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Psychophysically determined asymmetrical lifting capabilities for different frequencies and containers.

Ten young male participants were tested their psychophysically determined 4-h maximum acceptable weight of lifting (MAWL) of 90-degree asymmetric lifting for three lifting frequencies (1 lift/min, 2 lifts/min, 4 lifts/min) and three lifting containers (50 x 35 x 15 cm, 70 x 35 x 15 cm, 50 x 50 x 15 cm). The results showed that the MAWL decreased with increasing frequency and container width or length dimension, while the interaction effect of frequency and container on MAWL was not significant. The MAWL ranged from 13.7 kg to 18 kg for the nine (3 frequencies x 3 containers) lifting conditions. When averaged across the levels of the other independent variable, the MAWL decreased by 7.4% and 16.1% for 2 lifts/min and 4 lifts/min as compared with the MAWL of 1 lift/min, respectively, and decreased by 1.6% and 9.4% for 70 x 35 x 15 cm and 50 x 50 x 15 cm as compared with the MAWL of 50 x 35 x 15 cm, respectively. Additionally, the discrepancies between the MAWL data and the recommended weight limits derived from the revised NIOSH equation were discussed.

Adult↗

A field evaluation method for assessing whole body biomechanical joint stress in manual lifting tasks.

Work-related musculoskeletal injuries are often associated with overexertion of the body at work. The manual materials handling activity of lifting is a major source of work-related musculoskeletal disorders. Biomechanical evaluation offers useful information about the physical stress imposed on the worker's body joints; however, biomechanical analysis is usually tedious and complex. For evaluation purpose, the biomechanical method needs to be easy to apply in a field environment. Manual lifting occurs as one of the most common manual materials handling tasks in the workplace. A biomechanical evaluation method was developed based on the ratio of joint moment to joint capacity. The method was applied to evaluate the physical stress of manual lifting in truck loading jobs using a nine-link whole body joint model. Thirty eight industrial tasks were evaluated using the developed joint moment ratio. The moment ratio was compared with subjectively rated body discomfort, overall workload, and the NIOSH lifting index. The moment ratio was found to have a high correlation with the NIOSH lifting index. The biomechanical method can be used with relatively simple equipment and procedure which may be suitable for on-site ergonomic evaluation.

Adult↗

Validity of the baltimore therapeutic equipment work simulator in the measurement of lifting endurance in healthy men.

OBJECTIVE: To examine the criterion validity of the Baltimore Therapeutic Equipment (BTE) work simulator by comparing endurance time, oxygen uptake (VO2), and heart rate measured during real and simulated lifting tasks and to derive a regression equation for predicting actual lifting endurance from measurements on the work simulator. METHOD: Twenty healthy male volunteers repetitively lifted and lowered a load of 40 lb using the BTE work simulator and actual weights at a laboratory workstation. Postures, location, and frequency of lifts were kept constant. Endurance (defined as the time taken for the rating of perceived exertion to increase 2 units on the Borg scale) was measured under both conditions. VO2 and heart rate were also recorded, using standard physiological procedures. RESULTS: The mean values for endurance time, steady-state VO2, and heart rate were significantly different between the real and simulated tasks (p < .05). Correlation of endurance time between the two tasks was significant (r = .71, p < .05). Step wise regression analysis resulted in the following equation for predicting real endurance from simulated time measurements: predicted real time = .34 simulated time + 3.29; r = .71; SE = 1.00 min. CONCLUSION: The BTE work simulator tends to overestimate real lifting endurance performance in healthy men. The lower physiological stress during the simulated task suggests a significant difference between the real and simulated loads. Occupational therapists should exercise caution when using the results of the BTE work simulator during functional capacity evaluations.

Adolescent↗

A review of research on techniques for lifting low-lying objects: 2. Evidence for a correct technique.

Teaching 'correct' lifting technique is common, with squat lifting generally recommended. However the available evidence is less clear about which technique should be favoured. The purpose of this paper was to present an accessible synthesis of the evidence to assist professionals in their decision about whether to teach a specific technique for lifting objects lying on or near the ground. Squat, stoop and semi-squat techniques are described and the psychophysical, physiological, biomechanical, psychological, performance and clinical evidence for each technique summarised. Evidence for other lifting guidelines is also presented. It is concluded that no one technique has clear evidence and that a work design approach should be the prime focus of intervention. Recommendations for correct lifting technique guidelines are given for where technique training must be provided.

Australia↗

The role of genetics and environment in lifting force and isometric trunk extensor endurance.

