Biomechanical differences between expert and novice workers in a manual material handling task

The objective was to verify whether the methods were safer and more efficient when used by expert handlers than by novice handlers. Altogether, 15 expert and 15 novice handlers were recruited. Their task was to transfer four boxes from a conveyor to a hand trolley. Different characteristics of the load and lifting heights were modified to achieve a larger variety of methods by the participants. The results show that the net moments at the L5/S1 joint were not significantly different (p > 0.05) for the two groups. However, compared with the novices, the experts bent their lumbar region less (experts 54° (SD 11°); novices 66° (SD 15°)) but bent their knees more (experts approx. 72° (SD approx. 30°); novices approx. 53° (SD approx. 33°), which brought them closer to the box. The handler's posture therefore seems to be a major aspect that should be paid specific attention, mainly when there is maximum back loading. Statement of Relevance: The findings of this research will be useful for improving manual material handling training programmes. Most biomechanical research is based on novice workers and adding information about the approach used by expert handlers in performing their tasks will help provide new avenues for reducing the risk of injury caused by this demanding physical task.

[1]  M Gagnon,et al.  The influence of dynamic factors on triaxial net muscular moments at the L5/S1 joint during asymmetrical lifting and lowering. , 1992, Journal of biomechanics.

[2]  J H van Dieën,et al.  Asymmetric low back loading in asymmetric lifting movements is not prevented by pelvic twist. , 1998, Journal of biomechanics.

[3]  Scott MacKinnon,et al.  Effects of training and experience on patient transfer biomechanics , 2010 .

[4]  Gagnon,et al.  Handgrip and Box Tilting Strategies in Handling: Effect on Stability and Trunk and Knee Efforts. , 1996, International journal of occupational safety and ergonomics : JOSE.

[5]  Micheline Gagnon,et al.  Load Acceleration and Footstep Strategies in Asymmetrical Lifting and Lowering. , 1996, International journal of occupational safety and ergonomics : JOSE.

[6]  S Gracovetsky,et al.  The Mechanism of the Lumbar Spine , 1981, Spine.

[7]  Bruce Abernethy,et al.  Self-Selected Manual Lifting Technique: Functional Consequences of the Interjoint Coordination , 1995, Hum. Factors.

[8]  S. Wilson,et al.  Lumbar-pelvic range and coordination during lifting tasks. , 2008, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[9]  W. M. Keyserling,et al.  Preemployment strength testing , 1978 .

[10]  Stuart M. McGill,et al.  Low Back Disorders: Evidence-Based Prevention and Rehabilitation , 2002 .

[11]  Kang Li,et al.  Can Relative Strength Between the Back and Knees Differentiate Lifting Strategy? , 2009, Hum. Factors.

[12]  Monique Lortie,et al.  Manual handling techniques: Comparing novices and experts , 1996 .

[13]  Stephan Milosavljevic,et al.  The effect of age on lumbar range of motion: a systematic review. , 2009, Manual therapy.

[14]  A Plamondon,et al.  Knee movement strategies differentiate expert from novice workers in asymmetrical manual materials handling. , 1996, Journal of biomechanics.

[15]  W. Marras,et al.  Variation in spinal load and trunk dynamics during repeated lifting exertions. , 1999, Clinical biomechanics.

[16]  A. Moore,et al.  A normative database of lumbar spine ranges of motion. , 2005, Manual therapy.

[17]  I. Kingma,et al.  Low-back loading in lifting two loads beside the body compared to lifting one load in front of the body. , 2009, Journal of biomechanics.

[18]  P. Dolan,et al.  Repetitive lifting tasks fatigue the back muscles and increase the bending moment acting on the lumbar spine. , 1998, Journal of biomechanics.

[19]  M Gagnon Ergonomic identification and biomechanical evaluation of workers' strategies and their validation in a training situation: summary of research. , 2005, Clinical biomechanics.

[20]  A. Hof,et al.  An explicit expression for the moment in multibody systems. , 1992, Journal of biomechanics.

[21]  J H van Dieën,et al.  Coordination of the leg muscles in backlift and leglift. , 1992, Journal of biomechanics.

[22]  A Plamondon,et al.  Sensitivity analysis of segment models to estimate the net reaction moments at the L5/S1 joint in lifting. , 1998, Medical engineering & physics.

[23]  Monique Lortie,et al.  Handling Techniques: The Influence of Weight and Height for Experts and Novices. , 1995, International journal of occupational safety and ergonomics : JOSE.

[24]  Steven A. Lavender,et al.  Can a New Behaviorally Oriented Training Process to Improve Lifting Technique Prevent Occupationally Related Back Injuries Due to Lifting? , 2007, Spine.

