Effects of Ergorest® Arm Supports on Muscle Strain and Wrist Positions During the Use of the Mouse and Keyboard in Work With Visual Display Units: A Work Site Intervention

The effects of Ergorest^® arm supports on wrist angles and musculoskeletal strain in the neck-shoulder-arm region and electrical activity in the shoulder and arm muscles were studied during typing or the use of the mouse in work with a visual display unit (VDU). Twenty-one women were randomized into 3 groups (1 arm support, 2 arm supports, and control). Measurements were carried out before and after the 6-week intervention. The wrist extension of the mouse hand, the muscle activity of the trapezius muscle, and the subjective discomfort ratings indicated that 2 arm supports were better than 1 in work with a mouse. The Ergorest^® arm support alleviates muscle and joint strain in VDU work when used for both arms.     

An ergonomics study on wrist posture when using laparoscopic tools in four techniques in minimally invasive surgery

Purpose. With reference to four minimally invasive surgery (MIS) cholecystectomies, the aims were (a) to recognize the factors influencing dominant wrist postures manifested by the surgeon; (b) to detect risk factors involved in maintaining deviated wrist postures; (c) to compare the wrist postures of surgeons while using laparoscopic tools. Methods. Video films were recorded during live surgeries. The films were synchronized with wrist joint angles obtained from wireless electrogoniometers placed on the surgeon's hand. The analysis was conducted for five laparoscopic tools used during all surgical techniques. Results. The most common wrist posture was extension. In the case of one laparoscopic tool, the mean values defining extended wrist posture were distinct in all four surgical techniques. For one type of surgical technique, considered the most beneficial for patients, more extreme postures were noticed regarding all laparoscopic tools. We recognized a new factor, apart from the tool's handle design, that influences extreme and deviated wrist postures. It involves three areas of task specification including the type of action, type of motion patterns and motion dynamism. Conclusions. The outcomes proved that the surgical technique which is best for the patient imposes the greatest strain on the surgeon's wrist.?     

Computer professionals and Carpal Tunnel Syndrome (CTS).

Carpal Tunnel Syndrome (CTS) is an important problem among computer professionals. Hence the prevalence of CTS among computer professionals and risk factors were studied. 648 subjects were selected from 4,276 computer professionals from 21 companies by with simple random sampling method. CTS was diagnosed based on clinical features. The prevalence of CTS was found to be 13.1% (95% CI 10.5-15.7%). Subjects with over 8 years of computer work, over 12 hrs of work per day and system administrators were at a higher risk for CTS (OR 3.3, 4.9 and 2.5 respectively). Flexed or extended hand position had higher risk for CTS. Higher risk for CTS was found with higher exposure to computer work. Ergonomic considerations are important in facilitating proper positioning of hand while working with a computer. Further studies on CTS risk factors among computer professionals are essential for planning prevention.     

Computer Professionals and Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome (CTS) is an important problem among computer professionals. Hence the prevalence of CTS among computer professionals and risk factors were studied. 648 subjects were selected from 4,276 computer professionals from 21 companies with a simple random sampling method. CTS was diagnosed based on clinical features.

The prevalence of CTS was found to be 13.1% (95% CI 10.5–15.7%). Subjects with over 8 years of computer work, over 12 hrs of work per day and system administrators were at a higher risk for CTS (OR 3.3, 4.9 and 2.5 respectively). Flexed or extended hand position had higher risk for CTS.

Higher risk for CTS was found with higher exposure to computer work. Ergonomic considerations are important in facilitating proper positioning of hand while working with a computer. Further studies on CTS risk factors among computer professionals are essential for planning prevention.     

Epidemiology of musculoskeletal symptoms among Korean hospital nurses.