BACKGROUND AND PURPOSE: Our understanding of what different back performance tests are measuring is limited. The purpose of this study was to investigate the relative contributions of genetics and unique and common environmental factors for 3 tests of back muscle performance in a classic twin analysis. SUBJECTS: The subjects were a population-based sample of 122 monozygotic and 131 dizygotic male twin pairs aged 35 to 69 years (mean=49.9, SD=7.7). METHODS: Variance component analysis was applied to estimate genetic and environmental influences on isokinetic and psychophysical lifting and isometric trunk extensor endurance test performance. The Cholesky decomposition genetic factor model was used to estimate genetic and environmental correlations of these variables. Path analysis was applied to study determinants of isokinetic and psychophysical lifting and isometric trunk extensor endurance test performance. RESULTS: Genetic effects accounted for 60%, 33%, and 5% of the total variance of isokinetic and psychophysical lifting forces and isometric trunk extensor endurance, respectively, and unique environmental factors accounted for 35%, 49%, and 61% of the variance. DISCUSSION AND CONCLUSION: Genetics had a dominant role in isokinetic lifting and unique environmental factors in isometric trunk extensor endurance. The relatively high role of genetics in lifting force suggests the potential to increase and sustain changes in back muscle force in the general population may be particularly challenging.

Adult↗

[Analysis of surface electromyography on repetitive lifting task-induced fatigue of back muscles].

OBJECTIVE: Using surface electromyography (SEMG) technique to evaluate repetitive lifting task-induced fatigue of back muscles. METHODS: Thirteen volunteers lifted and lowered an 8 kg weight from floor to waist level for 100 times. Fatigue in the erector spinae muscles was quantified by comparing the frequency content of the EMG signal during static contractions performed before, and immediately after the 100 lifts. RESULTS: EMG average amplitude rose gradually during 100 lifts, the difference was significant at T10 right (P < 0.05) and L3 left (P < 0.01), the difference was not significant at T10 left and L3 right (P > 0.05). The median frequency intercept at T10 right, T10 left, L3 right, L3 left erector spinae muscles decreased by 2.0% (P > 0.05) 10.9% and 29.9% (P < 0.05), 27.9% (P < 0.01), respectively. The mean power frequency intercept decreased by 9% at L3 left erector spinae muscle (P < 0.05), the decrease was not statistically significant at other sites (P > 0.05). CONCLUSION: Repetitive lifting may induce measurable fatigue in the erector spinae muscles. Erector spinae muscle at L3 is more easily fatigued than at T10. Using the median frequency intercept to assess muscle fatigue is more sensitive than using mean power frequency intercept.

Adult↗

The center of ground reaction force during lifting.

The center locations of the ground reaction force were estimated when subjects assumed upright and bending postures as well as when they lifted at low and high speeds. Ten subjects participated in this study and were instructed to assume two postures and to perform two liftings sequentially in a random order. The center locations of the ground reaction force were calculated using a Computerized Dyno Graphic system (INFOTRONIC). The center of the ground reaction force in the full bending posture had a more anterior location than it did in the upright standing posture. When measured during the lifting activity, the center of the ground reaction force shifted forward and then backward during the whole activity. The center location shifted to a more anterior location during high-speed lifting than it did during low-speed lifting.

Adult↗

Physical progress and residual impairment quantification after functional restoration. Part III: Isokinetic and isoinertial lifting capacity.

There is currently a great need to expand the knowledge base of various functional capacity measures used in the rehabilitation of chronic low back pain (CLBP) patients. In the current study, the functional performance of lifting capacity differences among four separate CLBP patient groups were examined by using standardized isokinetic and isoinertial lifting performance measurements. One hundred ninety-three consecutive patients were assessed at three separate points in time: at initial evaluation (PRE), at admission to the intensive 3-week phase of a functional restoration program (ADM), and after program discharge and follow up (FU) (an average of 12 weeks later). Group 1 (n = 26) consisted of postdiscectomy CLBP men; Group 2 (n = 91) consisted of nonsurgical CLBP men; Group 3 (n = 17) consisted of postdiscectomy women; and Group 4 (n = 59) consisted of nonsurgical women. Results comparing admission scores to postdischarge scores revealed that all four groups demonstrated a significant increase (P < 0.01) in Liftask and progressive isoinertial lifting evaluation performance. Increases in performance were virtually identical for nonoperative and postoperative patients, with postdiscectomy men and women actually achieving peak isokinetic lifting forces higher than unoperated patients at the program's conclusion. This achievement in human performance was not found for the progressive isoinertial lifting evaluation test. Overall, these findings illustrate the utility of quantitative functional capacity measures, and provides objective evidence of the gains achieved by the patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Measuring treatment effects on repetitive lifting for patients with chronic low back pain: speed, style, and coordination.

