Biomedical subjects

A M Genaidy

Publications and source records attributed to A M Genaidy.

At least 19 recordsLinked to original sources

PubMed2003

Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions.

This study investigated the various stressors encountered by the nursing profession. In particular, the following hypotheses were tested: (1) working conditions of nurses significantly affect perceived risk of injury and illness, work dissatisfaction, work satisfaction, energy state at the end of workday, the effort exerted by the registered nurse (RN), psychosomatic outcomes, and musculoskeletal symptoms (in multiple body regions); (2) both intermediate work effects (i.e., effort, perceived risk of injury/illness, work satisfaction/dissatisfaction, energy state at end of workday) and psychosomatic outcomes significantly affect musculoskeletal outcomes (in multiple body regions); (3) both working conditions and effects significantly affect musculoskeletal outcomes. In a preliminary study conducted on 34 registered nurses, results show that: (1) stressful working conditions affect musculoskeletal outcomes in multiple body regions, and (2) physical maladies such as lower back problems are not only associated with physical factors but also with a complex interaction of working conditions. Further research is warranted to obtain a better understanding of the complex interaction and the synergistic effects of the various nursing working conditions.

Female↗

PubMed2003

What is a demanding lifting job for manual handling workers in Hong Kong?

Although lifting tasks are traditionally evaluated by researchers, through the use of methods which depend on one or more approaches (i.e., psychophysical, biomechanical and physiological methods), none of these approaches makes use of expert workers in the evaluation of lifting activities. Given that 97% of lower back symptoms are aches, pains and discomfort and rely on self-reports, it is intuitive to use expert workers in evaluating the stressfulness of lifting activities. In this investigation, 217 workers from three industries in the Hong Kong area were surveyed to determine what constitutes a demanding lifting job from a worker standpoint. This was achieved by asking workers to map, in numerical terms, the level of lifting task parameter described in linguistic values. For example, the weight of load was described in three linguistic descriptors, namely, 'light', 'moderate' and 'heavy'. Then, each worker was asked to assess the meaning of these linguistic descriptors in numerical terms, based on their perception and experience with manual handling work. In this study, workers were asked to map the physical analogue of linguistic descriptors for seven lifting task parameters which are utilized in the NIOSH lifting equation, that is, weight of load, horizontal distance, vertical travel distance, vertical origin of lift, angle of asymmetry, frequency of handling and task duration. The data obtained from the workers were then subjected to validity testing in relation to norms and values reported in the published literature. On a preliminary basis, it appears that workers' assessments are logical and valid. The results suggest that the worker-based methodology is a promising approach and that it is worthwhile to pursue this approach further in the evaluation of industrial lifting activities.

Adult↗

PubMed1999

Strength and fatigue resistance of thoracolumbar spine implants: an experimental study of selected clinical devices.

Results of strength and endurance tests of several screw/rod thoracolumbar spinal implants are presented. The devices tested were: AcroMed ISOLA, CD systems, Depuy systems, and Synergy systems. The AcroMed ISOLA devices had the greatest stiffness and strength. The Synergy and AcroMed systems had the greatest fatigue resistance. The predominant failure mode was screw bending, although several instances of rod fracture and screw fracture were observed. A number of design improvements are identified, including reducing the number of components, thereby reducing the number of failure mechanisms; avoiding notches and knurled surfaces to provide greater resistance to crack initiation; and strengthening attachments between components, particularly between pedicle screws and horizontal rods.

Bone Screws↗

PubMed1998

What is 'heavy'?

One of the work practices frequently taught to employees is to estimate the heaviness of load before it is actually handled. If it is 'heavy', then one should ask for help. However, limited information can be found in the ergonomics literature about what a person perceives as a 'heavy load'. This study was conducted on 20 male and 20 female workers in the package delivery industry to estimate the amounts of load that correspond to various levels of load heaviness (e.g. 'somewhat heavy'). Experienced employees were used for this purpose. The distribution of loads within each heaviness level was developed using fuzzy sets theory. The maximum load (i.e. 23 kg) defined by the US National Institute for Occupational Safety and Health represents a 'somewhat heavy' load based on the analysis of load distribution (corresponding to a 1.0 certainty factor). Also, the 40 kg considered in the 1981 NIOSH guidelines may be classified as a 'very heavy' load. A comparative analysis of the results of this study with norms established in prior research indicates that one should be more careful in the interpretation of statistical norms for human perception of load handling. A 'moderate' level of load heaviness (i.e. 14 kg) can be handled by 85% of the worker population.

