The effect of an ergonomic intervention on musculoskeletal, psychosocial and visual strain of VDT data entry work: the Norwegian part of the international study.

The Norwegian MEPS (musculoskeletal--visual--psychosocial--stress) study included 3 groups: data entry, data dialogue (female) and data dialogue (male). Before intervention, the data entry group reported significantly more symptoms and signs of musculoskeletal illness and had longer periods in front of the video display terminal (VDT) without a break. The ergonomic intervention consisted mainly of ergonomic information and training. After intervention, the data dialogue female group reported a significant reduction in shoulder pain in parallel with a reduction in trapezius load. Increasing the understanding in how to adjust the work stand and chair may have been contributing factors to reducing the pain level. There was a significant reduction in eye problems in all groups; the greatest reduction in eye symptoms was seen in the groups who had new optometric corrections.     

The Effect of an Ergonomic Intervention on Musculoskeletal,Psychosocial and Visual Strain of VDT Entry Work: Organization and Methodology of the International Study

This special issue of the International Journal of Occupational Safety and Ergonomics (JOSE) reports the results from an extensive multinational and multidisciplinary collaborative investigation of the impacts on visual display terminal (VDT) work of musculoskeletal, visual, ergonomic, and psychosocial factors. For brevity, this effort has been referred to as the MEPS project (musculoskeletal—eyestrain—psychosocial—stress). This paper lays out the basic methodological structure of the study. The study was conducted in 4 countries utilizing VDT data entry workers as the primary subject population. A battery of objective and subject assessment measures, including muscle load, visual function, physical and visual strain, postural, ergonomic and psychosocial factors, were assessed at 3 different points in time. A pre-test was given prior to an ergonomic intervention. Two post-tests were given 1 month and 1 year after the ergonomic intervention.     

The effect of an ergonomic intervention on musculoskeletal, psychosocial and visual strain of VDT entry work: organization and methodology of the international study.

This special issue of the International Journal of Occupational Safety and Ergonomics (JOSE) reports the results from an extensive multinational and multidisciplinary collaborative investigation of the impacts on visual display terminal (VDT) work of musculoskeletal, visual, ergonomic, and psychosocial factors. For brevity, this effort has been referred to as the MEPS project (musculoskeletal--eyestrain--psychosocial--stress). This paper lays out the basic methodological structure of the study. The study was conducted in 4 countries utilizing VDT data entry workers as the primary subject population. A battery of objective and subject assessment measures, including muscle load, visual function, physical and visual strain, postural, ergonomic and psychosocial factors, were assessed at 3 different points in time. A pre-test was given prior to an ergonomic intervention. Two post-tests were given 1 month and 1 year after the ergonomic intervention.     

Perceived Discomfort and Electromyographic Activity of the Upper Trapezius While Working at a VDT Station

Ten female participants performed work at a video display terminal (VDT) station over a whole working day. Subjective local muscular fatigue was evaluated by means of the Category Ratio 10 scale. Electromyographic activity of the upper right and left trapezius was measured. A comparison was made between 5 participants who had previous complaints and 5 participants who reported no musculoskeletal problems in the shoulder-neck region. The subjective scores for the shoulder differed significantly between the two groups, being higher for the group with complaints. Both groups showed a decrease in discomfort after the lunch break. The activity of the trapezius increased significantly for both groups, in a more pronounced way for the group with disorders. Although it is found in literature that VDT work is a task with very low static loads, it seems from this study that the EMG activity increase can be an indication of muscle fatigue: More effort was required to accomplish the same VDT task at the end of the day.     

合理构建视频显示终端(VDT)作业疲劳工间休息制度

为了减少VDT(视频显示终端)作业对操作者健康的负面影响,合理地安排工作和休息时间以及设计良好的工作环境有助于减轻、缓解或消除VDT作业的疲劳。通过多项VDT数据输入作业实验,依据作业者作业能力变动的规律性,对不同类型的VDT作业者可能需要设置不同的工间休息制度。经过对实验数据的分析,数据输入的工作主要是信息接受和信息输出,属于事务性脑力劳动。只要合理地安排工作和休息时间以及设计良好的工作环境,就可以减少VDT对眼睛、骨骼及肌肉的疾患发生。     

A comparative assessment of the impact of different occupations on workers' static musculoskeletal fitness.

An ergonomic assessment of the involvement of static muscular forces like back strength, grip strength and pinch strength in different occupations was made. A study was conducted on 45 normal adult males (15 subjects per group) which included video display terminal (VDT) operators, industrial workers and safety inspectors. Their maximum back strength, handgrip strength and pinch strength were measured with dynamometers. The observed values of back strength were significantly lower in VDT operators while significantly higher in safety inspectors and moderate in industrial workers. The values of grip strength and pinch strength of all sample groups were more or less similar. The findings clearly indicate that static muscular strength varies significantly in different occupations. Heavy static muscular load might lead to an accumulation of metabolic waste and toxins on the back resulting in lower back strength in VDT operators and industrial workers.     

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.     

Incidence of Stress and Psychosocial Factors on Musculoskeletal Disorders in CAD and Data Entry.