The purpose of this study was to determine changes in the amount of work performed and lifting speed, style, and coordination during a repetitive dynamic-lifting task for patients with chronic low back pain (CLBP) after an intensive 3 1/2-week pain rehabilitation program. Subjects included 57 CLBP patients and an age- and gender-matched control group (n = 57). Patients' work indices increased by 71%, but remained significantly less than those observed for controls. Similarly, their lifting speed also increased significantly after treatment, but remained slower than the lifting speed of controls. Patients' posttreatment coordination indices, however, were not significantly different from those of controls. This finding suggests that treatment effectively normalized the dynamic lifting motion used by the patients. These findings, along with the basic kinematic patterns developed in this study, have important implications for determining improvements in functional capacity in the treatment of patients with CLBP.

Adult↗

Limited vs extended face-lift techniques: objective analysis of intraoperative results.

OBJECTIVE: To compare the intraoperative outcomes of superficial musculoaponeurotic system plication, imbrication, and deep-plane rhytidectomy techniques. METHODS: Thirty-two patients undergoing primary deep-plane rhytidectomy participated. Each hemiface in all patients was submitted sequentially to 3 progressively more extensive lifts, while other variables were standardized. Four major outcome measures were studied, including the extent of skin redundancy and the repositioning of soft tissues along the malar, mandibular, and cervical vectors of lift. The amount of skin excess was measured without tension from the free edge to a point over the intertragal incisure, along a plane overlying the jawline. Using a soft tissue caliper, repositioning was examined by measurement of preintervention and immediate postintervention distances from dependent points to fixed anthropometric reference points. RESULTS: The mean skin excesses were 10.4, 12.8, and 19.4 mm for the plication, imbrication, and deep-plane lifts, respectively. The greatest absolute soft tissue repositioning was noted along the jawline, with the least in the midface. Analysis revealed significant differences from baseline and between lift types for each of the studied techniques in each of the variables tested. CONCLUSION: These data support the use of the deep-plane rhytidectomy technique to achieve a superior intraoperative lift relative to comparator techniques.

Adult↗

Randomized comparison of the neuroendocrine response to laparoscopic cholecystectomy using either conventional or abdominal wall lift techniques.

Increase in plasma renin activity and noradrenaline concentration occur in response to carbon dioxide insufflation during laparoscopic cholecystectomy. In a randomized study the conventional carbon dioxide pneumoperitoneum was compared with the abdominal wall lift method for laparoscopic cholecystectomy, with special reference to neuroendocrine changes and renal function. The total mean(s.d.) volume of carbon dioxide insufflated was 42(23) litres with the conventional method and 9(7) litres with abdominal wall lift (P < 0.001). Mean(s.d.) intra-abdominal pressure after 15 min of insufflation was 11(2) and 3(9) mmHg respectively (P < 0.01). In the conventional group mean(s.d.) plasma renin activity increased slightly from 5.5(2.1) to 6.1(2.0) ng ml-1 during the first 55 min of laparoscopic cholecystectomy. In the abdominal wall lift group plasma renin activity decreased from 5.3(2.7) to 3.8(0.9) ng ml (P < 0.01 between the groups). Plasma antidiuretic hormone concentration increased similarly in both groups. Diuresis was significantly less with conventional pneumoperitoneum during the first 35 min of the operation compared with the abdominal wall lift method (P < 0.001). There were significant increases in plasma noradrenaline concentration in both groups (P < 0.001), but the increase was slightly higher in the conventional group during the first 15 min of insufflation. The abdominal wall lift method with minimal carbon dioxide insufflation was associated with smaller neuroendocrine responses and better preservation of renal function compared with conventional carbon dioxide pneumoperitoneum.

Adult↗

The responses of cat motor cortical units to electrical cutaneous stimulation during locomotion and during lifting, falling and landing.