Adolescent↗

PubMed1998

Effects of cross-linkage on fatigue life and failure modes of stainless steel posterior spinal constructs.

This study tested the effects of cross-linkage on the fatigue performance of posterior spinal constructs (i.e., AcroMed stainless steel Isola systems). The failure modes encountered during fatigue were also examined. The results of this study confirmed earlier findings that the use of cross-linkage does not significantly affect the stability of posterior constructs during axial loading. Their influence in torsion loading is much more pronounced. During the fatigue tests, posterior stainless steel spinal implants instrumented without cross-linkage reached 1 million cycles at 500- and 750-N loads. When the load was increased to 1,000 N, the number of cycles to failure dropped by two-thirds. These findings demonstrate that the endurance limit was between 750 N and 1,000 N for spinal constructs without cross-linkage, with the limit being closer to 750 N. Devices equipped with one or two cross-linkages reached 1 million cycles at 500 N. The number of cycles to failure dropped dramatically as the load was increased to 750 and 1,000 N. It appears that the endurance limits for spinal devices using cross-linkage should be 500 and 750 N, with the limit closer to the 500-N load. All rod fractures occurred near the junction between the longitudinal and transverse rods. Stress concentration was greatly in the vicinity of that contact point. These results should provide a basis for future improvement in endurance limits of spinal implants equipped with cross-linkage. Higher endurance limits will reduce the toxic effects encountered during fracture modes. The implants will also be better able to withstand the high physiologic loads experienced by obese individuals.

Bone Screws↗

PubMed1997

Biomechanical assessment of titanium and stainless steel posterior spinal constructs: effects of absolute/relative loading and frequency on fatigue life and determination of failure modes.

The goal of this study was to examine the effects of absolute/relative loads and frequency on the fatigue life of titanium and stainless steel posterior spinal constructs, and to determine the failure fracture modes. The stainless steel constructs had higher stiffness and yield strength than the titanium constructs, but the ultimate static strength was almost equal for both types of constructs. Titanium constructs, however, exhibited higher variability than the stainless steel constructs. In fatigue tests, the stainless steel constructs were significantly affected by the external load and were frequency independent. It appears from fatigue curves that 500 N can be approximated as the endurance limit for the stainless steel constructs. Titanium constructs were load-frequency dependent, and their endurance limit was somewhere between the 500 and 750 N load levels. There were no differences in performance between the stainless steel and titanium constructs at 16 Hz. At 4 Hz, titanium constructs performed as well or better than stainless steel constructs. Also, the titanium constructs resulted in better performance than the stainless steel constructs in the elastic region, and with smaller differences in the plastic region. Most of the failure modes for stainless steel constructs were in screw bending at 16 Hz with a smaller percentage of rod fractures at high loads, with a higher percentage of rod fractures observed for the stainless steel constructs at 4 Hz. Most of the failure modes for titanium constructs occurred in screw bending or fracture.

Biomechanical Phenomena↗

PubMed1995

Active microbreak effects on musculoskeletal comfort ratings in meatpacking plants.

This study was conducted to examine whether a system of active microbreaks can reduce the discomfort perceived by employees in a meatpacking plant. Moreover, the relationship between the discomfort perceived on the job and musculoskeletal capability was investigated. Twenty-eight men employed in a local meatpacking plant participated in a study conducted over a period of four weeks. Results indicated that active microbreaks significantly reduced the level of discomfort perceived by employees during the course of the working day. The subjective ratings of perceived discomfort correlated significantly with anthropometric, strength and background information (R2 = 0.66). The physical characteristics of Caucasian employees were higher than those of their Hispanic counterparts. Moreover, the physical characteristics of meatpacking employees were significantly lower than those reported in the literature for employees engaged in manual handling tasks.

