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Patient's Body Size Influences Dental Hygienist Shoulder Kinematics 病人的体型影响牙科保健员的肩部运动
Pub Date : 2013-04-10 DOI: 10.1080/21577323.2013.787956
T. Amasay, A. Karduna
OCCUPATIONAL APPLICATIONS This study found that dental hygienists are exposed to higher shoulder elevation angles when treating a simulated big-girth patient versus a simulated average-girth patient. These differences in motion patterns may increase dental hygienists’ susceptibility to shoulder musculoskeletal disorders. Ergonomic interventions may be needed to facilitate solutions to problems associated with treating patients who are overweight or obese. Ergonomics and human factors practitioners should educate dental hygienists to be more aware of their body posture, specifically shoulder position, while working on patients with big chest girth. TECHNICAL ABSTRACT Background: Dental hygienists suffer from musculoskeletal disorders of the upper extremities, and the prevalence of these disorders increases with years of occupation. Furthermore, the prevalence of overweight and obese individuals in the United States has been rapidly increasing for both adults and children in recent years. This may increase the involvement of dental hygienists with obese patients, which may result in an increased prevalence of shoulder musculoskeletal disorders. The effect of patient's body size on the three-dimensional humeral and scapular kinematics of dental hygienists, however, is currently unknown. Purpose: The aim of the current study was to measure the influence of patient girth on the shoulder kinematics of dental hygienists during teeth instrumentation in a simulated work environment. Method: Sixteen female dental hygienists participated in a lab-based study that simulated a dental hygienist workplace. Three-dimensional kinematic data were collected for the right and left scapula and humerus using the Polhemus Liberty magnetic tracking system (Colchester, VT, USA). To quantify differences in humeral and scapular kinematics and exposure variables, two independent variables with two levels were chosen: handedness and body type size. Separate two-way ANOVAs with repeated measures were conducted. Results: Dental hygienists sustained significant higher mean humeral elevation angles and higher mean scapular upward rotation angles for the dominant and non-dominant hands while instrumenting a simulated patient with big girth chest. Furthermore, dental hygienists spent significantly more time above 30° and 60° of humeral elevation for the dominant and non-dominant hands while instrumenting this simulated patient. Conclusion: This study provided evidence that dental hygienists alter their shoulder kinematics while instrumenting patients having a larger girth. Consequently, working with patients who are obese, or with a larger body size, may increase dental hygienist susceptibility to shoulder musculoskeletal disorders.
本研究发现,牙科保健员在治疗模拟的大周长患者与模拟的平均周长患者时,暴露于更高的肩部抬高角度。这些运动模式的差异可能会增加牙科保健员对肩部肌肉骨骼疾病的易感性。人体工程学干预可能需要促进解决与治疗超重或肥胖患者相关的问题。人体工程学和人为因素从业者应该教育牙科保健师在治疗胸围大的患者时更加注意他们的身体姿势,特别是肩膀的位置。技术摘要背景:牙科保健员患有上肢肌肉骨骼疾病,这些疾病的患病率随着职业的增加而增加。此外,近年来,美国成人和儿童超重和肥胖人群的患病率都在迅速增加。这可能会增加牙科保健员对肥胖患者的参与,这可能会导致肩部肌肉骨骼疾病的患病率增加。然而,目前尚不清楚患者的体型对牙科保健员的三维肱骨和肩胛骨运动学的影响。目的:当前研究的目的是在模拟的工作环境中测量患者的周长对牙科保健员在牙齿器械过程中的肩部运动学的影响。方法:16名女性牙科卫生员参加了一项模拟牙科卫生员工作场所的实验室研究。使用Polhemus Liberty磁跟踪系统(Colchester, VT, USA)收集左右肩胛骨和肱骨的三维运动学数据。为了量化肱骨和肩胛骨运动学和暴露变量的差异,选择了两个具有两个水平的独立变量:手性和体型。进行重复测量的单独双向方差分析。结果:牙科保健员在对大胸围患者进行器械检查时,其优势手和非优势手的平均肱骨上仰角和肩胛骨上旋角均显著增加。此外,牙科保健师在对该模拟患者进行仪器检查时,在优势手和非优势手肱骨抬高30°和60°以上花费的时间明显更多。结论:这项研究提供了证据,牙科保健师改变他们的肩部运动学,而仪器患者有较大的周长。因此,与肥胖或体型较大的患者一起工作,可能会增加牙科保健师对肩部肌肉骨骼疾病的易感性。
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引用次数: 2
Finger Tendon Travel Associated with Sequential Trigger Nail Gun Use. 手指肌腱移动与顺序触发钉枪使用有关。
Pub Date : 2013-04-01 Epub Date: 2012-10-31 DOI: 10.1080/21577323.2012.742028
Brian Lowe, James Albers, Stephen Hudock, Edward Krieg

Background: Pneumatic nail guns used in wood framing are equipped with one of two triggering mechanisms. Sequential actuation triggers have been shown to be a safer alternative to contact actuation triggers because they reduce traumatic injury risk. However, the sequential actuation trigger must be depressed for each individual nail fired as opposed to the contact actuation trigger, which allows the trigger to be held depressed as nails are fired repeatedly by bumping the safety tip against the workpiece. As such, concerns have been raised about risks for cumulative trauma injury, and reduced productivity, due to repetitive finger motion with the sequential actuation trigger.

