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.     

Will Musculoskeletal,Visual and Psychosocial Stress Change for Visual Display Unit (VDU) Operators When Moving From a Single-Occupancy Office to an Office Landscape?

This study investigated the effect of moving from single-occupancy offices to a landscape environment. Thirty-two visual display unit (VDU) operators reported no significant change in visual discomfort. Lighting conditions and glare reported subjectively showed no significant correlation with visual discomfort. Experience of pain was found to reduce subjectively rated work capacity during VDU tasks. The correlation between visual discomfort and reduced work capacity for single-occupancy offices was r_s = .88 (p = .000) and for office landscape r_s = .82 (p = .000). Eye blink rate during habitual VDU work was recorded for 12 operators randomly selected from the 32 participants in the office landscape. A marked drop in eye blink rate during VDU work was found compared to eye blink rate during easy conversation. There were no significant changes in pain intensity in the neck, shoulder, forearm, wrist/hand, back or headache (.24 < p < .67). Pain levels in different body areas were significantly correlated with reduced work capacity, .77 < r_s < .99 (p = .000).     

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.     

Effect of Subjective and Objective Workload on Asthenopia at VDU Workplaces

An ergophthalmological tool has been developed to investigate effects of subjective and objective workload on work-related visual complaints (asthenopia). In field studies on different visual display unit (VDU) workplaces effects of objective and subjective workload, work intensity, and work breaks (5-9 min/hour) could be found. It could be shown that during the first hours of VDU work, asthenopic complaints have the tendency to follow effective workload. With increasing working time the effect of a general and visual fatigue overlaps other reported visual complaints in the majority of cases.     

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.     

Electromyographic analysis of relevant muscle groups during completion of computer tasks using different computer mouse positions

Background. We analyzed muscular activity for different computer mouse positions during the completion of a timed computer task and determined whether the different mouse positions could affect muscular activity, productivity and perceived fatigue. Methods. The subjects were nine healthy young men. Two mouse positions were studied: the distal position (DP), with the forearm rested on the desk; the proximal position (PP), with only the wrist rested on the desk. The subjects performed a 16-min task in each position. Surface electromyography data were recorded for the upper back and shoulder muscles. Work productivity and muscular activity were measured for each mouse position. A visual analog scale was used to assess subjective fatigue. Results. Muscular activity was higher in muscle (m.) deltoideus (posterior) for the DP, while it was significantly higher in m. inferior infraspinatus for the PP. The visual analog scale score was significantly higher and work productivity was lower in the PP. Conclusions. We found that using a mouse in the DP rather than the PP leads to less activity of the external rotators, less perceived fatigue and more productivity. This suggests that the DP is preferable to the PP for computer work involving a mouse.     

Prevention of Deep Vein Thrombosis in VDU Work

This paper introduces preventive measures against Deep Vein Thrombosis (DVT) during Visual Display Units (VDU) work. Four experiments were conducted in order to address this issue. The effectiveness of the preventative measures was evaluated by measuring foot swelling. The results indicated that the following 3 methods would be particularly effective: (a) occasionally adopting a reclining posture with a footrest, (b) 10-min walking every 50-60 min of VDU work, and (3) stretching. In addition we predicted that taking a deep breath could sometimes be effective. DVT is likely to occur in daily life and its incidence can be related to the long-term postures associated with VDU work. This paper suggests that VDU workers should be aware of the risk of DVT and take preventative measures.     

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.     

Passenger muscle responses in lane change and lane change with braking maneuvers using two belt configurations: Standard and reversible pre-pretensioner

Abstract

Objective: The introduction of integrated safety technologies in new car models calls for an improved understanding of the human occupant response in precrash situations. The aim of this article is to extensively study occupant muscle activation in vehicle maneuvers potentially occurring in precrash situations with different seat belt configurations.

Methods: Front seat male passengers wearing a 3-point seat belt with either standard or pre-pretensioning functionality were exposed to multiple autonomously carried out lane change and lane change with braking maneuvers while traveling at 73?km/h. This article focuses on muscle activation data (surface electromyography [EMG] normalized using maximum voluntary contraction [MVC] data) obtained from 38 muscles in the neck, upper extremities, the torso, and lower extremities. The raw EMG data were filtered, rectified, and smoothed. All muscle activations were presented in corridors of mean?±?one standard deviation. Separate Wilcoxon signed ranks tests were performed on volunteers’ muscle activation onset and amplitude considering 2 paired samples with the belt configuration as an independent factor.

