Occupational Ergonomics: Principles and Applications

This chapter provides the basic principles that underlie the field of ergonomics and their application to some of the current issues of importance in the workplace. Sections 2 to 4 deal with the physiology of muscles; biomechanics; cellular responses to tissue, nerve, and joint injuries as they relate to cumulative trauma disorders; and common types of overuse syndromes. The remaining sections deal with applications of the principles to workplace ergonomic issues and proposed ergonomic regulations. The word “ergonomics” is made up of two Greek words, “ergo” meaning work and “nomas” meaning laws. The field of ergonomics is highly interdisciplinary. It applies principles from engineering, physiology, medicine, and psychology to the understanding of the interaction of humans with their workplace. The interaction of humans with their workplace may consist of identifying the relationship between job physical risk factors and physiological responses. For example, a specific ergonomic problem of paramount importance in the occupational health and safety is the issue of work-related musculoskeletal disorders (WMD). Some of these issues are discussed further in this chapter. The specific areas of application relevant for the field of ergonomics are defined and briefly explained. Activities that involve repetitive stress have effects that are extremely complicated. Adding internal or external forces to the body can, as described, alter bone, joints, ligaments, tendons, nerves, and muscles. Belief that a repetitive motion will result in an isolated nerve injury without affecting surrounding joints, ligaments, muscles, or tendons is likely to inhibit appropriate care and control of exposed individuals. Additional research is needed to further characterize changes that occur, and current approaches to recognizing, managing and preventing repetitive injuries must address all tissues in the involved area. Keywords: Principles; Ergonomics; Muscle; Skeletal system; Anthropometry; Biomechanics; Physiological effects; Stress strain; Tissue injury; Bone; Joints; Ligament; Tendon; Nerve; Upper extremity overuse; Carpal tunnel; Low back pain; Low back loads; Regulations; California standards; ANSI Z-365; Job analysis

[1]  H. J. Seddon,et al.  THREE TYPES OF NERVE INJURY , 1943 .

[2]  S. Sunderland,et al.  STRESS-STRAIN PHENOMENA IN HUMAN PERIPHERAL NERVE TRUNKS , 1961 .

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

[4]  C. Bassett,et al.  Histological observations on experimentally induced degeneration of articular cartilage. , 1970, The Journal of bone and joint surgery. American volume.

[5]  W. Enneking,et al.  The intra-articular effects of immobilization on the human knee. , 1972, The Journal of bone and joint surgery. American volume.

[6]  A. McComas,et al.  The double crush in nerve entrapment syndromes. , 1973, Lancet.

[7]  J R Pearson,et al.  Pressure variation in the below-knee, patellar tendon bearing suction socket prosthesis. , 1974, Journal of biomechanics.

[8]  T Belytschko,et al.  A model for studies of mechanical interactions between the human spine and rib cage. , 1974, Journal of biomechanics.

[9]  F. Jobe,et al.  Degeneration and rupture of the Achilles tendon. , 1975, Clinical orthopaedics and related research.

[10]  J B Finlay,et al.  Survival of articular cartilage after controlled impact. , 1977, The Journal of bone and joint surgery. American volume.

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

[12]  D B Chaffin,et al.  An investigation of the relationship between displacements of the finger and wrist joints and the extrinsic finger flexor tendons. , 1978, Journal of biomechanics.

[13]  D B Chaffin,et al.  Some biomechanical aspects of the carpal tunnel. , 1979, Journal of biomechanics.

[14]  I. Stokes,et al.  Tension and creep phenomena in peripheral nerve. , 1979, Acta orthopaedica Scandinavica.

[15]  I. F. Williams,et al.  Cell morphology and collagen types in equine tendon scar. , 1980, Research in veterinary science.

[16]  F. Postacchini,et al.  Regeneration of rabbit calcaneal tendon maturation of collagen and elastic fibers following partial tenotomy. , 1980, Connective tissue research.

[17]  A R Hargens,et al.  The carpal tunnel syndrome. A study of carpal canal pressures. , 1981, The Journal of bone and joint surgery. American volume.

[18]  W. Akeson,et al.  Quantitation of skeletal-muscle necrosis in a model compartment syndrome. , 1981, The Journal of bone and joint surgery. American volume.

[19]  G Lundborg,et al.  Effects of graded compression on intraneural blood blow. An in vivo study on rabbit tibial nerve. , 1981, The Journal of hand surgery.

[20]  G. Borg Psychophysical bases of perceived exertion. , 1982, Medicine and science in sports and exercise.

[21]  I A Macdonald,et al.  An evaluation of the Oxylog as a portable device with which to measure oxygen consumption. , 1982, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics.

[22]  Surgery of hand-unit in adults and children, H.A. Motamed. Motamed Medical Publisher, Inc., Chicago (1981), two vols., 1,614 pp, $250 , 1982 .

[23]  I. Kiviranta,et al.  Effects of immobilization for 6 weeks on rabbit knee articular surfaces as assessed by the semiquantitative stereomicroscopic method. , 1983, Acta anatomica.

