Upper extremity musculoskeletal discomfort among occupational notebook personal computer users: Work interference, associations with risk factors and the use of notebook computer stand and docking station

Work ◽  
2011 ◽  
Vol 39 (4) ◽  
pp. 455-463 ◽  
Author(s):  
Oguzhan Erdinc
Author(s):  
David L. Lee ◽  
Jack T. Dennerlein ◽  
Nancy A. Baker

The purpose of this study was to test the inter-rater reliability of an observational instrument, the Mouse-Personal Computer Style instrument (M-PeCS), which assesses the stereotypical postures and movements of the upper body and upper extremity associated with computer mouse use. Two trained raters independently rated the video clips of 10 computer users completing three mouse tasks (pointing, steering, and dragging) for a total of 30 video clips to determine the inter-rater reliability. All but two items on the M-PeCS had good to excellent reliability (ICC=0.75 to 1.00). These results suggest that most items on the M-PeCS can be used to reliably document computer mouse use style between trained raters. Potential applications of this study include identifying and quantifying the exposure to postural risk factors that may contribute to hand and forearm musculoskeletal pain associated with intensive computer mouse use.


Author(s):  
William A. Pereira ◽  
Pat Tittiranonda ◽  
Stephen R. Burastero

Two groups of movement retrained computer users with prior computer-related upper extremity musculoskeletal disorders underwent qualitative orthogonal video motion analysis. Ergonomic analysis of subjects' computer use habits suggests that movement retraining may decrease risk factors for work related musculoskeletal disorders and therefore warrants further study.


2017 ◽  
Vol 37 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Haluk Ay ◽  
Anthony Luscher ◽  
Carolyn Sommerich

Purpose The purpose of this study is to design and develop a testing device to simulate interaction between human hand–arm dynamics, right-angle (RA) computer-controlled power torque tools and joint-tightening task-related variables. Design/methodology/approach The testing rig can simulate a variety of tools, tasks and operator conditions. The device includes custom data-acquisition electronics and graphical user interface-based software. The simulation of the human hand–arm dynamics is based on the rig’s four-bar mechanism-based design and mechanical components that provide adjustable stiffness (via pneumatic cylinder) and mass (via plates) and non-adjustable damping. The stiffness and mass values used are based on an experimentally validated hand–arm model that includes a database of model parameters. This database is with respect to gender and working posture, corresponding to experienced tool operators from a prior study. Findings The rig measures tool handle force and displacement responses simultaneously. Peak force and displacement coefficients of determination (R2) between rig estimations and human testing measurements were 0.98 and 0.85, respectively, for the same set of tools, tasks and operator conditions. The rig also provides predicted tool operator acceptability ratings, using a data set from a prior study of discomfort in experienced operators during torque tool use. Research limitations/implications Deviations from linearity may influence handle force and displacement measurements. Stiction (Coulomb friction) in the overall rig, as well as in the air cylinder piston, is neglected. The rig’s mechanical damping is not adjustable, despite the fact that human hand–arm damping varies with respect to gender and working posture. Deviations from these assumptions may affect the correlation of the handle force and displacement measurements with those of human testing for the same tool, task and operator conditions. Practical implications This test rig will allow the rapid assessment of the ergonomic performance of DC torque tools, saving considerable time in lineside applications and reducing the risk of worker injury. DC torque tools are an extremely effective way of increasing production rate and improving torque accuracy. Being a complex dynamic system, however, the performance of DC torque tools varies in each application. Changes in worker mass, damping and stiffness, as well as joint stiffness and tool program, make each application unique. This test rig models all of these factors and allows quick assessment. Social implications The use of this tool test rig will help to identify and understand risk factors that contribute to musculoskeletal disorders (MSDs) associated with the use of torque tools. Tool operators are subjected to large impulsive handle reaction forces, as joint torque builds up while tightening a fastener. Repeated exposure to such forces is associated with muscle soreness, fatigue and physical stress which are also risk factors for upper extremity injuries (MSDs; e.g. tendinosis, myofascial pain). Eccentric exercise exertions are known to cause damage to muscle tissue in untrained individuals and affect subsequent performance. Originality/value The rig provides a novel means for quantitative, repeatable dynamic evaluation of RA powered torque tools and objective selection of tightening programs. Compared to current static tool assessment methods, dynamic testing provides a more realistic tool assessment relative to the tool operator’s experience. This may lead to improvements in tool or controller design and reduction in associated musculoskeletal discomfort in operators.


Author(s):  
Hongzheng Lu ◽  
Fereydoun Aghazadeh

This study examined important risk factors and their interactions associated with physical symptoms reported by VDT users. A research model was developed. A survey was designed and conducted among 88 computer users. The results show that risk factors associated with various physical symptoms are different. Screen glare, awkward working posture, and fatigue are important factors related to physical symptoms. Psychosocial factors significantly interact with other variables, such as demographics variables, and contribute to awkward work posture and psychological stress. Workstation design variables significantly affect working postures.


2021 ◽  
pp. 175319342110427
Author(s):  
Yong-Zheng Jonathan Ting ◽  
An-Sen Tan ◽  
Chi-Peng Timothy Lai ◽  
Mala Satku

Non-traumatic upper extremity amputations are an increasing concern with the rising prevalence of diabetes mellitus. To ascertain the risk factors and mortality rates for these amputations, the demographic information, amputation history, comorbidities and clinical outcomes of 140 patients who underwent non-traumatic upper extremity amputations between 1 January 2004 and 31 October 2017 were studied. Correlations were assessed using Cochran-Armitage chi-squared tests, odds ratios and multivariate binomial logistic regression as appropriate. Diabetes mellitus, coronary artery disease, end-stage renal failure, peripheral arterial disease and prior lower extremity amputation were significant risk factors for multiple upper extremity amputations. One-year, 2-year and 5-year mortality rates were 12%, 15% and 38%, respectively, following first upper extremity amputation. The risk factors for upper extremity amputations correspond with those for lower extremity amputations, comprising mainly diabetes mellitus and its related comorbidities. The mortality rates for non-traumatic upper extremity amputations highlight their significant burden on patients. Level of evidence: III


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