Muscle- and task-dependent responses to concurrent physical and mental workload during intermittent static work

Many workers experience combined physical and mental demands in their jobs, yet the contribution of these demands to the development of musculoskeletal disorders is unclear. The purpose of this study was to investigate muscle- and task-dependent responses to concurrent demands during intermittent static work. Twenty-four participants performed shoulder, wrist, and torso exertions at three levels of physical workload (PWL) in the absence (control) and presence (concurrent) of a mental arithmetic task. Compared to the control, concurrent demand conditions resulted in decreased muscle activity (4–9% decrease), increased cardiovascular load (2–4% increase), and impaired motor co-ordination (9–24% increase in force fluctuation). Furthermore, these outcomes were more prominent at higher PWL levels and within postural (shoulder and torso) muscles. Mental task performance exhibited greater interference with the physical task at low and high PWL levels. Thus, it may be important to consider these muscle- and task-specific interactions of concurrent demands during job design to address worker health and performance issues. Practitioner Summary: Occupational tasks place both physical and mental demands on workers. These demands can adversely affect physiological responses and performance, and are muscle- and task-dependent. Findings from this research may facilitate the development of ergonomics interventions, such as task redesign and tool/workstation design, that may help reduce risk of workplace injuries.

[1]  A. Crenshaw,et al.  Changes in interstitial noradrenaline, trapezius muscle activity and oxygen saturation during low-load work and recovery , 2009, European Journal of Applied Physiology.

[2]  R. Passingham,et al.  The prefrontal cortex: response selection or maintenance within working memory? , 2000, 5th IEEE EMBS International Summer School on Biomedical Imaging, 2002..

[3]  Samuele M. Marcora,et al.  Mental fatigue impairs physical performance in humans. , 2009, Journal of applied physiology.

[4]  Ranjana K Mehta,et al.  Effects of physical and mental demands on shoulder muscle fatigue. , 2012, Work.

[5]  Tejin Yoon,et al.  Sex differences in response to cognitive stress during a fatiguing contraction. , 2009, Journal of applied physiology.

[6]  Mikael Forsman,et al.  Consistency in physiological stress responses and electromyographic activity during induced stress exposure in women and men , 2004, Integrative physiological and behavioral science : the official journal of the Pavlovian Society.

[7]  Morten Wærsted,et al.  Activity of single motor units in attention-demanding tasks: firing pattern in the human trapezius muscle , 2004, European Journal of Applied Physiology and Occupational Physiology.

[8]  L Finsen,et al.  Muscle activity and cardiovascular response during computer-mouse work with and without memory demands , 2001, Ergonomics.

[9]  R. Martens Arousal and Motor Performance , 1974, Exercise and sport sciences reviews.

[10]  Marina Heiden,et al.  Effects of time pressure and precision demands during computer mouse work on muscle oxygenation and position sense , 2005, European Journal of Applied Physiology.

[11]  P. Hassmén,et al.  Psychophysiological stress and emg activity of the trapezius muscle , 1994, International journal of behavioral medicine.

[12]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .

[13]  H. Johansson,et al.  Position sense acuity is diminished following repetitive low-intensity work to fatigue in a simulated occupational setting , 2000, European Journal of Applied Physiology.

[14]  U. Lundberg,et al.  Stress in the development of musculoskeletal pain : Avenues for the prevention of chronic musculoskeletal pain and disability , 2002 .

[15]  N. Meshkati Heart Rate Variability and Mental Workload Assessment , 1988 .

[16]  G P Van Galen,et al.  Stress, neuromotor noise, and human performance: a theoretical perspective. , 1997, Journal of experimental psychology. Human perception and performance.

[17]  R. Rothman,et al.  Editorial: On CT Scanning and Metrizamide Myelography. Response from the Authors to Letters Received , 1986 .

[18]  Ranjana K. Mehta,et al.  Exertion-Dependent Effects of Physical and Mental Workload on Physiological Outcomes and Task Performance , 2013 .

[19]  A T Welford,et al.  Stress and performance. , 1973, Ergonomics.

[20]  D. Spengler,et al.  Back Injuries in Industry: A Retrospective Study: II. Injury Factors , 1986, Spine.

[21]  C. Robinson,et al.  Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. , 2006, The Journal of bone and joint surgery. American volume.

[22]  Peter J Keir,et al.  Interfering effects of the task demands of grip force and mental processing on isometric shoulder strength and muscle activity , 2005, Ergonomics.

[23]  Y. Bhambhani,et al.  Relationship between erector spinae static endurance and muscle oxygenation-blood volume changes in healthy and low back pain subjects , 2006, European Journal of Applied Physiology.

[24]  Morten Wærsted,et al.  Human muscle activity related to non-biomechanical factors in the workplace , 2000, European Journal of Applied Physiology.

[25]  A. Garde,et al.  Effects of mental and physical demands on heart rate variability during computer work , 2002, European Journal of Applied Physiology.

