Why cumulative loading calculated using non-weighted integration may not be suitable for assessing physical stress of the lower back: an empirical investigation of strain during lifting and lowering tasks.

When work-related physical stress is assessed using non-weighted integration, it is assumed that different loading conditions have a sufficiently comparable effect on the human body as long as the area under the loading curve is the same. Growing evidence cast doubt on whether this simple calculatio...

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Published in:Ergonomics Vol. 65; no. 1; pp. 134 - 147
Main Authors: Johnen, Laura, Mertens, Alexander, Nitsch, Verena, Brandl, Christopher
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jan2022
Online Access:View this record in EBSCOhost
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      dt: Jan2022
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      pub: Taylor & Francis Ltd
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        10.1080/00140139.2021.1962547
        154583001
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        atl: Why cumulative loading calculated using non-weighted integration may not be suitable for assessing physical stress of the lower back: an empirical investigation of strain during lifting and lowering tasks.
      aug:
        au:
          Johnen, Laura
          Mertens, Alexander
          Nitsch, Verena
          Brandl, Christopher
        affil: Chair and Institute of Industrial Engineering and Ergonomics, RWTH Aachen University, Aachen, Germany
      sug:
        subj:
          Low Back Pain
          Sprains and Strains
          Lifting
          Ergonomics
          Stress, Occupational
          Task Performance and Analysis
          Human
          In Vivo Studies
          Occupational-Related Injuries
          Exercise Intensity
          Muscular Diseases
          Cardiovascular Diseases
          Laboratories
      ab: When work-related physical stress is assessed using non-weighted integration, it is assumed that different loading conditions have a sufficiently comparable effect on the human body as long as the area under the loading curve is the same. Growing evidence cast doubt on whether this simple calculation can adequately estimate physical work-related strain. This study investigates in vivo, focussing on the lower back, whether the non-weighted method adequately reflects work-related physical strain of the lower back. Strain data resulting from lifting/lowering tasks performed in a laboratory study with an identical area under the loading curve but different load intensities were compared. Results showed that the non-weighted method does not sufficiently reflect the resulting muscular, cardiovascular and perceived strain but underestimates the influence of higher load intensity even in the range of medium physical exposure. Further research is needed regarding the determination of weighting factors and limit values. Practitioner Summary Given the dynamic nature of most physical work activities, the assessment of time-varying loading of the lower back is of particular interest in practice. Results show that the widely used non-weighted calculation method does not accurately reflect the resulting physical strain but underestimates the influence of higher load intensity. Abbreviations: MSD: musculoskeletal disorders; WMSD: work-related musculoskeletal disorders; KIM-LHC: Key Indicator Method Lifting, Holding, Carrying; RES: right erector spinae longissimus; LES: left erector spinae longissimus; HR: heart rate; RPE: rating of perceived exertion; EMG: surface electromyography; ECG: electrocardiography; SENIAM: Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles; MVC: maximum voluntary contraction; ANOVA: analysis of variance; Std. error: standard error Results of this empirical investigation suggest that the widely used non-weighted calculation method is not fully suitable for calculating cumulative loading of the lower back. Even in the range of medium physical exposure the non-weighted calculation method does not accurately reflect the resulting strain on the human body but tends to underestimate the influence of higher load intensity due to higher external weight. Despite the same cumulative loading value obtained when using the non-weighted method, the resulting physical strain values are generally about 20–25% higher. The results may be used to further develop ergonomic assessment methods in order to avoid a misclassification of loading conditions and to prevent the risk of overexertion.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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