We investigated the epidemiology of musculoskeletal symptoms (MSS) among a complete cross-section of 330 nurses from a large Korean hospital, by means of a questionnaire survey (response rate: 97.9%). The prevalence of MSS at any body site was 93.6%, with symptoms most commonly reported at the shoulder (74.5%), lower back (72.4%), neck (62.7%), lower legs (52.1%) and hand/wrist (46.7%). Logistic regression indicated that nurses who undertook manual handling of patients were 7.2 times as likely to report MSS (OR 7.2, 95%CI 1.2-42.3, P = .0275), while nurses suffering from periodic depression experienced a 3.3-fold MSS risk (OR 3.3, 95%CI 1.3-8.3, P = .0104). Overall, our study suggests that Korean nurses incur a very high MSS burden when compared internationally. A greater commitment is needed to improve physical conditions, occupational tasks and psychosocial work issues among nurses in this country.     

Harmful postures and musculoskeletal symptoms among fish trimmers of a fish processing factory in ghana: a preliminary investigation.

This study investigated musculoskeletal symptoms among fish trimmers (skinners and polishers) in a fish processing factory in Ghana. The methods used included administration of questionnaire, walk through observation, interview, task analysis and future workshop. All 50 female participants answered and submitted their questionnaires. Of the 11 operations performed by skinners only 1 was rated as low risk. Also of the 12 operations performed by polishers only 2 were rated as low risk. Neck side bending, neck flexion, prolonged standing, shoulder elevation, abducted arms, repetitious reaching forward and wrist deviation were observed in most operations. This corresponds with questionnaire results in which musculoskeletal symptoms were mostly prevalent in the neck, the shoulder, the low back, the wrist/hand and the knee regions. There was no significant correlation (p < .05) between musculoskeletal symptoms and age, working hours and length of service. Task redesign, workplace changes and worker training were suggested to improve the work.     

Biomechanical Assessment of Three Rebar Tying Techniques

The National Institute for Occupational Safety and Health (NIOSH) conducted a study of ironworkers to evaluate their risk for developing back and hand injuries from hand-tying reinforcing steel bar and to investigate whether power tying tools can be an effective intervention for the prevention of work-related musculoskeletal disorders. A field investigation of biomechanical loading when using 3 techniques to tie together rebar was conducted. Researchers measured employees ‘ wrist and forearm movement with goniometers and videotaped and analyzed trunk postures. Manually tying rebar at ground level involved sustained deep trunk bending and rapid, repetitive, and forceful hand-wrist and forearm movements. Using a power tier significantly reduced the hand-wrist and forearm movements and allowed the ironworkers to use one free hand to support their trunk posture while tying. Adding an extension handle to the power tier allowed the ironworkers to tie rebar while standing erect, minimizing sustained trunk flexion.     

Biomechanical assessment of three rebar tying techniques.

The National Institute for Occupational Safety and Health (NIOSH) conducted a study of ironworkers to evaluate their risk for developing back and hand injuries from hand-tying reinforcing steel bar and to investigate whether power tying tools can be an effective intervention for the prevention of work-related musculoskeletal disorders. A field investigation of biomechanical loading when using 3 techniques to tie together rebar was conducted. Researchers measured employees' wrist and forearm movement with goniometers and videotaped and analyzed trunk postures. Manually tying rebar at ground level involved sustained deep trunk bending and rapid, repetitive, and forceful hand-wrist and forearm movements. Using a power tier significantly reduced the hand-wrist and forearm movements and allowed the ironworkers to use one free hand to support their trunk posture while tying. Adding an extension handle to the power tier allowed the ironworkers to tie rebar while standing erect, minimizing sustained trunk flexion.     

Evaluation of design alternatives for sewing scissors with respect to hand performance,discomfort and usability

The effects of three re-designed models of sewing scissors on hand performance measures, discomfort and usability were investigated, and the results were compared with those of conventional scissors. Adjustments were made to the scissors handle with emphasis on more neutral wrist postures (bent handle - model A), correction of the thumb's position and movements (model B) and reducing hand/finger discomfort (model C) while working with the tool. The results showed some improvements in hand performance, muscular effort, usability and discomfort with model B compared to the conventional model. Better hand performance and usability and lower discomfort were recorded with model C compared to the conventional model. The results suggest that the correction of the thumb's position and movement (model B) or even reduced hand/finger discomfort (model C) are perhaps more important considerations in scissors design than improved wrist posture (model A) for improving users' performance and usability of the tool.     

