Musculoskeletal symptoms as related to ergonomic factors in Iranian hand-woven carpet industry and general guidelines for workstation design.

Carpet weaving is a high risk occupation for developing musculoskeletal disorders (MSDs). The objectives of the present study, which was carried out in the Iranian hand-woven carpet industry, were determination of the prevalence of MSD symptoms, identification of major factors associated with MSD symptoms and development of guidelines for workstation design. 1,439 randomly selected weavers participated in this study. A questionnaire was used to collect data on MSD symptoms. The results revealed that the prevalence rates for symptoms in different body regions were high as compared to the general Iranian population (for neck, back and large joints, p <.0001). The results of multivariate analyses showed that major ergonomic factors associated with musculoskeletal symptoms were loom type, working posture, daily working time and seat type. Based on the results, some general guidelines for designing weaving workstations were developed. A prototype test showed that the new workstation was acceptable for subject tests and that it improved working posture.     

Office Ergonomics: Deficiencies in Computer Workstation Design

The objective of this research was to study and identify ergonomic deficiencies in computer workstation design in typical offices. Physical measurements and a questionnaire were used to study 40 workstations. Major ergonomic deficiencies were found in physical design and layout of the workstations, employee postures, work practices, and training. The consequences in terms of user health and other problems were significant. Forty-five percent of the employees used nonadjustable chairs, 48% of computers faced windows, 90% of the employees used computers more than 4 hrs/day, 45% of the employees adopted bent and unsupported back postures, and 20% used office tables for computers. Major problems reported were eyestrain (58%), shoulder pain (45%), back pain (43%), arm pain (35%), wrist pain (30%), and neck pain (30%). These results indicated serious ergonomic deficiencies in office computer workstation design, layout, and usage. Strategies to reduce or eliminate ergonomic deficiencies in computer workstation design were suggested.     

Office ergonomics: deficiencies in computer workstation design.

The objective of this research was to study and identify ergonomic deficiencies in computer workstation design in typical offices. Physical measurements and a questionnaire were used to study 40 workstations. Major ergonomic deficiencies were found in physical design and layout of the workstations, employee postures, work practices, and training. The consequences in terms of user health and other problems were significant. Forty-five percent of the employees used nonadjustable chairs, 48% of computers faced windows, 90% of the employees used computers more than 4 hrs/day, 45% of the employees adopted bent and unsupported back postures, and 20% used office tables for computers. Major problems reported were eyestrain (58%), shoulder pain (45%), back pain (43%), arm pain (35%), wrist pain (30%), and neck pain (30%). These results indicated serious ergonomic deficiencies in office computer workstation design, layout, and usage. Strategies to reduce or eliminate ergonomic deficiencies in computer workstation design were suggested.     

Influence of seat geometry and seating posture on NIC(max) long-term AIS 1 neck injury predictability

OBJECTIVE: Validated injury criteria are essential when developing restraints for AIS 1 neck injuries, which should protect occupants in a variety of crash situations. Such criteria have been proposed and attempts have been made to validate or disprove these. However, no criterion has yet been fully validated. The objective of this study is to evaluate the influence of seat geometry and seating posture on the NIC(max) long-term AIS 1 neck injury predictability by making parameter analyses on reconstructed real-life rear-end crashes with known injury outcomes. METHODS: Mathematical models of the BioRID II and three car seats were used to reconstruct 79 rear-end crashes involving 110 occupants with known injury outcomes. Correlations between the NIC(max) values and the duration of AIS 1 neck injuries were evaluated for variations in seat geometry and seating posture. Sensitivities, specificities, positive predictive values, and negative predictive values were also calculated to evaluate the NIC(max) predictability. RESULTS: Correlations between the NIC(max) values and the duration of AIS 1 neck injuries were found and these relations were used to establish injury risk curves for variations in seat geometry and seating posture. Sensitivities, specificities, positive predictive values, and negative predictive values showed that the NIC(max) predicts long-term AIS 1 neck injuries also for variations in seat geometry and seating postures. CONCLUSION: The NIC(max) can be used to predict long-term AIS 1 neck injuries.     

