Relative importance of expertise, lifting height and weight lifted on posture and lumbar external loading during a transfer task in manual material handling

The objective of this study was to measure the effect size of three important factors in manual material handling, namely expertise, lifting height and weight lifted. The effect of expertise was evaluated by contrasting 15 expert and 15 novice handlers, the effect of the weight lifted with a 15-kg box and a 23-kg box and the effect of lifting height with two different box heights: ground level and a 32 cm height. The task consisted of transferring a series of boxes from a conveyor to a hand trolley. Lifting height and weight lifted had more effect size than expertise on external back loading variables (moments) while expertise had low impact. On the other hand, expertise showed a significant effect of posture variables on the lumbar spine and knees. All three factors are important, but for a reduction of external back loading, the focus should be on the lifting height and weight lifted. Practitioner Summary The objective was to measure the effect size of three important factors in a transfer of boxes from a conveyor to a hand trolley. Lifting height and weight lifted had more effect size than expertise on external back loading variables but expertise was a major determinant in back posture.

[1]  Gert S. Faber,et al.  How to lift a box that is too large to fit between the knees , 2010, Ergonomics.

[2]  S. McGill,et al.  The influence of static axial torque in combined loading on intervertebral joint failure mechanics using a porcine model. , 2005, Clinical biomechanics.

[3]  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.

[4]  E Viikari-Juntura,et al.  Manual material handling advice and assistive devices for preventing and treating back pain in workers. , 2007, The Cochrane database of systematic reviews.

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

[6]  F. Lötters,et al.  Are changes in mechanical exposure and musculoskeletal health good performance indicators for primary interventions? , 2002, International archives of occupational and environmental health.

[7]  W. G. Allread,et al.  The Role of Dynamic Three-Dimensional Trunk Motion in Occupationally-Related Low Back Disorders: The Effects of Workplace Factors, Trunk Position, and Trunk Motion Characteristics on Risk of Injury , 1993, Spine.

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

[9]  W S Marras,et al.  Measuring trunk motions in industry: variability due to task factors, individual differences, and the amount of data collected , 2000, Ergonomics.

[10]  Karl H.E. Kroemer,et al.  Personnel training for safer material handling , 1992 .

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

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

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

[14]  Steven A. Lavender,et al.  The effects of initial lifting height, load magnitude, and lifting speed on the peak dynamic L5/S1 moments , 2003 .

[15]  Waldemar Karwowski,et al.  Manual Materials Handling , 1990 .

[16]  I. Kingma,et al.  Effect of lifting height and load mass on low back loading , 2008, Ergonomics.

[17]  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.

[18]  Jaro Karppinen,et al.  Manual material handling advice and assistive devices for preventing and treating back pain in workers. , 2011, The Cochrane database of systematic reviews.

[19]  William S Marras,et al.  Investigating reduced bag weight as an effective risk mediator for mason tenders. , 2010, Applied ergonomics.

[20]  T. Andriacchi,et al.  Influence of Dynamic Factors and External Loads on the Moment at the Lumbar Spine in Lifting , 1988, Spine.

[21]  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.

[22]  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.

[23]  M Solomonow,et al.  Sensory-motor control of ligaments and associated neuromuscular disorders. , 2006, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[24]  W S Marras,et al.  Prospective validation of a low-back disorder risk model and assessment of ergonomic interventions associated with manual materials handling tasks , 2000, Ergonomics.

[25]  J H van Dieën,et al.  Working height, block mass and one- vs. two-handed block handling: the contribution to low back and shoulder loading during masonry work , 2009, Ergonomics.

[26]  Idsart Kingma,et al.  Effect of initial horizontal object position on peak L5/S1 moments in manual lifting is dependent on task type and familiarity with alternative lifting strategies , 2011, Ergonomics.

[27]  Kermit G. Davis,et al.  Assessment of the Relationship between Box Weight and Trunk Kinematics: Does a Reduction in Box Weight Necessarily Correspond to a Decrease in Spinal Loading? , 2000, Hum. Factors.

[28]  Anil Mital,et al.  A guide to manual materials handling , 1993 .

[29]  W. E. Hoogendoorn,et al.  Physical load during work and leisure time as risk factors for back pain. , 1999, Scandinavian journal of work, environment & health.

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

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

[32]  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.

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

[34]  Monique H. W. Frings-Dresen,et al.  Epidemiologic evidence on manual materials handling as a risk factor for back disorders:a systematic review , 1999 .

[35]  Kermit Davis,et al.  Load spatial pathway and spine loading: how does lift origin and destination influence low back response? , 2005, Ergonomics.

[36]  Gary A. Mirka,et al.  An Investigation of the Variability in Human Performance during Sagittally Symmetric Lifting Tasks , 1996 .

[37]  Micheline Gagnon,et al.  Biomechanical differences between best and worst performances in repeated free asymmetrical lifts , 2002 .

[38]  W S Marras,et al.  Biomechanical risk factors for occupationally related low back disorders. , 1995, Ergonomics.

[39]  Jerome L. Myers,et al.  Research Design and Statistical Analysis , 1991 .

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

[41]  Denys Denis,et al.  Biomechanical differences between expert and novice workers in a manual material handling task , 2010, Ergonomics.

[42]  S. McGill,et al.  Intervertebral disc herniation: studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force. , 2001, Clinical biomechanics.

[43]  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.

[44]  J H van Dieën,et al.  Stoop or squat: a review of biomechanical studies on lifting technique. , 1999, Clinical biomechanics.

[45]  S. Clemes,et al.  What constitutes effective manual handling training? A systematic review. , 2010, Occupational medicine.

[46]  K P Granata,et al.  Effects of box features on spine loading during warehouse order selecting. , 1999, Ergonomics.

[47]  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.

[48]  Alex Burdorf,et al.  Model for the work-relatedness of low-back pain. , 2003, Scandinavian journal of work, environment & health.

[49]  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.

[50]  William S Marras,et al.  Partitioning the contributing role of biomechanical, psychosocial, and individual risk factors in the development of spine loads. , 2003, The spine journal : official journal of the North American Spine Society.

[51]  P Paul F M Kuijer,et al.  Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review , 2008, BMJ : British Medical Journal.

[52]  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.

[53]  O. Schipplein,et al.  The Influence of Initial Horizontal Weight Placement on the Loads at the Lumbar Spine While Lifting , 1995, Spine.

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

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

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

[57]  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.

[58]  W S Marras,et al.  Spinal loading when lifting from industrial storage bins , 2002, Ergonomics.

[59]  Huub M. Toussaint,et al.  Within-Subject Variability in Low Back Load in a Repetitively Performed, Mildly Constrained Lifting Task , 2001, Spine.

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

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

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

[63]  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.

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

[65]  M. Adams,et al.  Gradual Disc Prolapse , 1985, Spine.

[66]  Waldemar Karwowski,et al.  Cumulative Spine Loading , 2006 .