The effects of breath alcohol concentration on postural control

Background: Two of the 3 standardized field sobriety tests that U.S. law enforcement uses at roadside checks have a postural equilibrium component to them. Those tests have been validated to detect impairment caused by blood alcohol concentrations (BACs) of 0.08 g/dL or above. Many medical and traffic safety associations support a lower limit, and one state, Utah, has passed a law to lower the limit to 0.05 g/dL. Many studies have examined the effects of alcohol on postural control (of which postural equilibrium is a component), with a consensus emerging that impairment is usually found at BACs greater than 0.06 g/dL. Most of these studies, however, had a relatively small number of subjects, usually between 10 and 30. The current study collected data from a much larger sample.

Objective: The objective of this study was to provide additional evidence that posture control is negatively affected at BACs greater than 0.06 g/dL or breath alcohol concentrations (BrACs) of 0.06 g/210 L.

Method: This was a between-subjects study, with BrAC group as the independent variable (5 levels: 0.00, 0.04, 0.06, 0.08, and 0.10 g/210 L); 4 measures of postural control as the dependent variables; and age, height, and weight as the covariates. Posture control was measured with a force-sensing platform connected to a computer. The feet's center of pressure (CoP) on the platform was recorded and the corresponding movement of the body in the anterior–posterior and lateral planes was derived. Participants (N = 96) were randomly assigned to one of the BrAC groups. Positive BrAC groups were compared to the zero BrAC group. Data were examined with hierarchical multiple regression.

Results: Adjusted for age, height, and weight, the main effect of lateral CoP with eyes open was not statistically significant. There was a statistically significant main effect of alcohol on anterior–posterior CoP excursion with eyes open and with eyes closed and lateral CoP excursion with eyes closed. For all 3 of those variables, only BrACs of 0.08 and 0.10 g/210 L produced differences against zero BrAC. Although the main effect of alcohol on Lateral CoP Excursion with eyes open was not statistically significant, the contrasts between 0 and 0.08 and 0 and 0.10 g/210L BrAC were in the hypothesized direction.

Conclusion: The current study did not directly address the issue of whether the sobriety tests are sensitive to BrACs of 0.05 g/210 L or above; rather, it provides additional evidence that postural control, one of the components of those tests, is relatively unaffected by BrACs lower than 0.08 g/210 L. Additional research is needed on the diagnostic characteristics of the sobriety tests at BrACs lower than 0.08 g/210 L.     

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.     

Disparity of a Seat Cushion and Its Influence on Postural Control

Properties of supporting surfaces of a seat have an influence on postural control. Centre of pressure (COP) displacement parameters reflect both the balance controlling process and movements of the centre of a mass of entire body. The subjects of the study were 9 healthy men. A seat cushion was examined with a 2-force platform setup. Force exertion at a seat pan and feet and COP displacement at a seat pan were measured to analyse postural control. Analysis of variance determined the differences in postural control depending on a cushion type among the subjects. Significant differences in COP displacement parameters were in COP trajectory length, medio-lateral COP displacement and COP velocity. The results of the study showed that foam cushion ensures better postural control.     

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.     

Ergonomic analysis of working postures using OWAS in semi-trailer assembly,applying an individual sampling strategy

In semi-trailer assembly, workers are exposed to several physical risk factors. Awkward working postures have not yet been investigated in semi-trailer assembly, although they are known to be a major risk factor for musculoskeletal disorders. We therefore conducted a comprehensive ergonomic analysis of working postures using the Ovako working posture analysing system (OWAS), with an individual sampling strategy. The postural load in semi-trailer assembly was assessed on the basis of 20,601 observations of 63 workers executing a representative set of nine work tasks. According to the OWAS, the postural load of various working postures and body part positions may have a harmful effect on the musculoskeletal system. We therefore give examples of corrective measures that could improve awkward working postures. Applying an individual sampling strategy was revealed to have advantages over a collective strategy, so this is recommended for future ergonomic analyses.     