Infrared thermography reveals effect of working posture on skin temperature in office workers

Introduction. Musculoskeletal symptoms related to using traditional computer workstations are common. Quantitative methods for measuring muscle stress and strain are needed to improve ergonomics of workstations. We hypothesize that infrared thermography (IRT) is suited for this purpose. Methods. This hypothesis was evaluated by estimating muscle activity in upright and traditional working postures with IRT and surface electromyography (sEMG). IRT and sEMG measurements were conducted in 14 female participants with both working postures. First, measurements with the traditional posture were performed. Later, participants had 1?month to adjust to the upright working posture before repeating the measurements. IRT images were acquired before and after a full working day, with sEMG recordings being conducted throughout the measurement days. Participants evaluated their neck pain severity using neck disability index (NDI) questionnaires before the first and after the second measurement day. Results. Spatial variation in upper back temperature was higher (p?=?0.008) when working in traditional posture and the upright working posture reduced (p?p?=?0.003) after working in the upright posture. Conclusion. IRT was found suitable for evaluating muscle activity and upright working posture to reduce the NDI and muscle activity in the upper back.     

Posture and belt fit in reclined passenger seats

Abstract

Objective: Highly reclined postures may be common among passengers in future automated vehicles. A laboratory study was conducted to address the need for posture and belt fit in these seating configurations.

Methods: In a laboratory vehicle mockup, the postures of 24 men and women with a wide range of body size were measured in a typical front vehicle seat at seat back angles of 23°, 33°, 43°, and 53°. Data were gathered with and without a sitter-adjusted headrest. Posture was characterized by the locations of skeletal joint centers estimated from digitized surface landmarks.

Results: Regression analysis demonstrated that the pelvis rotated rearward and lumbar spine flexion decreased with increasing recline. The lap portion of the 3-point belt was more rearward relative to the pelvis in more-reclined postures, and the torso portion crossed the clavicle closer to the midline of the body. Regression equations were developed to predict posture and belt fit variables as a function of passenger characteristics, seat back angle, and the use of the headrest.

Conclusions: Spine posture changes as the torso reclines in an automotive seat, and belt fit is altered by the change in posture. The results can be used to accurately position crash test dummies and computation human models and to guide the design of belt restraints.     

Effects of Neutral Posture on Muscle Tension During Computer Use

This study focused on developing a new approach to seated work positions as conducted on 67 office workers who use a Visual Display Terminal (VDT) as a major function of their working day. Muscle tension was measured by surface electromyography (sEMG) while participants were asked to adopt 4 selected working postures. Pain was measured before and after ergonomic intervention on the Nordic scale, which was modified for this study. Adjustable workstations were used to place participants in desired positions during the clinical testing sessions and the extended intervention period. Results indicate the effects of this ergonomic intervention may have positive effects on muscle tension and pain, significant enough to encourage employers to implement training and workstation modifications following these guidelines.     

A Comparison of VDT Workstation Adjustment Methods by Evaluating and Optimizing VDT Operator’s Seated Posture

Three methods of visual display terminal (VDT) workstation adjustment were compared in this study in order to investigate their effects on the operator’s seated posture. The first two methods were adjustments made both with and without any suggestion on the correct seated posture. The third method was an adjustment after which the workstation settings were initially set according to the results recommended by the IntelAd computer program. Ten male and 5 female participants were asked to readjust a VDT workstation until their most comfortable seated posture was obtained. When comparing the final seated postures to the ones ergonomically recommended, it was found that the workstation adjustment assisted by the computer program yielded the best result, followed by the adjustment without any suggestion on the seated posture, and then the adjustment with a suggestion on the seated posture. Furthermore, factors such as gender and typing skill level were not found to have any significant influence on the results.     

Effects of work surface and task difficulty on neck–shoulder posture and trapezius activity during a simulated mouse task

Objectives. The purpose of this study is to evaluate the influence of the work surface and task difficulty on the head, upper back and upper arm postures and activity of the descending trapezius during a simulated mouse task. Methods. Healthy female university students (N?=?15) were evaluated. The work surface was positioned at elbow height (EH) and above elbow height (AEH) and the task difficulty was set at low (LD) and high (HD) levels. The postures were recorded by inclinometers. Trapezius activity was normalized by the maximum voluntary isometric contraction (MVIC). Results. Significantly higher head flexion was found at EH compared to the AEH condition, with an average difference of 2°–5° at the same difficulty level. The HD task significantly increased head (3°–6°) and upper back flexion (6°–7°) at the same table height. For upper arm elevation and trapezius activation, the AEH condition presented higher upper arm elevation (about 6°–8°) and trapezius activity (0.8–1.4% of MVIC), regardless of the difficulty level of the task. Conclusions. Head posture was influenced by the table height and task difficulty; the upper back posture by high difficulty; and upper arm posture and trapezius activity were only influenced by table height.     

