Occupational 50 Hz magnetic field exposure measurements among female sewing machine operators in Hungary

Occupational magnetic field (MF) exposure is less thoroughly characterized in occupations typically held by women. Our objective was to characterize occupational 50 Hz MF personal exposure (PE) among female sewing machine operators. We measured the full shift PE of 51 seamstresses, who worked in two shifts (6-14 and 14-22 h) according to their normal work routine. Measurements were conducted using EMDEX PAL meters at chest level. The average duration of the measurement periods was 449 min (range 420-470). The average arithmetic mean exposure for all women was 0.76 microT (range 0.06-4.27). The average of maximum values was 4.30 microT (range 0.55-14.80). Women working with older sewing machines experienced higher exposure than women working on newer sewing machines. For women (n = 10) who operated sewing machines produced in 1990 or earlier, the average arithmetic mean exposure was 2.09 microT, and for women (n = 41) who operated sewing machines produced after 1990, the average arithmetic mean was 0.43 microT. We conclude that women working as sewing machine operators experience higher than average occupational MF exposure compared to other working women. Most important determinant of the women's personal MF exposure was the age of the sewing machine the women operated.     

Comparison of office chairs with fixed forwards or backwards inclining, or tiltable seats

Three adjustments of an office chair seat: one inclining +10 degrees (forwards), one inclining -5 degrees (backwards), and one being freely tiltable from -8 degrees to +19.5 degrees were investigated using two groups of healthy female workers in a field (n = 12), and a laboratory study (n = 10), respectively. The seat adjustments were examined with regard to effects on foot swelling, lumbar muscular load, backrest pressure and subjective acceptability. Desk-work and typing were compared according to lumbar muscular activity, seat movements (tiltable seat), and backrest pressure. Foot swelling tended to increase with increasing seat height but was not influenced by the ability to tilt the seat or not. With the different seat adjustments lumbar muscular activity did not change systematically in spite of greater backrest pressure when the seat inclined backwards. The tiltable seat was preferred to the others. Typing was associated with a more constrained and tens posture than desk work, because movements, transferred to the tiltable seat, decreased and the muscular load increased. Backrest pressure was highest during typing. A tendency towards gradually increasing restlessness (i.e. seat movements) and increasing forward inclination of the tiltable seat with time was observed.     

Musculoskeletal capacity of middle-aged women and men in physical, mental and mixed occupations. A 3.5-year follow-up

The musculoskeletal capacity of 44 women and 39 men, mean age 55.0 +/- 3.4 years, was studied at the beginning and end of a 3.5 year period. The measurements included anthropometrics, maximal isometric trunk flexion and extension strength, maximal isometric hand grip strength and back mobility. According to a job analysis the subjects were divided into three dominating work groups: physical, mental and mixed groups. The results showed significant changes in anthropometrics, maximal isometric muscle strength and in mobility. The body weight and body mass index among women and the body mass index among men increased significantly during the period. The body height and sum of the skinfolds had on the other hand decreased significantly for both women and men. Women showed significant decreases of 9% and 10% (p less than 0.05 and p less than 0.01) in isometric trunk flexion and extension strength, and an increase of 9% in back mobility (p less than 0.05). In mental work, most of the significant changes occurred among women. Men had significant decreases in isometric trunk flexion and extension, 22% and 16% respectively (p less than 0.001) and an increase of 13% in back mobility (p less than 0.001). The men doing physical work had most of the significant changes in musculoskeletal capacity. The results revealed accelerated changes in musculoskeletal capacity in middle-aged employees.     

Occupational magnetic field exposures of garment workers: results of personal and survey measurements

To explore the feasibility of performing an epidemiologic study of female breast cancer and magnetic field (MF) exposures, we chose to study garment workers, who reportedly have some of the highest MF exposures. We collected personal exposure (PE, n = 48) and survey measurements (n = 77) near commercial sewing machines at three garment facilities and conducted a pilot interview among 25 garment workers asking about exposure duration, activities, and machine characteristics. MF levels were higher for older machines with alternating current (AC) than newer machines with direct current (DC) motors. MF levels were comparable for both idling and sewing activities. Most interviewed workers could describe duration of exposure and machine type (automatic/manual), but not other machine characteristics. Measurements were lower than previously reported for garment workers but were higher than exposures to most women. A historical exposure assessment can be conducted by linking duration of exposure with reconstructed exposure measurements but may be limited by the accuracy of work history data.     

