Jerome J. Congleton

An evaluation of a weightlifting belt and back injury prevention training class for airline baggage handlers.

This study evaluated the efficacy of a commercially available weightlifting belt in relation to reduction of lumbar injury incident rate and severity of injuries over an 8-month period. The study used 642 baggage handlers working for a major airline company as participants. Four treatment groups were randomly selected: a group receiving the belt only, a group receiving a 1 h training class only, a group receiving both a belt and a 1 h training class, and a control group receiving nothing. Two treatment groups were added which contained participants who discontinued use of the belt prior to the end of an 8-month study period. Results indicated that there were no significant differences for total lumbar injury incident rate, restricted workday case injury incident rate, lost workdays and restricted workdays rate, and workers compensation rates. There was, however, a marginal significant difference for lost workday case injury incident rate. Groups with participants who wore the belt for a while then discontinued its use had a higher lost day case injury incident rate than did either the group receiving training only or the control group. Compliance was an overriding factor as the belt questionnaire response indicated that 58% of participants in the belt groups discontinued use of the belt before the end of 8 months. Comments made on the survey forms indicated that the belt was too hot. Similarly, comments suggested that the belt rubbed, pinched, and bruised ribs. Based on these results, the weightlifting belt used for this study cannot be recommended for use in aid of lifting during daily work activities of baggage handlers. Results indicate that use of the belts may, in fact, increase the risk of injury when not wearing a belt following a period of wearing a belt. As industries are experimenting with the use of belts, it is recommended that great care be taken in any further evaluation and close attention directed towards injuries which occur when not wearing the belt following a period of wearing the belt (ie, off-the-job injuries).

Factors affecting minimum push and pull forces of manual carts.

The minimum forces needed to manually push or pull a 4-wheel cart of differing weights with similar wheel sizes from a stationary state were measured on four floor materials under different conditions of wheel width, diameter, and orientation. Cart load was increased from 0 to 181.4 kg in increments of 36.3 kg. The floor materials were smooth concrete, tile, asphalt, and industrial carpet. Two wheel widths were tested: 25 and 38 mm. Wheel diameters were 51, 102, and 153 mm. Wheel orientation was tested at four levels: F0R0 (all four wheels aligned in the forward direction), F0R90 (the two front wheels, the wheels furthest from the cart handle, aligned in the forward direction and the two rear wheels, the wheels closest to the cart handle, aligned at 90 degrees to the forward direction), F90R0 (the two front wheels aligned at 90 degrees to the forward direction and the two rear wheels aligned in the forward direction), and F90R90 (all four wheels aligned at 90 degrees to the forward direction). Wheel width did not have a significant effect on the minimum push/pull forces. The minimum push/pull forces were linearly proportional to cart weight, and inversely proportional to wheel diameter. The coefficients of rolling friction were estimated as 2.2, 2.4, 3.3, and 4.5 mm for hard rubber wheels rolling on smooth concrete, tile, asphalt, and industrial carpet floors, respectively. The effect of wheel orientation was not consistent over the tested conditions, but, in general, the smallest minimum push/pull forces were measured with all four wheels aligned in the forward direction, whereas the largest minimum push/pull forces were measured when all four wheels were aligned at 90 degrees to the forward direction. There was no significant difference between the push and pull forces when all four wheels were aligned in the forward direction.

The effect of handle height and cart load on the initial hand forces in cart pushing and pulling

The objective of this study was to measure the three-dimensional hand forces people exert to initiate a cart push or pull for two cart loads: 73 and 181 kg, and three handle heights: knuckle, elbow, and shoulder heights. The cart used was equipped with 15.24 cm (6 in) diameter wheels. The floor was covered with carpet tiles. The laboratory-measured hand force exertions were compared to the minimum forces needed to push/pull the cart under the same conditions and to the psychophysical initial push/pull force limits. For pushing and pulling, the measured anterior-posterior hand forces were 2–2.4 times the minimum required forces. For the heavier cart load, lower forces were applied as handle height increased. Pull forces were 7% higher than push forces. The smallest vertical forces were measured at elbow height. Strength capability and gender did not have an effect on the applied forces. The mean strength percentile for the male sample was 64%, while the mean strength percentile for the female sample was 13...

