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At least 433 records · Page 24Linked to original sources
PubMed2004

Manual lifting load limit equation for adult Indian women workers based on physiological criteria.

A comprehensive equation for the evaluation of a maximum load limit for manual load lifting has been developed for the first time for Indian adult female workers, based on a physiological criterion due to the limitation of applicability of the NIOSH (1991) equation. Ten adult female workers, who had been engaged in building construction activities for at least 7 years participated in this study. The cut-off value was selected as the working heart rate corresponding to the 33% level of maximum aerobic power (i.e. V'O2 max.) of this population, which was equivalent to a heart rate of 101.6 beats x min(-1). An equation was developed based on the effects of the following three lifting parameters on working heart rate: vertical height (knee, waist, shoulder and maximum reach height), lifting frequency (1, 4, 7 and 14 lifts x min(-1)), and load weight (5, 10 and 15 kg). The variations of the specific lifting parameter values were selected from field observations. From this equation, the maximum load limit was calculated as 15.4 kg and the workers give this a psychophysical rating as in the moderate to heavy category.

Adult↗
PubMed2004

Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience.

The purpose of this study was to examine muscle activity patterns during patient handling during manual transfers, and transfers using floor and ceiling lifts. EMG patterns during transfers from bed to wheelchair and wheelchair to bed as well as patient repositioning in novices and experienced participants were examined. Surface EMG was recorded from the upper and lower erector spinae, latissimus dorsi and trapezius muscles bilaterally. Overall, normalized mean and peak muscle activity were lowest using the ceiling lift, increasing with the floor lift, which were lower than manual transfers (novices: all p < 0.01). Experienced patient handlers demonstrated approximately two times greater trapezius and latissimus dorsi activity than novices, combined with lower mean erector spinae activity (p < 0.05, for most tasks). Integrated EMG for all muscles was directly proportional to the transfer time and was lowest during the manual transfer followed by the ceiling lift, with the floor lift being highest. The difference between the muscle activity patterns between the experienced and novice patient handlers may suggest a learned behaviour to protect the spine by distributing load to the shoulder. Further examination of the muscle activation patterns differences between experience levels could improve training techniques to develop better patient handling strategies.

Abdominal Muscles↗
PubMed1994

An evaluation of patient lifting techniques.

In the present laboratory study five two-person manual lifting techniques were evaluated as to the amount of physical exertion required of the nurses. Ten female volunteers served as nurses; two healthy volunteers (weight: 55 kg and 75 kg) served as passive patients. The working postures and motions were recorded on videotape. The data thus obtained were used in a anatomical-biomechanical analysis. The perceived exertion by the nurses was measured as well. In almost all situations the compressive forces on the nurse's spine exceeded their acceptable limit of 3425 N. Differences between the lifting techniques were most obvious when the 55 kg patient was lifted. Ratings of the perceived exertion (RPE scores) were higher in symmetrical handling than in asymmetrical handling. The three techniques using asymmetrical hand positions produced less subjective stress. RPE scores and rotation of the back were negatively correlated. Rotating the back when moving a patient from one side to the other seems to ease the task. On the whole, the results of the biomechanical evaluation are in line with the subjective perception of the nurses. In both instances the barrow lift appeared to be the most strenuous one; the Australian lift resulted in low compressive forces and a moderate level of perceived exertion.

Adult↗
PubMed1997

Three different lifting strategies for controlling the motion patterns of the external load.

