The objective of the present study was to investigate and compare the human responses to two load carriage tasks performed with three different load masses and on three different gradients. The task of carrying hydrogel in one hand was observed in a silviculture industry and crude physiological and perceptual responses were measured. This task was simulated in a laboratory setting together with a suggested intervention of backpack carriage. Eighteen conditions were established which consisted of the two modes of carriage and a combination of three load masses (9kg, 12kg and 15kg) and three gradients (5%, 10% and 15%). Twenty eight Rhodes University female students comprised the sample and the experimental procedures were conducted on a Quinton treadmill. Each participant was required to complete nine of the eighteen conditions which were each four minutes in duration. Postural changes were assessed using lateral and posterior digital images taken at the second and fourth minute and compression and shearing forces were estimated with the ErgolmagerTM Physiological responses (heart rate, ventilation and metabolic responses) were measured continuously with the Quark b² and perceptual responses ('central' and 'local' RPE) were measured every minute during the experimentation and body discomfort was rated at the completion of each condition. Overall responses revealed that hand carriage (146 bt.min⁻¹ , 25.09 mIO₂. kg-l.min⁻¹) was generally found to be more physiologically stressful than backpack carriage (130 bt.min⁻¹, 22.15 mIO₂.kg⁻¹ .min⁻¹) independent of load mass and gradient. Physiological responses were higher (113 bt.min-1 to 174 bt.min⁻¹ ) in responses to increasing gradient as opposed to increasing load mass (104 bt.min-1 to 153 bt.min⁻¹ ) for both backpack and hand carriage. Categorisation using the guidelines of Sanders and McCormick (1993) allowed for classification of conditions, with respect to physiological responses, into 'moderate', 'heavy' and 'very heavy' stress. For almost all of the physiological responses the majority of conditions which were classified as 'moderate' were backpack carriage conditions and the conditions classified as 'very heavy' were mostly hand carriage conditions. In terms of postural responses hand carriage resulted in more strain and greater compression and shearing forces on the spine. In terms of the compression forces increasing gradient had a greater affect on backpack carriage (681 N to 935 N) compared to hand carriage (570N to 793N). In contrast, increasing load mass had a larger affect on hand carriage postures and compression forces (751 N to 935N) in comparison to backpack carriage (723N to 780N). Shearing forces were found to be worse in hand carriage conditions overall. Although participants generally underrated perceived exertion in relation to cardiorespiratory responses, these perceptions revealed that backpack carriage, with a mean 'central' RPE of 12 compared to 11 for hand carriage, was somewhat preferred to hand carriage and that increasing gradient was perceived to be marginally more straining than increasing load mass.

Manual lifting is dynamic in nature and involves asymmetrical loading of the human body. This study investigated kinematic and kinetic characteristics of asymmetrical lifting in three dimensions, and then constructed a 3-D biomechanical force model of the lower back which is capable of quantifying torsional stress on the human spine. Eleven healthy adult male manual workers were recruited as subjects and lifted a 1 Okg load placed at the sagittal plane (0°) and at 30°, 60° and 90° lateral planes to the right, from 150mm and 500mm initial lift heights, respectively, to an 800mm high bench in the sagittal plane. Subjects' spinal motions and the trajectorial movements of the load in three-dimensional space were monitored simultaneously by a Lumbar Motion Monitor and a V-scope Motion Analyzer. Generally, the spinal motion factors increased as a function of increasing task asymmetry and differed (p < 0.05) between the lower (150mm) and higher (500mm) levels in the sagittal plane. In all asymmetrical conditions the motion factors showed a dramatic increase at the 500mm level compared to the increase at the 150mm level. The rates of increase in the horizontal and frontal planes were greater than those in the sagittal plane. Task asymmetry had a significant effect on the spinal kinematic parameters in the frontal plane at the two lift heights, and only at the high level (500mm) in the horizontal plane, with exception of average acceleration . Initial lift height exerted a significant effect on peak velocity and acceleration in both frontal and horizontal planes and on range of motion in the horizontal plane. Kinetic characteristics of the object being lifted in three-dimensions increased with an increase in task asymmetry. The increase was more dramatic in the lateral direction in the horizontal plane. However, motion factors in the vertical direction dominated the full range of the lift, irrespective of task asymmetry and lift height. The kinetic measures differed (p < 0.05) between the lower ( 1 50mm) and the higher (500mm) levels in the vertical direction except for average force. Task asymmetry had a significant effect on dynamic measures in the anterior-posterior direction. Both task asymmetry and lift height had a significant effect on dynamic motion factors in the lateral direction. From insights gained in the empirical study a three-dimensional biomechanical force model of the lower back was constructed based on a mechanism of muscle force re-orientation in the lumbar region. Acknowledging that the lower back is designed to be able to rotate around its longitudinal axis, the proposed model accounts for compression and shear forces and a torsional moment. The model has similar predictability to Schultz and Andersson's (1981) model when the human trunk exerts only a flexion-extension moment in the sagittal plane, but additionally predicts dramatic increases in shear forces, oblique muscle forces and torsional moment under asymmetrical lifting conditions which the Schultz-Andersson model does not. The increase rates in these forces and moment are not linearly related over task asymmetric angle.