Ergonomic assessment of airport shuttle driver tasks using an ergonomic analysis toolset

This study aimed to (a) evaluate strength requirements and lower back stresses during lifting and baggage handling tasks with the 3D Static Strength Prediction Program (3DSSPP) and (b) provide additional analyses using rapid entire body assessment (REBA) and the NASA task load index (TLX) to assess the risks associated with the tasks. Four healthy female shuttle drivers of good health aged between 55 and 60 years were observed and interviewed in an effort to determine the tasks required of their occupations. The results indicated that lifting bags and placing them in a shuttle were high risk for injury and possible changes should be further investigated. The study concluded there was a potential for injury associated with baggage storing and retrieval tasks of a shuttle driver.     

The Relationships Between Biomechanical and Postural Stresses,Musculoskeletal Injury Rates,and Perceived Body Discomfort Experienced by Industrial Workers: A Field Study

A combination of archival, subjective, and observational field data collection methods were used to investigate the relationship between biomechanical and postural stresses, and the resulting physical strain experienced by industrial workers of a packaging plant. Assessment of physical strain was based on the number and incidence rate of Occupational Safety and Health Administration (OSHA)-reportable injuries that were recorded over a period of 27 months, and based on the self-reported ratings of perceived body discomfort. Both the biomechanical and postural stresses correlated with the musculoskeletal injury rate. The results illustrate the usefulness of postural and biomechanical analyses for assessing the risk of injury in industry.     

Sensorimotor performance deficits induced by chronic chlorpyrifos exposure in Wistar rats: mitigative effect of vitamin C

This study was aimed at evaluating the ameliorative effect of vitamin C on chlorpyrifos-induced sensorimotor changes involving postural reflex, limb placing, and vibrissae touch in Wistar rats. Forty adult Wistar rats of either sex were divided into 4 groups of 10 animals in each group. Group I was administered soya oil (2?mL?kg^?1) while group II was given vitamin C (100?mg?kg^?1); group III was dosed with chlorpyrifos (10.6?mg?kg^?1, i.e. ～1/8th of the LD₅₀); group IV was administered vitamin C (100?mg?kg^?1) and then exposed to chlorpyrifos (10.6?mg?kg^?1), 30?min later. The regimens were administered by gavage once daily for a period of 17 weeks. Neurobehavioral parameters involving postural reflex, limb placing, and vibrissae touch responses measured at various intervals revealed a deficit in postural reflex, limb placing, and vibrissae touch responses in the CPF group, which was mitigated by vitamin C pretreatment. The neuronal and glial cell degeneration, increased brain malonaldehyde concentration, and decrease in superoxide dismutase, catalase, and acetylcholinesterase activities recorded in the group given chlorpyrifos were ameliorated by vitamin C. Therefore, vitamin C was shown to mitigate chlorpyrifos-induced sensorimotor deficits partly due to its antioxidant and acetylcholinesterase restoration properties.     

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.     

Characteristics of Muscular Load in Computer Data Entry Workers Assessed by EMG and Postural Angles

The goal of this study was to characterize the muscular load in computer data entry workers. Electromyography (EMG) parameters of trapezius muscle and postural angles of head, arm, and back were chosen as indicators of musculoskeletal load. The examination was done according to the methods and protocol of international MEPS studies (the “Musculoskeletal, Visual, and Psychosocial Load in VDT [Video Display Terminal] Operators in Optimized Environment” international program). The musculoskeletal load during routine VDT data entry work performed by a group of 36 women was assessed on the basis of 1-hr physiometer recordings. Results show that the musculoskeletal load associated with data entry is relatively high compared to other VDT operators’ tasks described in the literature. An analysis of the measured parameters shows that most of the time women worked with a muscular load higher than optimal. It is postulated that the main reason for the heavy musculoskeletal load was improper posture compelled by unergonomic spatial configuration of work stands.