Absenteeism↗

PubMed1995

Can back supports relieve the load on the lumbar spine for employees engaged in industrial operations?

In recent years, there has been an increased use of back supports in US industry to reduce the frequency and concomitant costs of lower-back disorders. The obvious question is, 'Can back supports relieve the load on the lumbar spine for employees engaged in industrial operations?'. This paper is directed towards answering this question because there have been mixed conclusions in the literature reporting on the efficacy of back supports. The literature concerning the biomechanical, physiological and psychophysical effects of back supports on the human spine has been reviewed as well as the use of back supports to control injury in the workplace. A critical assessment of the findings reported by various investigators has been made together with a discussion of the mechanisms used by the trunk muscles to provide extrinsic stability to the spine. It is hypothesized that the extrinsic stability of the spine is manifested through more than one mechanism. These mechanisms may act simultaneously or sequentially to stabilize the trunk. Finally, the ergonomics of back supports as a corporate policy are discussed.

Humans↗

PubMed1995

Use of visual perception in estimating static postural stresses: magnitudes and sources of errors.

Very little is known about the magnitudes and sources of errors associated with the visual estimation of postural classification displayed on TV screens. This study was conducted to address this issue. Sixty-three subjects participated in the experiments. The findings indicate that: (1) subjects found it difficult to evaluate upper extremity postures (particularly the elbow and the wrist), while the postures around the lower back were the easiest to evaluate; (2) the lower extremity positions affected the ability of the subjects to accurately classify postures around the wrist, elbow, shoulder, neck, and lower back, with the estimates being > 70% for sitting and > 60% for standing (except for the elbow); and (3) in general, flexion and extension are easier to evaluate than neutral and non-neutral postures.

Adult↗

PubMed1994

Postural stress analysis in industry.

Both observational and instrumentation-based techniques have been used to conduct postural stress analysis in industry. As observational methods are more widespread than instrumentation-based techniques and can be used as a practical tool in the workplace, this study reviews and assesses the scientific literature on observational techniques. Techniques are classified into macropostural, micropostural and postural-work activity. The basis for each classification is outlined and evaluated. Postural recording is performed either continuously or intermittently. Intermittent postural recording procedures lack the criteria for determining the optimum number of observations for low and high repetitive jobs. Research is warranted to examine the sources and magnitudes of errors associated with postural classification. Such information is required to train job analysts in the ergonomics of working postures.

Journal Article↗

PubMed1993

Can visual perception be used to estimate body part angles?

For two decades, observational methods have been used to measure postural loads in industry. These methods depend on the analyst's judgment to characterize correctly the working postures. The errors associated with estimating the body part's angular deviation from the neutral position are not known. Recently, videotaping of a work situation, followed by examination of the tape to assess postural position has become more commonly practised. This study was conducted to determine the error which accompanies the judging (without tools) of postural angles. In the present study, a method was used whereby 20 subjects were asked to report the perceived angles which closely matched the actual shoulder flexion angle displayed on the TV screen. The results showed no significant differences among the three angular ranges ('low', 1-60 degrees; 'medium', 61-120 degrees; and 'high', 121-180 degrees) of shoulder flexion, in terms of algebraic and absolute errors. Subjects tended to slightly overestimate the true angle in the low range and to slightly underestimate the true angle in the medium and high angle ranges. This study suggests that visual perception can be used to estimate shoulder flexion angles displayed on a VDT.

Adult↗

PubMed1993

Spinal compression tolerance limits for the design of manual material handling operations in the workplace.

