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.     

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.     

Influence of trunk muscle activity and stability in front and back holding

Purpose. A tandem carrying style is often used in the workplace, but carrying approaches are different for two people because of the holding load in the tandem posture. To understand these carrying styles, this study aimed to investigate the patterns of muscle activity and stability of the trunk influenced by front and back holding of a heavy load. Methods. Electromyography data of eight trunk and two hip muscles, as well as displacements of the trunk, were recorded for analysis while subjects stood statically holding a handle in the front and back of the body with and without load. Results. Without load, muscle activities during front holding mirrored those during back holding. With load, greater muscle activities were observed in the dorsal muscles of the trunk and lesser activities were noted in the ventral muscles in the two holding styles. More frequencies of trunk oscillations occurred in front holding with and without load. Conclusions. The results revealed that back holding of load created more stability of the upper body, whereas front holding resulted in more instability of the trunk.     

Comparisons of ergonomic evaluation tools (ALLA,RULA, REBA and OWAS) for farm work

Introduction. The purpose of this study was to validate the agricultural lower limb assessment (ALLA) ergonomic checklist, which was developed for various agricultural tasks in Korea. Methods. One hundred and ninety-six working postures were selected from the real agricultural tasks to verify ALLA, a lower limb body posture assessment tool, and then evaluated by 16 ergonomic experts. Hit rate, quadratic weighted κ, one-way analysis of variance and t-test analyses were applied to compare ALLA with other assessment tools. Results. ALLA analysis had a superior hit rate with ergonomic expert assessment compared with other assessment tools. Quadratic weighted κ analysis also showed that ALLA provided superior estimates of risk levels for farm working postures. Discussion. ALLA would be an appropriate assessment tool to estimate risk factors for various lower limb body postures which frequently occur in agricultural tasks in Korea. ALLA is a simple and accurate risk assessment tool that could be usefully applied to identify and mitigate risk factors and work-related musculoskeletal disorders in agricultural tasks, and also to evaluate the effects of control and intervention for working conditions.     

Variation in posture quality across musical instruments and its impact during performances

Objective. Bad posture increases the risk that a musician may suffer from musculoskeletal disorders. This study compared posture quality required by different instruments or families of instruments. Methods. Using an ad-hoc postural observation instrument embracing 11 postural variables, four experts evaluated the postures of 100 students attending a Spanish higher conservatory of music. Results. The agreement of the experts’ evaluations was statistically confirmed by a Cohen's κ value between 0.855 and 1.000 and a Kendall value between 0.709 and 1.000 (p?χ² tests revealed significant association between instrument families and seated posture with respect to pelvic attitude, dorsal curvature and head alignment in both sagittal and frontal planes. This analysis also showed an association between instrument families and standing posture with respect to the frontal plane of the axis of gravity, pelvic attitude, head alignment in the frontal plane, the sagittal plane of the shoulders and overall posture. Conclusions. While certain postural defects appear to be common to all families of instruments, others are more characteristic of some families than others. The instrument associated with the best posture quality was the bagpipe, followed by percussion and strings.     

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.     

基于JACK的机务人员工作负荷评估

为了客观评估机务人员的工作负荷,选取作业能耗和姿态负荷作为评估机务人员工作负荷的指标。分解A320飞机主轮拆卸的维修任务,确定维修动作参数和姿态参数,使用JACK软件中的新陈代谢模块计算作业能耗,使用JACK软件中的RULA模块计算机务人员的姿态负荷,结果验证了该方法的可行性。相对于传统的评估工作负荷的方法,基于JACK仿真的方法具有省时高效的特点。     

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.     

Measuring limitations in activities of daily living: a population-based validation of a short questionnaire

Purpose. A newly developed questionnaire assessing limitations in activity of daily living (LADL–Q) that should improve assessment of LADL is tested in a large population-based validation study. Methods. This survey was paper-based. Overall, 16,634 individuals who were representative of the working population in the German-speaking part of Switzerland participated in the study. Item analysis was used the final version of the LADL–Q to four items per subscale that correspond to potential problems in three body regions (back and neck, upper extremities, lower extremities). Analysis included tests for reliability, internal consistency, dimensionality and convergent validity. Results. Test–retest reliability coefficients after 2 weeks ranged from 0.82 to 0.99 (Mdn?=?0.87), with no item having a coefficient below 0.60. The median item-total coefficients ranged between moderate and good. Correlation coefficients between LADL–Q subscales and three validated clinical instruments (Western Ontario and McMaster Universities osteoarthritis index, shoulder pain disability index, Oswestry) ranged from 0.63 to 0.81. In structural equation modeling the three subscales were significantly related with two important outcomes in occupational rehabilitation: self-reported general health and daily task performance. Conclusion. The new LADL–Q is a brief, reliable and valid tool for assessment of LADL in studies on musculoskeletal health.     