[24]  L. Józsa,et al.  Polarization and electron microscopic studies on the collagen of intact and ruptured human tendons. , 1984, Acta histochemica.

[25]  M A Freeman,et al.  The composition of normal and osteoarthritic articular cartilage from human knee joints. With special reference to unicompartmental replacement and osteotomy of the knee. , 1984, The Journal of bone and joint surgery. American volume.

[26]  R. Gelberman,et al.  Results of internal neurolysis of the median nerve for severe carpal-tunnel syndrome. , 1985, The Journal of bone and joint surgery. American volume.

[27]  S L Woo,et al.  The biomechanical and morphological changes in the medial collateral ligament of the rabbit after immobilization and remobilization. , 1987, The Journal of bone and joint surgery. American volume.

[28]  L. S. Matthews,et al.  Analysis of cumulative strain in tendons and tendon sheaths. , 1987, Journal of biomechanics.

[29]  T. Armstrong,et al.  Occupational factors and carpal tunnel syndrome. , 1987, American journal of industrial medicine.

[30]  A Fiorito,et al.  Bone and joint disorders in the upper extremities of chipping and grinding operators , 1987, International archives of occupational and environmental health.

[31]  Xenia Dennett,et al.  OVERUSE SYNDROME: A MUSCLE BIOPSY STUDY , 1988, The Lancet.

[32]  A. Vailas,et al.  Immature tendon adaptation to strenuous exercise. , 1988, Journal of applied physiology.

[33]  H. Hansson,et al.  Somatomedin C immunoreactivity in the Achilles tendon varies in a dynamic manner with the mechanical load. , 1988, Acta physiologica Scandinavica.

[34]  Stephen D. Smith,et al.  Unilateral hindpaw amputation causes bilateral articular cartilage remodeling of the rat hip joint , 1988, The Anatomical record.

[35]  R. Szabo,et al.  Stress carpal tunnel pressures in patients with carpal tunnel syndrome and normal patients. , 1989, The Journal of hand surgery.

[36]  I. Okutsu,et al.  Measurement of pressure in the carpal canal before and after endoscopic management of carpal tunnel syndrome. , 1989, The Journal of bone and joint surgery. American volume.

[37]  C. Frank,et al.  The Biology of Tendons and Ligaments , 1990 .

[38]  N. Ebraheim,et al.  Carpal tunnel changes and median nerve compression during wrist flexion and extension seen by magnetic resonance imaging. , 1990, The Journal of hand surgery.

[39]  C Backman,et al.  Chronic achilles paratenonitis with tendinosis: An experimental model in the rabbit , 1990, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[40]  W Kowsuwon,et al.  Pressures in the carpal tunnel. A comparison between patients with carpal tunnel syndrome and normal subjects. , 1990, The Journal of bone and joint surgery. British volume.

[41]  S. Woo,et al.  Stress relaxation of a peripheral nerve. , 1991, The Journal of hand surgery.

[42]  A Unsworth,et al.  Tribology of Human and Artificial Joints , 1991, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[43]  R M Aspden,et al.  Effects of mechanical load on cartilage matrix biosynthesis in vitro. , 1991, Matrix.

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

[45]  M. Liang,et al.  Validation of a surveillance case definition of carpal tunnel syndrome. , 1991, American journal of public health.

[46]  D M Visco,et al.  Neurogenic acceleration of osteoarthrosis. The effects of previous neurectomy of the articular nerves on the development of osteoarthrosis after transection of the anterior cruciate ligament in dogs. , 1992, The Journal of bone and joint surgery. American volume.

[47]  F. Pipers,et al.  Preliminary studies on the vascular anatomy of the equine superficial digital flexor tendon. , 1992, Equine veterinary journal.

[48]  R E Schlegel,et al.  Coefficient of Friction and Subjective Assessment of Slippery Work Surfaces , 1992, Human factors.

[49]  H. Helminen,et al.  Effects of cyclic hydrostatic pressure on proteoglycan synthesis in cultured chondrocytes and articular cartilage explants. , 1993, Archives of biochemistry and biophysics.

[50]  T. Armstrong,et al.  A conceptual model for work-related neck and upper-limb musculoskeletal disorders. , 1993, Scandinavian journal of work, environment & health.

[51]  W S Marras,et al.  Wrist motions in industry. , 1993, Ergonomics.

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

[53]  K. An,et al.  Lumbrical Muscle Incursion into the Carpal Tunnel During Finger Flexion , 1994, Journal of hand surgery.

[54]  S. Snook,et al.  The Cost of 1989 Workers' Compensation Low Back Pain Claims , 1994, Spine.

[55]  O. Reikerås,et al.  Changes in muscle fiber cross-sectional area and concentrations of Na,K-ATPase in deltoid muscle in patients with impingement syndrome of the shoulder. , 1994, The Journal of orthopaedic and sports physical therapy.

