Biomechanics Part of Ergonomics Etymology Ergon (): work Nomos (): - - PowerPoint PPT Presentation

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Biomechanics Part of Ergonomics Etymology Ergon (): work Nomos (): - - PowerPoint PPT Presentation

Biomechanics Part of Ergonomics Etymology Ergon (): work Nomos (): law Definitions The scientific study of the efficiency of man in his working environment. ( OED) ... a science whose main


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Biomechanics

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Part of Ergonomics

  • Etymology

– Ergon (ἔργον): work – Nomos (νόμος): law

  • Definitions

– “The scientific study of the efficiency of man in his

working environment.” (OED)

– “... a science whose main purpose is to design

workspaces and tools that help people do their jobs and use their tools and other products comfortably and safely.” (Oregon OSHA)

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Musculoskeletal Disorders

  • Musculoskeletal Disorder: pain or loss of function due to overexertion or repetitive

motion, especially

– Low back (e.g., related to manual material handling) – Upper extremities (e.g., related to typing, assembly)

  • Hands
  • Wrists
  • Elbows
  • Shoulders
  • Magnitude of the Problem (US)1

– 70 million physician office visits annually – 130 million total health care encounters

  • utpatient
  • hospital
  • emergency room

– Potential for long-term disability (but most return to work within 31 days) – Annual cost: $45 - $54 billion

  • workers’ compensation costs
  • lost wages
  • lost productivity

1National Research Council (2001). Musculoskeletal Disorders and the Workplace: Low Back and Upper

Extremities, Washington: National Academies Press.

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General Postural Considerations

Requirements

  • Weight of body segments transmitted with

minimal strain

  • Forces to external objects counteracted

Recommendations

  • Provide for postural changes
  • Sitting preferable to standing

– exceptions: large hand forces, body movement

  • Provide comfortable chair
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Manual Material Handling and Low Back Pain

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Skeletal System

Source (Left): Wikimedia Commons, http://en.wikipedia.org/wiki/File:Human_skeleton_front_en.svg, accessed 19 Jan 10. Source (Right): Wikimedia Commons, http://en.wikipedia.org/wiki/File:Human_skeleton_back_en.svg, accessed 19 Jan 10.

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Vertebral Column/Spine

Source (Left): Wikimedia Commons, http://en.wikipedia.org/wiki/File:Illu_vertebral_column.jpg, accessed 19 Jan 10. Source (Right): Konz & Johnson, Work Design, 6th edition.

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Vertebrae/Disk, Oblique View

Source: Wikimedia Commons, http://en.wikipedia.org/wiki/File:ACDF_oblique_annotated_english.png, accessed 19 Jan 10.

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  • Facet joints

– Small bony joints covered with soft tissue that help

movement and keep structure.

Vertebral Movement

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Vertebra Cross-Section

(cervical vertebra)

Source: Wikimedia Commons, http://en.wikipedia.org/wiki/File:Cervical_vertebra_english.png, accessed 19 Jan 10.

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Musculoskeletal Disorders of the Back

  • Extremely prevalent and costly

– 2nd most common neurological problem in US* – 75,000,000 Americans have back problems – 6,500,000 Americans in bed each day with back pain – 80% working adults develop back pain during career – $7,400 per back claim – $50 billion/year spent in treatment*

  • Include:

– Low-back pain – Low-back impairment: reduced ability – Low-back disability: lost time due to injury – Low-back compensation: reimbursement for medical expenses,

lost wages

* Healthline (http://www.healthline.com) / National Institute of Neurological Disorders and Stroke

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Musculoskeletal Disorders of the Back

  • Causes*

– Strains: muscles, ligaments stretched, torn from over-

activity

– Disc injury: herniated disc, ruptured disc compresses

nerve root, causes pain; usually lasts more than 72 hrs

– Sciatica: compression of sciatic nerve, pain in legs feet – Spinal Stenosis: narrowing of spaces in spin due to disc

degeneration, usually due to aging

– Other Causes

  • arthritis
  • fibromyalgia: long-term joint, muscle, tendon pain
  • etc.

