Association between spinal loads and the psychophysical determination of maximum acceptable force during pushing tasks

The objective of this study was to investigate potential associations between an individual's psychophysical maximum acceptable force (MAF) during pushing tasks and biomechanical tissue loads within the lumbar spine. Ten subjects (eight males, two females) pushed a cart with an unknown weight at one push every two minute for a distance of 3.9 m. Two independent variables were investigated, cart control and handle orientation while evaluating their association with the MAF. Dependent variables of hand force and tissue loads for each MAF determination and preceding push trial were assessed using a validated, electromyography-assisted biomechanical model that calculated spinal load distribution throughout the lumbar spine. Results showed no association between spinal loads and the MAF. Only hand forces were associated with the MAF. Therefore, MAFs may be dependent upon tactile sensations from the hands, not the loads on the spine and thus may be unrelated to risk of low back injury. Practitioner Summary: Pushing tasks have become common in manual materials handling (MMH) and these tasks impose different tissue loads compared to lifting tasks. Industry has commonly used the psychophysical tables for job assent and decision of MMH tasks. However, due to the biomechanical complexity of pushing tasks, psychophysics may be misinterpreting risk.

[1]  W. Marras,et al.  An EMG-assisted model of loads on the lumbar spine during asymmetric trunk extensions. , 1993, Journal of biomechanics.

[2]  Monique H W Frings-Dresen,et al.  Evaluation of ergonomic adjustments of catering carts to reduce external pushing forces. , 2002, Applied ergonomics.

[3]  W S Marras,et al.  Significance of biomechanical and physiological variables during the determination of maximum acceptable weight of lift. , 1999, Ergonomics.

[4]  A Garg,et al.  Revised NIOSH equation for the design and evaluation of manual lifting tasks. , 1993, Ergonomics.

[5]  S. Snook The design of manual handling tasks. , 1978, Ergonomics.

[6]  William S Marras,et al.  Loading along the lumbar spine as influence by speed, control, load magnitude, and handle height during pushing. , 2009, Clinical biomechanics.

[7]  W. Marras,et al.  Spine loading during trunk lateral bending motions. , 1997, Journal of biomechanics.

[8]  S Kumar The back compressive forces during maximal push-pull activities in the sagittal plane. , 1994, Journal of human ergology.

[9]  Gary A. Mirka,et al.  Accuracy of a three-dimensional lumbar motion monitor for recording dynamic trunk motion characteristics , 1992 .

[10]  W. Marras,et al.  Spine loading at different lumbar levels during pushing and pulling , 2009, Ergonomics.

[11]  D B Chaffin,et al.  An ergonomic evaluation of handle height and load in maximal and submaximal cart pushing. , 1995, Applied ergonomics.

[12]  W S. Marras,et al.  The development of an EMG-assisted model to assess spine loading during whole-body free-dynamic lifting. , 1997, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[13]  Thomas J Armstrong,et al.  Effects of handle orientation, gloves, handle friction and elbow posture on maximum horizontal pull and push forces , 2010, Ergonomics.

[14]  W S Marras,et al.  Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices , 2009, Ergonomics.

[15]  W S Marras,et al.  A stochastic model of trunk muscle coactivation during trunk bending. , 1993, Spine.

[16]  William S. Marras,et al.  Modification of an EMG-assisted biomechanical model for pushing and pulling , 2007 .

[17]  W Karwowski,et al.  Discriminability of load heaviness: implications for the psychophysical approach to manual lifting. , 1992, Ergonomics.

[18]  Employed persons by detailed occupation , sex , race , and Hispanic or Latino ethnicity , 2015 .

[19]  Biman Das,et al.  Ergonomics evaluation and redesign of a hospital meal cart. , 2002, Applied ergonomics.

[20]  K P Granata,et al.  A method for measuring external spinal loads during unconstrained free-dynamic lifting. , 1997, Journal of biomechanics.

[21]  W. Marras,et al.  A Biomechanical Assessment and Model of Axial Twisting in the Thoracolumbar Spine , 1995, Spine.

[22]  B Schibye,et al.  Mechanical load on the low back and shoulders during pushing and pulling of two-wheeled waste containers compared with lifting and carrying of bags and bins. , 2001, Clinical biomechanics.

[23]  W. Marras,et al.  An EMG-assisted model of trunk loading during free-dynamic lifting. , 1995, Journal of biomechanics.

[24]  M. Frings-Dresen,et al.  Pushing and pulling in relation to musculoskeletal disorders: a review of risk factors. , 1998, Ergonomics.

[25]  Alfred A. Amendola,et al.  The effect of handle height and cart load on the initial hand forces in cart pushing and pulling , 1999 .

[26]  R. Norman,et al.  Shear Happens! Suggested guidelines for ergonomists to reduce the risk of low back injury from shear loading , 1998 .

[27]  W S Marras,et al.  A Three-Dimensional Motion Model of Loads on the Lumbar Spine: I. Model Structure , 1991, Human factors.

[28]  D S McNally,et al.  'Stress' distributions inside intervertebral discs. The effects of age and degeneration. , 1996, The Journal of bone and joint surgery. British volume.

[29]  Ankylosing Spondylitis,et al.  THE JOURNAL OF BONE AND JOINT SURGERY , 2006 .

[30]  Avis,et al.  An investigation of perceived exertion via whole body exertion and direct muscle force indicators during the determination of the maximum acceptable weight of lift , 2001 .

[31]  Michael A. Adams,et al.  'Stress' distributions inside intervertebral discs , 1996 .

[32]  Stover H. Snook,et al.  The Ergonomics Society The Society's Lecture 1978. THE DESIGN OF MANUAL HANDLING TASKS , 1978 .

[33]  Bente Schibye,et al.  The effect of different surfaces on biomechanical loading of shoulder and lumbar spine during pushing and pulling of two-wheeled containers. , 2002, Applied ergonomics.

[34]  S H Snook,et al.  The design of manual handling tasks: revised tables of maximum acceptable weights and forces. , 1991, Ergonomics.

[35]  W. Marras,et al.  A Three-Dimensional Motion Model of Loads on the Lumbar Spine: II. Model Validation , 1991, Human factors.

[36]  D G Wilder,et al.  Risk factors in low-back pain. An epidemiological survey. , 1983, The Journal of bone and joint surgery. American volume.