The effects of load knowledge on stresses at the lower back during lifting

This study investigated the effects of load uncertainty on the lifting characteristics of 40 male volunteers during the initial portion of a lift. Twenty subjects were experienced weightlifters while another 20 were subjects who had never lifted weights nor held a job that required them to on a regular basis. The subjects each lifted a container 20 × 45 × 40 cm, with handles, from floor to waist height 12 times with loads of 68, 10·2 or 13·6 kg. The loads were lifted under conditions of either havingor not having verbal and visual knowledge of the load magnitude prior to the lift. The subjects were allowed to perform the lift in a manner of their choosing. A 2 (groups) × 3 (loads) × 2 (load knowledge) ANOVA was performed on the data. Maximim force (Fmax) value analysis revealed group and technique differences. The experienced lifters had lower stress levels at L4/L5 and utilized two technique strategies that were dependent upon the load knowledge condition, whereas the non-lifters used the same strategy f...

Use of motor nerve conduction testing and vibration sensitivity testing as screening tools for carpal tunnel syndrome in industry

Increased attention to carpal tunnel syndrome in industry has resulted in the development of several proposed screening tests. This investigation evaluated the use of two portable devices for measuring motor nerve conduction time and tactile sensitivity to 120 Hz vibration in a field setting. Forty-seven control participants, 63 manufacturing plant workers with and without symptoms of carpal tunnel syndrome, and 22 patients with physician-diagnosed carpal tunnel syndrome were tested with the NervePace electroneurometer and the Vibration II vibration threshold measurement device. Nerve conduction time differed significantly between the controls, the asymptomatic workers, and the participants with carpal tunnel syndrome or symptoms of carpal tunnel syndrome. The vibration threshold was higher in the carpal tunnel syndrome group than in the other groups; however, further examination of the data revealed no differences in threshold unless nerve conduction time exceeded the control mean by at least three standard deviations. The false-negative rates associated with the tests limit their usefulness in screening for carpal tunnel syndrome.

The role of lifting belts in manual lifting

The objectives of this research were to demonstrate the effects of belts on load lifting capabilities of individuals using the psychophysical method, subjective surveys, and the measurement of external pressure on the abdomen. Two types of belts were used in this study: (a) the Air belt, a registered trade mark and product of Pneumedic Corporation, which represented the type of support belt characterized by an inflatable bladder; and (b) the CompVest belt, a product and registered trade mark of the Comp Equipment Corporation, which represented a mechanical, elastic type of support. Twelve male college students were required to lift tote boxes containing steel shot from the floor to metacarpal III height (knuckle height) at a rate of three lifts per minute for a period of 45 min. Each subject performed three sets of lifts, i.e. once with no belt (control) and once with each of the two belts. The maximum acceptable weight of lift was recorded. Changes in the external abdominal belt pressures during the lifting were recorded using the Texas Interface Pressure Evaluator. A subjective survey consisting of eight questions was administered to each subject after each belt was tested to determine the subjects feelings. In addition to the above survey, a post-test question was given asking the subjects to rank the three treatments in order of preference. Statistical tests showed that the belts did increase the perceived maximum acceptable weight of lift with respect to the control (no belt); however, there was no significant difference between the two belts. Also, the external abdominal pressures generated by the two belts were essentially the same. Results of the subjective surveys tended to favor the CompVest belt over the Air belt.

