Testing the efficacy of an ergonomic lifting aid at diminishing muscular fatigue in women over a prolonged period of lifting

Abstract A personal lift assist device (PLAD) was designed with passive elastic elements that act with a similar line of action to the spine muscles and reduce the extension moment experienced during lifting activities. The purpose of this paper was to evaluate the device's ability to reduce fatigue during a repetitive lifting task. Women ( n  = 12) lifted a box load representing 20% maximal extensor strength repetitively (12 lift/lowers per minute) for 45 min while electromyography (EMG) was recorded from the lumbar and thoracic erector spinae, and cardiovascular measures were monitored. Subjects were also tested on strength and endurance tests prior to, and after lifting. The increase in EMG RMS amplitude from the start until the end of the lifting session was significantly lower when wearing the PLAD for the TES (91% vs 3%) and the LES (104% vs 16%). The median frequency (MF) drop was also significantly lower when wearing the PLAD for TES and LES. The PLAD delayed the onset of fatigue in women by requiring less muscular effort. Relevance to industry There are numerous industries that still require repetitive manual materials handling tasks to be performed by humans. Repetitive lifting fatigues the musculature involved and may lead to an increased risk of injury. The PLAD reduced fatigue on several measures. This device appears to have potential for industries where women perform repetitive, fatiguing lifts.

[1]  L. Karlqvist,et al.  Do work technique and musculoskeletal symptoms differ between men and women performing the same type of work tasks? , 2004, Applied ergonomics.

[2]  Joan M Stevenson,et al.  Mathematical and empirical proof of principle for an on-body personal lift augmentation device (PLAD). , 2007, Journal of biomechanics.

[3]  M. Harmon,et al.  Endurance capacity of untrained males and females in isometric and dynamic muscular contractions , 2004, European Journal of Applied Physiology and Occupational Physiology.

[4]  Michael J Agnew,et al.  The effect of an on-body personal lift assist device (PLAD) on fatigue during a repetitive lifting task. , 2009, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[5]  C. Richardson,et al.  Reliability of electromyographic power spectral analysis of back muscle endurance in healthy subjects. , 1996, Archives of physical medicine and rehabilitation.

[6]  G. Andersson,et al.  The epidemiology of spinal disorders , 1997 .

[7]  J R Potvin,et al.  A validation of techniques using surface EMG signals from dynamic contractions to quantify muscle fatigue during repetitive tasks. , 1997, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[8]  Laura Punnett,et al.  38 – Work-Related Musculoskeletal Disorders: Is There a Gender Differential, and if So, What Does It Mean? , 2000 .

[9]  P. Dolan,et al.  Electromyographic Median Frequency Changes During Isometric Contraction of the Back Extensors to Fatigue , 1994, Spine.

[10]  John W. Frymoyer,et al.  The adult spine : principles and practice , 1991 .

[11]  Y. Benjamini,et al.  Controlling the false discovery rate: a practical and powerful approach to multiple testing , 1995 .

[12]  D. Sale,et al.  Gender differences in strength and muscle fiber characteristics , 1993, European Journal of Applied Physiology and Occupational Physiology.

[13]  L Lindbeck,et al.  Gender differences in lifting technique , 2001, Ergonomics.

[14]  A. Woolf,et al.  Burden of major musculoskeletal conditions. , 2003, Bulletin of the World Health Organization.

[15]  D. Gravel,et al.  Gender influence on fatigability of back muscles during intermittent isometric contractions: a study of neuromuscular activation patterns. , 2006, Clinical biomechanics.

[16]  A. Mannion,et al.  The Influence of Muscle Fiber Size and Type Distribution on Electromyographic Measures of Back Muscle Fatigability , 1998, Spine.

[17]  Michael J Agnew,et al.  An on-body personal lift augmentation device (PLAD) reduces EMG amplitude of erector spinae during lifting tasks. , 2006, Clinical biomechanics.

[18]  William S Marras,et al.  Spine Loading as a Function of Gender , 2002, Spine.

[19]  R. W. Norman,et al.  Quantification of erector spinae muscle fatigue during prolonged, dynamic lifting tasks , 2004, European Journal of Applied Physiology and Occupational Physiology.

[20]  J. Basmajian Muscles Alive—their functions revealed by electromyography , 1963 .

[21]  K P Granata,et al.  MRI-derived moment-arms of the female and male spine loading muscles. , 2001, Clinical biomechanics.

[22]  A. Mannion,et al.  Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences , 1997, Journal of anatomy.

[23]  Carlo J. De Luca,et al.  The Use of Surface Electromyography in Biomechanics , 1997 .