Innovative combined technique for high concentration of azo dye AR18 wastewater treatment using modified SBR and enhanced Fenton process as post treatment

The purpose of this research was to evaluate the performance of combined biological/advanced oxidation process (AOP) system for treatment of wastewater containing high concentration (500 mg/L) of azo dye Acid Red 18 (AR18). Two alternating anaerobic–aerobic sequencing batch reactors (SBR1 and SBR2 without and with external feeding at the beginning of aeration cycle, respectively) were operated. The effluent of the SBRs was then post treated through enhanced Fenton process (using zero-valent iron combined with ultrasonic irradiation). More than 90% and 97% of COD was removed in the combined SBR/AOP system without external carbon source (CTS1) and with external feeding (CTS2), respectively. The analysis of dye and its metabolites using UV–vis and HPLC analysis also proved that 99% of the original dye was decolorized and more than 89% of its metabolites were degraded through CST2 which is significantly higher than the reported values in the literature. Besides, more than 87% of phosphorus removal efficiency was obtained in CST2 compared to only 54.5% removal efficiency in CST1. Regarding the findings of this study, the proposed combined treatment system (CTS2) can be suggested as an effective technique for treatment of high azo dye AR18 concentration wastewater.     

Optimization of the levels of grip force,stroke rotation,frequency and grip span for a torqueing task

This study was to investigate the effects of grip force, frequency, stroke rotation and grip-span on discomfort and obtain best posture for hand tool users. Fifteen male participants volunteered in this study. Participants performed combined gripping with torqueing exertions for 5 min for two levels of frequency (10 and 20 exertions/min) at two levels of grip force (50 and 70 N), two levels of stroke rotation (30^○ and 60^○) and three levels of grip-span (4.7, 6 and 7.3 cm). Therefore, a 2×2×2×3 full factorial design was used. The analysis of variance (ANOVA) showed that frequency, stroke rotation and grip-span were significant on discomfort score. Minimum discomfort and comfortable posture was found to be 90 N grip force with 10 exertions/min for 60° stroke rotation at 6-cm grip-span. The grip force, frequency and stroke rotation were found significant on EMG activity of forearm muscles using multivariate analysis of variance (MANOVA). The extensor muscles were found more activated than flexor muscles during the given task.     

Dental Workers,Musculoskeletal CumulativeTrauma,and Carpal Tunnel Syndrome: Who is at Risk? A Pilot Study

A pilot study was conducted at a dental clinic to identify (a) the prevalence of musculoskeletal cumulative trauma disorders (MCTD), (b) associated symptoms (with special attention paid to carpal tunnel syndrome [CTS]), and (c) practitioners at risk. Videotapes, two questionnaires, a medical record review, and interviews were used. Forty-five dental workers participated and were classified into three categories: (a) dentists, (b) dental assistants and special assistants (DA/SA), and (c) dental hygienists and dental assistant-expanded function (DH/DAEF). Categorical data were analyzed using the chi- square statistic and risk ratios. The Fisher exact probability test was used for categorical data with a small cell. One or more symptoms associated with CTS were noted by 75.6% of the dental workers, 11% reported diagnosed CTS, and 53% reported back and shoulder pain. Both psychosocial factors and job demands appear to be associated with MCTD. All three categories of dental workers reported MCTD symptoms, and the DH/DAEF group was found to be at greatest risk for developing upper extremity symptoms, CTS, and back pain.     