An evaluation of a tiltable office chair with respect to seat height, backrest position and task

The amount of spontaneous movement during seated office work was estimated by analysing the tilting movements of a tiltable office chair. Both movement frequency and amplitude range were considered. The seat inclinations and subjective acceptability were also recorded. The seat was moved more frequently and with a greater range when adjusted 6 cm above popliteal level compared to 1 cm below, or when the backrest was pushed anteriorly or posteriorly compared to a middle position. The greatest acceptability occurred with the highest seat adjustment and the backrest in the middle position. Typing or desk-work influenced movement to a similar extent.     

The transmission of translational seat vibration to the head--II. Horizontal seat vibration

The second part of this study of the six axes of head motion caused by translational seat vibration is concerned with the effect of fore-and-aft (x-axis) and lateral (y-axis) seat vibration. Seat-to-head transmissibilities have been determined at frequencies up to 16 Hz for each of the three translational and three rotational axes of the head during exposure to random vibration of the seat. Repeatability measures within a single subject and studies of the variability across a group of twelve subjects have been conducted with two seating conditions: a rigid seat with a backrest, and the same seat with no backrest. Fore-and-aft seat motion mainly resulted in head motion within the mid-sagittal plane (x-z plane). Without the backrest, transmissibilities for the fore-and-aft, vertical and pitch axes of the head were greatest at about 2 Hz. The backrest greatly increased head vibration at frequencies above 4 Hz and caused a second peak in the transmissibility curves at about 6 to 8 Hz. Lateral seat motion mainly caused lateral head motion with a maximum transmissibility at about 2 Hz. The backrest had little effect on the transmission of lateral vibration to the head. For both axes of excitation inter-subject variability was much greater than intra-subject variability.     

Measurement and modelling of x-direction apparent mass of the seated human body-cushioned seat system

For modelling purposes and for evaluation of driver's seat performance in the vertical direction various mechano-mathematical models of the seated human body have been developed and standardized by the ISO. No such models exist hitherto for human body sitting in an upright position in a cushioned seat upper part, used in industrial environment, where the fore-and-aft vibrations play an important role. The interaction with the steering wheel has to be taken into consideration, as well as, the position of the human body upper torso with respect to the cushioned seat back as observed in real driving conditions. This complex problem has to be simplified first to arrive at manageable simpler models, which still reflect the main problem features. In a laboratory study accelerations and forces in x-direction were measured at the seat base during whole-body vibration in the fore-and-aft direction (random signal in the frequency range between 0.3 and 30 Hz, vibration magnitudes 0.28, 0.96, and 2.03 ms(-2) unweighted rms). Thirteen male subjects with body masses between 62.2 and 103.6 kg were chosen for the tests. They sat on a cushioned driver seat with hands on a support and backrest contact in the lumbar region only. Based on these laboratory measurements a linear model of the system-seated human body and cushioned seat in the fore-and-aft direction has been developed. The model accounts for the reaction from the steering wheel. Model parameters have been identified for each subject-measured apparent mass values (modulus and phase). The developed model structure and the averaged parameters can be used for further bio-dynamical research in this field.     

The influence of different lower seat height on the muscular stress during squatting for a ground level job

Work requiring extremely body flexion is strongly associated with a high incidence of musculoskeletal injuries often reported during adopting squatting. In this study, the influence of different lower seat heights on the muscular stress in squatting on a stool (SS) were examined in comparison with fully squatting (FS). Fourteen healthy Indonesian males were recruited in the experiment. Two-dimensional body kinematics, ground reaction force (GRF) and electromyography (EMG) data were collected as subjects performed forward movement under four squatting height conditions which were FS and SS at 10 cm, 15 cm and 20 cm seat height. The results demonstrated that the change from FS to SS primarily affected the segmental angular flexions and muscular activities in the upper and lower limbs. GRF data showed that the SS conditions delivered 24% body weight onto the seat. The change of FS to SS showed significantly decrease in muscular load of the rectus femoris and tibialis anterior. In contrast, the soleus and gastrocnemius increased the activities as the seat height increased. The type of task that required the hand to handle the object on the ground level affected the trunk to be more flexed as the seat height increased. The findings of this study suggest that the use of a lower seat stool of a proper height seems to be a sub-optimal solution considering the change of muscular load associated with the discomfort in a squatting posture.     