Spinal compression tolerance limits (SCTL) have been widely used by ergonomists in setting work tolerance limits for manual materials handling (MMH) operations. Thus, the effect of personal and experimental factors on spinal compression tolerance limits (SCTL) is reviewed with the aid of regression and correlation analyses performed on data compiled from the published literature. Tables of SCTL from various sources utilizing large number of specimens and personal factors are presented so that they can be accessed by ergonomists easily. Integrated biomechanical guidelines based on SCTL are provided for the design of MMH operations in the workplace. It is suggested that, in order to reduce the probability of MMH injuries, biomechanical tolerance limits should be set at the damage load instead of the load at fracture. The damage load is the weight which causes the first gross signs of damage such as tissue fluid and blood. An algorithm is described to demonstrate the use of a biomechanics approach to the design of MMH operations.

Adult↗

PubMed1993

A psychophysical approach to determine the frequency and duration of work-rest schedules for manual handling operations.

The primary objectives of this study were: (1) to test whether rest allowances could be ascertained using a psychophysical methodology; and (2) to examine the effects of gender and frequency of handling on work-rest schedules. Two experiments were conducted, each experimental session at 4h. A psychophysical methodology was used where the subject was given control of the working and resting durations. The results of the study indicated that: (1) the total working time decreased and the total resting time decreased with an increase in the frequency of handling; (2) high frequency tasks required more frequent rest allowances; (3) for the same manual handling tasks, women needed more frequent and longer allowances than men; (4) experience with the manual handling of material reduced the variability collected from the psychophysical methodology. The application of the psychophysical methodology in industry is discussed.

Adult↗

PubMed1993

The effects of neutral posture deviations on perceived joint discomfort ratings in sitting and standing postures.

There is a pressing need to rank body deviations from neutral postures which occur due to variety of body movements around different joints. Such knowledge is needed to better understand potentially adverse effects of poor working postures on the industrial population. The main objective of this study was to examine the effects of postural deviations on perceived joint discomfort ratings assessed under similar working conditions. Twelve males and seven females participated in the laboratory study. The results revealed several distinct classes of joint deviations from neutral postures, which need to be assigned different weights of postural stress. A preliminary ranking system for assessment of stressfulness of human body deviations about different joints was proposed.

Adult↗

PubMed1993

Ergonomic risk assessment: preliminary guidelines for analysis of repetition, force and posture.

High repetition, excessive forces and awkward postures are a major cause of musculoskeletal disorders in industry. Thus, the main objective of this paper is to develop, based on the published literature, preliminary ergonomic guidelines for repetition, force, and posture task analysis. A method is also proposed which can be used to compute the interactive effects of repetition, force and posture.

Biomechanical Phenomena↗

PubMed1992

Physical training: a tool for increasing work tolerance limits of employees engaged in manual handling tasks.

The lack of physical fitness is a contributing factor to the etiology of musculoskeletal disorders resulting from the manual handling of material in industry. Thus the major objectives of this paper were (1) to discuss the role of physical fitness in the control of occupational injuries; (2) to review techniques available in the exercise physiology literature for increasing human physical capacity in industry; and (3) to review and evaluate studies on the effects of physical training on individuals engaged in manual handling tasks.

Humans↗

PubMed1992

Occupational biomechanics of the neck: a review and recommendations.

Musculoskeletal disorders of the neck are becoming a major concern in industry. Several studies reported the association of neck pain, discomfort, and symptoms with different occupations in industry. Thus, the main objective of this study is to review and evaluate biomechanical techniques used in analyzing the occupational factors leading to neck pain and disorders. Recommendations for future research are also discussed.

Biomechanical Phenomena↗

PubMed1992

A comparative study of the myoelectric amplitude characteristics for weight-holding tasks.

This study was conducted to examine the effects of load, time, and gender on five amplitude measures of the myoelectric signal (MES) for 10 male and 10 female subjects engaged in upper extremity weight-holding tasks. The results indicated that: (1) measures of amplitude variability (e.g.: standard deviation) are more sensitive to changes in load and time than the full-wave rectified integral and root-mean square indices; (2) both load and time had a significant effect on MES indices, suggesting that amplitude measures may be used as a tool for evaluating the degree of muscular loading and fatigue; (3) females have higher muscular exertion values than males under the same experimental conditions, indicating that females are subjected to higher levels of stresses than males for the same amount of workload. The implications of the results are discussed.

Adult↗