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Objective: The aim of this study was to quantify the effect of handhold orientation, size (diameter), and wearing a glove on the maximum breakaway strength between a hand and handhold.Background: Manual breakaway strength is known to be greatly reduced for vertical compared with horizontal handholds, but oblique orientations have yet to be studied.Method: For this study, 12 young adults (6 female) attempted to hold on to fixed overhead cylindrical handholds with one hand in low-speed simulated falls as forces on the handhold were recorded in two experimental designs. Breakaway strength was measured for (a) three different-sized cylinders in four orientations while the participants were using the dominant hand and (b) a single-sized cylinder in four orientations while the participants were bare-handed or wearing a glove on the nondominant hand.Results: Handhold orientation (p < .001), handhold diameter (p < .001), and wearing gloves (p < .001) significantly affected breakaway strength. Breakaway strength increased 75% to 94% as the orientation of the handhold was moved from vertical to horizontal. Breakaway strength decreased 8% to 13% for large-diameter (51-mm) handholds as compared with smaller diameters (22 mm to 32 mm), depending on orientation. Gloves may increase or decrease the ability to hang on depending on interface friction; greater friction increased breakaway force.Conclusion: Handles oriented perpendicular to the pull direction and high-friction gloves provide the greatest breakaway strength. Smaller handhold diameters than predicted by grip strength afford greater capability in these orientations.Application: These insights can be used to design handholds that increase the ability to support one's body weight and reduce the effort needed to pull or lift heavy items. [ABSTRACT FROM AUTHOR]

The operating microscopes may be a significant cause of fatigue and discomfort in surgeons. The need for the microscope to be placed over the operating field forces surgeons to remain at the microscope's eyepieces at an uncomfortable posture for the entirety of the surgery. This study compared the effects on microsurgical task performance for four visualization methods: a monocular microscope, a binocular microscope, a three-dimensional (3D) flat-panel television display and a two-dimensional (2D) flat-panel television display. Eleven subjects each performed two microsurgical tasks and their performance was documented by video camera. The statistical analysis performed indicated utilization of the microscope as a visualization method increased subject performance. No significant difference in performance between the 2D and stereoscopic visualization methods.