Co-ordination of various components of the human body during the course of lifting are very complex and difficult to control. This study hypothesized that strategies used to control the motion patterns of the external load may be applied to control co-ordination and also to control the level of compressive force on the lumbosacral joint. A simulation of lifting based on the optimization approach was introduced to generate three classes of unique dynamic motion patterns of the external load directed by three different objective functions. The first objective function was to maximize the smoothness of the motion pattern of the external load. The second objective function was to minimize the sudden change of the centre of gravity of the body-load system. The third objective was to minimize the integration over time of the sum of the square of the ratio of the predicted joint moments to the corresponding joint strength during the course of lifting. Eight subjects were recruited to perform 40 lifts using each of the three optimal motion patterns of the load. Compressive forces on the lumbosacral joint were computed and compared. The data showed with statistical significance that subjects using the motion patterns of the external load suggested by the first objective function had the lowest compressive force peaks. Thus, this study satisfied two goals: (1) it indexed and synthesized three motion patterns of the external load by three biomechanically unique objective functions, and (2) it established the association between the spinal loading and the control of the motion patterns of the external load during lifting.

Biomechanical Phenomena↗
PubMed1997

NIOSH equation horizontal distances associated with the Liberty Mutual (Snook) lifting table box widths.

A study was conducted to determine the NIOSH equation horizontal distances (dH) associated with the three different box widths (34, 49 and 75 cm) and lift starting heights (floor, knuckle and shoulder) used in the psychophysically based Liberty Mutual lifting tables (Snook 1978, Snook and Ciriello 1991). Data were collected with 12 male and 12 female subjects and three repetitions were performed for each of the nine lifting conditions. No gender effects were observed so male and female data were pooled. The value of dH was positively related to box width but there was also a significant interaction between box width and starting height. When pooled across lift heights the average values of dH were 44, 49 and 57 cm for the 34, 49 and 75 cm box widths, respectively. When pooled across box widths the average values of dH were 52, 45 and 52 cm for the floor, knuckle and shoulder height lifts, respectively. A knowledge of the dH associated with each box width will allow for direct comparisons to be made between the NIOSH and Liberty Mutual outputs. This will facilitate further validation of the NIOSH equations. A variable (GAP) was calculated to indicate the horizontal distance from the ankles to the edge of the box. Previously, this GAP has been assumed to remain constant and values of 15, 20 and 25 cm have been proposed. The GAP was observed to have an overall mean of 23.6 cm with individual condition means ranging from 14.6 cm to 31.2 cm. When pooled across conditions the mean GAP values were equal to dH minus half the box width.

Adult↗
PubMed1998

Video based lifting technique coding system.

Despite automation and improved working conditions, many materials in industry are still handled manually. Among the basic activities involved in manual materials handling, lifting is the one most frequently associated with low-back pain (LBP). Biomechanical analysis techniques have been used to better understand the risk factors associated with manual handling, but because these techniques require specialized equipment, highly trained personnel, and interfere with normal business operations, they are limited in their usefulness. A video based lifting technique analysis system (the VidLiTeCTM System) is presented that provides for quantifiable non-invasive biomechanical analysis of the dynamic features of lifting with high inter-coder reliability and low sensitivity to absolute errors. Analysis of results from a laboratory experiment and from field-collected videotape are described that support the reliability, sensitivity, and accuracy claims of the VidLiTeCTM System. The VidLiTeCTM System allows technicians with minimal training and low-tech equipment (a camcorder) to collect large sets of lifting data without interfering with normal business operations. A reasonably accurate estimate of the peak compressive force on the L5/S1 joint can be made from the data collected. Such a system can be used to collect quantified data on lifting techniques that can be related to LBP reporting.

Biomechanical Phenomena↗
PubMed2002

Three-dimensional lifting model for non-homogeneous loads.

A 3-dimensional model and analysis methodology is suggested for treating lifting tasks when unbalanced loads are involved. The paper describes the biomechanical equations that are coupled with the worker's posture geometry, to address a practical problem of non-symmetric lifting. The analysis has a dominant biomechanical modeling scope, as it contains a breakdown of the internal lifting forces resulting from posture and external loads acting on the body. The load model represents the acting forces due to unbalanced lifting, which is commonly found in industrial situations. The suggested model allows the user to simulate the influence of the practical load distribution, aiding safe design of a lifting job.

Back Injuries↗
PubMed1998

Osteoarthritis of the hip and occupational lifting.