Purpose: This study developed a method to predict cumulative finger flexor tendon travel associated with the sequential actuation trigger nail gun from finger joint kinematics measured in the trigger actuation and productivity standards for wood-frame construction tasks.

Methods: Finger motions were measured from six users wearing an instrumented electrogoniometer glove in a simulation of two common framing tasks-wall building and flat nailing of material. Flexor tendon travel was calculated from the ensemble average kinematics for an individual nail fired.

Results: Finger flexor tendon travel was attributable mostly to proximal interphalangeal and distal interphalangeal joint motion. Tendon travel per nail fired appeared to be slightly greater for a wall-building task than a flat nailing task. The present study data, in combination with construction industry productivity standards, suggest that a high-production workday would be associated with less than 60 m/day cumulative tendon travel per worker (based on 1700 trigger presses/day).

Conclusion and applications: These results suggest that exposure to finger tendon travel from sequential actuation trigger nail gun use may be below levels that have been previously associated with high musculoskeletal disorder risk.

背景:木框架中使用的气动钉枪配有两种触发机构之一。顺序触发已被证明是比接触式触发更安全的选择,因为它们降低了创伤性损伤的风险。然而,对于每一个单独的钉子,顺序驱动触发器必须被压下,而不是接触驱动触发器,接触驱动触发器允许触发器被压下,因为钉子被反复发射,通过碰撞安全尖端到工件上。因此,由于连续驱动触发器的手指重复运动,人们对累积创伤损伤和生产力降低的风险感到担忧。目的:本研究开发了一种方法,通过在木结构施工任务的触发驱动和生产力标准中测量的手指关节运动学来预测与顺序驱动触发钉枪相关的手指屈肌腱累积位移。方法:在模拟两种常见的框架任务-建墙和平钉材料时,测量了六名佩戴仪器式电眼计手套的用户的手指运动。从单个钉子发射的整体平均运动学中计算屈肌腱的行程。结果:指屈肌腱移动主要是指间关节近端和远端运动所致。在建墙任务中,每钉一次的肌腱移动似乎比平钉任务稍大。目前的研究数据,结合建筑行业的生产力标准,表明高产工作日将与每个工人少于60米/天的累计肌腱移动相关(基于1700个触发压力机/天)。结论和应用:这些结果表明,使用顺序驱动触发钉枪导致的手指肌腱移动暴露可能低于先前与高肌肉骨骼疾病风险相关的水平。
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引用次数: 8
A Comparison of Platform Motion Waveforms During Constrained and Unconstrained Standing in Moving Environments 运动环境中有约束与无约束站立时平台运动波形的比较
Pub Date : 2013-04-01 DOI: 10.1080/21577323.2013.775195
C. A. Duncan, S. MacKinnon, W. Albert
OCCUPATIONAL APPLICATIONS Using a principal component waveform analysis technique to examine the platform kinematics during motion-induced interruptions and motion-induced corrections found that these events significantly differ in perturbation magnitude at the time of stepping initiation. These results suggest that differences between the motion-induced interruptions and motion-induced corrections are more than just theoretical, and therefore, when examining these events in offshore environments, they cannot be considered one and the same. Since these change-in-support reactions may be an alternative instead of a last resource response, they may also not be a clear indicator of ship operability. Therefore, when evaluating the risks associated with performing tasks in moving environments, the resultant effects of the change-in-support reactions, such as motion-induced interruptions or motion-induced corrections and their potential effect on injury mechanisms, must also considered. TECHNICAL ABSTRACT Background: Postural response research suggests that change-in-support reactions involving the movement of feet may occur long before the physics-based stability limits have been reached. As such, the current definition of a motion-induced interruption used to describe change-in-support reactions in offshore environments may not be valid, and the alternative motion-induced correction definition may be more appropriate. However, differences between