Revised NIOSH equation for the design and evaluation of manual lifting tasks.

In 1985, the National Institute for Occupational Safety and Health (NIOSH) convened an ad hoc committee of experts who reviewed the current literature on lifting, recommend criteria for defining lifting capacity, and in 1991 developed a revised lifting equation. Subsequently, NIOSH developed the documentation for the equation and played a prominent role in recommending methods for interpreting the results of the equation. The 1991 equation reflects new findings and provides methods for evaluating asymmetrical lifting tasks, lifts of objects with less than optimal hand-container couplings, and also provides guidelines for a larger range of work durations and lifting frequencies than the 1981 equation. This paper provides the basis for selecting the three criteria (biomechanical, physiological, and psychophysical) that were used to define the 1991 equation, and describes the derivation of the individual components (Putz-Anderson and Waters 1991). The paper also describes the lifting index (LI), an index of relative physical stress, that can be used to identify hazardous lifting tasks. Although the 1991 equation has not been fully validated, the recommended weight limits derived from the revised equation are consistent with or lower than those generally reported in the literature. NIOSH believes that the revised 1991 lifting equation is more likely than the 1981 equation to protect most workers.

[1]  G D Herrin,et al.  Prediction of overexertion injuries using biomechanical and psychophysical models. , 1986, American Industrial Hygiene Association journal.

[2]  D. Spengler,et al.  Back Injuries in Industry: A Retrospective Study: III. Employee-related Factors , 1986, Spine.

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

[4]  W Karwowski,et al.  Reliability of the psychophysical approach to manual lifting of liquids by females. , 1986, Ergonomics.

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

[6]  A Garg,et al.  An evaluation of the NIOSH guidelines for manual lifting, with special reference to horizontal distance. , 1989, American Industrial Hygiene Association journal.

[7]  T Hansson,et al.  The Relation Between Bone Mineral Content, Experimental Compression Fractures, and Disc Degeneration in Lumbar Vertebrae , 1981, Spine.

[8]  A Mital,et al.  Physiological guidelines for the design of manual lifting and lowering tasks: the state of the art. , 1988, American Industrial Hygiene Association journal.

[9]  A. Garg,et al.  Maximum acceptable weights and maximum voluntary isometric strengths for asymmetric lifting. , 1986, Ergonomics.

[10]  S Gracovetsky,et al.  The Optimum Spine , 1986, Spine.

[11]  D H Liles,et al.  Using NIOSH lifting guide decreases risks of back injuries. , 1985, Occupational health & safety.

[12]  D B Chaffin,et al.  A longitudinal study of low-back pain as associated with occupational weight lifting factors. , 1973, American Industrial Hygiene Association journal.

[13]  G. Lehmakn,et al.  PHYSIOLOGICAL MEASUREMENTS AS A BASIS OF WORK ORGANIZATION IN INDUSTRY , 1958 .

[14]  Arun Garg,et al.  Stoop or Squat: A Biomechanical and Metabolic Evaluation , 1979 .

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

[16]  J L Smith,et al.  A manual materials handling study of bag lifting. , 1984, American Industrial Hygiene Association journal.

[17]  A. Schultz,et al.  Loads on the lumbar spine. Validation of a biomechanical analysis by measurements of intradiscal pressures and myoelectric signals. , 1982, The Journal of bone and joint surgery. American volume.

[18]  L. S. Matthews,et al.  A biomechanical model of the lumbosacral joint during lifting activities. , 1985, Journal of biomechanics.

[19]  A Luttmann,et al.  Biomechanical analysis and assessment of lumbar stress during load lifting using a dynamic 19-segment human model. , 1989, Ergonomics.

[20]  D. Chaffin Human strength capability and low-back pain. , 1974, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[21]  A B Schultz,et al.  Biomechanical model calculation of muscle contraction forces: a double linear programming method. , 1988, Journal of biomechanics.

[22]  D G Wilder,et al.  Epidemiologic Studies of Low-Back Pain , 1980, Spine.

[23]  R W Norman,et al.  Dynamically and statically determined low back moments during lifting. , 1985, Journal of biomechanics.

[24]  D. Chaffin,et al.  Prediction of metabolic rates for manual materials handling jobs. , 1978, American Industrial Hygiene Association journal.

[25]  Arun Garg,et al.  Container Characteristics and Maximum Acceptable Weight of Lift1 , 1980 .

[26]  A. R. Lind,et al.  Comparison of metabolic and ventilatory responses of men to various lifting tasks and bicycle ergometry. , 1978, Journal of applied physiology: respiratory, environmental and exercise physiology.

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

[28]  A Garg,et al.  Effects of lifting frequency and technique on physical fatigue with special reference to psychophysical methodology and metabolic rate. , 1979, American Industrial Hygiene Association journal.

[29]  A Magora,et al.  Investigation of the relation between low back pain and occupation. , 1970, IMS, Industrial medicine and surgery.

[30]  J R Brown,et al.  Lifting as an industrial hazard. , 1973, American Industrial Hygiene Association journal.

[31]  A. R. Lind,et al.  Metabolic, cardiovascular, and respiratory factors in the development of fatigue in lifting tasks. , 1978, Journal of applied physiology: respiratory, environmental and exercise physiology.

