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The study documented three-dimensional spinal loading during lifting from an industrial bin. Two lifting styles and two bin design factors were examined in Phase I. The lifting style measures in Phase I were one hand versus two hand and standing on one foot versus two feet. The bin design variables were region of load in the bin and bin height. The Phase II study examined one-handed lifting styles with and without supporting body weight with the free hand on the bin as well as region and the number of feet. Twelve male and 12 female subjects lifted an 11.3 kg box from the bin. Spinal compression, lateral shear and anterior – posterior shear forces were estimated using a validated EMG-assisted biomechanical model. Phase I results indicated that the bin design factor of region had the greatest impact on spinal loading. The upper front region minimized spinal loading for all lifting styles. Furthermore, the lifting style of two hands and two feet minimized spinal loading. However, comparing Phase I two-handed lifting with Phase II one-handed supported lifting, the one-handed supported lifting techniques had lower compressive and anterior – posterior shear loads in the lower regions as well as the upper back region of the bin. A bin design that facilitates lifting from the upper front region of the bin reduces spinal loading more effectively than specific lifting styles. Furthermore, a bin design with a hand hold may facilitate workers using a supported lifting style that reduces spinal loading. [ABSTRACT FROM AUTHOR]

The evaluation of low-back disorder risk associated with materials handling tasks can be performed using a variety of assessment tools. Most of these tools vary greatly in their underlying logic, yet few have been assessed for their predictive ability. It is important to document how well an assessment tool realistically reflects the job's injury risk, since only valid and accurate tools can reliably determine whether a given ergonomic intervention will result in a future reduction in back injuries. The goal of this study was to evaluate how well a previously reported lowback disorder (LBD) risk assessment model (Marras et al. 1993) could predict changes in LBD injury rates as the physical conditions to which employees are exposed were changed. Thirty-six repetitive materials handling jobs from 16 different companies were included in this prospective cohort study. Of these 36 jobs, 32 underwent an ergonomic intervention during the observation period, and four jobs in which no intervention occurred served as a comparison group. The trunk motions and workplace features of 142 employees performing these jobs were observed both before and after workplace interventions were incorporated. In addition, the jobs' LBD rates were documented for these pre- and post-intervention periods. The results indicated that a statistically significant correlation existed between changes in the jobs' estimated LBD risk values and changes in their actual low-back incidence rates over the observation period.Linear and Poisson regression models also were developed to predict a change in a job's incidence rate and the number of LBD on a job respectively, as a function of the job's risk change using this assessment model. Finally, this prospective study showed which ergonomic interventions consistently reduced the jobs' mean low-back incidence rates. These results support use of the LBD risk model to assess accurately a job's potential to lead to low-back injuries among its employees. [ABSTRACT FROM AUTHOR]

Typically, the simplest and most cost-efficient ergonomic solution to offset the rising costs of low back injuries is to reduce the box weight that is lifted. However, there is limited research on how a worker interacts with the box. In the present study, we quantify the utility of reducing the weight that is lifted - specifically, how changes in the box weight affect trunk kinematics, trunk moments, and ultimately, spinal loads. In the experiment, 15 participants lifted a variety of box weights (from 9.1 to 41.7 kg) from knee height, carried it a distance of 5 feet (1.5 m), and placed it on a shelf at elbow height. For the lower weights, small increases in box weight (3-9 kg) were offset by the trunk dynamics (sagittal velocity), resulting in no difference in spinal loads. At the same time, spinal loads were found to be significantly higher for weights above 25 kg. Thus, when making ergonomic changes (reduction of box weight), it is important to consider how workers will interact with the box. These results indicate that purely weight-based ergonomic controls might not sufficiently reduce the risk of low back disorders. Furthermore, this study provides additional evidence of the utility of using more complex spinal load models (dynamic, multiple muscle models) when evaluating highly dynamic and complex tasks. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess the effect of an elastic lumbar back support on spinal loading and trunk, hip and knee kinematics while allowing subjects to move their feet during lifting exertions. Predicted spinal forces and moments about the L5/S1 intervertebral disc from a three-dimensional EMG-assisted biomechanical model, trunk position, velocities and accelerations, and hip and knee angles were evaluated as a function of wearing an elastic lumbar back support, while lifting two different box weights (13.6 and 22.7 kg) from two different heights (knee and 10 cm above knee height), and from two different asymmetries at the start of the lift (sagittally symmetric and 60 asymmetry). Subjects were allowed to lift using any lifting style they preferred, and were allowed to move their feet during the lifting exertion. Wearing a lumbar back support resulted in no significant differences for any measure of spinal loading as compared with the no-back support condition. However, wearing a lumbar back support resulted in a modest but significant decrease in the maximum sagittal flexion angle (36.5 to 32.7), as well as reduction in the sagittal trunk extension velocity (47.2 to 40.2 s-1). Thus, the use of the elastic lumbar back support provided no protective effect regarding spinal loading when individuals were allowed to move their feet during a lifting exertion. [ABSTRACT FROM AUTHOR]