Postural Stability of Sitting Women

The study examined the utility of stabilometric dimensions and explored whether the changes in sitting postures were manifested in functional measures of postural control. Eleven women participated in the study, which used 11 chair sitting postures: arms on laps or arms right angled; armrest at a height of 17, 20 and 23 cm; with or without backrest; slouch or straight back; legs right angled at knees or crossed legs. The backrest and armrest shifted 16.3% of body weight from a seat pan. The characteristics of stabilometric dimensions evaluated the influence of seat components and sitting behaviour on postural balance. The study attempted to evaluate stability and its application in human-seat interface design.     

Upper trapezius fatigue in carpet weaving: the impact of a repetitive task cycle

Introduction. Shoulder disorders are one of the most prevalent musculoskeletal disorders among carpet weavers. The most important cause of these disorders is muscle fatigue. The aim of the present study is to investigate the effect of carpet weaving characteristics on upper trapezius (UTr) muscle fatigue during a task cycle. Method. In this cross-sectional study, 9 women and 3 men participated. During an 80-min cycle of carpet weaving, a times-series model was applied to assess electromyography amplitude and frequency changes. Result. According to the joint analysis of electromyogram spectrum and amplitude method, the participants experienced 0% force decrease, 0.9% recovery, 18% force increase and 72% fatigue in the left UTr. Furthermore, the rates of force decrease, recovery, force increase and fatigue in the right UTr were 18%, 18%, 18% and 45%, respectively. Fatigue in the right and the left UTr was reported to be the dominant state during one carpet weaving task cycle. Conclusion. Task cycle appears to have a significant impact on UTr fatigue in participants, and UTr fatigue can be considered a serious risk factor in shoulder musculoskeletal disorders. Hence, further studies should focus on better workstations and work–rest periods during various subtasks.     

A new method for calculating saddle seat height with an emphasis on optimal posture based on trigonometric relations

Introduction. Based on the literature, the ergonomic saddle chair provides the most appropriate posture for users. Determination of the seat height is critical to establish the proper posture, carried out using various methods of anthropometry. This study aimed to develop a simple and applied method for determining the saddle seat height with an emphasis on appropriate posture. Methods. In this study, anthropometric dimensions including weight, body height, popliteal height and seat height at 135° knee angle in 150 male and female dentists were measured. In the laboratory, to determine the ‘acetabuloischial number’, 25 male and female natural hip bones were measured. The mean saddle-chair height with knee angle of 135° was then compared by two different methods, field measurement and the new calculation method. Results. The results showed a strong correlation between data gathered from the two different methods, the field measurement and the new calculation method (98%), and Cronbach’s α from the intraclass correlation was equal to 0.994 (p?<?0.05). This indicated that the two methods produced similar results. Conclusion. The new method can be applied to calculate the optimal height of the saddle seat based on body height and popliteal height.     

缝纫工慢性肌肉骨骼损伤的调查

缝纫流水线作业工人的慢性肌肉骨骼损伤十分普遍，且涉及面广，如手、腕、肘、臂、肩、颈、背及下肢，其症状与对照人群比，有显著差异。这与他们的工作紧张、工作时间率过多、工中休息时间过少、坐椅过高、工作台面过高及过度低头、向前弯腰等因素有关     

Alignment of the Lumbar Vertebrae in a Driving Posture

The purpose of this study was to define the anatomical arrangement of the lumbar spine in the mid-body sagittal plane of a human volunteer while in three postures: a driving posture; full flexion; and full extension. Radiographic images of the lumbar spine were made of a 33-year old 50th percentile male subject seated in a comfortable driving posture. Additional radiographs were made of the lumbar spine while the subject was postured in full voluntary flexion, and full voluntary extension. Anterior and posterior mid-sagittal vertebral endplate positions were plotted on an x-y coordinate system for each posture. Anterior and posterior disk thicknesses, and the positions of the centers of each vertebra were numerically determined using information from the plots. Disk thicknesses were then graphed and comparisons made for each posture. The arrangements of the centers of vertebrae were graphed and compared for the three different postures. The arrangement of the lumbar vertebrae tended toward that of full voluntary flexion while the subject was in a normal driving posture. Anterior disk thickness was a sensitive indicator of posture, while posterior disk thickness was not. While in a driving posture, the lower back approximated a straight-line that was nearly parallel to the seat back axis. The observations support those of an earlier study. Since soft tissue spinal elements can only be damaged by applying tensile forces in excess of their tolerance, the anterior elements of the lumbar spine would not be directly threatened in low velocity frontal collisions, since anterior elements would be in relative compression. Tension injury to the anterior structures as a result of a rear-end collision would first require reversing the preimpact conditions imposed by the normal driving posture. Tension injury to the posterior spinal elements resulting from low velocity rear-end collisions would be unlikely since axial compression loading would also diminish tension stress in posterior soft tissue structures. Any compression injury to posterior elements resulting from rear-end collisions would first require reversing the pre-impact conditions imposed by the normal driving posture.     