[26]  Michael J. Agnew,et al.  Influence of mental workload on muscle endurance, fatigue, and recovery during intermittent static work , 2011, European Journal of Applied Physiology.

[27]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[28]  Ruud G. J. Meulenbroek,et al.  Differential effects of mental load on proximal and distal arm muscle activity , 2005, Experimental Brain Research.

[29]  Anker Helms Jørgensen,et al.  Effect of mental and physical demands on muscular activity during the use of a computer mouse and a keyboard. , 2002, Scandinavian journal of work, environment & health.

[30]  Peter J Keir,et al.  Interfering effects of multitasking on muscle activity in the upper extremity. , 2007, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[31]  M. Allen,et al.  Patterns of autonomic response during laboratory stressors. , 1989, Psychophysiology.

[32]  Inge Zijdewind,et al.  Interaction between force production and cognitive performance in humans , 2006, Clinical Neurophysiology.

[33]  R. Westgaard,et al.  Attention-related muscle activity in different body regions during VDU work with minimal physical activity. , 1996, Ergonomics.

[34]  D. Rempel,et al.  Influence of time pressure and verbal provocation on physiological and psychological reactions during work with a computer mouse , 2002, European Journal of Applied Physiology.

[35]  A. K. Blangsted,et al.  The effect of mental stress on heart rate variability and blood pressure during computer work , 2004, European Journal of Applied Physiology.

[36]  Katherine S. Rudolph,et al.  Dynamic stability in the anterior cruciate ligament deficient knee , 2001, Knee Surgery, Sports Traumatology, Arthroscopy.

[37]  R. Yerkes,et al.  The relation of strength of stimulus to rapidity of habit‐formation , 1908 .

[38]  R H Westgaard,et al.  Effects of physical and mental stressors on muscle pain. , 1999, Scandinavian journal of work, environment & health.

[39]  M. Waersted,et al.  Human muscle activity related to non-biomechanical factors in the workplace. , 2000, European journal of applied physiology.

[40]  R. Adams,et al.  Motor control and strength as predictors of hamstring injury in elite players of Australian football , 2003 .

[41]  Roland Kadefors,et al.  Effects of experimentally induced mental and physical stress on motor unit recruitment in the trapezius muscle , 2002 .

[42]  Ronald Ley,et al.  Mental stress and trapezius muscle activation under psychomotor challenge: a focus on EMG gaps during computer work. , 2008, Psychophysiology.

[43]  R. Enoka,et al.  Mechanisms that contribute to differences in motor performance between young and old adults. , 2003, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[44]  Richard S. J. Frackowiak,et al.  Cerebral activation during the exertion of sustained static force in man , 1996, Neuroreport.

[45]  D. Spengler,et al.  Back Injuries in Industry: A Retrospective Study: I. Overview and Cost Analysis , 1986, Spine.

[46]  J. Carter,et al.  Neurovascular responses to mental stress , 2005, The Journal of physiology.

[47]  Ranjana K. Mehta,et al.  Effects of concurrent physical and mental demands for a short duration static task , 2011 .

[48]  G. Yue,et al.  Effects of Aging on Hand Function , 2001, Journal of the American Geriatrics Society.

[49]  A. Silman,et al.  Occupational risk factors for shoulder pain: a systematic review , 2000, Occupational and environmental medicine.

[50]  Bo Melin,et al.  A biopsychosocial approach to work-stress and musculosketal disorders. , 1997 .

[51]  P. Åstrand,et al.  Textbook of Work Physiology , 1970 .

[52]  Inge Zijdewind,et al.  Motor fatigue and cognitive task performance in humans , 2002, The Journal of physiology.

[53]  Ulf Lundberg,et al.  Psychophysiology of work: stress, gender, endocrine response, and work-related upper extremity disorders. , 2002, American journal of industrial medicine.

[54]  Linda McLean,et al.  The influence of psychological stressors on myoelectrical signal activity in the shoulder region during a data entry task , 2002 .

[55]  A. Crenshaw,et al.  Tissue oxygenation and haemoglobin kinetics as a function of depth in two shoulder muscles differing in fibre-type composition , 2010 .

[56]  R H Westgaard,et al.  Shoulder muscle tension induced by two VDU-based tasks of different complexity. , 1991, Ergonomics.

[57]  G. Mirka,et al.  Cervicobrachial muscle response to cognitive load in a dual-task scenario , 2004, Ergonomics.

[58]  Jacek Cholewicki,et al.  Coordination of muscle activity to assure stability of the lumbar spine. , 2003, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[59]  A. J. Fridlund,et al.  Anxiety and striate-muscle activation: evidence from electromyographic pattern analysis. , 1986, Journal of abnormal psychology.

[60]  W. G. Allread,et al.  The Influence of Psychosocial Stress, Gender, and Personality on Mechanical Loading of the Lumbar Spine , 2000, Spine.

[61]  R. Buschbacher Anatomical Guide for the Electromyographer: The Limbs and Trunk , 2007 .