Results: In normal driving conditions prior to any of the evasive maneuvers, activity levels were low (<2% MVC) in all muscles except for the lumbar extensors (3–5.5% MVC). During the lane change maneuver, selective muscles were activated and these activations restricted the sideway motions due to inertial loading. Averaged muscle activity, predominantly in the neck, lumbar extensor, and abdominal muscles, increased up to 24% MVC soon after the vehicle accelerated in lateral direction for all volunteers. Differences in activation time and amplitude between muscles in the right and left sides of the body were observed relative to the vehicle’s lateral motion. For specific muscles, lane changes with the pre-pretensioner belt were associated with earlier muscle activation onsets and significantly smaller activation amplitudes than for the standard belt (P?<?.05).

Conclusions: Applying a pre-pretensioner belt affected muscle activations; that is, amplitude and onset time. The present muscle activation data complement the results in a preceding publication, the volunteers’ kinematics and the boundary conditions from the same data set. An effect of belt configuration was also seen on previously published volunteers’ kinematics with lower lateral and forward displacements for head and upper torso using the pre-pretensioner belt versus the standard belt. The data provided in this article can be used for validation and further improvement of active human body models with active musculature in both sagittal and lateral loading scenarios intended for simulation of some evasive maneuvers that potentially occur prior to a crash.     

Influence of Exercise-Focused Group Activities on the Physical Activity,Functional Capacity,and Work Ability of Female Farmers—A Three-Year Follow-Up

Abstract

The objective of this randomised study was to evaluate the influence of exercise-focused group activities on female farmers’ physical activity, functional capacity, and work ability over a period of 3 years. Physical activity increased more in the intervention group (n = 62) than in the control group (n = 64) during the first year. By the third year physical activity had almost returned to the pre-intervention level. In the 3-year follow-up examination muscular endurance and cardio-respiratory fitness had improved in the intervention group, and musculoskeletal symptoms had decreased more often in the intervention group than in the control group. The index used to measure perceived work ability showed no changes over the 3-year period. It can be concluded that group activities focused on leisure-time physical activity and work habits can be recommended as health promotion measures for farmers’ occupational health services.     

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.     

Repeatability of electromyography normalization of the neck and shoulder muscles in symptomatic office workers

Purpose. The purpose of the study was to examine the repeatability of electromyography (EMG) normalization in office workers with neck and shoulder symptoms. Methods. Fifteen female office workers with neck/shoulder symptoms were recruited to participate in two separate days of testing. Maximum voluntary isometric contraction (MVIC) was used for the normalization of EMG data on the following muscles: cervical erector spinae, upper trapezius, lower trapezius and anterior deltoid. Repeatability was calculated using the intra-class correlation (ICC), relative standard error of measurement (%SEM) and relative coefficient of variation (%CV). Results. Peak root mean square (rms) and median frequency (MF) showed good to high repeatability in the UT, AD and CES (ICC?=?0.87–0.95, %SEM=?2.65–9.48, %CV=?0.2–5.9). The repeatability of peak rms was good (ICC?=?0.87, %SEM?=?12.56, %CV?=?3.3) and the MF of the LT was fair (ICC?=?0.76, %SEM?=?5.71, %CV?=?2.9). Conclusion. Peak rms and MF from the MVIC normalization method can be measured with sufficient repeatability in symptomatic office workers.     

Assessment of Ergonomic and Occupational Health-Related Problems Among Female Prawn Seed Collectors of Sunderbans,West Bengal,India

Abstract

Sixty female prawn seed collectors and 60 female control subjects from Sajenakhali and Sandeshkhali blocks of Sunderbans, West Bengal, India, were randomly selected to evaluate and compare musculoskeletal disorders and physiological stress. The control group was engaged in domestic work involving minimum hand-intensive activities. The modified Nordic musculoskeletal questionnaire and rapid entire body assessment were used. Most subjects suffered from discomfort in different body parts, especially in the lower back (98%), knees (88%), shoulders (75%), ankles (70%) and feet (67%). This study reveals that female prawn seed collectors suffer from significant physiological load and extreme physiological stress due to prolonged working hours in a standing posture and excessive work pressure. Consequently, all these factors affect female prawn seed collectors ‘ health and work performance.     

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.     

