes and experiences on computer keyboard and mouse. The main focus of the current research is to seek and provide evidence that symptoms of musculoskeletal discomfort and the frequency of these symptoms are significant in the development of work-related musculoskeletal disorders (WRMSDs). This study provides the evidence that, ache and pain are the most common types of discomforts in all body regions. The discomforts were more pronounced at neck, shoulder, upper back, hand/wrist, and lower back regions. The risk factors determined by the risk assessment model were validated through ANOVA of the sEMG records for the control and test groups. The findings indicated that for each test group respondent, the mean musculoskeletal strain experienced differs in time, but the same is not true for the control group.     

An Ergonomie Study on Posture-Related Discomfort Among Preadolescent Agricultural Workers of West Bengal,India

In India, particularly in West Bengal, preadolescents are primarily associated with agricultural work in rural areas. Owing to poor socio-economic conditions, they are compelled to carry out a considerable number of manual, rigorous tasks in agricultural fields. The main aim of this study was to investigate postures adopted by preadolescent agricultural workers during individual agricultural activities and to analyze the causes of discomfort related to those postures. Fifty male and 50 female preadolescent agricultural workers were randomly selected and a detailed posture analysis was performed with the Ovako Working Posture Analysis System (OWAS). It was observed that those workers worked continuously in awkward postures during certain agricultural activities. Consequently they suffered from discomfort in different parts of their body. Even though they were very young, they were likely to suffer from serious musculoskeletal disorders in the future.