motion-induced interruptions and motion-induced corrections are currently unknown. Purpose: The purpose of this study was to determine the differences in platform motion waveforms between motion-induced interruption and motion-induced correction occurrences when standing on a 6 degree of freedom motion platform. Methods: Twenty participants (ten male, ten female) with little or no experience working in marine environments performed a constrained and unconstrained stationary standing task while being exposed to a continuous multi-directional wave-like perturbation. The constrained standing task was representative of motion-induced interruptions, while the unconstrained standing task was representative of motion-induced corrections. Principal component analysis was incorporated, permitting the preservation of temporal characteristics unique to each motion curve in the analysis. Students’ t-tests were performed on the derived significant principal component scores to determine if these components were statistically significantly different between constrained and unconstrained standing. Results: Analysis of pitch and roll axes suggest that most of the variability of platform motions between motion-induced interruptions and motion-induced corrections can be described by two principal components. The first component, accounting for 80%–90% of all variability, was a magnitude modifier and suggests that there are quantifiable differences in the platform motions that cause motion-induced interruptions and motion-indu
使用主成分波形分析技术来检查运动引起的中断和运动引起的纠正期间的平台运动学,发现这些事件在步进开始时的扰动幅度显着不同。这些结果表明,运动引起的中断和运动引起的修正之间的差异不仅仅是理论上的,因此,当在海上环境中检查这些事件时,它们不能被认为是相同的。由于这些支持变更反应可能是替代的,而不是最后的资源响应,它们也可能不是船舶可操作性的明确指标。因此,当评估与在移动环境中执行任务相关的风险时,必须考虑到支持反应的改变所产生的影响,例如运动引起的中断或运动引起的纠正及其对损伤机制的潜在影响。技术摘要背景:体位反应研究表明,涉及足部运动的支撑变化反应可能早在基于物理的稳定性极限达到之前就发生了。因此,目前用于描述海上环境中支持变化反应的运动诱导中断的定义可能并不有效,而替代的运动诱导校正定义可能更合适。然而,运动引起的中断和运动引起的纠正之间的区别目前尚不清楚。目的:本研究的目的是确定站立在6自由度运动平台上时,运动诱导中断和运动诱导纠正发生的平台运动波形的差异。方法:20名在海洋环境中工作经验很少或没有工作经验的参与者(10男10女)在暴露于连续的多向波状扰动的情况下进行有约束和无约束的静止站立任务。受约束的站立任务是运动诱导的中断的代表,而不受约束的站立任务是运动诱导的纠正的代表。纳入了主成分分析,允许保留分析中每个运动曲线特有的时间特征。对衍生的显著性主成分得分进行学生t检验,以确定这些成分在有约束和无约束站立之间是否具有统计学显著差异。结果:对俯仰轴和滚轴的分析表明,平台运动在运动引起的中断和运动引起的修正之间的大部分变化可以用两个主要成分来描述。第一个分量占所有变异性的80%-90%,是一个幅度修正器,表明平台运动中存在可量化的差异,导致运动引起的中断和运动引起的修正。结论:本研究结果表明,诱发这些事件的运动可能存在明显差异;因此,在检查人类对波浪引起的船舶运动和船舶可操作性的反应时,运动引起的中断和运动引起的纠正应被视为不同的事件。
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引用次数: 4
Intervening on the Determinants of Mechanical Exposures: The Effects of a Redesigned Production System on Physical Demands and Worker Perceptions 干预机械暴露的决定因素:重新设计的生产系统对身体需求和工人感知的影响
Pub Date : 2013-02-07 DOI: 10.1080/21577323.2013.771586
A. Laing, D. Cole, R. Wells
OCCUPATIONAL APPLICATIONS Biomechanical analyses confirmed that workers on an existing production system experienced substantial trunk and shoulder loads. The production system design was a major determinant of these high exposures. To reduce these exposures, workplace stakeholders (including local and corporate management and organized labor) engaged with researchers in a participatory design process. Process elements included biomechanical modeling simulations to develop potential configurations, which were subsequently tested by workers during user trials with mock-ups. Based on stakeholder feedback, a new tilted production system was implemented. Formal analyses following installation of the tilted line demonstrated significant decreases in trunk flexion, spinal compression, and muscle activity for the low back and shoulder regions. Workers perceived that