有限空间作业人员生理状态监测设备研制

为监测有限空间作业人员异常生理状况,进而保障有限空间作业安全与作业人员生命健康,在分析手腕处6个测量位置信号质量的基础上,获得最佳信号采集位置,并结合事故成因,从光电容积脉搏波(PPG)信号中提取心率、脉搏周期、振幅等生理参数作为评价指标,研制一款针对有限空间特殊作业人群的手腕处脉动生理信息监测设备;并进行系统稳定性测试。研究结果表明:手腕内侧中心位置为信号最佳采集位置;在有限空间运动状态下设备性能良好;研制的设备可以实现人员生理状态的实时无创监测与预警。     

Impact of posture and upper-limb muscle activity on grip strength

Purpose. The current research was carried out to determine grip strength (GS) with change in posture and upper-limb muscle activity of manual workers and investigate the impacts of these changes. Methods. For the current research, 120 male and 80 female participants were selected and GS was assessed using a digital hand grip dynamometer in various conditions. Results. The outcomes showed that male participants had higher GS as compared to female participants. Maximum GS was found in a standing posture with the fixed forward shoulder at 45°, elbow at 90° and a neutral position of the wrist and forearm for all participants. Conclusions. Higher values of GS were attained in standing postures which may result in attainment of higher performance levels by the workers. The outcomes justify the importance of correct postures during manual work in industries employing traditional methods.     

Ergonomic design and evaluation of a diagnostic ultrasound transducer holder

Background. Work-related musculoskeletal disorders (WMSDs) are injuries and disorders that affect the body’s movement and musculoskeletal system. Awkward postures represent one of the major ergonomic risk factors that cause WMSDs among sonographers while working with an ultrasound transducer. This study aimed to design and evaluate a new holder for the ultrasound transducer. Materials and methods. In the first phase a new holder was designed for the transducer, considering design principles. Evaluation of the new holder was then carried out by electrogoniometry and a locally perceived discomfort (LPD) scale. Results. The application of design principles to the new holder resulted in an improvement of wrist posture and comfort. Wrist angles in extension, flexion, radial deviation and ulnar deviation were lower with utilization of the new holder. The severity of discomfort based on the LPD method in the two modes of work with and without the new holder was reported with values of 1.3 and 1.8, respectively (p?<?0.05). Conclusion. Overall, this study indicated that applying ergonomics design principles was effective in minimizing wrist deviation and increasing comfort while working with the new holder.     

Predicting multiplanar cervical spine injury due to head-turned rear impacts using IV-NIC

OBJECTIVE: Intervertebral Neck Injury Criterion (IV-NIC) hypothesizes that dynamic three-dimensional intervertebral motion beyond physiological limit may cause multiplanar soft-tissue injury. Present goals, using biofidelic whole human cervical spine model with muscle force replication and surrogate head in head-turned rear impacts, were to: (1) correlate IV-NIC with multiplanar injury, (2) determine IV-NIC injury threshold at each intervertebral level, and (3) determine time and mode of dynamic intervertebral motion that caused injury. METHODS: Impacts were simulated at 3.5, 5, 6.5, and 8 g horizontal accelerations of T1 vertebra (n = 6; average age: 80.2 years; four male, two female donors). IV-NIC was defined at each intervertebral level and in each motion plane as dynamic intervertebral rotation divided by physiological limit. Three-plane pre- and post-impact flexibility testing measured soft-tissue injury; that is significant increase in neutral zone (NZ) or range of motion (RoM) at any intervertebral level, above baseline. IV-NIC injury threshold was average IV-NIC peak at injury onset. RESULTS: IV-NIC extension peaks correlated best with multiplanar injuries (P < 0.001): extension RoM (R = 0.55) and NZ (R = 0.42), total axial rotation RoM (R = 0.42) and NZ (R = 0.41), and total lateral bending NZ (R = 0.39). IV-NIC injury thresholds ranged between 1.1 at C0-C1 and C3-C4 to 2.9 at C7-T1. IV-NIC injury threshold times were attained between 83.4 and 150.1 ms following impact. CONCLUSIONS: Correlation between IV-NIC and multiplanar injuries demonstrated that three-plane intervertebral instability was primarily caused by dynamic extension beyond the physiological limit during head-turned rear impacts.     