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.?     

Whiplash-associated disorders in frontal impacts: influencing factors and consequences

This multidisciplinary in-depth investigation of accidents using 24 occupants with neck symptoms shows the complexity of whiplash-associated disorders (WAD) in frontal impacts with respect to factors that influence occurrence as well as duration of symptoms. Several different occupant kinematics have been identified, all resulting in symptoms classified as WAD. Compared to occupants restrained only by a seat belt, occupants with arm resistance influence showed a greater representation of symmetrical neck symptoms. Two cases of unbelted occupants with a neck compression mechanism far from conventional "whiplash" motion were found. Posture as well as physical and psychosocial factors such as strong negative reactions, bad prognosis expectation, and stressed daily activities influenced the duration of symptoms. Occupant characteristics and sitting posture and behavior at the time of impact are important factors when analyzing and understanding WAD.     

Variability in vehicle and dummy responses in rear-end collisions

OBJECTIVE: The objective of this study was to quantify the occupant response variability due to differences in vehicle and seat design in low-speed rear-end collisions. METHODS: Occupant response variability was quantified using a BioRID dummy exposed to rear-end collisions in 20 different vehicles. Vehicles were rolled rearward into a rigid barrier at 8 km/h and the dynamic responses of the vehicle and dummy were measured with the head restraint adjusted to the up most position. In vehicles not damaged by this collision, additional tests were conducted with the head restraint down and at different impact speeds. RESULTS: Despite a coefficient of variation (COV) of less than 2% for the impact speed of the initial 8 km/h tests, the vehicle response parameters (speed change, acceleration, restitution, bumper force) had COVs of 7 to 23% and the dummy response parameters (head and T1 kinematics, neck loads, NIC, N(ij) and N(km)) had COVs of 14 to 52%. In five vehicles tested multiple times, a head restraint in the down position significantly increased the peak magnitude of many dummy kinematic and kinetic response parameters. Peak head kinematics and neck kinetics generally varied linearly with head restraint back set and height, although the neck reaction moment reversed and increased considerably if the dummy's head wrapped onto the top of the head restraint. CONCLUSIONS: The results of this study support the proposition that the vehicle, seat, and head restraint are a safety system and that the design of vehicle bumpers and seats/head restraint should be considered together to maximize the potential reduction in whiplash injuries.     

Impact of rest-break interventions on the neck and shoulder posture of symptomatic VDU operators during prolonged computer work

There is limited research on the effects of different types of rest-break interventions for visual display unit (VDU) operators on neck and shoulder postures. This study examined the effect of rest-break interventions on the neck and shoulder postures of symptomatic VDU operators during prolonged computer work. Thirty subjects were randomly and equally assigned to breaks with stretching, breaks with dynamic movement and passive breaks. Subjects performed the typing task for 60 min and received 3-min breaks after 20 min of work. The craniovertebral and forward shoulder angles were obtained from a 3D motion analysis system. Results showed that there were no significant differences in the craniovertebral and forward shoulder angles among any types of rest breaks. It can be concluded that the three types of rest-break interventions had positive effects on neck and shoulder posture during prolonged computer terminal work.     

坐姿时上肢作业姿势舒适性评价

针对人体呈现坐姿状态时前侧方作业区域的不同,利用人体测量数据在空间划分网格,实现了上肢作业姿势的参数化定义。并设计实验,由12位健康的男被试参加,利用自由模量幅度估计法对定义过的384种作业姿势的舒适性进行了评价和分级。对依据不同被试个数计算出的结果进行比较分析,并与快速上肢评价方法的评价结果进行比对,揭示了结果的可靠性。评价结果可以为操纵装置的工效设计以及作业空间布局提供重要参考,同时为国内的姿势舒适性评价工作提供了可靠的依据。     

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.