Relationship between musculoskeletal disorders and anthropometric indices among bus drivers in Zahedan city

Introduction. Most work-related musculoskeletal disorders (MSDs) are associated with improper postures and poorly designed workstations. This study is an attempt to examine the prevalence and severity of MSDs as well as anthropometric dimensions among city bus drivers. Methodology. This cross-sectional study was carried out on 60 male bus drivers. A body discomfort chart was used to evaluate MSDs. Spearman correlation was employed to examine the relationship between body size and the severity of discomfort. Results. Data analysis showed that discomfort reported in the lower back (33.3%), upper back (18.3%) and knee (15%) was severe and there was a direct and significant correlation between the body mass index and the severity of discomfort in the shoulder, arm and hip (p?p?Conclusion. The results of the study can be used to address ergonomic risk factors and reduce their associated disorders. The findings of the study can be used in training programs to educate drivers how to decrease the risk associated with work-related MSDs by adopting appropriate behavior strategies.     

A comparison of three observational techniques for assessing postural loads in industry.

This study aims to compare 3 observational techniques for assessing postural load, namely, OWAS, RULA, and REBA. The comparison was based on the evaluation results generated by the classification techniques using 301 working postures. All postures were sampled from the iron and steel, electronics, automotive, and chemical industries, and a general hospital. While only about 21% of the 301 postures were classified at the action category/level 3 or 4 by both OWAS and REBA, about 56% of the postures were classified into action level 3 or 4 by RULA. The inter-method reliability for postural load category between OWAS and RULA was just 29.2%, and the reliability between RULA and REBA was 48.2%. These results showed that compared to RULA, OWAS, and REBA generally underestimated postural loads for the analyzed postures, irrespective of industry, work type, and whether or not the body postures were in a balanced state.     

A Comparative Ergonomics Postural Assessment of Potters and Sculptors in the Unorganized Sector in West Bengal,India

Potters and sculptors perform their work in very awkward postures. The purpose of this study was to analyse these postures. The modified Nordic questionnaire was used to analyse musculoskeletal discomfort. Rapid entire body assessment (REBA) and rapid upper limb assessment (RULA) were used to evaluate the subjects’ postures. There were no significant differences between times of discomfort and the group of subjects. However, there were significant differences in discomfort in different body parts. The analysis indicated that various body postures were harmful to the subjects and that there were profound deviations from natural curvature of various body parts due to awkward body postures. Ergonomics intervention was required to improve the quality of life.     

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.     

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.     

Differences in dentists' working postures when adopting proprioceptive derivation vs. conventional concept.

New technologies and changes in dental care, including the proprioceptive derivation (Pd) concept, aimed at providing dentists with greater comfort and better health, were introduced in Thailand. The aim of this study was to investigate the differences in dentists' working postures when adopting different work concepts: Pd and the conventional concept. The results showed differences in dentists' sitting posture, clock-related working positions, and Rapid Upper Limb Assessment (RULA) scores. This implied that Pd helped dentists to discover new ways of positioning themselves, and working comfortably and effectively, which made it possible for them to adopt better working posture and have lower RULA scores. In conclusion, the Pd concept had a positive effect on dentists' working posture.     

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.     

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.     

飞机维修活动中的快速上肢评价

维修是保证飞机能够正常、安全飞行的一个重要环节 ,而好的工作姿势可以确保维修人员高效、快捷、安全的完成维修任务。在维修活动中以上肢动作居多 ,因此 ,笔者主要介绍了一种在国外比较通行的工效评价方法———快速上肢评价 (RULA)。该方法可以用来快速识别工作中可能出现的上肢不利姿势 ,以避免发生上肢损伤。同时笔者还编制了相应的评价软件 ,使得评价工作变得更加方便、快捷 ,并利用该软件对飞机维修任务进行了实例评价。     

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.?