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Biomedical subjects

R Burgess-Limerick

Publications and source records attributed to R Burgess-Limerick.

13 recordsLinked to original sources

The impact of computer display height and desk design on 3D posture during information technology work by young adults.

Computer display height and desk design to allow forearm support are two critical design features of workstations for information technology tasks. However there is currently no 3D description of head and neck posture with different computer display heights and no direct comparison to paper based information technology tasks. There is also inconsistent evidence on the effect of forearm support on posture and no evidence on whether these features interact. This study compared the 3D head, neck and upper limb postures of 18 male and 18 female young adults whilst working with different display and desk design conditions. There was no substantial interaction between display height and desk design. Lower display heights increased head and neck flexion with more spinal asymmetry when working with paper. The curved desk, designed to provide forearm support, increased scapula elevation/protraction and shoulder flexion/abduction.

Adolescent↗

A randomized and controlled trial of a participative ergonomics intervention to reduce injuries associated with manual tasks: physical risk and legislative compliance.

A participative ergonomics approach to reducing injuries associated with manual tasks is widely promoted; however only limited evidence from uncontrolled trials has been available to support the efficacy of such an approach. This paper reports on a randomized and controlled trial of PErforM, a participative ergonomics intervention designed to reduce the risks of injury associated with manual tasks. One hundred and seventeen small to medium sized food, construction, and health workplaces were audited by government inspectors using a manual tasks risk assessment tool (ManTRA). Forty-eight volunteer workplaces were then randomly assigned to Experimental and Control groups with the Experimental group receiving the PErforM program. Inspectors audited the workplaces again, 9 months following the intervention. The results showed a significant decrease in estimates of manual task risk and suggested better legal compliance in the Experimental group.

Accidents, Occupational↗

Spontaneous transitions in the coordination of a whole body task.

This paper describes an example of spontaneous transitions between qualitatively different coordination patterns during a cyclic lifting and lowering task. Eleven participants performed 12 trials of repetitive lifting and lowering in a ramp protocol in which the height of the lower shelf was raised or lowered 1 cm per cycle between 10 and 50 cm. Two distinct patterns of coordination were evident: a squat technique in which moderate range of hip, knee and ankle movement was utilised and ankle plantar-flexion occurred simultaneously with knee and hip extension; and a stoop technique in which the range of knee movement was reduced and knee and hip extension was accompanied by simultaneous ankle dorsi-flexion. Abrupt transitions from stoop to squat techniques were observed during descending trials, and from squat to stoop during ascending trials. Indications of hysteresis was observed in that transitions were more frequently observed during descending trials, and the average shelf height at the transition was 5 cm higher during ascending trials. The transitions may be a consequence of a trade-off between the biomechanical advantages of each technique and the influence of the lift height on this trade-off.

Adult↗

Kinaesthetic judgements and refinement of striking action.

Little is known about the developmental course of striking action. This cross-sectional study explored the refinement of striking in 28 children aged between 4 and 12 years and investigated how well they could use kinaesthesis to gauge the length of an unseen bat. The kinematic data (including smoothness of movement) showed quantitative differences between the age groups. In contrast, no differences were found in the children's ability to judge the length of the unseen bat: within three strikes all of the children had made a clean hit, indicating that they had successfully judged bat length. The children then appeared to memorize the bat with which they had accurately hit the target and made: (1) minimal errors when using this bat in later trials and (2) predictable errors when using two other bats of different sizes. The results show that the striking action becomes optimized over childhood, with smoothness of movement providing an index of this refinement. The findings also suggest that young children have a higher level of kinaesthetic sensitivity than has been assumed previously on the basis of static limb positioning tasks. The results suggest that the striking task used in this study might be a useful tool for investigating the development of movement skills in children with developmental disorders.

Age Factors↗

Visual display height.

We examined the influence of backrest inclination and vergence demand on the posture and gaze angle that workers adopt to view visual targets placed in different vertical locations. In the study, 12 participants viewed a small video monitor placed in 7 locations around a 0.65-m radius arc (from 65 degrees below to 30 degrees above horizontal eye height). Trunk posture was manipulated by changing the backrest inclination of an adjustable chair. Vergence demand was manipulated by using ophthalmic lenses and prisms to mimic the visual consequences of varying target distance. Changes in vertical target location caused large changes in atlanto-occipital posture and gaze angle. Cervical posture was altered to a lesser extent by changes in vertical target location. Participants compensated for changes in backrest inclination by changing cervical posture, though they did not significantly alter atlanto-occipital posture and gaze angle. The posture adopted to view any target represents a compromise between visual and musculoskeletal demands. These results provide support for the argument that the optimal location of visual targets is at least 15 degrees below horizontal eye level. Actual or potential applications of this work include the layout of computer workstations and the viewing of displays from a seated posture.

Adult↗

Wrist posture during computer pointing device use.

OBJECTIVE: This research examines individual differences in the wrist postures adopted during the use of two pointing devices (mouse and trackball). DESIGN: A multiple case study of twelve participants was employed. BACKGROUND: The use of pointing devices may lead to musculoskeletal discomfort and injury as a consequence of prolonged exposure to postures involving wrist extension and ulnar deviation. METHODS: Wrist flexion/extension and radial/ulnar deviation was measured while twelve participants completed two standardised tasks involving horizontal and vertical cursor movements respectively. RESULTS: Exposure to extreme ulnar deviation and wrist extension was observed in the use of computer mouse and trackball. The trackball involved decreased ulnar deviation and increased wrist extension, however considerable individual differences were observed. CONCLUSIONS: Some users may be placed at risk of injury by prolonged exposure to the use of such devices, while others may not. A trackball may reduce the exposure to extreme ulnar deviation, but in some cases, a trackball may increase exposure to extreme wrist extension.