[25]  M Solomonow,et al.  Biomechanics of increased exposure to lumbar injury caused by cyclic loading: Part 1. Loss of reflexive muscular stabilization. , 1999, Spine.

[26]  H M Toussaint,et al.  Repetitive lifting and spinal shrinkage, effects of age and lifting technique. , 1994, Clinical biomechanics.

[27]  R. Jensen,et al.  Estimation of the biomechanical properties of three body types using a photogrammetric method. , 1978, Journal of biomechanics.

[28]  D. Krebs,et al.  Lifting Strategy and Stability in Strength-Impaired Elders , 2001, Spine.

[29]  M. de Looze,et al.  Joint moments and muscle activity in the lower extremities and lower back in lifting and lowering tasks. , 1993, Journal of biomechanics.

[30]  Micheline Gagnon,et al.  Knee flexion and base of support in asymmetrical handling: effects on the worker's dynamic stability and the moments of the L(5)/S(1) and knee joints. , 1998, Clinical biomechanics.

[31]  I. Kingma,et al.  Can low back loading during lifting be reduced by placing one leg beside the object to be lifted? , 2006, Physical therapy.

[32]  Stuart M McGill,et al.  Evolving ergonomics? , 2009, Ergonomics.

[33]  William S. Marras,et al.  The Working Back , 2008 .

[34]  P Desjardins,et al.  A force platform for large human displacements. , 2001, Medical engineering & physics.

[35]  W S Marras,et al.  Spine loading as a function of lift frequency, exposure duration, and work experience. , 2006, Clinical biomechanics.

[36]  W. M. Keyserling,et al.  Preemployment strength testing: an updated position. , 1978, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[37]  Monique Lortie,et al.  The handling of objects other than boxes: univariate analysis of handling techniques in a large transport company. , 1995, Ergonomics.

[38]  A. Plamondon,et al.  Validation of two 3-D segment models to calculate the net reaction forces and moments at the L(5)/S(1) joint in lifting. , 1996, Clinical biomechanics.

[39]  T P Leskinen,et al.  A dynamic analysis of spinal compression with different lifting techniques. , 1983, Ergonomics.

[40]  Idsart Kingma,et al.  Foot positioning instruction, initial vertical load position and lifting technique: effects on low back loading , 2004, Ergonomics.

[41]  T. Andriacchi,et al.  Relationship between moments at the L5/S1 level, hip and knee joint when lifting. , 1990, Journal of biomechanics.

[42]  Sacha Jennifer van Albada,et al.  Transformation of arbitrary distributions to the normal distribution with application to EEG test–retest reliability , 2007, Journal of Neuroscience Methods.

[43]  Julie A. Hides,et al.  Low back disorders: evidence-based prevention and rehabilitation , 2004, British Journal of Sports Medicine.

[44]  Peter Werth,et al.  LOW BACK DISORDERS , 2003, Australasian Chiropractic & Osteopathy.

[45]  M. Adams,et al.  THE BIOMECHANICS OF BACK PAIN , 2003 .

[46]  M Gagnon,et al.  The efficacy of training for three manual handling strategies based on the observation of expert and novice workers. , 2003, Clinical biomechanics.

[47]  W. Karwowski International encyclopedia of ergonomics and human factors , 2001 .

[48]  Stuart McGil,et al.  Low Back Disorders , 2007 .

[49]  Micheline Gagnon,et al.  Kinematic analysis of footstep strategies in asymmetrical lifting and lowering tasks , 1999 .

[50]  Waldemar Karwowski,et al.  Fundamentals and Assessment Tools for Occupational Ergonomics , 2006 .

[51]  Monique Lortie Manutention : prise d'information et décision d'action , 2002 .

[52]  J R Potvin,et al.  Trunk Muscle and Lumbar Ligament Contributions to Dynamic Lifts with Varying Degrees of Trunk Flexion , 1991, Spine.

[53]  E. Tichauer The biomechanical basis of ergonomics , 1978 .

[54]  P. Dolan,et al.  Passive tissues help the back muscles to generate extensor moments during lifting. , 1994, Journal of biomechanics.

[55]  Xudong Zhang,et al.  Are back and leg muscle strengths determinants of lifting motion strategy? Insight from studying the effects of simulated leg muscle weakness , 2002 .

[56]  M. Pearcy Stereo radiography of lumbar spine motion. , 1985, Acta orthopaedica Scandinavica. Supplementum.

[57]  J H van Dieën,et al.  The effects of ergonomic interventions on low back moments are attenuated by changes in lifting behaviour , 2007, Ergonomics.

[58]  E S Grood,et al.  A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. , 1983, Journal of biomechanical engineering.