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Chapter 4 Mechanical Work-Capacity Evaluation Introduction • How to evaluate (screen) an individual’s potential ability to perform mechanical tasks • • • • • • reaching to an object squatting exerting manual forces on a control or object lifting pulling pushing Introduction • Interaction with environment depends on two biomechanical properties of the intact musculoskeletal system: • joint motion • • • • • joint mobility dexterity flexibility limberness Range of Motion (ROM) Introduction • Interaction with environment depends on two biomechanical properties of the intact musculoskeletal system: • joint motion • muscle strength • ability of a muscle to produce force • ability of a muscle group to produce force Introduction • Interaction with environment depends on two biomechanical properties of the intact musculoskeletal system: • joint motion • muscle strength • Evaluate the Performance of the system • Normative criteria to assess model calculations Planes of motion and axes of rotation • Planes: • Sagittal • Frontal • Transverse (horizontal) • Axes: • Medio-lateral (frontal) • Anterior-posterior (sagittal) • Vertical Standard Terminology Raise arms or Arms up???? Standard description of joint motions • note errors • hip/shoulder abduction & adduction • Know such terms (as if you don’t) • • • • flexion & extension internal rotation & external rotation adduction & abduction pronation & supination Standard Terminology Raise arms or Arms up???? Standard description of joint motions • note errors • hip/shoulder abduction & adduction • Know such terms (as if you don’t) • • • • flexion & extension internal rotation & external rotation adduction & abduction pronation & supination Why is flexibility important? Standard Terminology Raise arms or Arms up???? Standard description of joint motions • note errors • hip/shoulder abduction & adduction • Know such terms (as if you don’t) • • • • flexion & extension internal rotation & external rotation adduction & abduction pronation & supination Why is flexibility important? 1. 2. 3. Allow for greater choice of movements Improve performance. How? Reduce the risk of injury. How? Standard Terminology Raise arms or Arms up???? Standard description of joint motions • note errors • hip/shoulder abduction & adduction • Know such terms (as if you don’t) • • • • flexion & extension internal rotation & external rotation adduction & abduction pronation & supination Why is flexibility important? How much do you need? Standard Terminology Raise arms or Arms up???? Standard description of joint motions • note errors • hip/shoulder abduction & adduction • Know such terms (as if you don’t) • • • • flexion & extension internal rotation & external rotation adduction & abduction pronation & supination Why is flexibility important? What do you want to do? How much do you need? “Normal” joint ROM • Descriptive statistics of ROM at various joints • Population: young healthy males • Useful in work design??? • interaction with segment lengths • Relationship of linear & angular motion • S = θr Factors affecting ROM • Type of joint (shape of surfaces) • injury, degenerative disease • Tissue mass • muscle & fat • Tissue arrangement • tendons & ligaments • Clothing • Past injury • Temperature • Age: confounded with disuse, misuse, injury? • Sex: confounded with tissue mass? Workplace considerations • Individual • joint motion reflects lifestyle • “tightens up” with extreme postures • joint motion reflects injury history • Joints have a “memory” • Environment • can be accommodated for reduced ROM • Task • can be assigned according to ROM Why is it important to understand and evaluate strength in the workplace? • Many jobs require high levels of exertion • This has a direct impact on safety & performance Boeing Example Thanks to Rush Green, Boeing Commercial Airplane Group May, 1994 Muscle Strength • • • • • a muscle’s ability to generate force Maximum voluntary exertion Maximum voluntary contraction Maximum voluntary strength Affected by . . . Muscle Strength • a muscle’s ability to generate force • Neural factors. • • • • a. synchronization. b. recruitment. c. summation. d. neural quality (aging factors) trainable Muscle Strength • a muscle’s ability to generate force • Neural factors. • Psychological factors. • a. motivation • ie rehab: desire to return to work • b. hormonal release Muscle Strength • • • • a muscle’s ability to generate force Neural factors. Psychological factors Physiological factors. • a. fatigue. trainable & diet • b. available energy Muscle Strength • • • • • a muscle’s ability to generate force Neural factors. Psychological factors Physiological factors Mechanical factors. • a. length-tension relationship • b. force-velocity relationship • c. angle (posture) ==> Torque Torque (moment of force) Tendency of a force to cause rotation • Torque = Force x moment arm • moment arm: perpendicular distance from line of action of the force to axis of rotation Torque (moment of force) Tendency of a force to cause rotation • Torque = F * MA • MA varies through ROM • Feel it with your fingers. • Torque potential varies throughout ROM • change in moment arm • change in muscle force production (L/T) Moment arms of the arm From Houk et al, 2000 Ankle moment arms Finger flexion effects on tendons Finger flexion effects: tendon force on other structures Torque (moment of force) Tendency of a force to cause rotation • Torque = F * MA • MA varies through ROM • Feel it with your fingers. • Torque potential varies throughout ROM • change in moment arm • change in muscle force production (L/T) • Change in muscle force (F/V) Fuglevand, 1987 Reality of the situation • Not a single muscle, but the muscle group • ie elbow flexion strength • • • • biceps brachii brachialis brachioradialis “wrist flexor muscles” • Individual muscles (tension and moment arms) interact as a group to produce torque at a joint What we know about strength: 1. Maximum force (torque) producing capability varies considerably between people and between tasks Another way to look at muscle force What we know about strength: 1. Maximum force (torque) producing capability varies considerably between people and between tasks • differences in training level • differences in age (aging workforce; downsizing of workforce (union priority)) What we know about strength: 1. Maximum force (torque) producing capability varies considerably between people and between tasks • differences in training level • differences in age (aging workforce; downsizing of workforce (union priority)) • differences in gender/ anthropometrics • difference in motivation, etc • strongest 6-8 times stronger than weakest. Additional gender issues with strength • Difference in upper body greater than lower body (?) • smaller muscle moment arms of average women? • smaller muscle mass? • social influence? • Type of measurement? • Differences almost entirely explained by differences in muscle size What we know about strength: • 1. Maximum force producing capability varies considerably between people and between tasks. • 2. Static strength is not necessarily correlated with dynamic strength • static strength: measured isometrically • What position to measure in? (position specific) • dynamic strength: body segments move • which point to measure at? • effect of technique What we know about strength: • 1. Maximum force producing capability varies considerably between people and between tasks. • 2. Static strength is not necessarily correlated with dynamic strength • 3. Use of strength data in screening must be done cautiously • poor association with injury or performance Psychophysical strength method for screening employees • Requires simulating specific task • subjects are allowed to adjust the load (unknown amount) after each attempted performance. • 30-45 minutes to simulate workday • ends with subjective maximum • involves cooperation and motivation to obtain valid results. Psychophysical Limits • note voluntary decrease in max with increased dimensions • note decrease with increased height • note female - male difference Workplace considerations • Individual • screen people for sufficient strength to a task (workplace rotation) • load should not exceed capacity of least capable employee. • Environment • reduce package wt, alter layout, new equipment , glove use • Task • redesign, additional workers "When I put a glove on my hand to protect me from the cold, I've now changed the grip posture of my hand," says Budnick, who is also president of the Board of Certification in Professional Ergonomics. "In most cases, I'm not getting good tactile feedback, so I don't have the proper closed loop in my musculature system to know how hard I'm gripping. In other words, I'm trying to grip as hard as I can, yet the actual result is probably lower grip strength against whatever I'm grasping because of the intervening bulk of the glove. It depends on the fit and type of the glove, but some research suggests that up to a 40 percent reduction in grip strength is common from glove use, and as far as a risk factor for working in cold environments, that's probably the biggest effect I see.” Thesis Topic • Individual • screen people for sufficient strength to a task "When I put a glove on my hand to protect me from the cold, I've now changed the grip posture of my hand," says (workplace rotation) who is also president of the Board of Certification • load should not exceed Budnick, in Professional Ergonomics. "In most cases, I'm not getting capacity of least capable good tactile feedback, so I don't have the proper closed loop employee. in my musculature system to know how hard I'm gripping. In • Environment • reduce package wt, alter layout, new equipment , glove use • Task • redesign, additional workers other words, I'm trying to grip as hard as I can, yet the actual result is probably lower grip strength against whatever I'm grasping because of the intervening bulk of the glove. It depends on the fit and type of the glove, but some research suggests that up to a 40 percent reduction in grip strength is common from glove use, and as far as a risk factor for working in cold environments, that's probably the biggest effect I see.” The Complexities of Cold By Ronnie Rittenberry · February 1, 2008 http://www.ohsonline.com/articles/57758/