A comparative study concerning the incidence of psychosocial factors and stress on musculoskeletal disorders (MSD) was conducted on 30 males carrying out a computer-aided design (CAD) task and on 26 females carrying out a data entry task. Both populations completed a questionnaire concerning complaints of MSD, stress symptoms, psychosocial factors and working life. This study showed that the work context was more favourable to the data entry task operators than to the CAD task operators. In addition, there were relationships in CAD and in data entry between complaints of MSD and stress variables as well as between anguish and psychosocial factors. This field study has shown the importance of stress and of the work context in the occurrence of MSD in computer work.     

A cross-country comparison of short- and long-term effects of an ergonomic intervention on musculoskeletal discomfort, eyestrain and psychosocial stress in VDT operators: selected aspects of the international project.

Three groups of data entry female visual display terminal (VDT) workers from Norway (n = 30), Poland (n = 33) and the USA (n = 29) were compared. Before intervention, the Norwegian group reported more neck pain compared with the Polish group. The Polish group reported less shoulder pain than both the U.S. and the Norwegian groups. The clinical examination documented fewer symptoms and signs of musculoskeletal illness among the Polish participants compared with the Norwegian and the U.S. groups. After intervention, the Norwegian group reported a reduction in neck pain while the U.S. group reported a reduction in shoulder pain. The Polish group reported an increase in neck, shoulder and forearm pain at follow-up compared to after intervention. The Polish group recorded higher flexion of the upper arm at follow-up parallel with an increase of pain in the upper part of the body. Visual discomfort showed variable results in the 3 countries.     

Musculoskeletal Load Assessment of the Upper Limb Positions Subjectively Chosen as the Most Convenient

Work posture is determined by interdependence between work stand design, the necessity to perform given activities, and the anthropometric dimensions of the worker, but it also depends on individual preferences. The aim of the study was to compare the musculoskeletal load of the right upper extremity under conditions of imposed (standard) upper limb position and subjectively chosen ones, and to assess the influence of the changes in magnitude of the external force on the musculoskeletal load in the examined limb positions. Ten healthy male participants took part in the study. Muscular load associated with different upper extremity positions with and without external load were assessed. Musculoskeletal load for standard and subjectively chosen limb positions and two different values of external load were compared by means of theoretical and experimental methods. Results indicate that differences in musculoskeletal load between imposed and subjectively chosen limb positions were not high enough to show statistically significant differences, and the upper limb position chosen by the participant does not always cause the lowest musculoskeletal load.     

Sitting Posture,Postural Discomfort,and Visual Performance: A Critical View on the Interdependence of Cognitive and Anthropometric Factors in the VDU Workplace

The study focuses on individual and standard visual display unit (VDU) workplaces with respect to performance and muscular load. Three different work settings were realized: The workplace was either adjusted to individual preferences or to the European standard. The third condition mirrored exactly the individual setting, however participants were told that it was set according to another standard. Dependent variables were visual performance in a search task, the rated muscular load, and individual preferences. Results show that both individual work settings yielded a superior performance as compared to the standard. However, performance and muscular comfort improved when participants knew they had adjusted the workplace. Apparently, VDU users follow a intuitive rationale adjusting their work setting minimizing muscular load and optimizing performance.     

Experimental Verification of the Computerized Method for Work Space Optimization in Conditions of Static Work

The aim of this study was to verify a theoretical model for upper extremity work space optimization. In order to do that, experimental studies were conducted in which two parameters of the electromyography (EMG) signal were analyzed: AMP (amplitude calculated as Root Mean Square) and SZC (coefficient of the slope of the regression line between time and Zero Crossing values). Values of forces in muscles (parameter MOD) were calculated from theoretical studies. A comparison of experimental (AMP, SZC) and theoretical (MOD) parameters was performed by analyzing the coefficient of correlation between those parameters and differentiation of muscular load according to external load value. Analysis showed that the theoretical and experimental results are in step, which means that the developed model can be used for upper extremity work space optimization.     

The effect of an ergonomic intervention on musculoskeletal, psychosocial, and visual strain of VDT data entry work: the United States part of the international study.

The United States MEPS (musculoskeletal--eyestrain--psychosocial--stress) study consisted of 1 group of 28 female data entry operators. The intervention was in 3 parts: workstation redesign (including advanced ergonomic chairs, motorized adjustable workstations, advanced adjustable keyboards, adjustable copyholders, adjustable footrests, monitor support surfaces) and ergonomic training/coaching and corrective lenses. After the intervention, statistically significant reductions in physical signs (trigger points, neck and shoulder mobility), subjective reports of intensity and frequency of musculoskeletal pain, and subjective reports of visual problems were observed. Static load during the work sample, as assessed by experts, improved after the intervention as did measured postural angles of head and trunk and subjective assessment of users of ergonomic characteristics of the workplaces. For all of these measures, improvements observed 1 month after intervention were also observed in the 1-year follow-up. Trapezius load, as assessed by electromyography (EMG), decreased after intervention, but then increased in the follow-up. The increase was interpreted as a calibration problem.     