* Healthline (http://www.healthline.com)

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Herniated Disc “Slipped” Disc

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Ruptured Disc

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Low-Back Pain Risk Factors

  • Individual physical factors, e.g.,

– Weight – Physique – Gender

  • Psychological factors, e.g.,

– Depression – Anxiety – Job dissatisfaction

  • Task demand

factors, e.g.,

– Posture – Speed – Repetition

  • Environmental

factors, e.g.,

– Workplace design – Slippery floors – Distractions

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Garg & Moore’s (1992) Risk Factors

  • Personal Risk Factors

– Age [+] – Gender [x] – Body size [x] – Physical fitness [x] – Lumbar mobility [x] – Strength [x] – Medical history [+] – Years of employment [x] – Smoking [+/-] – Psychosocial [+] – Structural abnormalities [+]

  • Job Risk Factors

– Heavy physical work [+] – Lifting [+] – Bending, stretching,

reaching [+]

– Twisting [+] – Pushing and pulling [+] – Prolonged sitting, standing

[+]

– Accidents [+] – Whole body vibration [+]

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Manual Material Handling Recommendations (1)

  • Lifting Method: squat vs. stoop vs. free style
  • Job Design:

– reduce manual materials handling (MMH) – decrease weight – use 2 or more people where possible – Push or pull vs. lift & carry – minimize carrying distance – stacking height < shoulder height

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Manual Material Handling Recommendations (2)

  • Job Design (continued):

– heavy objects at knuckle height – reduce lifting frequency – provide rest periods – use job rotation – provide handles

  • Worker Selection
  • Training
  • Supports and Braces???
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NIOSH Lifting Equation: Background

  • Created by OSHA, 1970
  • Purpose:

– Rank alternatives – Identify and correct problems – Not to rate absolute risk

  • Goals

– Biomechanical: ≤ 350 kg on L5-S1 – Physiological: ≤ 9.5 kcal/min

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NIOSH Lifting Equation: Does Not Apply If

  • > 1-2 steps
  • One-handed lifting
  • Seated/kneeling
  • Restricted workspace
  • Hot/cold/contaminated objects
  • Unexpected events (e.g., slips, falls)
  • Unstable load
  • Carrying, pushing, pulling
  • Using tools (e.g., wheelbarrow)
  • Slippery floor
  • Unfavorable environment (e.g., hot, cold)
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NIOSH Lifting Equation

RWL = LC × HM × VM × DM × FM × AM × CM

  • LC = Load constant
  • HM = Horizontal multiplier
  • VM = Vertical multiplier
  • DM = Distance multiplier
  • FM = Frequency multiplier
  • AM = Asymmetry multiplier
  • CM = Coupling multiplier
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Multiplier Formulas

  • Horizontal multiplier

HM = BIL / H

– BIL = Body interference limit – H = Horizontal location – Large HM (small H) better (load close to body)

  • Vertical multiplier

VM = 1 – VC × | V – KH |

– VC = Vertical constant = 0.0075 in. – V = Vertical location – KH = Knuckle height (for typical lifter = 30 in.) – Large VM (V close to KH) better (load closer to optimal

lifting height)

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Multiplier Formulas (cont.)

  • Distance multiplier

DM = .82 + DC / D

– DC = Distance constant = 1.8 in. – D = Vertical travel distance

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Multiplier Formulas (cont.)

  • Frequency multiplier
  • Lifting frequency = mean number of lifts in a

15-minute period

  • Lifting duration /session in hours may be:

– Short = .001 h to ≤ 1 h with recovery time of ≥ 1.2 ×

duration

– Moderate = >1 h ≤ 2 h with recovery time of ≥ .3 ×

duration

– Long = >2 h but ≤ 8 h

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Multiplier Formulas (cont.)

  • Asymmetry multiplier

AM = 1 – 0.0032 × A

– A = Angle of symmetry (≤ 135°) – 30% penalty for 90° angle

  • Coupling multiplier

– See Table 11.3

  • Depends on:

– Height of initial and final hand–container coupling – Whether coupling is good, fair, or poor

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NIOSH Lifting Equation Example from Waters et al (1994)

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Analysis

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Analysis After Redesign

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Applications Manual For the Revised NIOSH Lifting Equation

http://www.cdc.gov/niosh/docs/94-110/pdfs/94-110.pdf

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Biomechanics and Hand Tools

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Upper Extremity

Source: Wikimedia Commons, http://en.wikipedia.org/wiki/File:Human_arm_bones_diagram.svg, accessed 19 Jan 10.

Notes: Skeleton is facing observer. Skeleton's left hand (on observer's right) is supinated (palm toward observer). Skeleton's right hand (on observer's left) is pronated (back toward

  • bserver).
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Wrist Cross-Section

Source: Wikimedia Commons, http://en.wikipedia.org/wiki/File:Gray422.png, accessed 19 Jan 10.