[32]  D B Chaffin,et al.  A dynamic biomechanical evaluation of lifting maximum acceptable loads. , 1984, Journal of biomechanics.

[33]  W. M. Keyserling,et al.  Back disorders and nonneutral trunk postures of automobile assembly workers. , 1991, Scandinavian journal of work, environment & health.

[34]  A Magora,et al.  Investigation of the relation between low back pain and occupation. 6. Medical history and symptoms. , 1974, Scandinavian journal of rehabilitation medicine.

[35]  H Rühmann,et al.  Human strength: measurements of maximum isometric forces in industry. , 1989, Ergonomics.

[36]  S H Snook,et al.  A Study of Size, Distance, Height, and Frequency Effects on Manual Handling Tasks , 1983, Human factors.

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

[38]  J. S. Lawrence,et al.  RHEUMATISM IN COAL MINERS: PART III: OCCUPATIONAL FACTORS , 1955 .

[39]  S J Legg,et al.  A physiological study of the repetitive lifting capabilities of healthy young males. , 1984, Ergonomics.

[40]  T P Andriacchi,et al.  Influence of dynamic factors on the lumbar spine moment in lifting. , 1988, Ergonomics.

[41]  I. Kuorinka,et al.  The effect of inertial factors on spinal stress when lifting. , 1983, Engineering in medicine.

[42]  B. Bink,et al.  THE PHYSICAL WORKING CAPACITY IN RELATION TO WORKING TIME AND AGE , 1962 .

[43]  D B Chaffin,et al.  Ergonomics guide for the assessment of human static strength. , 1975, American Industrial Hygiene Association journal.

[44]  D B Chaffin,et al.  A computerized biomechanical model-development of and use in studying gross body actions. , 1969, Journal of biomechanics.

[45]  I. Paul,et al.  Response of joints to impact loading. 3. Relationship between trabecular microfractures and cartilage degeneration. , 1973, Journal of biomechanics.

[46]  A. Schultz,et al.  Analysis and measurement of lumbar trunk loads in tasks involving bends and twists. , 1982, Journal of biomechanics.

[47]  A. Garg,et al.  Maximum acceptable weights, heart rates and RPEs for one hour's repetitive asymmetric lifting. , 1988, Ergonomics.

[48]  Don B. Chaffin,et al.  Biomechanical Stresses From Manual Load Lifting: A Static vs Dynamic Evaluation , 1982 .

[49]  P. Brinckmann,et al.  Fatigue fracture of human lumbar vertebrae. , 1988, Clinical biomechanics.

[50]  C G Drury,et al.  Symmetric and asymmetric manual materials handling. Part 1: Physiology and psychophysics. , 1989, Ergonomics.

[51]  Anil Mital,et al.  Manual Materials Handling , 1989 .

[52]  S S Asfour,et al.  Physiological limits in lifting. , 1985, American Industrial Hygiene Association journal.

[53]  A Mital,et al.  Psychophysical and physiological responses to lifting symmetrical and asymmetrical loads symmetrically and asymmetrically. , 1986, Ergonomics.

[54]  A. Schultz,et al.  Lumbar trunk muscle use in standing isometric heavy exertions , 1987, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[55]  B. Bresler,et al.  Role of the Trunk in Stability of the Spine , 1961 .

[56]  S Kumar,et al.  The physiological cost of three different methods of lifting in sagittal and lateral planes. , 1984, Ergonomics.

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

[58]  P. Ellwood,et al.  Handbook of Physical Medicine and Rehabilitation , 1966 .

[59]  A Garg Physiological responses to one-handed lift in the horizontal plane by female workers. , 1983, American Industrial Hygiene Association journal.

[60]  A Mital,et al.  Comprehensive maximum acceptable weight of lift database for regular 8-hour work shifts. , 1984, Ergonomics.

[61]  R. Norman,et al.  1986 Volvo Award in Biomechanics: Partitioning of the L4 - L5 Dynamic Moment into Disc, Ligamentous, and Muscular Components During Lifting , 1986, Spine.

[62]  O Dehlin,et al.  Back symptoms in nursing aides in a geriatric hospital. An interview study with special reference to the incidence of low-back symptoms. , 1976, Scandinavian journal of rehabilitation medicine.

[63]  J. R. Brown Manual lifting and related fields. An annotated bibliography. , 1972 .

[64]  Ciriello Vm,et al.  The effects of task duration on psychophysically-determined maximum acceptable weights and forces , 1990 .

[65]  A. Mital The Psychophysical Approach in Manual Lifting---A Verification Study , 1983, Human factors.

[66]  Er Tichauer,et al.  A pilot study of the biomechanics of lifting in simulated industrial work situations , 1971 .

[67]  Don B. Chaffin,et al.  Occupational low back pain : assessment, treatment, and prevention , 1992 .

[68]  D B Chaffin,et al.  An empirical investigation of low back strains and vertebrae geometry. , 1969, Journal of biomechanics.

[69]  A. Mital Maximum weights of lift acceptable to male and female industrial workers for extended work shifts. , 1984, Ergonomics.