Operators’ signal-detection performance in video display unit monitoring tasks of the main control room

This study evaluated the operators’ signal-detection performance in video display unit (VDU) monitoring tasks of the main control room (MCR). So far the study of the relationship between VDU design strategy and human errors has been superficial. To validate the effect of VDUs design strategies on operating errors in the MCR, this present research adopted a within subject experimental design to develop different experimental treatments based on two types of display modes included consistent mode and mixed mode. A total of 13 undergraduate and graduate students were recruited as participants in the experiment. Dependent variables included situation awareness, reaction time, error frequency, and subjective performance. Some research support was found for the representation principles. The conclusions of this study could not only be implemented by the human-system interface (HSI) designers of a MCR in the advanced nuclear power plant (NPP) but also could be generalized to the extent that other digital workstation similar to the MCR.     

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.     

The Impact of Mobile Data Terminal Use on Posture and Low-Back Discomfort When Combined With Simulated Prolonged Driving in Police Cruisers

The introduction of mobile computing within a constrained vehicle environment has led to changes in the task demands of occupational groups such as professional drivers and law enforcement officers. The purpose of this study was to examine how mobile data terminal (MDT) use interacts with prolonged driving to induce postural changes or low-back discomfort. Eighteen participants (9 male, 9 female) completed two 120-min simulated driving sessions. Time-varying lumbar spine and pelvis postures, seat pan interface pressures and ratings of perceived discomfort were recorded at 15-min intervals. The introduction of a computer interface decreased pelvic posterior rotation by an average of 15° with respect to upright standing and increased peak average discomfort in the neck (5.9 mm), left shoulder (6.8 mm), midback (10.9 mm), low back (10.6 mm) and pelvis (11.5 mm) compared to driving alone. The incorporation of mobile computing warrants consideration in the design of vehicle work environments.     

Assessing the performance of motorcyclists’ impact protectors in simulated ATD knee and shoulder impacts

Objective: Fractures are a common injury among motorcycle riders and can have serious health implications. Impact protection (IP) has been designed to help prevent fractures, yet there are conflicting opinions as to whether this IP does in fact help prevent fractures in real-world crashes. This work aimed to (1) use simulated dummy impacts to examine whether existing types of IP could reduce the force transferred to the underlying bone to below fracture tolerance levels and (2) investigate whether current European Standard (EN 1621-1) test procedures for impact protectors designed for motorcyclists are sufficient to ensure fracture protection.

Method: Twenty-three shoulder and 7 knee IP specimens were tested using a 23-kg impactor contacting axially along the clavicle and femur of an anthropomorphic test device (ATD) at an energy level corresponding to the fracture tolerance of these bones. Sixteen IP specimens were the same as those worn by motorcycle riders involved in crashes where injury outcome was known (knee: n?=?3; shoulder: n?=?13) and the IP had been previously tested to EN 1621-1. Other IP tested represented a wide range of IP available for purchase at a motorcycle accessory store. Double and triple layers of IP were also tested. Energy attenuated during the dummy impacts was compared to energy attenuated when tested to EN 1621-1.

Results: Of the 23 shoulder IP tested, the average percentage reduction of transferred force to the shoulder from the baseline test was 7.6?±?4.8%. The percentage reduction of transferred force to the knee from the baseline was 43.9?±?7.5%. The entire group of knee IP tested reduced the transferred force to the knee to below the 10-kN injury threshold for the femur. There was a positive but nonsignificant correlation between the ATD test and the EN 1621-1 impact test performance, suggesting that the European standard test method likely provides a good indication of IP performance. However, given the low correlation coefficient, the relationship between IP performance in the European standard test method and injury protection remains unclear.

Conclusion: Though the energy attenuation test method in the European standard may be an appropriate approach, distinct differences in injury protection performance observed between knee and shoulder IP indicate that there may be a need for different performance criteria for IP designated to protect different body regions.     

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.     

Psychosocial and Ergonomic Factors,and Their Relation to Musculoskeletal Complaints in the Swedish Workforce

A random sample of 1 000 subjects (20–65 years old) from the national population of Sweden received a questionnaire; 70% (n = 695) replied, of whom 532 were occupationally active. Female gender, working with neck and/or body bent forward, arms above shoulders, and precision work tasks were predictors of musculoskeletal symptoms. Neck, shoulder, and upper back symptoms were more common in a strained situation at work (high demands, low control) (adjusted odds ratios [adjOR] 2.76, 2.80, and 2.26, respectively). Among females, neck and shoulder symptoms were more common in an iso-strain situation (high demands, low control and low social support) (adjOR 4.43 and 3.69, respectively), and low back symptoms were more common at low social support combined with a passive work situation (adjOR 3.35). No associations were found between iso-strain model and symptoms among males. In conclusion, iso-strain work situation was associated with neck symptoms among females, even when controlling for ergonomic factors.