Sung-Yong Lee

Evaluation of Gender Effect in Various Pliers' Grip Spans for Maximum Isometric Grasping Tasks

Objective: The purpose of this study was to evaluate the effect of gender (male, female) and grip spans (45, 50, 60, 70, 80mm) on total grip strength, resultant force, finger force and subjective discomfort ratingI. Background: In order to prevent musculoskeletal disorders, studies of hand tools need to be preceded based on grip strength, finger force, and subjective discomfort rating. However, experimental apparatus using tools such as pliers that reflect the actual work place was almost non-existent. Method: Fifty-Two (26 males and 26 females) participants were recruited from the student population. In this study, a pair of revised pliers, which can change grip span from 45 to 80mm was applied to estimate total grip strength, resultant force and individual finger forces. All participants were asked to exert a maximum grip force with three repetitions, and to report the subjective discomfort rating for five grip spans of pliers (45, 50, 60, 70, 80mm). Results: There were significant differences of total grip strength, resultant force, individual finger forces and subjective discomfort rating according to grip span. The lowest total grip strength was obtained from the grip span of 80mm for both genders. For resultant force, the highest resultant force was exerted at grip spans of 50, 60 and 70mm for females and 50 and 60mm for males. The lowest subjective discomfort rating was observed in the 50mm for both genders. Conclusion: Based on the result, 50mm and 60mm grip spans which provide the highest force and lowest discomfort rating might be recommendable for the male and female pliers users. Application: The findings of this study can provide guidelines on designing a hand tool to help to reduce hand-related musculoskeletal disorders and obtain better performance.

Evaluation of the controlled grip force exertion tasks associated with age, gender, handedness and target force level

Introduction. Force control of the hand is an essential factor for operating tools and moving objects. Therefore, a method for quantifying hand functionality more accurately and objectively is very important. Methods. The present study included 60 healthy participants (30 elderly and 30 young adults) to evaluate the effects of age, gender and target force levels on tracking performance. Tracking performance was quantified by measuring the difference between target force levels and exerted force. Results. Females exerted 59.6% of the maximum grip strength of males and the elderly group exerted 70.5% of maximum grip strength compared with the young group. The elderly group showed 3.1 times larger tracking error than the young group. There was a significant difference in females between the young and elderly groups, indicating age-related decline in hand function is more pronounced in females. The difference in grip force control ability between the elderly and young groups was significant at the low target force level (5% maximum voluntary contraction). Conclusions. The results of this study could be used for hand function evaluation guidelines. In addition, this study could be used as a tool for physiotherapy to improve hand function and prevent its decline in elderly people.

Comparisons of ergonomic evaluation tools (ALLA, RULA, REBA and OWAS) for farm work

Introduction. The purpose of this study was to validate the agricultural lower limb assessment (ALLA) ergonomic checklist, which was developed for various agricultural tasks in Korea. Methods. One hundred and ninety-six working postures were selected from the real agricultural tasks to verify ALLA, a lower limb body posture assessment tool, and then evaluated by 16 ergonomic experts. Hit rate, quadratic weighted κ, one-way analysis of variance and t-test analyses were applied to compare ALLA with other assessment tools. Results. ALLA analysis had a superior hit rate with ergonomic expert assessment compared with other assessment tools. Quadratic weighted κ analysis also showed that ALLA provided superior estimates of risk levels for farm working postures. Discussion. ALLA would be an appropriate assessment tool to estimate risk factors for various lower limb body postures which frequently occur in agricultural tasks in Korea. ALLA is a simple and accurate risk assessment tool that could be usefully applied to identify and mitigate risk factors and work-related musculoskeletal disorders in agricultural tasks, and also to evaluate the effects of control and intervention for working conditions.

The Effects of Age, Gender, and Target Force Level on Controlled Force Exertion Tasks

Objective: The purpose of this study is to build basic data to systematically develop a hand function evaluation tool by determining the effects of age, gender and target force level on the difference in hand function according to the target force level. Background: Precise and objective evaluation of hand functionality is a very important factor in quantifying treatment progress in patients or elderly people, and in verifying treatment effects. However, most hand function evaluations lack objectivity and accuracy, and therefore it is difficult to properly treat patients according to the given situation. Method: Sixteen healthy subjects (eight elderly and eight young people) participated in this study to evaluate the effects of age, gender, and target force level on tracking performance through rRMSE in terms of the tracking force and actual exerted force, by carrying out a task of maintaining six different target force levels for 20 seconds. Results: The result of this experiment indicated that elderly people and women had a lower ability to maintain a certain level of force than young people and men by 16% and 10%, respectively. The target force level results showed that the tracking error of the lowest force level (5% MVC) was significantly higher than that of 15% MVC, which in turn showed a higher tracking error than that of the higher target force levels. Conclusion: The results of this study can thus be utilized to develop a rehabilitation program for elderly people or other patients. Application: The authors expect that the results of the present study will be valuable to develop a rehabilitation program and hand function evaluation tool.

Ergonomic Design of Medic Work Table (MWT) for Medical Technologist

Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users’ anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users’ anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.