含F-500的低压细水雾抑制B类火灾的实验研究

通过全尺寸实验研究低压细水雾对抑制和熄灭B类火灾的有效性。分别使用圆形和方形油盘,以汽油和柴油为燃料进行低压细水雾灭火实验,并进一步研究含微胶囊F-500添加剂的细水雾灭火效果。结果表明,低压细水雾对抑制和熄灭B类火具有一定的有效性,但容易出现灭大火容易灭小火难的现象,并且对于"角落火"难以扑灭。而添加了微胶囊F-500的低压细水雾,灭火效率较纯水细水雾提高约3～5倍,能有效扑灭死角火,同时提高火场能见度。分别用1%、3%、6%的F-500溶液作为灭火介质,实验表明,不同浓度的F-500溶液具有不同的灭火效果。综合考虑经济性和有效性因素:对于大多数B类火灾场合,F-500溶液的最佳配比为1%;对于危险性大或火灾荷载大的场合,微胶囊F-500水溶液的最佳配比为3%。     

Response of the Head,Neck and Torso to Pendulum Impacts on the Back

Pendulum impacts on the back were conducted to determine human head, neck and torso biomechanics. Eight unembalmed cadavers were subjected to 23.4 kg pendulum impacts at 4.4 m/s and 6.6 m/s at T1 and T6. Twenty-four tests were conducted with accelerometers on the pendulum, spine, torso, and head in the WSU 3-2-2-2 array. High-speed photography was taken. Impact displaces the torso forward, deflects the chest, displaces and rotates the head, and extends the neck. Average responses and corridors were determined for head kinematics and chest force-deflection. The head-neck response occurs in two phases. First, the head displaces upwards and rearwards 30—40 mm with respect to the torso along a 45° trajectory. Head rotation is 1O°-15° with essentially no neck moment, but high neck compression forces. Second, the head rotates from 10°-15° to 40°-55° starting with a rapid rise in neck moment and displaces 80–100 mm rearward. Anterior cervical fractures correlate with neck tension. Rib fractures correlate with impact force and chest deflection. This study provides chest bio-mechanical responses for rear impacts resulting in head displacement and rotation, neck extension and cervical-thoracic injury.     

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.     

A comparison of injury criteria used in evaluating seats for whiplash protection

A protocol has been proposed for testing seats for whiplash protection, however injury criteria have not yet been chosen. Assuming that whiplash symptoms arise from non-physiological motions of vertebral segments, we determined the ability of proposed criteria to predict peak individual vertebral displacements. Twenty-eight volunteers were subjected to rear impacts while seated in a car seat with head restraint, mounted onto a sled. Accelerometers were used to record head and torso accelerations. The volunteer data was used as a basis for testing post-mortem human specimens (PMHS). The seat was replaced by a platform onto which was mounted each of 11 cervico-thoracic spines. An instrumented headform was mounted to the upper end of the spine. The head restraint, head-to-restraint geometry, sled, and impact pulse remained the same. Head and T1 accelerations were measured and individual vertebral sagittal (XZ) plane rotations and translations were obtained from high speed video. Proposed injury criteria (NIC, Nkm, Nte, Nd) were tested for their ability to predict average, total, and peak intervertebral displacements. PMHS specimens had chest and head X (horizontal) and Z (vertical) linear accelerations similar to volunteers whose heads hit the head restraint. The best predictors were: Nd shear and peak intervertebral posterior translation (r(2) = 0.80), Nd extension and peak extension angle (r(2) = 0.70), and Nd distraction and peak distraction (r(2) = 0.51). Therefore consideration should be given to a displacement based injury criteria such as Nd in assessment of whiplash protection devices.