the new tilted line made their work significantly easier, safer, and less tiring. The study indicates that interventions at the production system level, developed using a participatory process, can reduce mechanical exposures while improving worker perceptions of job demands. TECHNICAL ABSTRACT Background: The design of an existing production system (flat line) was identified as the dominant driver of mechanical exposures for the low back and upper limb. A participative process was utilized in designing and implementing a tilted line that allowed workers to adopt more upright postures. Purpose: This study aimed to test the hypotheses that the new tilted production system would (1) decrease physical demands of the low back and shoulder, (2) not increase activity of the wrist musculature, (3) reduce workers’ reports of pain intensity, and (4) be perceived as a positive and beneficial change by the workforce. Methods: Eighteen of 22 tilted line workers volunteered to be videotaped (postures input into a biomechanical model of the upper limb/trunk) and have electromyography from the low back, shoulder, and forearm recorded while they worked at four tilted and flat line positions. Self-report questionnaires were used to compare pain intensity scores from workers on the tilted and flat lines. Results: Working on the tilted line was associated with statistically significant reductions in peak trunk angle (mean difference of 11°), L4/L5 spinal compression (314 N), and peak and mean electromyography for the low back (31% and 29%) and dominant shoulder (11% and 12%). No significant differences in pain scores were observed between the two lines. However, workers perceived that the tilted line made their work significantly easier, safer, less tiring, and assisted with their job. Conclusions: Tilting the production system allowed more upright postures, significantly reducing mechanical exposures for the trunk and upper limb. The participatory design approach may have contributed to workers’ positive perceptions about the newly designed production system. Ergonomic interventions that focus on workplace el
生物力学分析证实,现有生产系统的工人承受了大量的躯干和肩部负荷。生产系统的设计是这些高曝光的主要决定因素。为了减少这些风险,工作场所的利益相关者(包括地方和公司管理层以及有组织的劳工)在参与式设计过程中与研究人员进行了接触。流程要素包括生物力学建模模拟,以开发潜在的配置,随后由工作人员在用户试用模型时进行测试。基于利益相关者的反馈,实现了一种新的倾斜生产系统。安装倾斜线后的正式分析表明,躯干屈曲、脊柱压迫和下背部和肩部肌肉活动显著减少。工人们意识到新的倾斜生产线使他们的工作更容易、更安全、更不累。该研究表明,在生产系统层面,采用参与式过程开发的干预措施可以减少机械暴露,同时改善工人对工作需求的看法。技术摘要背景:现有生产系统(平线)的设计被确定为下背部和上肢机械暴露的主要驱动因素。在设计和实施一条倾斜的线时,采用了参与式的过程,使工人能够采取更直立的姿势。目的:本研究旨在验证以下假设:新的倾斜生产系统将(1)减少腰背部和肩部的体力需求,(2)不会增加手腕肌肉组织的活动,(3)减少工人报告的疼痛强度,(4)被劳动力视为积极和有益的变化。方法:22名倾斜线工人中的18名自愿接受录像(姿势输入到上肢/躯干的生物力学模型中),并记录下他们在四种倾斜和平坦线位置工作时腰背、肩膀和前臂的肌电图。自我报告问卷用于比较工人在倾斜和平坦线上的疼痛强度得分。结果:在倾斜线上工作与躯干峰值角度(平均差11°),L4/L5脊柱压迫(314 N)以及下背部(31%和29%)和主肩(11%和12%)的峰值和平均肌电图的统计学显著降低相关。两组间疼痛评分无显著差异。然而,工人们认为倾斜的生产线使他们的工作更容易、更安全、更不累,而且对他们的工作有帮助。结论:倾斜生产系统允许更直立的姿势,显著减少躯干和上肢的机械暴露。参与式设计方法可能有助于工人对新设计的生产系统产生积极的看法。关注工作场所中驱动机械暴露的因素的人体工程学干预可能会增加改变的影响和干预强度,应该是减少肌肉骨骼疾病风险因素的有效方法。
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引用次数: 3
Workday Arm Elevation Exposure: A Comparison Between Two Professions 工作日手臂高度暴露:两种职业的比较
Pub Date : 2013-01-22 DOI: 10.1080/21577323.2013.766282
Lucas Ettinger, L. Kincl, Peter Johnson, C. Carter, S. Garfinkel, A. Karduna
