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At least 19 recordsLinked to original sources

Observations of working postures in garages using the Ovako Working posture Analysing System (OWAS) and consequent workload reduction recommendations.

The working postures of mechanics (n = 84) in 42 garages were observed using the Ovako Working posture Analysis System (OWAS). During observation, both working postures and work activities were recorded. A computer program was developed for the data analyses. Using this program it is possible to calculate the working posture load for each work activity and the contribution of a specific activity to the total working posture load. This is a substantial extension of the original OWAS method. Five out of 19 observed postures of the body members were classified as Action Category 2, which suggests they were slightly harmful to the musculoskeletal system and likely to cause discomfort. Of the so-called typical working postures, 31.9% was classified in Action Category 2, suggesting that during a substantial part of the working day typical working postures occur which are at least slightly harmful to the musculoskeletal system. Moreover, those work activities principally causing the workload to fall in OWAS' higher Action Categories were identified. For each of these three work activities an alternative work method was observed. The data show that in all three work activities the use of a vehicle lift reduces the number of poor working postures thereby reducing the load on the musculoskeletal system.

Accidents, Occupational↗

A simple method to evaluate the reliability of OWAS observations.

Slides showing nurses in different working postures were used to determine the reliability of OWAS observations. Each slide could be looked at for 3 seconds, while a new slide was shown every 30 seconds to resemble the normal practice of observation. Two observers twice scored a series of slides, some of them being identical at both viewings. To reduce effects of recall there was a time interval of 4 weeks or more between the two viewings and the slides were in a different order the second time. Different series were used to evaluate inter- and intra-observer reliability. The OWAS scores of corresponding slides were compared. In almost all comparisons percentages of agreement over 85% and kappa's over 0.6 were found, which is considered as good agreement. The procedure described seems to be a useful and simple technique to determine such reliability.

Humans↗

An OWAS-based analysis of nurses' working postures.

The working postures of Dutch nurses (n = 18) in an orthopaedic ward and a urology ward were observed using the Ovako Working posture Analysis System (OWAS). During observation, both working postures and activities were recorded. A specially developed computer program was used for data analysis. By means of this program, it was possible to calculate the working posture load for each activity and the contribution of a specific activity to the total working posture load. This study shows that some activities of the nurses in both wards were performed with poor working postures. In the orthopaedic (resp. urology) ward two (resp. one) out of 19 observed postures of parts of the body were classified as Action Category 2. Moreover, 20% (resp. 16%) of the so-called typical working postures was classified in Action Category 2. This suggests, that in both wards working postures that are slightly harmful to the musculoskeletal system, occur during a substantial part of the working day. Differences between both wards with respect to working posture load and time expenditure were determined. Activities causing the workload to fall into OWAS higher Action Categories were identified. The data show that poor working postures in the nursing profession not only occur during patient handling activities but also during tasks like 'administration'. Focusing on patient-handling (i.e., lifting patients) in order to determine the load on the musculoskeletal system would therefore lead to an underestimation of the total working posture load of nurses.

Adult↗

On two weighted signal averaging methods and their application to the surface detection of cardiac micropotentials.

In this paper, the variance normalized averaging (VNA) and the optimal weighted averaging (OWA) are derived and their application to the surface detection of cardiac micropotentials is discussed. Theoretical analysis and computer simulation showed that VNA and OWA are superior to the conventional signal averaging (CSA) in reducing random noise with changing variance and the larger the change of noise variance the better the improvements of VNA and OWA relative to CSA. Clinical application of VNA and OWA using a proposed noise variance estimation technique indicated that residual noise on the PR and ST segments can be further reduced in most of the cases. This manifests that the new techniques have a potential advantage for improving the effectiveness of signal averaging as a fundamental method for surface detection of cardiac micropotentials.

Computer Simulation↗

Marker-less systems for tracking working postures--results from two experiments.

Two experiments are performed to examine the usability of different marker-less approaches in image analysis and computer vision for automatic registration of OWAS (Ovako working posture analysing system) postures from video film. In experiment 1, a parametric method based on image analysis routines is developed both for separating the subject from its background and for relating the shapes of the extracted subject to OWAS postures. All 12 analysed images were correctly classified by the method. In experiment 2 a computer neural network is taught to relate postures of a subject to OWAS postures. When the network was trained with 53 images the rest of the set of 138 images was correctly classified. The experiments described in this paper show promising results regarding the use of image analysis and computer vision for tracking and assessing working postures. However, further research is needed including tests of different human models, neural networks, and template matching for making the OWAS method more useful in identifying and evaluating potentially harmful working postures.

Humans↗

Neonatal chlordecone exposure impairs early learning and retention of active avoidance in the rat.