Two-person or team lifting is a popular method for handling materials under awkward or heavy lifting conditions. While many guidelines and standards address safe lifting limits for individual lifting, there are no such limits for team lifting, and these lifts are poorly understood. The literature associated with team lifting offers some interesting paradoxes. Many studies have indicated that people lift less per individual under team conditions compared with one-person lifting. Yet, at least one study has reported an increase in team-lifting capacity when subjects were height-matched. The current study explored the spine loading characteristics of one- and two-person lifting teams when subjects lifted under several sagittally symmetric and asymmetric conditions. Spine compression was lower for two person lifts for a given weight, while lifting in sagittally symmetric conditions whereas lateral shear became much greater for two-person lifts under asymmetric lifting conditions. This study has linked these changes to differences in trunk kinematic patterns adopted during one- versus two-person lifting. [ABSTRACT FROM AUTHOR]

Low back disorders in distribution centres or warehouses have been identified as an area of elevated risk in many industries. The task of an order selector requires workers manually to lift boxes from storage bins to a mobile pallet. This study explored the effect of box features and box location when lifting from a pallet in a storage bin upon spine loading. Ten experienced warehouse workers were asked to lift boxes from a pallet while the size, weight, handle features and location of the box on a pallet were changed. An EMG-assisted model was employed to assess spine compression, lateral shear and anterior-posterior shear during the lifts. The position from which the worker lifted a box on a pallet had the most profound effect on spine loading while the lower level of the pallet represented the greatest loadings on the spine. Box weight did not appear to be a feasible means of controlling spine loading unless its position on the pallet could also be controlled. The inclusion of handles had an effect similar to reducing the box weight by 4.5 kg, whereas box size did not effectively affect spine loading. The mechanisms by which these factors affect spine loading are discussed. [ABSTRACT FROM AUTHOR]

Presents a study which evaluated the risk of low-back disorder (LBD) among those in-charge of patient handling and transferring. Information on the high incidence of LBD among nursing aides; Methodology; Results; Conclusion.

Most biomechanical assessments of spinal loading during industrial work have focused on estimating peak spinal compressive forces under static and sagittally symmetric conditions. The main objective of this study was to explore the potential of feasibly predicting three-dimensional (3D) spinal loading in industry from various combinations of trunk kinematics, kinetics, and subject-load characteristics. The study used spinal loading, predicted by a validated electromyography-assisted model, from 11 male participants who performed a series of symmetric and asymmetric lifts. Three classes of models were developed: (a) models using workplace, subject, and trunk motion parameters as independent variables (kinematic models); (b) models using workplace, subject, and measured moments variables (kinetic models); and (c) models incorporating workplace, subject, trunk motion, and measured moments variables (combined models). The results showed that peak 3D spinal loading during symmetric and asymmetric lifting were predicted equally well using all three types of regression models. Continuous 3D loading was predicted best using the combined models. When the use of such models is infeasible, the kinematic models can provide adequate predictions. Finally, lateral shear forces (peak and continuous) were consistently underestimated using all three types of models. The study demonstrated the feasibility of predicting 3D loads on the spine under specific symmetric and asymmetric lifting tasks without the need for collecting EMG information. However, further validation and development of the models should be conducted to assess and extend their applicability to lifting conditions other than those presented in this study. Actual or potential applications of this research include exposure assessment in epidemiological studies, ergonomic intervention, and laboratory task assessment. [ABSTRACT FROM AUTHOR]