Changes in the industrial job profile, from lifting and lowering to repetitive dynamic pushing and pulling have been facilitated through the use of manual vehicles, aimed at minimising the workload. Yet, the demands of pushing and pulling have not been well documented. Using measures of the horizontal component of the hand forces, spinal kinematics, muscle activity at various sites on the upper body and body discomfort ratings, this study aimed at quantifying the biomechanical and perceptual demands of various dynamic push/pull techniques. 36 healthy male participants performed two-handed forward pushing, two-handed backward pulling and one-handed forward pulling, employing an industrial pallet jack supporting two loads of 250kg or 500kg. While no single technique was definitively identified as preferable regarding hand forces, pushing at 500kg elicited higher initial and sustained forces (p<0.05) than one- and two-handed pulling respectively. Increments in load mass from 250kg to 500kg resulted in significant differences in the initial, sustained and ending forces. With regard to spinal kinematics in the sagittal plane, two-handed pulling elicited the highest trunk flexion, and may therefore expose individuals to prolonged forward bending. Generally this technique was found to evoke the highest sagittal responses. Spinal kinematic measures in the lateral and transverse planes suggested that one-handed pulling was accompanied by the highest measures, and hence the greatest risk of developing lower back disorders related to this plane. Although various combinations of muscles were active during each technique, one-handed pulling and pushing, most often induced the highest muscle activation levels and two-handed pulling, the lowest. While erector spinae evidenced no significant differences between techniques at each load or between loads for the same technique, activation levels were high under all conditions. Perceptual ratings of body discomfort revealed that not only is the upper body susceptible to injuries during pushing and pulling, but also that the lower extremities may have a considerable role to play in these tasks, with the calves being a particular area of concern. Findings concluded that symmetrical pushing and pulling tasks are preferable.

published_or_final_version / abstract / Industrial and Manufacturing Systems Engineering / Master / Master of Philosophy

Remote area staff performing manual patient handling tasks in the absence of patient lifting hoists available in most health care settings are at an elevated risk of musculoskeletal injuries. The objective of this project was to identify the patient handling methods that have the lowest risk of injury. The patient handling task of lifting a patient from floor to a chair or wheelchair is a common task performed in a remote health care setting. The task was performed utilising three methods, these being: (1) heads/tails lift, (2) use of two Blue MEDesign?? slings and (3) use of a drawsheet. The task of the heads/tails lift was broken down into two distinctly separate subtasks: lifting from the (1) head and (2) tail ends of the patient load. These techniques were selected based on criteria including current practice, durability, portability, accessibility, ease of storage and cost to supply. Postural data were obtained using a Vicon 370 three - dimensional motion measurement and analysis system in the Biomechanics & Gait laboratory at the University of New South Wales. Forty reflective markers were placed on the subject to obtain the following joint angles: ankle, knee, hip, torso, shoulder, elbow, and wrist. The raw data were converted into the respective joint angles (Y, X, Z) for further analysis. The postural data was analysed using the University of Michigan???s Three-Dimensional Static Strength Prediction Program (3D SSPP) and the relative risk of injury was based on the following three values: (1) a threshold value of 3,400 N for compression force, (2) a threshold value of 500 N for shear force, and (3) population strength capability data. The effects on changes to the anthropometric data was estimated and analysed using the in-built anthropometric data contained within the 3D SSPP program for 6 separate lifter scenarios, these being male and female 5th, 50th and 95th percentiles. Changes to the patient load were estimated and analysed using the same computer software. Estimated compressive and shear forces were found to be lower with the drawsheet and tail component of the heads/tails lift in comparison to the use of the Blue MEDesign?? straps and head component of the heads/tails lift. The results obtained for the strength capability aspect of each of the lifts indicated a higher percentage of the population capable of both the drawsheet and tail end of the heads/tails lift. The relative risk of back injury for the lifters is distributed more evenly with the drawsheet lift as opposed to the heads/tails (tail) lift where risk is disproportionate with the heavier end being lifted. The use of lifter anthropometrics does not appear to be a realistic variable to base assumptions on which group of the population are capable of safely performing this task in a remote setting. This study advocates the use of the drawsheet lift in a remote setting based on the author???s experience and the biomechanical results obtained in this study. The drawsheet lift is both more accessible and provides a more acceptable risk when more than two patient handlers are involved, in comparison to the other lifts utilised lifting patients from floor to a chair.