OCCUPATIONAL APPLICATIONS Results from this study indicate that dental hygienists spent a mean of 7% of their workday with their arms elevated above 60° of humeral elevation. The majority of their workday (71%) was spent working with their arms in static positions. Compared to a separate working population (office workers), dental hygienists had more than two times greater arm elevation exposure above 60°. Dental hygienists have a high incidence of shoulder injuries, which may be related to arm elevation exposure. Based on the present study, ergonomic interventions should be based on reducing the total arm elevation exposure in dental hygiene. Further, interventions should be designed to reduce the repetitive tasks performed by dental hygienists. TECHNICAL ABSTRACT Background: The prevalence of shoulder-related musculoskeletal disorders among dental hygienists working in the United States has been reported to be between 21% and 60%. Arm elevation exposure levels above 60° have been identified as potentially harmful in other occupations. Purpose: The aim of this study was to measure arm elevation exposure in dental hygienists in a single workday and to compare these data with those from another occupation with a lower risk for shoulder impingement syndrome. Methods: Bilateral, full workday arm elevation exposure was measured for both dental hygienists and computer workers using a tri-axial accelerometer with a built in data logger (Virtual Corset®, Microstrain, Inc., VT, USA). Exposures analyzed were the percent of the workday spent above 30°, 60°, and 90° of humeral elevation. Additionally, exposure to repetitive motion, or jerk, was estimated, specifically the percent time spent moving the arm in pseudo-static (<10°/s) slow humeral motion (between 10°/s and 40°/s) and fast humeral motion (>40°/s). Results: Dental hygienists had bilateral arm elevations above 60° for approximately 7% of their workday, more than two times the exposure of office workers for the same duration of work. Dental hygienists had a mean of 71% of their work time in pseudo-static postures, which is significantly less than computer workers (78%). Dental hygienists had slow and fast arm motion during 23% and 6% of their workday, respectively, significantly higher than those for computer workers (17% and 5%). Conclusions: Arm elevation exposure levels among dental hygienists are relatively high and may contribute to upper extremity injuries within this profession. In dental hygiene work, elevation exposure above 60° and dynamic arm motions above 10°/s may be specific contributors to the risk of upper extremity disorders bilaterally.
本研究的结果表明,牙科保健员平均有7%的工作时间将手臂抬高至肱骨抬高60°以上。他们的大部分工作时间(71%)是在手臂静止的状态下工作。与单独的工作人群(办公室工作人员)相比,牙科保健员的手臂高度暴露在60°以上的程度是其两倍多。牙科保健员肩部损伤的发生率很高,这可能与手臂抬高暴露有关。根据目前的研究,人体工程学干预应以减少口腔卫生中手臂抬高的总暴露为基础。此外,应设计干预措施,以减少牙科保健员执行的重复性任务。技术摘要背景:据报道,在美国工作的牙科保健师中,肩部相关肌肉骨骼疾病的患病率在21%至60%之间。在其他职业中,超过60°的手臂高度暴露水平已被确定为潜在有害。目的:本研究的目的是测量牙科保健员在一个工作日的手臂抬高暴露,并将这些数据与其他职业的肩撞击综合征风险较低的数据进行比较。方法:使用内置数据记录器的三轴加速度计(Virtual Corset®,Microstrain, Inc., VT, USA)测量牙科保健员和计算机工作人员的双侧,全天手臂抬高暴露。所分析的暴露是在肱骨高度超过30°、60°和90°的工作日中所占的百分比。此外,估计暴露于重复运动或抽搐,特别是在伪静态(40°/s)下移动手臂所花费的时间百分比。结果:牙科保健员的双侧手臂高度在60°以上的时间约占其工作日的7%,是办公室工作人员在相同工作时间内暴露的两倍多。牙科保健师平均71%的工作时间处于假静态姿势,明显低于计算机工作者(78%)。牙齿保健员在工作时间内手臂动作缓慢和快速的时间分别占23%和6%,明显高于电脑工作者(17%和5%)。结论:牙科保健员的上肢抬高暴露水平相对较高,可能导致该职业的上肢损伤。在口腔卫生工作中,高于60°的海拔暴露和高于10°/s的动态手臂运动可能是双侧上肢疾病风险的特定因素。
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引用次数: 4
Packages of participation: Swedish employees' experience of Lean depends on how they are involved. 一揽子参与:瑞典员工的精益经验取决于他们如何参与。
Pub Date : 2013-01-01 DOI: 10.1080/21577323.2012.729001
Mikael Brännmark, Richard J Holden

Background: Lean Production is a dominant approach in Swedish and global manufacturing and service industries. Studies of Lean's employee effects are few and contradictory.