Industrial anthropometric data were collected from workers in various manufacturing industries in the mid–western United States: 384 males and 124 females participated during the period from 1984 through 1991. Eleven length dimensions, weight, and age were assessed at the worksites. Descriptions and statistical analyses of the industrial anthropometric data are summarized and compared to other civilian and military anthropometric data. Significant differences between these populations exist in abdominal dimensions and weight. These differences were also observed to vary with age. These industrial anthropometric data can be used in the design of industrial workplaces and equipment as well as for use with biomechanical models. [ABSTRACT FROM PUBLISHER]

The objective of this study was to determine how trunk motion characteristics (in all three planes of the trunk) change as a free dynamic lifting task becomes more asymmetric. Trunk motion characteristics included range of motion, velocity (peak and average), and acceleration. Previous studies have shown that trunk motion characteristics affect trunk strength as well as the action of. the trunk musculature. These trunk motion characteristics were quantified as a function of seven task asymmetries and three task weights. The experimental task required the subject to lift materials in positions commonly seen in the workplace. The range of motion, peak velocity, average velocity, and peak acceleration in each plane of the body were documented during the tasks. Generally, trunk motion characteristics in all three planes increased with an increase in task asymmetry. However, with an increase in task weight all the sagittal plane parameters and one transverse plane parameter decreased. Models were constructed to predict trunk motion characteristics given a task asymmetry and weight. When these motion components were compared to dynamic strength estimates from previous studies it was found that dynamic asymmetric lifts could reduce available strength up to 21% of maximum static strength. The results provide new insight into factors associated with the risk of developing low back disorders. [ABSTRACT FROM PUBLISHER]

Epidemiologic studies have shown that the scaling bar, a hand tool used in underground mining, is frequently associated with the risk of back injury. An experiment was performed to investigate the effects of method of tool use, mine roof height, and tool design upon the activity of six trunk muscles and the ability to exert force with the bar. Roof height and scaling bar design had the largest effects on levels of muscle activation. Striking force did not differ significantly between tool designs. A biomechanical model was used to evaluate the collective effects of the trunk musculature activities upon spine loading. It was found that a significant reduction in predicted spine compression and shear forces can be achieved through the use of a counterbalanced scaling bar. The implications of these results are discussed. [ABSTRACT FROM PUBLISHER]

Much of the epidemiological literature has reported that there is a link between sudden unexpected load handling and the risk of a low back injury. However, few biomechanical studies have investigated the effect of this type of loading on trunk muscular response. An experiment was performed to test the hypothesis that sudden unexpected loads would create excessive forces upon the trunk due to the overcompensation of the trunk muscles, and to quantify the degree of overcompensation. Twelve male subjects were asked to hold a box in a static lift position while weights ranging from 2-27 to 907kg were dropped into the box from a constant height. Under some conditions (expected) the subjects were permitted to observe the weight drop while under other conditions (unexpected) the subjects were deprived of visual and auditory cues during the weight drop. Several components of the trunk response were observed. Mean muscle forces for the unexpected condition exceeded those in the expected condition by nearly two-and-a-half times, and peak muscle forces in the unexpected condition were on average 70% greater. In addition, the unexpected condition produced longer periods of force exertion, as well as more rapid increases in trunk force development. Generally, it was found that during sudden unexpected loading the trunk response resembled an expected loading of twice the weight value. These findings may provide guidelines for work situations where unexpected loading conditions are common. [ABSTRACT FROM PUBLISHER]

An experiment was performed to test the static and dynamic lifting capabilities of the back. Twenty healthy male and female subjects exerted maximal force with the back under isometric and isokinetic lifting positions. Torque about the lumbosacral junction and intra-abdominal pressure (IAP) production were monitored under the experimental conditions. Torque production capability was found to increase as trunk angle increased and decreased as angular velocity increased. IAP was found to be primarily a funciton of angle and a weak indicator of torque. A significant IAP-torque onset delay was identified as was a physiological source of IAP. [ABSTRACT FROM PUBLISHER]

This study examined the effects of trunk speed and exertion level on temporal aspects of trunk muscle activity patterns during dynamic, asymmetric lifting. Electromyographic (EMG) data from eight trunk muscles were collected along with trunk torque output, position, and velocity data during several repetitions of four speed/loading combination conditions. During analysis, each muscle's EMG record was reduced to three key events: a start, a peak, and an end point. For each subject, temporally ordered event lists were constructed for each test condition. Networks of events that consistently occurred regardless of loading or speed levels were constructed for each subject. Two event pairs occurred consistently for all subjects under all conditions, whereas some pairs occurred in association with specific speed or resistance levels. Temporal information related to muscle activity could be used in biomechanical models in order to predict changes in spinal loading during the course of workplace tasks. [ABSTRACT FROM AUTHOR]