Remote area staff performing manual patient handling tasks in the absence of patient lifting hoists available in most health care settings are at an elevated risk of musculoskeletal injuries. The objective of this project was to identify the patient handling methods that have the lowest risk of injury. The patient handling task of lifting a patient from floor to a chair or wheelchair is a common task performed in a remote health care setting. The task was performed utilising three methods, these being: (1) heads/tails lift, (2) use of two Blue MEDesign?? slings and (3) use of a drawsheet. The task of the heads/tails lift was broken down into two distinctly separate subtasks: lifting from the (1) head and (2) tail ends of the patient load. These techniques were selected based on criteria including current practice, durability, portability, accessibility, ease of storage and cost to supply. Postural data were obtained using a Vicon 370 three - dimensional motion measurement and analysis system in the Biomechanics & Gait laboratory at the University of New South Wales. Forty reflective markers were placed on the subject to obtain the following joint angles: ankle, knee, hip, torso, shoulder, elbow, and wrist. The raw data were converted into the respective joint angles (Y, X, Z) for further analysis. The postural data was analysed using the University of Michigan???s Three-Dimensional Static Strength Prediction Program (3D SSPP) and the relative risk of injury was based on the following three values: (1) a threshold value of 3,400 N for compression force, (2) a threshold value of 500 N for shear force, and (3) population strength capability data. The effects on changes to the anthropometric data was estimated and analysed using the in-built anthropometric data contained within the 3D SSPP program for 6 separate lifter scenarios, these being male and female 5th, 50th and 95th percentiles. Changes to the patient load were estimated and analysed using the same computer software. Estimated compressive and shear forces were found to be lower with the drawsheet and tail component of the heads/tails lift in comparison to the use of the Blue MEDesign?? straps and head component of the heads/tails lift. The results obtained for the strength capability aspect of each of the lifts indicated a higher percentage of the population capable of both the drawsheet and tail end of the heads/tails lift. The relative risk of back injury for the lifters is distributed more evenly with the drawsheet lift as opposed to the heads/tails (tail) lift where risk is disproportionate with the heavier end being lifted. The use of lifter anthropometrics does not appear to be a realistic variable to base assumptions on which group of the population are capable of safely performing this task in a remote setting. This study advocates the use of the drawsheet lift in a remote setting based on the author???s experience and the biomechanical results obtained in this study. The drawsheet lift is both more accessible and provides a more acceptable risk when more than two patient handlers are involved, in comparison to the other lifts utilised lifting patients from floor to a chair.

Thesis (M.S.)--Oregon State University, 2010. / Printout. Includes bibliographical references (leaves 164-167). Also available on the World Wide Web.

Thesis (M.S.)--Oregon State University, 2008. / Printout. Includes bibliographical references (leaves 86-87). Also available on the World Wide Web.

Taking a multi-disciplinary, integrated approach, the present study sought to examine selected physiological and psycho-physical parameters related to load carriage involving a 12 km march under military conditions. Military constraints hampered, but did not entirely inhibit the secondary aim of the study which concerned the effectiveness of relativising loads in order to normalise responses for all soldiers, irrespective of morphological diversity. Forty three subjects were measured in six groups using a test-retest experimental protocol. They were involved in a rest-broken 12 km march at 4 km.h⁻¹ under 40.5 kg absolute total load and under a relative load of 37% of body mass. Heart rates, ratings of perceived exertion (RPE) as well as area and intensity of discomfort were monitored for all subjects. Ten subjects were measured more extensively with regard to physiology using the Metamax, a portable ergospirometry system that provides all the data needed for a complete functional analysis of lung, heart, circulation and metabolic activity. Physiological responses (fc; fb; V̇T; V̇E; V̇O₂; EE; V̇CO₂; R; T°) indicated subjects were not severely physically taxed and that the loads imposed constituted a sub-maximal demand. Moreover, there appeared to be a limited cumulative effect over the 3.5 h. Data from the first and third hours were similar, while the significantly higher responses in the second hour reflected the challenge of the undulating terrain encountered during this section of the march. All responses during the Relative load conditions mirrored those of the Absolute load condition but, because the demands were less, the trends occurred at a reduced level. Furthermore, the reduction in inter-individual variability indicates that relativised load carriage tends to stress the soldiers in a more uniform manner. All "local" RPE responses were higher than "central" ratings, suggesting soldiers were in good cardiovascular condition and experienced marginally more strain in the lower limbs. There was increased perceived strain corresponding to the increase in gradient, with little cumulative effect over the three hours. The shoulders and feet were the two regions in which most discomfort was experienced; the shoulders being the worst area in the first hour and the feet being rated the worst after the third hour of marching. This study clearly demonstrates the probability of a significant improvement in mean combat-readiness following loaded marching by showing that, if loads are set at levels commensurate with individual capabilities to carry them without undue strain, unnecessary physical demands experienced by smaller, more gracile soldiers are reduced.

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