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 data entry work: the Polish part of the international study.

A group of routine data entry operators (female) was included in the Polish MEPS (musculoskeletal--eyestrain--psychosocial--stress) study. Before the intervention, ergonomic assessment revealed improper working conditions such as inadequate lighting, uncomfortable chairs, and lack of forearm and wrist support while medical examination revealed that trapezius muscle load along with upper arm, head and back angles were higher than advisable. Subjects complained about neck and shoulder pain, visual problems, and psychosocial conditions. The ergonomic intervention included installation of new luminaires and Venetian blinds, new chairs, repair of ventilators, and optometric corrections. The results after the intervention showed mainly improvement in chair comfort, lighting conditions, visual strain, and sitting posture. However, financial limitations did not allow satisfactory completion of the intervention leading to a mixed interpretation of the results.     

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.     

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.     

Luminance of the Surround and Visual Fatigue of VDT Operators

Luminance distribution in the visual field is considered as one of causal factors with a significant influence on visual fatigue, especially for intensive and extended Video Display Terminal (VDT) work. The aim of the study was to define visual fatigue of VDT operators for different values of surrounding luminance. Experiments were carried out in laboratory conditions under 3 lighting conditions. Only 1 lighting parameter—the luminance of the wall behind the display (surrounding luminance)—changed. Visual fatigue was measured both by a subjective evaluation of different visual complaints (asthenopic symptoms) and by objective measurements of changes in the following visual functions: accommodation, convergence, habitual horizontal phoria, critical fusional frequency (CFF), and visual acuity. The same experiments were done for CRT (Cathode Ray Tube) and LCD TFT (Liquid Crystal Display with Thin Film Transistor) screens. The results of the study have shown that there was no significant influence of the value of surrounding luminance on the asthenopic symptoms for either type of screen. A general tendency towards bigger visual complaints for LCD TFT than for CRT participants was found. An objective evaluation of visual fatigue demonstrated a tendency towards bigger changes in visual functions with an increase of surrounding luminance for both screens. Statistical analysis of the results has shown that surrounding luminance influences significantly the reduction of the accommodation amplitude (significance level < .05).     

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.     

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.     

Strategies of international cooperation in an international project: advantages and pitfalls.

The MEPS (musculoskeletal--eyestrain--psychosocial--stress) study involved an extensive degree of multidisciplinary and multicultural cooperation. The objective was to examine the effects of multiple ergonomic interventions on visual, musculoskeletal, postural, and psychosocial outcomes amongst operators of visual display terminals (VDTs). The inherent complexity of a comprehensive ergonomic investigation requires participation of researchers from a variety of disciplines, as well as comparisons among populations with different geographical and cultural backgrounds. The design and execution of the resulting research protocol presents a number of challenges. This paper discusses the advantages and pitfalls associated with multidisciplinary multinational cooperation. Advantages include the necessity for development of a common language and perspective providing a basis for future collaboration. Pitfalls include logistic and coordination difficulties associated with conducting standardized procedures in different locations, as well as the inherent potential for professional conflict. It is argued that such pitfalls ought to be understood and integrated into the project planning process.     

Ergonomic Risk Factors for Cumulative Trauma Disorders in VDU Operators

The objectives of this study were to investigate the rate of cumulative trauma disorders (CTDs) in the upper body and to describe the associations of such disorders with ergonomic parameters in a group of data entry operators. A total of 173 data entry operators volunteered to take part in the study. Questionnaires were used to investigate their medical history. Diagnoses of CTDs were made with clinical tests. A visual posture analysis of the workers and an ergonomic analysis of workstations and workload were used to reveal risk factors. Neck and shoulder pain, extensor tendonitis of the wrists and De Quervain’s disease were common in the study population. An assessment of risk factors showed that leaning wrists on the keyboard, hard keystrokes, extreme wrist joint and thumb positions and working in poor ergonomic design were correlated to pain and development of CTDs.     

时间压力视角下人格特征与VDT视觉搜索绩效的关系及形成机理*

为合理选拔和培训特定情境下的视觉搜索安检人员,从时间压力视角分析大五人格特征与视觉显示终端（visual display terminal,VDT）的视觉搜索绩效的关系。通过变量分析和设计,提出VDT视觉搜索绩效影响因素理论模型;运用Visual Studio设计实验模拟视觉搜索安检任务,采集绩效及眼动数据;最后进行有中介的调节模型检验。研究结果表明:不同人格特征的VDT视觉搜索绩效存在差异;所有人格特征的搜索策略随机指数随时间压力的增加而降低,但调整强度在不同人格特征之间存在差异,严谨性人格调整幅度最大;时间压力通过搜索策略的中介作用（部分）间接调节人格特征与VDT视觉搜索绩效的关系;较高和较低时间压力下,严谨性人格通过有效的搜索策略调整,绩效最好;中等时间压力下,开放性人格的绩效最好。研究结果可为视觉搜索作业人员的选拔和培训提供理论依据。     

人机显示/控制界面适配性综合评价指标和评价方法

通过对驾驶舱人机显示 /控制界面适配性指标影响因素、视觉信息流工效的测定与评估方法的研究 ,建立了一套视觉信息流工效综合评估系统研究体系 ;研究的初步结果主要有 ,飞机驾驶员视域中存在最佳、较好、极限工效区 ,并且振动、反射眩光、噪声、显示字符的形状 /颜色特征 /对比度 /显示方式等是影响信息获取工效的主要因素 ;飞机驾驶舱显示布局及显示方式应符合视觉工效学设计原则。     

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.     