The effect of neonatal exposure of rats to chlordecone on the acquisition and retention of active avoidance was investigated. Pups were trained and tested on one-way (preweaning) and/or two-way (post-weaning) active avoidance tasks. Offspring of Fischer-344 rats were administered 1 mg/pup of chlordecone (SC) dissolved in DMSO on postnatal day 4. Body weights were slightly, but significantly, depressed for chlordecone-exposed males (10-11%) and females (7-8%) during preweaning development. Post-weaning body weights were also slightly depressed by the chlordecone treatment (8% for the males, 7% for the females). For pups trained (day 18) on one-way (small to large compartment) active avoidance (OWA), chlordecone treatment increased the number of trials needed to attain the acquisition criterion; the effect was most pronounced in the males. A 72-hr retention test revealed a sex-dependent effect of chlordecone on response latency during the initial test trials. Acquisition of two-way avoidance (TWA) (days 28-30) was superior in female pups relative to males; chlordecone treatment significantly reduced this sex difference in pups which had prior or no prior OWA training. Perhaps most importantly, however, following prior OWA training, vehicle control pups demonstrated a directional bias to make an avoidance response from a small to a large compartment, whereas chlordecone-treated pups executed their avoidance responses in both directions at comparable rates. Similar evidence indicative of a selective retention deficit also characterized TWA performance when a "reversal" procedure was used. A final retention (extinction) session indicated that the chlordecone-treated pups made fewer responses than vehicle-treated controls during the test trials.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Physical Workload Analysis Among Small Industry Activities Using Postural Data.

Small industry workers are often involved in manual handling operations that require awkward body postures, therefore, musculoskeletal disorders and occupational injuries are a major problem. In this study, various types of tasks were recorded with a video camera to chart and analyze different postures by computerized OWAS (Ovako Working Posture Analysing System). Collected data showed that poor postures were adopted not only for lifting or hammering operation but also for other tasks; mostly with bent and twisted back. The main aim was to determine the physical workload by identifying harmful postures and to develop recommendations for improving the existing situation. Forty-eight male workers from eight different units (M age = 37 years) participated. The performed activities were then divided into 26 subtasks. Altogether, 1,534 postures were selected for analysis and then classified into different OAC (OWAS Action Categories). From all observations, unhealthy postures, for which corrective measures had to be considered immediately (i.e., 10.6% classified as OAC III, and 3.3% as OAC IV), were found. The applied method was useful in determining the physical workload by locating potential activities due to harmful postures, providing a detailed description with analysis, and suggesting successful means to reduce postural load.

OWAS↗

A Multilevel Approach to Manual Lifting in Manufacturing Industries.

Musculoskeletal injuries are often the consequences of wrong postural configurations used during Manual Materials Handling (MMH). This eventually leads to a large payout of worker's compensation and loss of production time. A simulated study of back injury risks has been carried out on seven selected manufacturing industries to identify and evaluate harmful working postures. For each MMH task, Ovako Working Posture Analyzing System (OWAS) codes have been identified with the help of motion study pictures. Also, Chaffin's biomechanical model was used to calculate L5/S1 load compression values on the spine during MMH activities. The multilevel approach adopted was a combination of OWAS and Chaffin's biomechanical model. The application of a digitizer enabled us to identify the coordinates and it made a subsequent evaluation of the angles of each body link possible.

OWAS↗

A survey of static and dynamic work postures of operating room staff.

Work in health care units is associated with considerable physical strain and many musculoskeletal complaints. Most investigations have concentrated on the work of general hospital nurses; little is known about the physical stress load on other health care workers. We therefore carried out an ergonomic study amongst operating room staff in order to (i) determine the work (posture) stress load on this particular group of health care workers and the effect of static posture on this stress, (ii) identify activities involving poor work postures, and (iii) determine differences between specialties in regard to work posture stress load. The work postures and related work activities of four different groups of staff in operating rooms (surgeons, assistant anaesthesists, instrumentation nurses and circulating nurses) were recorded and evaluated using the specified Ovako Working posture Analysing System (OWAS). Observation during the course of 18 daily surgical programmes (total number of observations: 3714) in the specialties general surgery and ear-nose-throat (ENT) surgery revealed that the work-load according to OWAS for circulating nurses and assistant anaesthesists was not harmful. Some work postures seen among instrumentation nurses and surgeons, however, need improvement. The work posture stress load in these groups is mainly due to the high prevalence of static work postures during the activities "surgery" (surgeons) and "assisting surgery" (instrumentation nurses). Significant differences in ergonomic stress load were observed between general surgeons and ENT surgeons. This survey in operating theatres relates work postures to basic activities and can be used as a starting point from which to improve work conditions in order to reduce or eliminate physical complaints among operating room staff.

Ergometry↗

Evaluation of low back pain risks in a beef skinning operation.

The low back pain risks in a beef skinning operation at a high stand kill floor workstation was evaluated. The increases in compressive forces at lower back (L5/S1) between normal slump (back angle 25 degrees, measured in the sagittal plane) and severe (45 degrees ) and between normal slump and very severe (70 degrees ) bent back postures were 387 N or 28% and 616 N or 45%, respectively. The high spine load coupled with high level of repetition can have a high probability of fatigue failure in the spine structural members. Non-neutral back posture for a large portion of the total work time can be a low back pain risk factor. The videotape analysis showed that the times involved during the task performance for the bent back (more than 25 degrees ) and severe bent back (more than 45 degrees ) were 48.4 and 33.5% of the total cycle time, respectively. The upper limit from OWAS (Ovako Working Posture Analysis System) for bent back posture is 30% of the total cycle time. The bent and twisted back posture (both more than 25 degrees ) time was 10.4% compared to OWAS limit of 5%. This indicated that actions are needed in the near future to alleviate the risk of low back pain. Ergonomics redesign of the workstation was recommended for the operation.