To test the hypothesis that occupational lifting is a cause of hip osteoarthritis, the authors examined associations with lifting and other occupational activities in a case-control study. The study was performed in two English health districts (Portsmouth and North Staffordshire) from 1993 to 1995. A total of 611 patients (210 men and 401 women) listed for hip replacement because of osteoarthritis over an 18-month period were compared with an equal number of controls selected from the general population and individually matched for age, sex, and general practice. Information about suspected risk factors was obtained by a questionnaire administered at interview and a short physical examination. Analysis was by conditional logistic regression. After adjustment for potential confounders, the risk in men increased progressively with the duration and heaviness of occupational lifting. Relative to those with low exposure, men who had regularly lifted weights in excess of 50 kg for 10 years or longer had an odds ratio of 3.2 (95% confidence interval 1.6-6.5). No comparable association was found in women. Of the other occupational activities examined, only frequent climbing of stairs showed a pattern suggestive of a causal relation. These findings are consistent with the results of other studies, and there is now a strong case for regarding hip osteoarthritis as an occupational disease in men whose work has involved prolonged and frequent heavy lifting.

Aged↗
PubMed1993

The effects of quadriceps fatigue on the technique of lifting.

A biomechanical analysis was performed of lifting before and after fatiguing the quadriceps muscles. The hypothesis tested was that when the quadriceps muscles were fatigued the lifter would change lifting technique from more of a squat (leg) lift to more of a stoop (back) lift to decrease the demand on the quadriceps muscles. The hypothesis was broadly supported, and three variables changed significantly with fatigue: trunk angular velocity, which increased, and knee moment integral and hip angles, which both decreased. These changes are all consistent with a change from more of a squat toward a stoop technique. The fact that the technique of lifting changes with quadriceps muscle fatigue underlines the importance of the physiologic condition of these muscles and suggests that rehabilitation of low-back-injured workers should include the quadriceps muscles. The amount of work performed should be controlled to avoid the development of local muscle fatigue and subsequent changes in performance.

Adult↗
PubMed2000

Effects of a lifting belt on spine moments and muscle recruitments after unexpected sudden loading.

STUDY DESIGN: Ten men and eight women participated in a repeated-measures experiment in which sudden loads were applied unexpectedly to a container held in the hands. Three independent variables were investigated: lifting belt use, preload, and load symmetry. OBJECTIVES: To determine whether a lifting belt would help protect the spine in sudden symmetric and asymmetric loading situations. SUMMARY OF BACKGROUND DATA: Unexpected loading events have long been associated with the onset of back pain. Based on work showing that lifting belts restrict motion of the torso, the hypothesis was that a lifting belt would stiffen the spine, thereby protecting its supporting tissues. METHODS: A weight, equal to 7.5% of the subjects' trunk extension force, was allowed to fall 1 m before the bottom of a box held by blindfolded subjects was pulled. Kinetic and kinematic data, obtained from two force plates and a magnetic motion measurement system, were used in a three-dimensional, dynamic, linked-segment biomechanical model to calculate spine moments. Electromyogram data were simultaneously obtained from eight trunk muscles. RESULTS: The belt reduced the forward bending of the spine during the symmetric loadings. In the men, the belt also reduced the forward flexion moment acting on the spine. The belt restricted lateral bending in the women and men, when the box was preloaded. The peak electromyogram amplitudes from posterior contralateral erector spinae and latissimus dorsi muscles increased during the asymmetric loadings, whereas three ipsilateral muscles were less active. CONCLUSIONS: The conflicting moment and electromyographic results, combined with the influence of load symmetry, preload, and gender make the benefits of the lifting belt difficult to delineate. Although the data support the hypothesis that the belt stiffens the torso's response to sudden loading, the effects are small, and considerable individual differences exist. The findings show that during unexpected sudden loading, a belt may reduce the net external moment loading. At the same time the belt appears to alter the muscle response strategy so that the belt's overall effect on an individual's safety is hard to determine.