[56]  A. Rausing,et al.  Chronic Achilles Tendinopathy: A Survey of Surgical and Histopathologic Findings Mats , 1995, Clinical orthopaedics and related research.

[57]  G. Sjøgaard,et al.  Intramuscular laser-Doppler flowmetry in the supraspinatus muscle during isometric contractions , 1995, European Journal of Applied Physiology and Occupational Physiology.

[58]  D. Eakins,et al.  Anatomic investigation of the role of the lumbrical muscles in carpal tunnel syndrome. , 1995, The Journal of hand surgery.

[59]  R. Bray,et al.  Exercise Loading of Tendons and the Development of Overuse Injuries , 1995, Sports medicine.

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

[61]  H. Vandenburgh,et al.  Collagen and Stretch Modulate Autocrine Secretion of Insulin-like Growth Factor-1 and Insulin-like Growth Factor Binding Proteins from Differentiated Skeletal Muscle Cells (*) , 1995, The Journal of Biological Chemistry.

[62]  V Putz-Anderson,et al.  Back pain among workers in the United States: national estimates and workers at high risk. , 1995, American journal of industrial medicine.

[63]  L. Almekinders,et al.  An In Vitro Investigation Into the Effects of Repetitive Motion and Nonsteroidal Antiinflammatory Medication on Human Tendon Fibroblasts , 1995, The American journal of sports medicine.

[64]  W M Jenkins,et al.  A primate genesis model of focal dystonia and repetitive strain injury , 1996, Neurology.

[65]  S L Woo,et al.  Biomechanical properties of peripheral nerves. , 1996, Hand clinics.

[66]  John M. Martinez,et al.  Stress Fractures , 1996, Sports medicine.

[67]  W. Stauber,et al.  Fibrosis and intercellular collagen connections from four weeks of muscle strains , 1996, Muscle & nerve.

[68]  B. Alman,et al.  Regulation of proliferation and platelet‐derived growth factor expression in palmar fibromatosis (Dupuytren contracture) by mechanical strain , 1996, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[69]  J. Seiler,et al.  The pathophysiology of carpal tunnel syndrome. , 1996, Hand clinics.

[70]  J. Wark,et al.  Models for the pathogenesis of stress fractures in athletes. , 1996, British journal of sports medicine.

[71]  M. Järvinen,et al.  Histopathological findings in chronic tendon disorders , 1997, Scandinavian journal of medicine & science in sports.

[72]  P Kannus,et al.  Etiology and pathophysiology of chronic tendon disorders in sports , 1997, Scandinavian journal of medicine & science in sports.

[73]  W M Jenkins,et al.  A primate model for studying focal dystonia and repetitive strain injury: effects on the primary somatosensory cortex. , 1997, Physical therapy.

[74]  C B Novak,et al.  Repetitive use and static postures: a source of nerve compression and pain. , 1997, Journal of hand therapy : official journal of the American Society of Hand Therapists.

[75]  S. Mackinnon,et al.  Repetitive strain in the workplace. , 1997, The Journal of hand surgery.

[76]  C. Hung,et al.  Intracellular calcium response of ACL and MCL ligament fibroblasts to fluid-induced shear stress. , 1997, Cellular signalling.

[77]  T R Waters,et al.  Methods for assessing the physical demands of manual lifting: a review and case study from warehousing. , 1998, American Industrial Hygiene Association journal.

[78]  D. V. Nelson,et al.  Potential Contributions of Neck Muscle Dysfunctions to Initiation and Maintenance of Carpal Tunnel Syndrome , 1998, Applied psychophysiology and biofeedback.

[79]  Amit Bhattacharya,et al.  Effects of environmental and task risk factors on workers' perceived sense of postural sway and instability , 1998 .

[80]  D. Bozentka Cubital tunnel syndrome pathophysiology. , 1998, Clinical orthopaedics and related research.

[81]  W. Herzog,et al.  Gender and neurogenic variables in tendon biology and repetitive motion disorders. , 1998, Clinical orthopaedics and related research.

[82]  G. Hägg,et al.  Structural changes in male trapezius muscle with work-related myalgia , 1998, Acta Neuropathologica.

[83]  D. A. Allan Structure and physiology of joints and their relationship to repetitive strain injuries. , 1998, Clinical orthopaedics and related research.

[84]  W. Tatton,et al.  Joint receptors modulate short and long latency muscle responses in the awake cat , 2004, Experimental Brain Research.

[85]  L. Józsa,et al.  Fine structural alterations of collagen fibers in degenerative tendinopathy , 2004, Archives of orthopaedic and traumatic surgery.

[86]  P. Kannus,et al.  Pathological alterations in human tendons , 2004, Archives of Orthopaedic and Trauma Surgery.

[87]  M. Järvinen,et al.  Vascular changes in the ruptured achilles tendon and paratenon , 2004, International Orthopaedics.

[88]  D. Skubick,et al.  Carpal tunnel syndrome as an expression of muscular dysfunction in the neck , 1993, Journal of Occupational Rehabilitation.