Biomechanical Phenomena↗

Ergonomic analysis of working posture in nursing personnel: example of modified Ovako Working Analysis System application.

A postural analysis system was developed using a biomechanical approach to identify low back pain related working postures of nursing personnel. The Ovako Working Analysis System (OWAS) was modified for doing postural recording. Chaffin's biomechanical model was used to calculate the associated work stress on the L5/S1. The system was applied to examine the working postures of 64 nurses of 16 departments. The frequency distribution of the trunk showed 15.9% of the 8,629 observed postures were bending more than 15 degrees. Based on the calculated stress, 17.0% of the observed postures generated forces higher than the recommended action limit of the National Institute for Occupational Safety and Health (NIOSH). In addition to patient transfers, potentially health hazardous postures were identified in nursing tasks of inspection, nursing techniques, instrumentation, physical examination, taking inventory, and documentation.

Adult↗

The effects of an ergonomic-educational course. Postural load, perceived physical exertion, and biomechanical errors in nursing.

OBJECTIVES: To evaluate the results of an ergonomic-educational course for nurses we assessed the number and percentage of harmful postures and of ergonomic and biomechanical errors made before and after the course. We also studied the perceived physical exertion. MEANS AND METHODS: In all, 12 nurses who had participated in the course (trainees) and 12 who had not (controls) were recorded on video while performing standardized nursing tasks. The wards from which the two groups of nurses came were comparable, as were the patient populations. The nurses were also comparable in some personal characteristics. The tasks they performed included washing, lifting, and repositioning a patient as well as certain tasks other than patient handling. Video recordings were made once before (1-2 weeks) and twice after the course (after 3 months and after 15 months). The harmful postures, the errors made, and the ratings of perceived exertion were measured by means of the Ovako Working-posture Analysis System (OWAS), a checklist, and Borg scores, respectively. RESULTS: When the first and last measurements of all the above tasks taken as a whole were analyzed the trainees showed a significant improvement in the number and percentage of harmful postures and errors, whereas the controls did not. The same could be concluded for lifting alone. After the course the new work routine did not appear to have caused any extra perceived physical exertion. CONCLUSION: It can be concluded that the course was successful, although it should be carefully investigated as to whether nurses remain capable of working safely in daily practice. The work pressure that nurses experience during their normal duties could prevent them from working safely during everyday work.

Adult↗

Manual handling risks and controls in a soft drinks distribution centre.

This paper describes an investigation into manual handling risks and controls within a soft drinks distribution centre, presented as a case study regarding compliance with the requirements of the Manual Handling Operations Regulations 1992. Methods used included semi-structured interviews, document analysis, analysis of training, OWAS postural analysis and use of the NIOSH equation. Warehouse operators and delivery drivers were studied, and two methods of work compared involving pallets and cages. Significant differences were found between the two work methods with respect to harmful postures. Manual handling risks were found in both warehouse and delivery areas, some being classed as "excessive" using the NIOSH equation. As this company has a good safety record and considers itself proactive in the area of health and safety, the investigation raises concerns about how organisations have responded to the Manual Handling Operations Regulations.

Biomechanical Phenomena↗

Physical workload of ambulance assistants.

The physical workload of ambulance assistants was assessed by means of the Ovako Working posture Analysis System (OWAS) observation method and a Work and Health Questionnaire (WHQ) for measuring perceived workload. In addition, a biomechanical model was applied to several specifically strenuous conditions that were simulated in a laboratory situation. Bad postures were identified for a number of activities: 16% to 29% of a work shift was spent in harmful positions. Strenuous situations occur particularly during rides in emergency situations. The results of observed and perceived workload are generally in agreement. A number of practical recommendations are made. They concern, for example, the equipment in ambulance cars, training of ambulance assistants and adaptations in working procedures.

Ambulances↗

Assessment of Physical Load at Work Sites: A Finnish-German Concept.

The aim of this article is to introduce a set of work physiology methods for the assessment of physical load at the work site and to consider (a) their relevance for different types of muscular work, and (b) their feasibility for occupational health and safety practitioners. The results of an ergonomic intervention study for the reduction of workload associated with various manual materials handling tasks were used for the evaluation of the feasibility and sensitivity of the measurements of heart rate, the Edholm and OWAS methods, and the ratings of overall and local perceived exertion. The methods proved feasible, although time consuming, and their sensitivity for the quantification of small changes in physical workload was limited. Despite these shortcomings, these methods can be used by occupational health and safety practitioners when their strategy and data collection techniques are developed further. In conclusion, there are relevant and feasible methods fora reliable work-site assessment of cardiorespiratory and postural load related to the activation of large muscle masses. On the other hand, field methods for the quantification of local static workload and repetitive type of workload with small muscle masses are scarce.

ergonomics↗