The transmission of translational seat vibration to the head--I. Vertical seat vibration

Vibration in the three translational (fore-and-aft, lateral and vertical) and the three rotational (roll, pitch and yaw) axes of the head has been measured during exposure to whole-body random vibration. Using an instrumented bar gripped between the teeth, the influence of variations in bite grip and bite-bar mass on movements of the head were found to be small up to a mass of 375 g. The repeatability of measures of seat-to-head transmissibility within a single subject and the variability in transmissibility across a group of twelve subjects have been determined with two seating conditions: a rigid seat with a backrest and the same seat with no backrest. Seat-to-head transmissibilities associated with vertical seat vibration are presented at frequencies up to 25 Hz for all six axes of head vibration both with and without a backrest. Head motion occurred principally in the fore-and-aft, vertical and pitch axes of the head. The backrest increased the magnitude of head vibration in most cases. Intra-subject variability was generally small compared to inter-subject variability.     

The apparent mass of the seated human body: vertical vibration

Apparent mass frequency response functions of the seated human body have been measured with random vibration in the vertical direction at frequencies up to 20 Hz. A group of eight subjects was used to investigate some factors (footrest, backrest, posture, muscle tension, vibration magnitude) that may affect the apparent mass of a person; a group of 60 subjects (24 men, 24 women and 12 children) was used to investigate variability between people. Relative movement between the feet and the seat was found to affect the apparent mass at frequencies below resonance, particularly near zero-frequency. The resonance frequency generally increased with the use of a back rest, an erect posture and, in particular, increased muscle tension; but there was considerable intersubject variability in the changes. The magnitude of the vibration had a consistent effect: the resonance frequency decreased from about 6 to 4 Hz when the magnitude of the vibration was increased from 0.25 to 2.0 ms-2 r.m.s. The apparent masses of all the subjects were remarkably similar when normalized with respect to sitting weight. However, there were statistically significant correlations between apparent mass and some body characteristics (such as weight and age).     

Support force measures of midsized men in seated positions

Two areas not well researched in the field of seating mechanics are the distribution of normal and shear forces, and how those forces change with seat position. The availability of these data would be beneficial for the design and development of office, automotive and medical seats. To increase our knowledge in the area of seating mechanics, this study sought to measure the normal and shear loads applied to segmental supports in 12 seated positions, utilizing three inclination angles and four levels of seat back articulation that were associated with automotive driving positions. Force data from six regions, including the thorax, sacral region, buttocks, thighs, feet, and hand support were gathered using multi-axis load cells. The sample contained 23 midsized subjects with an average weight of 76.7 kg and a standard deviation of 4.2 kg, and an average height of 1745 mm with a standard deviation of 19 mm. Results were examined in terms of seat back inclination and in terms of torso articulation for relationships between seat positions and support forces. Using a repeated measures analysis, significant differences (p<0.05) were identified for normal forces relative to all inclination angles except for forces occurring at the hand support. Other significant differences were observed between normal forces behind the buttocks, pelvis, and feet for torso articulations. Significant differences in the shear forces occurred under the buttocks and posterior pelvis during changes in seat back inclination. Significant differences in shear forces were also identified for torso articulations. These data suggest that as seat back inclination or torso articulation change, significant shifts in force distribution occur.     

Modeling the human body/seat system in a vibration environment

The vibration environment is a common man-made artificial surrounding with which humans have a limited tolerance to cope due to their body dynamics. This research studied the dynamic characteristics of a seated human body/seat system in a vibration environment. The main result is a multi degrees of freedom lumped parameter model that synthesizes two basic dynamics: (i) global human dynamics, the apparent mass phenomenon, including a systematic set of the model parameters for simulating various conditions like body posture, backrest, footrest, muscle tension, and vibration directions, and (ii) the local human dynamics, represented by the human pelvis/vibrating seat contact, using a cushioning interface. The model and its selected parameters successfully described the main effects of the apparent mass phenomenon compared to experimental data documented in the literature. The model provided an analytical tool for human body dynamics research. It also enabled a primary tool for seat and cushioning design. The model was further used to develop design guidelines for a composite cushion using the principle of quasi-uniform body/seat contact force distribution. In terms of evenly distributing the contact forces, the best result for the different materials and cushion geometries simulated in the current study was achieved using a two layer shaped geometry cushion built from three materials. Combining the geometry and the mechanical characteristics of a structure under large deformation into a lumped parameter model enables successful analysis of the human/seat interface system and provides practical results for body protection in dynamic environment.     