An Ergonomics Study of a Semiconductors Factory in an IDC for Improvement in Occupational Health and Safety

The study aimed to conduct an ergonomic intervention on a conventional line (CL) in a semiconductor factory in Malaysia, an industrially developing country (IDC), to improve workers’ occupational health and safety (OHS). Low-cost and simple (LCS) ergonomics methods were used (suitable for IDCs), e.g., subjective assessment, direct observation, use of archival data and assessment of noise. It was found that workers were facing noise irritation, neck and back pains and headache in the various processes in the CL. LCS ergonomic interventions to rectify the problems included installing noise insulating covers, providing earplugs, installing elevated platforms, slanting visual display terminals and installing extra exhaust fans. The interventions cost less than 3 000 USD but they significantly improved workers’ OHS, which directly correlated with an improvement in working conditions and job satisfaction. The findings are useful in solving OHS problems in electronics industries in IDCs as they share similar manufacturing processes, problems and limitations.     

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.     

Occupational Risk Identification Using Hand-Held or Laptop Computers

This paper describes the Work Environment Profile (WEP) program and its use in risk identification by computer. It is installed into a hand-held computer or a laptop to be used in risk identification during work site visits. A 5-category system is used to describe the identified risks in 7 groups, i.e., accidents, biological and physical hazards, ergonomic and psychosocial load, chemicals, and information technology hazards. Each group contains several qualifying factors. These 5 categories are colour-coded at this stage to aid with visualization. Risk identification produces visual summary images the interpretation of which is facilitated by colours. The WEP program is a tool for risk assessment which is easy to learn and to use both by experts and nonprofessionals. It is especially well adapted to be used both in small and in larger enterprises. Considerable time is saved as no paper notes are needed.     

Occupational risk identification using hand-held or laptop computers.

This paper describes the Work Environment Profile (WEP) program and its use in risk identification by computer. It is installed into a hand-held computer or a laptop to be used in risk identification during work site visits. A 5-category system is used to describe the identified risks in 7 groups, i.e., accidents, biological and physical hazards, ergonomic and psychosocial load, chemicals, and information technology hazards. Each group contains several qualifying factors. These 5 categories are colour-coded at this stage to aid with visualization. Risk identification produces visual summary images the interpretation of which is facilitated by colours. The WEP program is a tool for risk assessment which is easy to learn and to use both by experts and nonprofessionals. It is especially well adapted to be used both in small and in larger enterprises. Considerable time is saved as no paper notes are needed.     

视屏显示终端作业的健康问题及其对策

视屏显示终端作业不仅提高了人—机—环境系统的信息传递效率。减轻了操作者的劳动负荷,也带来了若干有损健康的问题,如眼睛疲劳,职业性肌肉骨骼慢性疾患,职业性应激。对此进行讨论。提出对策,并就开展我国VDT作业健康研究阐述了看法。     

基于结构方程模型的认知性VDT作业过程解析*

为实现通过过程控制和管理提高认知性视觉显示终端（VDT）作业人员可靠性和绩效的目标,应用结构方程模型（SEM）研究作业过程表征方法。构建认知性VDT作业的信息加工过程模型,抽取13个基本认知动素（CT）,提出CT概念结构模型假设,设计外显指标测试题项,运用问卷调查样本数据构建结构方程和测量方程;对测量数据与结构方程模型的拟合度进行分析,并训练BP神经网络模式识别模型对作业过程进行还原检验。结果表明:认知性VDT作业过程模型有效,元认知控制其他12个CT的结构关系成立,认知性VDT作业过程可由包括元认知在内的13个基本CT解析。     

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.     

Postural Loading Assessment in Assembly Workers of an Iranian Telecommunication Manufacturing Company

Background. Changes in industries and work practices have coincided with work-related musculoskeletal disorders (MSDs). This study was conducted to determine the prevalence of MSDs and to assess postural loading in assembly workers of an Iranian telecommunication manufacturing company. Methods. Data were collected from 193 randomly selected workers in 4 units of the company. The Nordic musculoskeletal disorders questionnaire and the UBC ergonomic checklist were used as data collection tools. Loading on the upper body assessment (LUBA) was used to assess postural loading. Results. Lower back symptoms were the most prevalent problems among the workers (67.9%). LUBA showed that most assembly workers (94.3%) had experienced considerable and high postural loading (postural load index, PLI > 5). Regression analyses revealed that lighting, rotation, contact stress, repetition, gender and age were factors associated with symptoms. Conclusion. Work-related MSDs occurred at a high rate among workers. Postural loading requires consideration. Any ergonomic intervention should focus on eliminating ergonomic factors associated with symptoms.