Experiments were performed to examine the influence of cutaneous information on motor cortical cells during movement in intact, awake cats. The movements investigated were locomotion and a sequence in which the animal was repeatedly lifted and dropped. Electrical stimuli to distal skin areas were delivered periodically during the movements and responses of motor cortical cells were examined. The animals used in these experiments were chronically implanted with cortical microelectrodes, a pyramidal tract stimulating electrode, cutaneous stimulating electrodes in the forepaw, and a recording cuff electrode around the median nerve. EMG electrodes were implanted in several forelimb muscles and a length gauge was implanted across the elbow joint. Results included in this report were obtained from three cats. The twenty-two cortical units analysed in this study (seven were PT units) were selected from a larger sample by the following criteria: cutaneous receptive fields which included the distal part of the limb, consistent short latency responses to electrical cutaneous stimulation and spontaneous activity modulated in consistent patterns during the movement investigated. Sixteen units were recorded during locomotion, 12 during the lifting and dropping cycle and 6 of these during both conditions. Most of the cells were influenced by the cutaneous input during locomotion. Three units had no response to peripheral stimulation during locomotion though they were responsive to this stimulus when the animal was sitting quietly. All the cells were responsive to the cutaneous input during the lifting and dropping cycle. The responses to cutaneous stimuli were found to be modulated in relation to phases of the step cycle and the lifting and dropping cycle. In 13 units this modulation did not parallel the modulation of the unit's spontaneous firing during these activities. For these units a common finding during locomotion was that the response to cutaneous stimuli increased throughout stance, reached maximum during the flexion part of the swing, and then declined to a minimum during the beginning of the next stance. During the lifting and dropping cycle, the responses were greatest when the animal was held in the air and when starting to fall, and minimal just prior to and after landing. In both movements, cutaneous responses were reduced when the limb was used to support the animal's weight. There is apparently a movement phase-related modulation of cutaneous input to some motor cortical cells. This modulation of cutaneous input resembled the modulation of cutaneous reflexes during locomotion.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Mechanically corrected EMG for the continuous estimation of erector spinae muscle loading during repetitive lifting.

Few studies have been carried out on the changes in biomechanical loading on low-back tissues during prolonged lifting. The purpose of this paper was to develop a model for continuously estimating erector spinae muscle loads during repetitive lifting and lowering tasks. The model was based on spine kinematics and bilateral lumbar and thoracic erector spinae electromyogram (EMG) signals and was developed with the data from eight male subjects. Each subject performed a series of isometric contractions to develop extensor moments about the low back. Maximum voluntary contractions (MVCs) were used to normalize all recorded EMG and moment time-histories. Ramp contractions were used to determine the non-linear relationship between extensor moments and EMG amplitudes. In addition, the most appropriate low-pass filter cut-off frequencies were calculated for matching the rectified EMG signals with the moment patterns. The mean low-pass cut-off frequency was 2.7 (0.4) Hz. The accuracy of the non-linear EMG-based estimates of isometric extensor moment were tested with data from a series of six rapid contractions by each subject. The mean error over the duration of these contractions was 9.2 (2.6)% MVC. During prolonged lifting sessions of 20 min and of 2 h, a model was used to calculate changes in muscle length based on monitored spine kinematics. EMG signals were first processed according to the parameters determined from the isometric contractions and then further processed to account for the effects of instantaneous muscle length and velocity. Simple EMG estimates were found to underestimate peak loading by 9.1 (4.0) and 25.7 (11.6)% MVC for eccentric and concentric phases of lifting respectively, when compared to load estimates based on the mechanically corrected EMG. To date, the model has been used to analyze over 5300 lifts.

Adult↗

The mechanisms of lift enhancement in insect flight.

Recent studies have revealed a diverse array of fluid dynamic phenomena that enhance lift production during flapping insect flight. Physical and analytical models of oscillating wings have demonstrated that a prominent vortex attached to the wing's leading edge augments lift production throughout the translational parts of the stroke cycle, whereas aerodynamic circulation due to wing rotation, and possibly momentum transfer due to a recovery of wake energy, may increase lift at the end of each half stroke. Compared to the predictions derived from conventional steady-state aerodynamic theory, these unsteady aerodynamic mechanisms may account for the majority of total lift produced by a flying insect. In addition to contributing to the lift required to keep the insect aloft, manipulation of the translational and rotational aerodynamic mechanisms may provide a potent means by which a flying animal can modulate direction and magnitude of flight forces for manoeuvring flight control and steering behaviour. The attainment of flight, including the ability to control aerodynamic forces by the neuromuscular system, is a classic paradigm of the remarkable adaptability that flying insects have for utilising the principles of unsteady fluid dynamics. Applying these principles to biology broadens our understanding of how the diverse patterns of wing motion displayed by the different insect species have been developed throughout their long evolutionary history.