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Cumulative Trauma Disorders Associated With Hand Tool Use

  • tendonitis

– irritation & swelling of tendons

  • tenosynovitis

– inflammation of tendons & sheaths

  • carpal tunnel syndrome

– compression of median nerve caused by

swelling

  • trigger finger

– finger cannot be extended

  • vibration-induced white finger

– loss of circulation, numbness caused by

vibration

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Hand/Wrist MSD Risk Factors

NIOSH (1997). Musculoskeletal Disorders and Workplace Factors, Cincinnati, OH: Author. http://www.cdc.gov/niosh/docs/97-141/pdfs/97-141.pdf

  • Verified (NIOSH study)

Repetition

Force

Hand/wrist vibration

Combinations of risk factors

  • Possible

Awkward (non-neutral) postures

High work demand (e.g., pace)

  • Cited but not verified (in NIOSH study)

Cold

Direct pressure on nervers

Poor physical condition

  • Confounding factors

Individual variability

  • Anthropometry
  • Methods
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Risk Factors Considerations

  • More factors means more risk.
  • Reduced factors means reduced risk.
  • Presence of factor(s) does not imply CTD.
  • Critical levels of exposure not known.
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Rapid Upper Limb Assessment (RULA) Technique

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Hand Tool Guidelines

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Provide the Proper Grip

  • Thickness

– power grip: 38 mm - 50 mm diameter – precision grip: > 6 mm diameter.

  • Shape (perpendicular to axis of tool)

– rotation undesirable: provide tab – rotation OK: round

  • Shape (parallel to axis)

– change in shape

  • reduces movement
  • permits greater force
  • can act as shield
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Provide the Proper Grip Surface

  • Compressible

– reduced slippage – reduced vibration

  • Nonconductive

– resistance to heat/cold – resistance to electric shock/electrocution

  • Smooth

– reduced compression, trauma

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Consider Angles: Forearm, Grip, Tool

  • Reduced repetition

– use both hands – use feet

  • Keep wrist in neutral position

– change worker/work position – change tool (angled handles) – provide splints

  • Reduce force

– amount – duration – use large muscle groups (e.g., by trigger strip)

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Design Tools to be Used By Either Hand

  • Preferred hand

– about 6% greater strength – greater dexterity

  • Benefits of either-hand-usability

– everyone can use (about 10% left-handed) – non-preferred hand can be used

  • when preferred hand busy
  • when preferred hand resting
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Reduce Vibration

  • Vibration-isolated handles
  • Vibration-absorbing gloves
  • Breaks (e.g., 10 min/hr)
  • Support tool
  • Keep hands warm & dry
  • Minimize handgrip force
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Use Motor Power

  • Economical
  • Extended capability
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Examples - Knives

Source: Intercodev, http://www.intercodev.com/knives.htm, last accessed 19 May 04

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Knife with upright handle

Source: Intercodev, http://www.intercodev.com/knives.htm, last accessed 19 May 04

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Knife with upright handle

Source: Intercodev, http://www.intercodev.com/knives.htm, last accessed 19 May 04

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“Ergonomic” Pliers

Source: Wiha Quality Tools, http://www.wihatools.com/300seri/328_inomic.htm, last accessed 16 Nov 09

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Wire Stripping Pliers

Source: MichaelHoligan.com, http://www.michaelholigan.com/Shopping/Product.asp?pfid=CHA957, last accessed 19 May 04

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Scissors

Source: Intercodev, http://www.intercodev.com/scissors.htm, last accessed 19 May 04

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Scissors

Source: Intercodev, http://www.intercodev.com/scissors.htm, last accessed 19 May 04

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Handles

Source: Intercodev, http://www.intercodev.com/handles.htm, last accessed 19 May 04

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Hammers

Source: ContractorsTools.com, http://www.contractorstools.com/barco.html, last accessed 19 May 04

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Coiled-Handle Hammer

Source:NIOSH/Ergonomic Interventions in Ship Building/Coiled Hammer Handle, http://www.cdc.gov/niosh/ergship/coilhamm.html last accessed 19 May 04

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“Ergonomic” Hand Tools Links

  • humantech Vendorweb

http://vendorweb.humantech.com/

  • NIOSH Guide

http://www.cdc.gov/niosh/docs/2004-164/pdfs/2004-164.pdf