Traditionally most biomechanical models that are used to estimate the loading experienced by the spine during work focus on static, two-dimensional representations of the work. However, most work tasks impose loads on the lumbar spine under dynamic, three-dimensional conditions. The objective of this study was to describe the structure and logic of a model that is capable of producing estimates of spine loading under three-dimensional motion conditions. This model is intended for use primarily under laboratory conditions. The model was designed initially for workplace simulation in which the trunk is moving under symmetric and asymmetric constant velocity lifting conditions. Future embellishments may enable the model to be used under free dynamic conditions. The model predicts lumbar spine compression, shear, and torsional forces as well as trunk torque production continuously throughout the exertion. This information may be compared with spine tolerance limits so that the risk of causing a vertebral end-plate microfracture by workplace requirements could be determined. [ABSTRACT FROM AUTHOR]

A three-dimensional motion model has been developed that estimates loads on the lumbar spine under laboratory conditions that simulate manual materials handling conditions. Eleven subjects experienced spinal loading during an experiment in which conditions of trunk velocity, trunk torque output, and trunk asymmetric posture were varied in a series of isokinetic velocity trunk extensions. The electromyographic activity of 10 trunk muscles, subject anthropometry, and trunk kinetics were used as input to a biomechanical simulation model described in Part I of this study. The model calculated estimates of compression, shear, and torsion loading in the lumbar spine, as well as the torque production of the trunk, continuously throughout the exertion. Trunk torque estimates derived from this model were compared with measured trunk torque. The effects of trunk motion, posture, and torque level on spine loading as estimated by the model are discussed. It was concluded that this approach provides a straightforward means of assessing loading of the spine attributable to laboratory simulations of workplace conditions. [ABSTRACT FROM AUTHOR]

An experiment was performed to evaluate the motions of the lumbar spine during a constant load velocity lift. For the purposes of this study, a constant load velocity refers to the linear vertical velocity of the load. This vertical load velocity was controlled using a modified angular isokinetic dynamometer, which produced linear isokinetic motion during a lift. A lumbar monitor was used to observe the position, velocity, and acceleration changes that occurred in the lumbar spine during the lifting task. The results indicate that under constant load velocity conditions, significant angular accelerations occur at the lumbar level. The nature of these accelerations was found to depend on several variables associated with a lifting task, such as the load velocity and the asymmetry of the lift. The physical significance of these results would be increased spinal loading above that which would be predicted using a static model. [ABSTRACT FROM AUTHOR]

This research investigated the range of wrist motion characteristics associated with the ergonomic principle of "bending the tool and not the wrist" as applied to the hammer. It is thought that bending the tool reduces angular wrist motion, which has been shown in the literature to be a risk factor in hand/wrist disorders such as carpal tunnel syndrome and tenosynovitis. Hammer handles angled at 0 (straight), 20, and 40 deg were investigated in this study. For novices, hammer handles bent at 20 and 40 deg resulted in less total ulnar deviation than straight hammers. However, there was a trade-off in beginning and ending positions of the wrist in that the angled hammers reduced ulnar deviation at the impact position but increased radial deviation at the starting position of a hammer stroke. Handle angle did not significantly affect hammering performance. Wrist motion was affected minimally by hammering orientation, but hammering performance was significantly worse in the wall orientation compared with the bench orientation. This research suggests that for novice users, hammers with handles bent in the range of 20 to 40 deg could possibly decrease the incidence of hand/wrist disorders caused by hammering. [ABSTRACT FROM AUTHOR]

This research investigated how changes in hammer handle angle and hammering orientation affected muscle fatigue in the forearm and subjective ratings of body discomfort. Forearm muscle fatigue and discomfort ratings were not significantly affected by handle angle, but they were significantly higher in the wall hammering orientation than in the bench orientation. The research in this article and in the companion article (Part I) reveal that for novices, hammers with handles angled in the range of 20-40 deg are advantageous because (1) they reduce ulnar deviation and may possibly decrease the incidence of hand/wrist disorders, and (2) they do not significantly affect hammering performance in the bench conditions, forearm muscle fatigue, or subjective ratings of body discomfort. [ABSTRACT FROM AUTHOR]