Animals↗

Acute systematic and variable postural adaptations induced by an orthopaedic shoe lift in control subjects.

A small leg length inequality, either true or functional, can be implicated in the pathogenesis of numerous spinal disorders. The correction of a leg length inequality with the goal of treating a spinal pathology is often achieved with the use of a shoe lift. Little research has focused on the impact of this correction on the three-dimensional (3D) postural organisation. The goal of this study is to quantify in control subjects the 3D postural changes to the pelvis, trunk, scapular belt and head, induced by a shoe lift. The postural geometry of 20 female subjects (X = 22, sigma = 1.2) was evaluated using a motion analysis system for three randomised conditions: control, and right and left shoe lift. Acute postural adaptations were noted for all subjects, principally manifested through the tilt of the pelvis, asymmetric version of the left and right iliac bones, and a lateral shift of the pelvis and scapular belt. The difference in the version of the right and left iliac bones was positively associated with the pelvic tilt. Postural adaptations were noted to vary between subjects for rotation and postero-anterior shift of the pelvis and scapular belt. No notable differences between conditions were noted in the estimation of kyphosis and lordosis. The observed systematic and variable postural adaptations noted in the presence of a shoe lift reflects the unique constraints of the musculoskeletal system. This suggests that the global impact of a shoe lift on a patient's posture should also be considered during treatment. This study provides a basis for comparison of future research involving pathological populations.

Adaptation, Physiological↗

[Indication, technique and clinical out come of the endoscopic assisted forehead and brow lift].

AIMS: The aim of this study was to determine the indication for endoscopic-assisted forehead and brow lift and to present the surgical technique and evaluate clinical outcome. PATIENTS AND METHODS: A total of 61 female patients between 36 and 64 years (s=49.64) were operated from 1999 through 2002 with the endoscopic-assisted forehead and brow lift and were observed pre- and postoperatively and 6 months after surgery. The galea aponeurotic flap was fixed through a bone tunnel (tabula externa) with nonabsorbable sutures in all patients. We measured the distance between the middle of the pupil and the most cranial point of the eyebrow as well as the largest distance between the eyebrow and the hairline intraoperatively and 6 months after surgery. The patients' satisfaction with the outcome of these surgical procedures was determined on a scale from 1 to 10 with 1 as the worst and 10 as the best mark. RESULTS: We found a brow lift of 8.03 mm (s=1.622) on average. The endoscopic forehead and brow lift was indicated up to the maximal distance of 12 cm between the eyebrow and the hairline. The patients' satisfaction with the outcome was registered on average at 6.98 (s=1.36) on our scale. A temporary unilateral weakness of the frontal branch of the facial nerve was the severest complication found postoperatively. CONCLUSION: The endoscopic-assisted forehead and brow lift is a safe and effective method to improve upper face aesthetics. A high grade of patient satisfaction is obtainable. The advantage in using this method is the invisible scar formation. The indication is limited by a high hairline.

Adult↗

A back and lift test.

In addition to the standard medical examination, a back and lift test has been introduced in the hiring of new employees. 100 men have been tested to date. Only people with no history of back trouble were tested. Body height and weight were measured and the isometric capacity of the back extensors and the strength of abdominal musculature were measured with a Darcus dynamometer. A series of lifts with gradually increasing weight were performed in order to find the subject's 'acceptable weight'. The correlation coefficients for these different test variables was consistently poor, and thus it is not possible to predict a person's true lifting capacity from knowledge of muscle strength, height and body weight. The subjects stood upon a force plate during the lifts, which recorded the vertical and horizontal forces, and the force of inertia exerted by the subject during the lift could be calculated. The activity in the back extensors, rectus abdominis and external oblique muscle was recorded. The flexibility of the lumbar spine was calculated.

Journal Article↗

Psychophysical models for manual lifting tasks.

This paper provides two models for males and females to assess the psychophysical maximum acceptable weight of lift. The weight guidelines generated by the models are a function of lifting frequency, height of lift, sagittal or asymmetrical lifting, task duration, container size in the sagittal plane, presence or absence of container couplings, and percentage of the working population. The developed models were generated from a knowledge base available in the published literature. A computer program was written in BASIC to assist the user in determining the safe load that could be handled by a specified working population. Model validation showed that the models developed predict the maximum acceptable weight of lift with a reasonable degree of accuracy. A comparison between the National Institute for Occupational Safety and Health recommendations and those made on the basis of the models developed in this paper is also presented.

Journal Article↗