Adult↗
PubMed2006

In vivo erector spinae muscle blood volume and oxygenation measures during repetitive incremental lifting and lowering in chronic low back pain participants.

STUDY DESIGN: A case control study. OBJECTIVES: Using metabolic gas analysis and near infrared spectroscopy, a comparison was made between healthy controls and chronic low back pain (LBP) participants on cardiorespiratory, erector spinae muscle blood volume, and oxygenation responses, and these variables were used to determine factors that best predict peak oxygen consumption (VO2peak). SUMMARY OF BACKGROUND DATA: To date, it is unknown how the cardiorespiratory and erector spinae muscles of chronic LBP persons respond to repetitive incremental lifting and lowering. With the advent of near infrared spectroscopy technology, it is now possible to noninvasively examine erector spinae muscle oxygen supply and utilization in vivo. Thus, by using metabolic gas analysis and near infrared spectroscopy technology simultaneously, it is now possible to compare the cardiorespiratory and erector spinae muscle responses of chronic LBP participants to that of healthy controls (no history of LBP) during incremental work to volitional fatigue. METHODS: Thirty-four participants with chronic LBP and 34 healthy controls completed the repetitive incremental lifting and lowering (2.25 kg x min) protocol from floor to table (height 76 cm) at 10 lifts . min to voluntary fatigue. RESULTS: The healthy controls had significantly greater VO2peak (mL x kg x min) and VO2peak (mL x kgLBM x min), peak mass lifted, test duration, and breathing frequency. Furthermore, healthy controls showed significantly greater change in muscle oxygenation and faster one-half recovery times. Multiple regression analysis indicated that approximately 97% of the variance in absolute VO2peak was predicted by cardiorespiratory variables in both groups, while muscle oxygenation aided in predicting VO2peak relative in the LBP participants. CONCLUSIONS: The results indicated that the chronic LBP participants demonstrated a reduced cardiorespiratory and erector spinae muscle response during repetitive incremental lifting and lowering to volitional fatigue as compared to the healthy controls.

Adolescent↗
PubMed2005

The effect of a repetitive, fatiguing lifting task on horizontal ground reaction forces.

There are many outdoor work environments that involve the combination of repetitive, fatiguing lifting tasks and less-than-optimal footing (muddy/slippery ground surfaces). The focus of the current research was to evaluate the effects of lifting-induced fatigue of the low back extensors on lifting kinematics and ground reaction forces. Ten participants performed a repetitive lifting task over a period of 8 minutes. As they performed this task, the ground reaction forces and whole body kinematics were captured using a force platform and magnetic motion tracking system, respectively. Fatigue was verified in this experiment by documenting a decrease in the median frequency of the bilateral erector spinae muscles (pretest-posttest). Results indicate significant (p < 0.05) increases in the magnitude of the peak anterior/posterior (increased by an average of 18.3%) and peak lateral shear forces (increased by an average of 24.3%) with increasing time into the lifting bout. These results have implications for work environments such as agriculture and construction, where poor footing conditions and requirements for considerable manual materials handling may interact to create an occupational scenario with an exceptionally high risk of a slip and fall.

Accidental Falls↗
PubMed2004

Use of mechanical patient lifts decreased musculoskeletal symptoms and injuries among health care workers.