Purpose: Employee effects from Lean are likely not uniform. This paper investigates the effect of employees' participation on their experiences of Lean.

Method: This study investigated how different packages of employee participation in Lean affected manufacturing workers' experiences of Lean. During 2008-2011, qualitative and quantitative data were collected from Swedish manufacturing companies participating in the national Swedish Lean Production program Produktionslyftet. Data from 129 surveys (28 companies), 39 semi-structured interviews, and 30 reports were analyzed. In the main analysis, comparisons were made of the survey-reported Lean experiences of employees in three groups: temporary group employees (N = 36), who participated in Lean mostly through intermittent projects; continuous group employees (N = 69), who participated through standing improvement groups; and combined group employees (N = 24), who participated in both ways.

Results: Continuous group employees had the most positive experience of Lean, followed by the combined group. Temporary group employees had the least positive experiences, being less likely than their counterparts to report that Lean improved teamwork, occupational safety, and change-related learning, decision making, and authority.

Conclusions: These findings support the importance of continuous, structured opportunities for participation but raise the possibility that more participation may result in greater workload and role overload, mitigating some benefits of employee involvement. Consequently, companies should consider involving employees in change efforts but should attend to the specific design of participation activities.

背景:精益生产是瑞典和全球制造业和服务业的主导方法。关于精益对员工影响的研究很少,而且相互矛盾。目的:精益对员工的影响可能不是统一的。本文研究了员工参与对精益体验的影响。方法:本研究调查了不同的员工参与精益对制造业工人精益体验的影响。2008-2011年期间,从参与瑞典国家精益生产计划的瑞典制造公司收集了定性和定量数据。分析了129次调查(28家公司)、39次半结构化访谈和30份报告的数据。在主要分析中,比较了三组员工调查报告的精益经验:临时组员工(N = 36),他们主要通过间歇性项目参与精益;连续组员工(N = 69),通过长期改善小组参与;两种方式均参与的组合组员工(N = 24)。结果:连续组员工对精益的体验最积极,组合组次之。临时团队员工的积极体验最少,与他们的同行相比,他们不太可能报告精益改善了团队合作、职业安全、与变革相关的学习、决策和权威。结论:这些发现支持了持续的、结构化的参与机会的重要性,但也提出了更多的参与可能会导致更大的工作量和角色过载,从而降低员工参与的一些好处的可能性。因此,公司应该考虑让员工参与变革的努力,但应该注意参与活动的具体设计。
{"title":"Packages of participation: Swedish employees' experience of Lean depends on how they are involved.","authors":"Mikael Brännmark,&nbsp;Richard J Holden","doi":"10.1080/21577323.2012.729001","DOIUrl":"https://doi.org/10.1080/21577323.2012.729001","url":null,"abstract":"<p><strong>Background: </strong>Lean Production is a dominant approach in Swedish and global manufacturing and service industries. Studies of Lean's employee effects are few and contradictory.</p><p><strong>Purpose: </strong>Employee effects from Lean are likely not uniform. This paper investigates the effect of employees' participation on their experiences of Lean.</p><p><strong>Method: </strong>This study investigated how different packages of employee participation in Lean affected manufacturing workers' experiences of Lean. During 2008-2011, qualitative and quantitative data were collected from Swedish manufacturing companies participating in the national Swedish Lean Production program Produktionslyftet. Data from 129 surveys (28 companies), 39 semi-structured interviews, and 30 reports were analyzed. In the main analysis, comparisons were made of the survey-reported Lean experiences of employees in three groups: temporary group employees (N = 36), who participated in Lean mostly through intermittent projects; continuous group employees (N = 69), who participated through standing improvement groups; and combined group employees (N = 24), who participated in both ways.</p><p><strong>Results: </strong>Continuous group employees had the most positive experience of Lean, followed by the combined group. Temporary group employees had the least positive experiences, being less likely than their counterparts to report that Lean improved teamwork, occupational safety, and change-related learning, decision making, and authority.