A Prospective Field Study of the Relationship of Potential Occupational Risk Factors with Occupational Injury/Illness

Twenty-one occupationally related risk factors were measured and prospectively evaluated for statistically significant relationships with occupational injury/illness in 442 manual material handlers, working for three different companies, at nine U.S. locations, and encompassing 15 different job descriptions. OSHA 200 logs were used to ascertain evidence of occupational injury/illness (dichotomous) within this population for 1 year after the testing and measurement were completed. The present study demonstrated evidence of a subset of critical variables significantly related to occupational injury/illness occurrence through the significantly related occupational risk factors presented in the univariate and multivariate models. Higher occurrences of injury/illness were significantly associated with nine risk factors in the univariate model, with odds ratios ranging from 1.11-2.27. The significantly (p<0.05) related risk factors in the univariate model were lifting frequency; weight lifted per day; weight lifted per hour; number of trunk flexions per hour; number of trunk twists per hour; number of trunk motions per hour; number of knee flexions per hour; number of shoulder flexions per hour; and static shoulder flexion. In the multivariate analysis two risk factors were associated with occupational injury/illness. The significantly (p<0.05) related risk factors in the multivariate model were lifting frequency (p=0.0010, odds ratio [OR]=4.47, 95% confidence interval [CI]=[2.38-8.40], and average weight of lift (p=0.0001, OR=1.71, 95% CI=[1.29-2.25]).

Correlation of Injury Occurrence Data with Estimated Maximal Aerobic Capacity and Body Composition in a High-Frequency Manual Materials Handling Task

This article evaluates the correlation between injury occurrence, step test estimated maximal aerobic capacity (VO2max), and body composition in a high-frequency manual materials handling task. The study used 212 highly trained male manual material handlers working for a major materials handling company. Three locations across the United States (western, midwestern, and southeastern) were chosen based on similarity of size and function. An estimated maximal aerobic capacity was obtained for each participant using a submaximal bench step protocol. Also, a percentage body fat estimation was randomly obtained for approximately 25% of the participants. The correlation between injury occurrences, absolute VO2max, relative VO2max, and percentage body fat were analyzed. Also, the relationship between both VO2max estimations and percentage body fat was analyzed. Finally, the correlation between location VO2max and percentage body fat was studied. Results indicated no significant difference between absolute VO2max, injury, or percentage body fat. Relative VO2max suggested a significant relationship with injury occurrences and body composition. Body composition also indicated a significant correlation with injury occurrences. Finally, location played a significant factor in injury occurrence, step test estimated VO2max, and estimated body composition. This investigation demonstrates significant evidence of the predictability of employee injury occurrence and the fitness estimation methods used. In a high-frequency manual materials handling task, high occurrences of injury were significantly correlated with low estimated relative maximal aerobic capacity and high estimated percentage body fat.

The effects of biofeedback on carpal tunnel syndrome

Behaviour modification based on audible electromyographic (EMG) biofeedback signals was used to discourage the awkward hand postures and the exertion of excessive force with the fingers, which are suspected of causing carpal tunnel syndrome (CTS). The null hypothesis was that participation in such a biofeedback programme has no effect on CTS symptoms. Before and during an 8-week study, data were collected from two groups of five female assembly line workers each. The biofeedback group received training and input, while the control group did not. Test results indicated that the null hypothesis could not be rejected.

Low back stress, muscle usage, and the appearance of transient load movement during manual lifting

Abstract Neuromuscular involvement should be considered in biomechanical evaluations of a workers job-related stresses as a potential aid to understanding and reducing the rising incidence of low back problems in industry. Because such interactions have seldom been investigated in multisegmental movements, the present study was undertaken to determine the effects of the involvement of the neuromuscular system during lifting by creating conditions in which subjects had prior knowledge (PK) of a loads magnitude as well as when they had no prior knowledge (NK). Two groups of subjects, experienced and inexperienced lifters ( N =40), lifted loads varying from 6.8 to 13.6 kg under both the PK and NK conditions. Results indicated that two general patterns of load movement were used by the subjects: smooth and oscillatory (irregular transient), with higher peak L4/L5 forces and higher peak trunk movements found in the oscillatory pattern. Significant differences on all stress values were demonstrated by the inexperienced lifters. The inclusion of lift preparation and load knowledge considerations in training programmes and biomechanical models is recommended.