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