Adult↗

Gaze angle: a possible mechanism of visual stress in virtual reality headsets.

It is known that some Virtual Reality (VR) head-mounted displays (HMDs) can cause temporary deficits in binocular vision. On the other hand, the precise mechanism by which visual stress occurs is unclear. This paper is concerned with a potential source of visual stress that has not been previously considered with regard to VR systems: inappropriate vertical gaze angle. As vertical gaze angle is raised or lowered the 'effort' required of the binocular system also changes. The extent to which changes in vertical gaze angle alter the demands placed upon the vergence eye movement system was explored. The results suggested that visual stress may depend, in part, on vertical gaze angle. The proximity of the display screens within an HMD means that a VR headset should be in the correct vertical location for any individual user. This factor may explain some previous empirical results and has important implications for headset design. Fortuitously, a reasonably simple solution exists.

Data Display↗

Toward a quantitative definition of manual lifting postures.

Manual lifting techniques are commonly defined in terms of the postures adopted at the start of the lift. Quantitative definition is problematic, however, because the absolute joint angles adopted to lift an object are influenced by task parameters, such as the initial height of the load. We present an argument for the use of a postural index (the ratio of knee flexion from normal standing to the sum of ankle, hip, and lumbar vertebral flexion) to define the postures adopted at the start of lifting. Stooped postures adopted at the start of a lift correspond to postural indices close to 0, whereas full squat postures correspond to postural indices close to 1. We use angular kinematic data gathered from 71 individuals lifting loads of varying mass from a range of starting heights to illustrate the utility of this index. Although average absolute joint angles were influenced by load mass and initial load height, the average postural index remained unchanged. For example, changes in starting height from 9 cm to 63 cm accounted for between 19% and 67% of the variance in joint positions at the start of the lift but only 1% of the variance in average postural index. This suggests that the postural index provides a method of defining lifting posture that is independent of specific joint positions.

Adolescent↗

Self-selected manual lifting technique: functional consequences of the interjoint coordination.

The pattern of movement self-selected by 39 subjects to lift light loads from 9 cm above the ground is described in kinematic and electromyographic terms. Hamstring length changes were estimated from hip and knee angular kinematics. Subjects adopted a posture at the start of the lift intermediate between stoop and full-squat postures. A consistent coordination between knee, hip, and lumbar vertebral joints during lifting was described through calculation of the relative phase between adjacent joints and found to be exaggerated with increases in load mass. During the early phase of lifting, knee extension leads hip extension, which in turn leads extension of the lumbar vertebral joints. Early in the lifting movement, when load acceleration is greatest, the erectores spinae are thus relatively long and shortening slowly. Both of these factors produce greater back extensor strength. Rapid hamstring shortening is also delayed, which enhances their strength, and coactivation of the monoarticular knee extensors and biarticular hamstring observed early in the lifting movement suggested that the knee extensors contribute to hip extension through a tendinous action of the hamstrings.

Adult↗

Relative phase quantifies interjoint coordination.

This note illustrates by example how expression of joint movement on a phase plane can quantitatively describe multijoint coordination during complex actions. Automatic digitisation of high-speed video records was used to obtain lumbar vertebral, hip, knee and ankle joint angular kinematics in the sagittal plane of a subject performing a symmetric two-handed lifting movement. A consistent proximal-to-distal coordination was illustrated via angle-angle and relative phase angle presentations. During bending to pick up a load, the joints began their movement in the order proximal to distal while the reverse order of joint involvement occurred during extension. Phase angle relationships between joints may provide sufficiently sensitive measurements to identify changes in multijoint coordination induced by alterations in task variables such as (in the case of lifting) object mass, lifting height and load moment. Information regarding multijoint coordination is likely to be important in attempting to understand the respective roles and interaction between the bi and monarticular muscles which are involved in everyday complex actions like lifting.

Adult↗

Against relative timing invariance in movement kinematics.

The kinematics of stair climbing were examined to test the assertion that relative timing is an invariant feature of human gait. Six male and four female subjects were video-recorded (at 60 Hz) while they climbed a flight of stairs 10 times at each of three speeds. Each gait cycle was divided into three segments by the maximum and minimum angular displacement of the left knee and left foot contact. Gentner's (1987) analysis methods were applied to the individual subject data to determine whether the duration of the segments remained a fixed proportion of gait cycle duration across changes in stair-climbing speed. A similar analysis was performed using knee velocity maxima to partition the gait cycle. Regardless of how the gait cycle was divided, relative timing was not found to remain strictly invariant across changes in speed. This conclusion is contrary to previous studies of relative timing that involved less conservative analysis but is consistent with the wider gait literature. Strict invariant relative timing may not be a fundamental feature of movement kinematics.

Adult↗

Note: A statistical problem in testing invariance of movement using the phase plane model.

Invariant positions on a phase plane of joint angular position and velocity have been proposed as a means by which interlimb coordination may be achieved. This note identifies a problem in the testing, using conventional statistics, of hypotheses derived using the phase plane model. A possible solution is proposed based on directional statistics. Conclusions regarding phase angle invariance, which are based on conventional statistics, must be viewed with some caution.

Journal Article↗