OBJECTIVE: To evaluate the effectiveness of mechanical patient lifts in reducing musculoskeletal symptoms, injuries, lost workday injuries, and workers' compensation costs in workers at a community hospital. DESIGN: Pre-post intervention study. SETTING: Three nursing units of a small community hospital. Patients or SUBJECTS: Nursing personnel. INTERVENTIONS: Mechanical patient lifts were made available and nursing staff trained in their use between August 2000 and January 2001. MAIN OUTCOME MEASURES: Workers completed symptom surveys at baseline and six months after lift training. Pre-intervention and post-intervention rates of injuries and lost workday injuries using Occupational Safety and Health Administration logs of the three study units, from the period July 1999 through March 2003 were analyzed. Injuries potentially related to lifting patients were included in the analyses. Using workers' compensation data from the same time period, the compensation paid ($ per full time equivalent [FTE]) due to injuries during the pre-intervention and post-intervention period was calculated. RESULTS: Sixty one staff members were surveyed pre-intervention; 36 (59%) completed follow up surveys. Statistically significant improvements in musculoskeletal comfort (p<0.05) were reported for all body parts, including shoulders, lower back, and knees. Injury rates decreased post-intervention, with a relative risk (RR) of 0.37 (95% confidence interval (CI) 0.16 to 0.88); decreased injury rates persisted after adjustment for temporal trends in injury rates on non-intervention units of the study hospital (RR = 0.50, 95% CI 0.20 to 1.26). Adjusted lost day injury rates also decreased (RR = 0.35, 95% CI 0.10 to 1.16). Annual workers' compensation costs averaged $484 per FTE pre-intervention and $151 per FTE post-intervention. CONCLUSION: Reductions were observed in injury rates, lost workday injury rates, workers' compensation costs, and musculoskeletal symptoms after deployment of mechanical patient lifts. Strengths of this study include the community hospital setting and the inclusion of a variety of different outcomes. Limitations include the pre-post study design and the small sample size.

Hospitals, Community↗
PubMed2003

The relative importance of whole body vibration and occupational lifting as risk factors for low-back pain.

AIMS: To explore the impact of occupational exposure to whole body vibration (WBV) on low back pain (LBP) in the general population and to estimate the burden of LBP attributable to occupational WBV in comparison with that due to occupational lifting. METHODS: A questionnaire including sections on WBV at work, LBP, and potential risk factors was mailed to a community sample of 22 194 men and women of working age. Sources and durations of exposure to occupational WBV were ascertained for the past week and personal vibration doses (eVDV) were estimated. Analysis was confined to subjects reporting exposures in the past week as typical of their work. Associations of LBP with eVDV, driving industrial vehicles, and occupational lifting were explored by logistic regression and attributable numbers were calculated. RESULTS: Significant associations were found between daily lifting of weights greater than 10 kg at work and LBP, troublesome LBP (which made it difficult to put on hosiery), and sciatica (prevalence ratios 1.3 to 1.7); but the risk of these outcomes in both sexes varied little by eVDV and only weak associations were found with riding on industrial vehicles. Assuming causal associations, the numbers of cases of LBP in Britain attributable to occupational WBV were estimated to be 444 000 in men and 95 000 in women. This compared with an estimated 940 000 male cases and 370 000 female cases of LBP from occupational lifting. CONCLUSIONS: The burden of LBP in Britain from occupational exposure to WBV is smaller than that attributable to lifting at work.

Adolescent↗
PubMed1990

Impairment of left ventricular function during maximal isometric dead lifting.

High-intensity short-duration lifting is frequently performed by athletes and laborers. Little is known about the magnitude and pattern of blood pressure response and resultant effects on left ventricular (LV) function during this form of intense isometric exercise. We monitored brachial intra-arterial pressure and LV ejection fraction (LVEF) during upright isometric dead lifting performed on a force platform. Fourteen healthy male subjects (age 27 yr) maintained maximal sustained isometric dead lift (140 +/- 34 kg) for 32 s. LVEF was measured by 99mTc first-pass radionuclide ventriculography. Mean arterial pressure increased from 107 +/- 15 mmHg at rest to a peak of 174 +/- 28 mmHg and fell precipitously to 88 +/- 13 mmHg within 10 s after release of the dead lift. LVEF decreased from 63 +/- 8 to 51 +/- 14% (P less than 0.02) in seven subjects with technically acceptable ventriculograms. We conclude that maximal upright isometric dead-lift exercise produces a marked increase in arterial pressure and corresponding LV afterload that is associated with a transient reduction in LVEF in normal men.

Adult↗
PubMed2006

Weight lifting and aortic dissection: more evidence for a connection.