基于疲劳模式识别的VDT作业工间休息机制*

为保障作业人员身心健康和作业效率,运用E-Prime软件模拟认知性VDT持续作业,通过方差分析提出作业疲劳综合评价指标体系,并使用客观绩效指标和生理指标作为输入变量,主观疲劳综合指数作为输出变量,训练BP神经网络,对作业疲劳进行模式识别;提出认知性VDT持续作业工间休息机制。结果表明:通过正确反应时间、注视时间、瞳孔直径、眨眼频率4项指标,对VDT持续作业疲劳进行模式识别的结果可信度较高。因此,基于上述4项指标提出的工间休息机制客观有效。     

Visual Strain and Lighting Preferences of VDT Users Under Different Lighting Systems

Lighting influences users’ visual strain and well-being. Therefore creating lighting that ensures visual work conditions do not result in visual fatigue is a preventive activity. The aim of the study was to model different lighting systems for visual display terminal (VDT) work and to determine their influence on users’ visual strain and preferences. The results of the study showed that visual fatigue was lowest for indirect and compound lighting systems. On the other hand, in general, direct lighting realized by “dark-light” luminaires was the most preferred lighting system. Some interesting differences related to age, gender, and VDT work experience were found. On the basis of the obtained results lighting designers can be provided with some guidance.     

Postural and Muscular Responses While Viewing Different Heights of Screen

This study aimed to examine the effects of visual display terminal (VDT) viewing angle on human postural angle and muscular activity. The participants’ neck, thoracic bending, and trunk inclination angles; and the activity of sternocleidomastoid, trapezius, splenius capitis, and erector spinae at 5 viewing angles (+40°, +20°,0°, –20°, and –40°) of a VDT screen were collected for 1 min. This study showed that neck and thoracic bending angles increased with viewing angle, while viewing angle did not significantly affect trunk inclination angle. In addition, the activity of trapezius and erector spinae increased when viewing a higher or lower VDT screen height compared with viewing a horizontal VDT screen height; however, the activity of splenius capitis decreased with viewing angle.     

Upper limb load as a function of repetitive task parameters: part 2--an experimental study.

The aim of the study was to compare the theoretical indicator of upper limb load with the physiological indicator of musculoskeletal load, which is present while performing a repetitive task (a normalized electromyography [EMG] amplitude recorded from the muscles of the upper limb involved in the performed task). In an experimental study of a repetitive task, the EMG signal from 5 main muscles of the shoulder girdle, arm and forearm was registered: extensor carpi radialis longus, flexor carpi ulnaris, deltoideus anterior, biceps brachii caput breve and trapezius descendent. The results of the study showed a strong correlation between the theoretical indicator (Integrated Cycle Load) and the physiological indicator (root mean square of a normalized EMG amplitude from the 5 muscles). This proves that the developed theoretical indicator can be accepted as an indicator of upper limb musculoskeletal load during a work task.     

视屏显示终端对精神心理和神经行为的影响

本文进行了视屏显示终端(VDT)对操作人员精神心理和神经行为影响的调查研究。初步显示VDT作业可对操作人员造成情绪、感知、记忆、操作及复合功能诸多方面的不良影响。通过职业应激源的调查评价,显示VDT作业本身独特的作业性质、环境和要求形成了VDT作业的主要应激源。对从事VDT作业时间较长和作业负荷较大者则产生较高的职业性紧张度。从而说明VDT作业引起操作人员的某些心身疾患的可能性。     

Upper limb load as a function of repetitive task parameters: part 1--a model of upper limb load.

The aim of the study was to develop a theoretical indicator of upper limb musculoskeletal load based on repetitive task parameters. As such the dimensionless parameter, Integrated Cycle Load (ICL) was accepted. It expresses upper limb load which occurs during 1 cycle. The indicator is based on a model of a repetitive task, which consists of a model of the upper limb, a model of basic types of upper limb forces and a model of parameters of a repetitive task such as length of the cycle, length of periods of the cycle and external force exerted during each of the periods of the cycle. Calculations of the ICL parameter were performed for 12 different variants of external load characterised by different values of repetitive task parameters. A comparison of ICL, which expresses external load with a physiological indicator of upper limb load, is presented in Part 2 of the paper.     

基于JACK的机务人员上肢职业性损伤的仿真与评估*

为客观评价机务人员上肢职业性肌肉骨骼损伤风险,选取作业姿势、肌肉负载和暴露时间作为评估工作过程中机务人员肌肉骨骼损伤的指标,结合工效学和仿真技术,建立机务维修中肌肉骨骼损伤风险仿真评价方法,定量评估工作过程中机务人员肌肉骨骼损伤程度。采用动素理论分解A330飞机六号肋改装作业任务,对作业人员、工作场景、维修动作进行建模,使用JACK软件中的人因分析工具（TAT）分别对选取指标进行分析评估。研究结果表明:在六号肋改装作业中,机务人员存在严重的上肢职业性肌肉骨骼损伤的隐患,此研究方法可客观高效评估机务人员上肢职业性肌肉骨骼损伤的程度。