Due to the frequency of cervical spine injuries in canines, the purpose of this effort was to develop an EMG-driven dynamic model of the canine cervical spine to assess a biomechanical understanding that enables one to investigate the risk of neck disorders. A canine subject was recruited in this investigation in order to collect subject specific data. Reflective markers and a motion capture system were used for kinematic measurement; surface electrodes were used to record electromyography signals, and with the aid of force plate kinetics were recorded. A 3D model of the canine subject was reconstructed from an MRI dataset. Muscles lines of action were defined through a new technique with the aid of 3D white light scanner. The model performed well with a 0.73 weighted R 2 value in all three planes. The weighted average absolute error of the predicted moment was less than 10% of the external moment. The proposed model is a canine specific forward-dynamics model that precisely tracks the canine subject head and neck motion, calculates the muscle force generated from the twelve major moment producing muscles, and estimates resulting loads on specific spinal tissues., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

Although magnetic resonance imaging (MRI) has been increasingly used as a diagnostic tool for cervical spine injuries in canines, a comprehensive normal MRI anatomy of the canine cervical spine muscles is lacking. Therefore, the purpose of this study was to build a magnetic resonance imaging atlas of the normal cross sectional anatomy of the muscles of the canine cervical spine. MRI scans were performed on a canine cadaver using a combination of T1 and T2-weighted images in the transverse, sagittal and dorsal planes acquired at a slice thickness of 1mm. Muscle contours were traced manually in each slice, using local osseous structures as reference points for muscle identification. Twenty-two muscles were traced in 401 slices in the cervical region. A three dimensional surface model of all the contoured muscles was created to illustrate the complex geometrical arrangement of canine neck muscles. The cross-sectional area of the muscles was measured at the mid-level of each vertebra. The accuracy of the location of the mapped muscles was verified by comparing the sagittal view of the 3D model of muscles with still photographs obtained from anatomic canine cadaver dissection. We believe that this information will provide a unique and valuable resource for veterinary researchers, clinicians and surgeons who wish to evaluate MRI images of the cervical spine. It will also serve as the foundation for ongoing work to develop a computational model of the canine cervical spine in which anatomical information is combined with electromyographic, kinematic and kinetic data., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

As human factors and ergonomics professionals we should be considering the total context within which the person must operate when performing a task, providing a service, or using a product. We have traditionally thought of the person as having a cognitive system and a physical system and much of our scientific literature has been myopically focused on one or the other of these systems while, in general, totally ignoring the other. However, contemporary efforts have begun to recognize the rich interactions occurring between these systems that can have a profound influence on performance and dictate overall system output. In addition, modern efforts are beginning to appreciate the many interactions between the various elements of the environment that can influence the components of the human systems. The next level of sophistication in the practice of human factors and ergonomics must begin to consider the totality of the human-system behavior and performance and must consider systems design interactions which result from these collective effects. Only then will we be able to truly optimize systems for human use., (Copyright © 2013 Elsevier Ltd and The Ergonomics Society. All rights reserved.)

The advantages and disadvantages of different methods of carrying objects on spine loading are still not fully understood. Previous studies have either examined the effects of carrying using physiological measures or examined isolated spine segments using biomechanical models. Additionally, most studies have been restricted to only a small number of carrying conditions. Very few studies have attempted to examine the various factors influencing spine loading together. To improve understanding of interacting factors on carrying, this study assessed the lumbar spine loads of 16 subjects as they assumed six styles of carrying at two weight levels and two activity levels (walking vs. standing). Concurrent with each trial, a subject-specific biomechanical model was used to assess spine forces over the full lumbar spine. Most carrying methods in the trials resulted in relatively low levels of spine loading. Anterior/posterior (A/P) shear loading was the only spine-loading dimension that reached biomechanically meaningful levels. Two carrying conditions, with bins carried in front of the body, significantly increased A/P shear compared with other carrying styles. This increase appeared to be due to the greater moment arms occurring in these conditions. Many of the other carrying styles produced A/P shears that were similar to those observed when carrying nothing at all. Of all the tasks, the backpack carry characteristically produced especially low spine loads. The findings of the study suggest that to achieve optimal carrying in terms of spine loading, loads should be positioned close to the body, even when carrying relatively light loads.