A new instrument for the measurement of forces on beds and seats

Knowledge of the interaction of forces between persons and the bed in which they lie or the seat on which they are sitting, provides an insight into the loading of their muscles, bones and soft tissue. To determine the total forces on the body-supporting surfaces (backrest, seat pan, foot rest) resolved in components perpendicular and parallel to these surfaces a new instrument has been developed, with which the forces perpendicular and parallel to three different freely adjustable body-supporting surfaces can be registered. During the first measurements the forces on a bed were measured when a person sits in a bed with the backrest at an angle of 45° to the horizontal and the mattress horizontal. The measurements on a healthy population (mean mass = 77 kg, sd = 11 kg) showed an accuracy of ± 10 N. In this position the mean shear force on the seat pan was 97 N.     

Prospective cohort study of predictors of incident low back pain in nurses.

OBJECTIVE: To assess the impact of handling patients and indicators of individual susceptibility on risk of low back pain in nurses. DESIGN: Prospective cohort study with follow up by repeated self administered every three months over two years. SETTING: NHS university hospital trust. SUBJECTS: 961 female nurses who had been free from low back pain for at least one month at the time of completing a baseline questionnaire. MAIN OUTCOME MEASURES: Incidence of new low back pain during follow up and of pain leading to absence from work. RESULTS: Of 838 women who provided data suitable for analysis, 322 (38%) developed low back pain during follow up (mean 18.6 months), including 93 (11%) whose pain led to absence from work. The strongest predictor of new low back pain was earlier history of the symptom, and risk was particularly high if previous pain had lasted for over a month in total and had occurred within the 12 months before entry to the study (incidence during follow up 66%). Frequent low mood at baseline was strongly associated with subsequent absence from work for back pain (odds ratio 3.4; 95% confidence interval 1.4 to 8.2). After adjustment for earlier history of back pain and other potential confounders, risk was higher in nurses who reported frequent manual transfer of patients between bed and chair, manual repositioning of patients on the bed, and lifting patients in or out of the bath with a hoist. CONCLUSIONS: Of the indicators of individual susceptibility that were examined, only history of back trouble was sufficiently predictive to justify selective exclusion of some applicants for nursing posts. The main route to prevention of back disorders among nurses is likely to lie in improved ergonomics.     

A magnetic resonance imaging framework for quantifying intervertebral disc deformation in vivo: Reliability and application to diurnal variations in lumbar disc shape

Low back pain is a significant socioeconomic burden in the United States and lumbar intervertebral disc degeneration is frequently implicated as a cause. The discs play an important mechanical role in the spine, yet the relationship between disc function and back pain is poorly defined. The objective of this work was to develop a technique using magnetic resonance imaging (MRI) and three-dimensional modeling to measure in vivo disc deformations. Using this method, we found that disc geometry was measurable with precision less than the in-plane dimensions of a voxel (≈100 µm, 10% of the MRI pixel size). Furthermore, there was excellent agreement between mean disc height, disc perimeter, disc volume and regional disc height measurements for multiple trials from an individual rater (standard deviation <3.1% across all measurements) and between mean height, perimeter, and volume measurements made by two independent raters (error <1.5% across all measurements). We then used this measurement system to track diurnal deformations in the L5-S1 disc in a young, healthy population (n = 8; age 24.1 ± 3.3 yrs; 2 M/6F). We measured decreases in the mean disc height (−8%) and volume (−9%) with no changes in perimeter over an eight-hour workday. We found that the largest height losses occurred in the posterior (−13%) and posterior-lateral (−14%) regions adjacent to the outer annulus fibrosus. Diurnal annulus fibrosus (AF) strains induced by posterior and posterior-lateral height loss may increase the risk for posterior disc herniation or posterior AF tears. These preliminary findings lay a foundation for determining how deviations from normal deformations may contribute to back pain.     

The effect of backrest inclination, lumbar support and thoracic support on erector spinae muscles when lifting

The effect of backrest inclination, lumbar support and thoracic support on the erector spinae muscle when lifting while sitting has been investigated. It was found that the lowest values of the iEMG of the back muscle were obtained when: (1) the lumbar support was positioned +4 cm forward, the thoracic support inclined to +10 degrees and the backrest inclination at 110 degrees; (2) the lumbar support was positioned +4 cm forward, the thoracic support inclined to +10 degrees and the backrest inclined to 100 degrees; (3) the lumbar support was positioned +1 cm forward, the thoracic support inclined to +10 degrees and the backrest inclination 110 degrees; (4) the backrest was inclined to 100 degrees the thoracic support inclined to 10 degrees and the lumbar support 1 cm forward; (5) the backrest inclination and lumbar support were both increased; (6) the thoracic support and the backrest inclination were both increased.     