BACKGROUND/AIMS: In 2003, we reported on a small number of patients in whom acute aortic dissection appeared to be causally related to intense weight lifting. If additional cases could be identified, the phenomenon of weight lifting induced aortic dissection would be further substantiated. We now report a substantially larger number of cases in which aortic dissection is associated with intense physical exertion. METHODS: Additional cases of acute aortic dissection occurring at the time of intense physical exertion were accumulated and analyzed. Cases were culled from retrospective review of a large university data base and from reports forwarded to our attention from around the country. We determined type of activity bringing on symptoms, age and sex of the patients, location of the dissection (ascending or descending aorta), aortic size, therapy, and survival. RESULTS: We identified 31 patients in whom acute aortic dissection occurred in the context of severe physical exertion, predominantly weight lifting or similar activities. All patients except one were males. Mean age was 47.3 (range = 19-76). All except four dissections were in the ascending aorta. Only three patients (9.7%) had a family history of aortic disease. Mean aortic diameter on the initial imaging study was 4.63 cm. Twenty-six of the 31 cases were diagnosed ante-mortem and 5 post-mortem. Overall, 10 of the 31 patients (32.2%) died. Of 24 patients reaching surgical therapy, 20 (83.3%) survived. CONCLUSION: Weight lifting related acute aortic dissection appears to be a real phenomenon, with increasing evidence for the association of extreme exertion with this catastrophic aortic event. Moderate aortic dilatation confers vulnerability to exertion-related aortic dissection. Individuals with known aortic dilatation should be cautioned to refrain from weight lifting or strenuous exertion. Routine echocardiographic screening of individuals engaging in heavy strength training should be considered, in order to prevent this tragic loss of life.

Adult↗
PubMed1988

Intra-abdominal and intra-thoracic pressures during lifting and jumping.

In order to investigate intra-thoracic pressure (ITP) and intra-abdominal pressure (IAP) during lifting and jumping, 11 males were monitored as they performed the dead lift (DL), slide row (SR), leg press (LP), bench press (BP), and box lift (BL) at 50, 75 and 100% of each subject's four-repetition maxima, the vertical jump (VJ), drop jump (DJ) from 0.5 and 1.0 m heights, and Valsalva maneuver (VM). Measurements were made of peak pressure, time from pressure rise to switch-marked initiation of body movement, and time from the movement to peak pressure. The highest ITP and IAP occurred during VM (22.2 +/- 6.0 and 26.6 +/- 6.7 kPa, respectively) with one individual reaching 36.9 kPa (277 mm Hg) IAP. In ascending order of peak ITP during the highest resistance sets, the activities were SR, BP, VJ, DJ, DL, BL, LP, and VM, while the order for IAP was BP, VJ, DJ, BL, DL, LP, SR, and VM. Pressures significantly (P less than 0.05) increased with amount of weight lifted, rising before and peaking after the weight moved. IAP generally rose earlier and was of greater magnitude than ITP. For the jumps, pressure rose and diminished before the feet lost contact with the ground. Drop-jump height did not affect pressure. Correlation of pressure with weight lifted was fair to good for most activities.

Abdomen↗
PubMed2000

Contribution of visually perceived size to the scaling of fingertip forces when lifting a 'small' object.

The effects of visually perceived size of an object on the scaling of fingertip forces during lifting tasks were investigated using a small and lightweight object. A grip apparatus was attached to the top surface of three different size boxes of equal weight. 15 healthy adults were asked to grasp the grip apparatus with the thumb and index finger, lift it to a height of 5 cm, hold it for 8 sec., and then put it down. Force transducers embedded in the grip apparatus measured grip and load forces. When subjects lifted the same size object repeatedly, there were no size effects on the grip and load forces used by each subject. When the size was pseudorandomly varied, however, the grip and load forces exerted by 7 subjects significantly increased with increased size, while there were no size effects for the remaining subjects (n = 8). These results suggest a smaller contribution of information on size to the force programming when lifting a small object than when lifting a larger and heavier object as used in previous studies.

Adult↗