Work-related low back disorders (WRLBDs) are common and costly in the U.S. and numerous interventions aiming to reduce WRLBD risk have been developed.  In one approach, training programs incorporating the work strategies (or work methods) of experienced workers have often been proposed as a training model or a behavior target of training.  However, both the specific role of work experience in contributing to WRLBDs and the effectiveness of such an intervention approach are not well understood.  In the current research, differential work strategies of experienced workers and associated WRLBD risk were identified, in the context of several common occupational activities.  Three experiments were completed, in which both experienced workers and matched novices participated.  These experiments involved relatively short duration repetitive lifts/lowers, more prolonged lifts/lowers that induced fatigue, and dynamic pushes/pulls.  Diverse aspects of work strategies were quantified, emphasizing torso kinematics/kinetics, balance maintenance, and/or torso movement stability.  During short-term repetitive lifts/lowers, experienced workers exhibited higher torso kinematics and kinetics, suggestive of a higher risk for WRLBDs, though better balance maintenance and torso stability were evident in this group.  Thus, experienced workers may trade off an increased risk for WRLBDs to achieve better balance and torso stability.  Fatigue modified work methods during repetitive lifts/lowers in both the novice and experienced groups, though the associated contribution to WRLBDs was unclear due to opposite changes in torso kinematics vs. kinetics.  More consistently, fatigue decreased balance maintenance during lifts/lowers.  Fatigue also modified work methods adopted by experienced workers, leading to higher torso kinetics, that were suggestive of a higher risk for WRLBDs during lifts/lowers.  For dynamic pushes/pulls, experienced workers used lower torso kinematics and kinetics, suggestive of a lower risk for WRLBDs.  As a whole, these results suggest that work methods are distinct between novices and experienced workers.  Further, work experience may not consistently reduce WRLBD risk, and the influences of experience may be task specific.  Such findings can help guide the development of future interventions, particularly training, targeting the control of WRLBDs. / Ph. D.

The high prevalence of work-related musculoskeletal disorders in occupational settings necessitates the development of economic, accurate, and convenient methods for quantifying biomechanical risk exposures. In terms of lifting, the occupational work environment does not provide resources for recording the start and end times of lifting tasks performed by individual workers. As a result, automatic detection of lift starts and ends is required for practical purposes. Occupational lifting styles vary depending on the asymmetry angle, which is the degree of shoulder or trunk rotation required by the lifting task. Predictive or machine learning (ML) algorithms have been increasingly used in the ergonomics field to identify occupational risk factors, such as lifting loads. However, such algorithms are often developed and validated using the dataset collected from the same lab-based experimental set-up, which limits their external validity. The recent development of wearable armbands with surface electromyography (sEMG) electrodes provides a low-cost, wireless, and non-invasive way to collect EMG data beyond laboratory settings. Despite their tremendous potential for field-based workload estimation, these armbands have not been widely implemented yet in automated lift detection and occupational workload estimation. The objective of this study was to evaluate the performance of machine learning (ML) algorithms in the automatic detection of lifts and classification of hand loads during manual lifting tasks from the data acquired by a wearable armband sensor with eight surface electromyography (sEMG) electrodes. Twelve healthy participants (six male and six female) performed repetitive symmetric (S), asymmetric (A), and free dynamic (F) lifts with three different hand-load levels (5 lb, 10 lb and 15 lb) at two origin (24" and 36") and two destination heights (6" and 36"). Three ML algorithms were utilized: Random Forest (RF), Support Vector Machines (SVM) and Gaussian Naïve Bayes (GNB). For lift detection, a subset of four participants was analyzed as a preliminary investigation. RF showed the best performance with the mean start and end errors of 0.53 ± 0.25 seconds and 0.76 ± 0.28 seconds, respectively. The accuracy score of 84.3 ± 3.3% was reported for lift start and 83.3 ± 9.9% for lift end. For hand-load classification, prediction models were developed using four different lifting datasets (S, A, S+A, and F) and were cross-validated using F as the test dataset. Mean classification accuracy was significantly lower in models developed with the S dataset (78.8 ± 7.3%) compared to A (83.3 ± 7.2%), S+A (82.1 ± 7.3%), and F (83.4 ± 8.1%). Overall, findings indicate that the implementation of ML algorithms with wearable EMG armbands for automatic lift detection in occupational settings can be promising. In hand-load classification, models developed with only controlled symmetric lifts were less accurate in predicting loads of more dynamic, unconstrained lifts, which is common in real-world settings. However, since both A and S+A demonstrated equivalent model accuracy with F, EMG armbands possess strong potential for estimating the hand loads of free-dynamic lifts using constrained lift trials involving asymmetric lifts. / Master of Science / Naturalistic occupational settings involve prolonged, frequent, and physically heavy lifting-lowering tasks that are associated with a high prevalence of musculoskeletal disorders. This necessitates the development of economic, accurate, and convenient methods for quantifying risk exposures such as load magnitude, repetitiveness and duration. In terms of lifting, the occupational work environment does not provide resources for recording the start and end of lifting tasks performed by individual workers for analysis. As a result, automatic detection of lift starts and ends is required for practical purposes. Occupational lifting styles vary depending on the asymmetry angle, which is the degree of shoulder or trunk rotation required by the lifting task. Predictive or machine learning (ML) algorithms have been increasingly used in the ergonomics field to identify occupational risk factors, such as lifting loads. However, such algorithms are often developed and validated using the dataset collected from the same lab-based experimental set-up, which limits their external validity. Electromyographic (EMG) signals representing the neuromuscular activity associated with muscular contractions can be valuable for exposure assessment. The recent development of wearable armbands with surface electromyography (sEMG) electrodes provides a low-cost, wireless, and non-invasive way to collect EMG data beyond laboratory settings. Despite their tremendous potential for field-based workload estimation, these armbands have not been widely implemented yet in automated lift detection and occupational workload estimation. The objective of this study was to evaluate the performance of machine learning (ML) algorithms in the automatic detection of lifts and classification of hand loads during manual lifting tasks from the data acquired by a wearable armband sensor with eight surface electromyography (sEMG) electrodes. Twelve healthy participants (six male and six female) performed repetitive symmetric (S), asymmetric (A), and free dynamic (F) lifts with three different hand-load levels (5 lb, 10 lb and 15 lb) at two origin (24" and 36") and two destination heights (6" and 36"). Three ML algorithms were utilized: Random Forest (RF), Support Vector Machines (SVM) and Gaussian Naïve Bayes (GNB). For lift detection, a subset of four participants was analyzed as a preliminary investigation. RF showed the best performance with the mean start and end errors of 0.53 ± 0.25 seconds and 0.76 ± 0.28 seconds, respectively. The accuracy score of 84.3 ± 3.3% was reported for lift start and 83.3 ± 9.9% for lift end. For hand-load classification, prediction models were developed using four different lifting datasets (S, A, S+A, and F) and were cross-validated using F as the test dataset. Mean classification accuracy was significantly lower in models developed with the S dataset (78.8 ± 7.3%) compared to A (83.3 ± 7.2%), S+A (82.1 ± 7.3%), and F (83.4 ± 8.1%). Overall, findings indicate that the implementation of ML algorithms with wearable EMG armbands for automatic lift detection in occupational settings can be promising. In hand-load classification, models developed with only controlled symmetric lifts were less accurate in predicting loads of more dynamic, unconstrained lifts, which is common in real-world settings. However, since both A and S+A demonstrated equivalent model accuracy with F, EMG armbands possess strong potential for estimating the hand loads of free-dynamic lifts using constrained lift trials involving asymmetric lifts.

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