Differences between grab rail position and orientation during the assisted sit-to-stand for able-bodied older adults

The aim of this study was to compare the effects of grab rail position, orientation, and number of hands used on the kinetics of assisted sit-to-stand transfers. Participants were 12 able-bodied older adults between the ages of 69 and 88 years. While each one performed the sit-to-stand transfer, a motion analysis system with 9 cameras recording at 60 Hz tracked the 3-D trajectories of retroreflective markers. Bilateral 37-D platform, grab rail, and seat force data were collected at 200 Hz and normalized to participant body weight. Four lateral conditions were tested: vertical, 45 degrees inclined, and horizontal with the hand placed at 150 mm and 400 mm forward of the seat front edge. Four anterior conditions were tested: vertical and horizontal orientations with the use of one hand and two hands. Posterior grab rail force increased with anterior assistance and with two-hand use compared to lateral assistance and single hand use, respectively. The selection of grab rail position and the number of hands incorporated during assistance also determined the symmetry of anteroposterior net joint forces, net joint moments, and joint powers. Grab rail orientation determined the height of the gripping hand which influenced the assistance strategy. Grab rail position, orientation, and the amount of upper body contribution influenced the assisted sit-to-stand transfer. These kinetic responses to grab rail location require careful consideration in order to optimize grab rail assistance during the sit-to-stand transfer.     

Back Pain Prevalence and Its Associated Factors in Brazilian Athletes from Public High Schools: A Cross-Sectional Study

Most studies on the prevalence of back pain have evaluated it in developed countries (Human Development Index—HDI > 0.808), and their conclusions may not hold for developing countries. The aim of this study was to identify the prevalence of back pain in representative Brazilian athletes from public high schools. This cross-sectional study was performed during the state phase of the 2015 Jogos dos Institutos Federais (JIF), or Federal Institutes Games, in Brazil (HDI = 0.744), and it enrolled 251 athletes, 173 males and 78 females (14–20 years old). The dependent variable was back pain, and the independent variables were demographic, socioeconomic, psychosocial, hereditary, exercise-level, anthropometric, strength, behavioral, and postural factors. The prevalence ratio (PR) was calculated using multivariable analysis according to the Poisson regression model (α = 0.05). The prevalence of back pain in the three months prior to the study was 43.7% (n = 104), and 26% of the athletes reported feeling back pain only once. Multivariable analysis showed that back pain was associated with demographic (sex), psychosocial (loneliness and loss of sleep in the previous year), hereditary (ethnicity, parental back pain), strength (lumbar and hand forces), anthropometric (body mass index), behavioral (sleeping time per night, reading and studying in bed, smoking habits in the previous month), and postural (sitting posture while writing, while on a bench, and while using a computer) variables. Participants who recorded higher levels of lumbar and manual forces reported a lower prevalence of back pain (PR < 0.79), whereas feeling lonely in the previous year, obesity, and ethnicity exhibited the highest prevalence ratio (PR > 1.30). In conclusion, there is no association between exercise levels and back pain but there is an association between back pain and non-exercise related variables.     

The influence of seat configuration on maximal average crank power during pedaling: a simulation study

Manipulating seat configuration (i.e., seat tube angle, seat height and pelvic orientation) alters the bicycle-rider geometry, which influences lower extremity muscle kinematics and ultimately muscle force and power generation during pedaling. Previous studies have sought to identify the optimal configuration, but isolating the effects of specific variables on rider performance from the confounding effect of rider adaptation makes such studies challenging. Of particular interest is the influence of seat tube angle on rider performance, as seat tube angle varies across riding disciplines (e.g., road racers vs. triathletes). The goals of the current study were to use muscle-actuated forward dynamics simulations of pedaling to 1) identify the overall optimal seat configuration that produces maximum crank power and 2) systematically vary seat tube angle to assess how it influences maximum crank power. The simulations showed that a seat height of 0.76 m (or 102% greater than trochanter height), seat tube angle of 85.1 deg, and pelvic orientation of 20.5 deg placed the major power-producing muscles on more favorable regions of the intrinsic force-length-velocity relationships to generate a maximum average crank power of 981 W. However, seat tube angle had little influence on crank power, with maximal values varying at most by 1% across a wide range of seat tube angles (65 to 110 deg). The similar power values across the wide range of seat tube angles were the result of nearly identical joint kinematics, which occurred using a similar optimal seat height and pelvic orientation while systematically shifting the pedal angle with increasing seat tube angles.