The impact of working technique on physical loads—an exposure profile among newspaper editors

The aim of this study was to investigate the possible associations between working technique, sex, symptoms and level of physical load in VDU-work. A study group of 32 employees in the editing department of a daily newspaper answered a questionnaire, about physical working conditions and symptoms from the neck and the upper extremities. Muscular load, wrist positions and computer mouse forces were measured. Working technique was assessed from an observation protocol for computer work. In addition ratings of perceived exertion and overall comfort were collected. The results showed that subjects classified as having a good working technique worked with less muscular load in the forearm (extensor carpi ulnaris p=0.03) and in the trapezius muscle on the mouse operating side (p=0.02) compared to subjects classified as having a poor working technique. Moreover there were no differences in gap frequency (number of episodes when muscle activity is below 2.5% of a reference contraction) or muscular rest (total duration of gaps) between the two working technique groups. Women in this study used more force (mean force p=0.006, peak force p=0.02) expressed as % MVC than the men when operating the computer mouse. No major differences were shown in muscular load, wrist postures, perceived exertion or perceived comfort between men and women or between cases and symptom free subjects. In conclusion a good working technique was associated with reduced muscular load in the forearm muscles and in the trapezius muscle on the mouse operating side. Moreover women used more force (mean force and peak force) than men when operating the click button (left button) of the computer mouse.

[1]  Annika Åström,et al.  Load pattern and pressure pain threshold in the upper trapezius muscle and psychosocial factors in medical secretaries with and without shoulder/neck disorders , 1997, International archives of occupational and environmental health.

[2]  M Feuerstein,et al.  Computer keyboard force and upper extremity symptoms. , 1997, Journal of occupational and environmental medicine.

[3]  W Jones,et al.  Computer users' postures and associations with workstation characteristics. , 2000, AIHAJ : a journal for the science of occupational and environmental health and safety.

[4]  R H Westgaard,et al.  A case-control study of trapezius muscle activity in office and manual workers with shoulder and neck pain and symptom-free controls , 1995, International archives of occupational and environmental health.

[5]  Video display terminal workstation improvement program: II. Ergonomic intervention and reduction of musculoskeletal discomfort. , 2000, Journal of occupational and environmental medicine.

[6]  U Bergqvist,et al.  Musculoskeletal disorders in visual display unit work: gender and work demands. , 1999, Occupational medicine.

[7]  Amy J. Haufler,et al.  Development of a screen for predicting clinical outcomes in patients with work-related upper extremity disorders. , 2000, Journal of occupational and environmental medicine.

[8]  M Fogleman,et al.  Computer mouse use and cumulative trauma disorders of the upper extremities. , 1995, Ergonomics.

[9]  Allan Toomingas,et al.  Self-reported working conditions of VDU operators and associations with musculoskeletal symptoms : a cross-sectional study focussing on gender differences , 2002 .

[10]  Å. Kilbom,et al.  Gender differences in upper extremity musculoskeletal complaints in the working population , 2000, International archives of occupational and environmental health.

[11]  M Hagberg,et al.  Measuring and characterizing force exposures during computer mouse use. , 2000, Scandinavian journal of work, environment & health.

[12]  M Thoresen,et al.  Musculoskeletal, visual and psychosocial stress in VDU operators before and after multidisciplinary ergonomic interventions. , 1998, Applied ergonomics.

[13]  R. Westgaard,et al.  Electromyographic evaluation of muscular work pattern as a predictor of trapezius myalgia. , 1993, Scandinavian journal of work, environment & health.

[14]  L Karlqvist,et al.  A process for the development, specification and evaluation of VDU work tables. , 1998, Applied ergonomics.

[15]  M Hagberg,et al.  Method and performance: two elements of work technique. , 1998, Ergonomics.

[16]  David A. Thompson Effect of exercise breaks on musculoskeletal strain among data-entry operators: a case study , 1991 .

[17]  K Ohlsson,et al.  Goniometer measurement and computer analysis of wrist angles and movements applied to occupational repetitive work. , 1996, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[18]  K Ohlsson,et al.  Interindividual variation of physical load in a work task. , 1999, Scandinavian journal of work, environment & health.

[19]  Steven L. Sauter,et al.  Promoting health and productivity in the computerized office : models of successful ergonomic interventions , 1990 .

[20]  G M Hägg,et al.  Normalization of surface EMG amplitude from the upper trapezius muscle in ergonomic studies - A review. , 1995, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[21]  Mats Hagberg,et al.  Computer mouse and track-ball operation:: Similarities and differences in posture, muscular load and perceived exertion , 1999 .

[22]  A Aarås,et al.  Postural load during VDU work: a comparison between various work postures. , 1997, Ergonomics.

[23]  M Hagberg,et al.  Gender differences in musculoskeletal health of computer and mouse users in the Swedish workforce. , 2000, Occupational medicine.

[24]  Raghavaiah Kanakamedala,et al.  Anatomic Guide for the Electromyographer: The Limbs , 1982 .

[25]  Kerstina Ohlsson,et al.  Physical workload on neck and upper limb using two CAD applications. , 2002, Applied ergonomics.

[26]  Nell,et al.  Musculoskeletal Symptoms among Computer-assisted Design (CAD) Operators and Evaluation of a Self-assessment Questionnaire. , 1996, International journal of occupational and environmental health.

[27]  Arne Aarås,et al.  Can a More Neutral Position of the Forearm When Operating a Computer Mouse Reduce the Pain Level for Visual Display Unit Operators? A Prospective Epidemiological Intervention Study: Part II , 1999, Int. J. Hum. Comput. Interact..

[28]  Arne Aarås,et al.  Can a More Neutral Position of the Forearm When Operating a Computer Mouse Reduce the Pain Level for Visual Display Unit Operators? A Prospective Epidemiological Intervention Study: Part II , 2001, Int. J. Hum. Comput. Interact..

[29]  K Ohlsson,et al.  Impact of physical exposure on neck and upper limb disorders in female workers. , 2000, Applied ergonomics.

[30]  R H Westgaard,et al.  Trapezius muscle activity as a risk indicator for shoulder and neck pain in female service workers with low biomechanical exposure , 2001, Ergonomics.

[31]  M Hagberg,et al.  Differences between work methods and gender in computer mouse use. , 2000, Scandinavian journal of work, environment & health.

[32]  J. Heckman,et al.  The clinical measurement of joint motion , 1994 .

[33]  G. Borg Psychophysical scaling with applications in physical work and the perception of exertion. , 1990, Scandinavian journal of work, environment & health.

[34]  M Hagberg,et al.  An observation instrument for assessment of work technique in patient transfer tasks. , 2000, Applied ergonomics.

[35]  E. Delagi,et al.  Anatomic guide for the electromyographer--the limbs , 1980 .

[36]  M. Hagberg,et al.  The effects of different pause types on neck and shoulder EMG activity during VDU work. , 1989, Ergonomics.

[37]  D. Rempel,et al.  Sensitivity of trapezius electromyography to differences between work tasks - influence of gap definition and normalisation methods. , 2000, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[38]  K. Mundt,et al.  Video display terminal workstation improvement program: I. Baseline associations between musculoskeletal discomfort and ergonomic features of workstations. , 2000, Journal of occupational and environmental medicine.