</p><p><strong>Conclusions: </strong>These findings support the importance of continuous, structured opportunities for participation but raise the possibility that more participation may result in greater workload and role overload, mitigating some benefits of employee involvement. Consequently, companies should consider involving employees in change efforts but should attend to the specific design of participation activities.</p>","PeriodicalId":73331,"journal":{"name":"IIE transactions on occupational ergonomics and human factors","volume":"1 2","pages":"93-108"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21577323.2012.729001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32205475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Earliest Gait Deviations During Slips: Implications For Recovery 在滑倒中最早的步态偏差:对恢复的影响
Pub Date : 2013-01-01 DOI: 10.1080/21577323.2012.660904
K. Beschorner, M. Redfern, R. Cham
OCCUPATIONAL APPLICATIONS This study identified that deviations in vertical force and knee angle/angular velocity of the slipping leg occur earlier in stance and with greater magnitude than other lower-body motions when a person experiences an unexpected slip. Deviations in the ankle angle/angular velocity and hip angular velocity occurred soon after the knee angle and with smaller magnitudes. These results suggest that foot somatosensation and ankle/knee proprioception may play a role in sensing a slip. Therefore, workers with sensation loss in their foot, ankle, and/or knee may have an impaired ability to respond to slipping. Exposure to simulated slip perturbations may also be part of slip-and-fall prevention programs. To ensure biofidelity of such training perturbations, foot forces should initially be reduced, followed by extension deviations of the knee, and then plantarflexion deviations of the ankle. TECHNICAL ABSTRACT Rationale: Slip-and-fall accidents are a serious occupational and public health concern. The biomechanical deviations due to a slip occurring prior to the postural response onset are still not well understood. Understanding this period of the slip would provide insight into the sensory cues for slipping and may provide guidance in developing slip-training protocols. Purpose: This study examined the timing and magnitude of deviations in vertical force and lower-body joint angles and angular velocities of slips compared to unperturbed walking. Methods: Twenty-nine younger and 29 middle-aged participants walked under normal unperturbed conditions and during an unexpected slip. Joint angle and angular velocity trajectories and ground reaction forces were evaluated. Deviations occurring during the slipping trial that exceeded ±2.58 standard deviations (99% confidence interval) were identified as the onset of deviation from normal walking. Results: Deviation timing (and peak magnitude in the first 200 ms) of vertical force, knee angle, knee angular velocity, ankle angle, ankle angular velocity, and hip angular velocity of the slipping leg occurred at 58 ms (0.17 BW reduction), 116 ms (6.7° extension), 111 ms (87°/s extension), 156 ms (4.4° plantarflexion), 122 ms (86°/s plantarflexion), and 149 ms (18.9°/s flexion), respectively. Deviations normalized to baseline stride-to-stride standard deviation revealed largest deviations in vertical force and knee angle and then knee angular velocity and ankle angle and angular velocity. No age effects were found. Conclusions: These results suggest that foot somatosensation as well as ankle and knee proprioception from the slipping leg may be among the first sensory cues to slipping. Exposure to simulated slip perturbations may be part of slip-and-fall prevention programs. To ensure biofidelity of such perturbations, foot forces should initially be reduced, followed by extension deviations of the knee, and then plantarflexion deviations of the ankle.
本研究发现,当一个人经历意外的滑倒时,垂直力和膝盖角度/角速度的偏差在站立时比其他下半身运动发生得更早,且幅度更大。踝关节角/角速度和髋部角速度的偏离发生在膝关节角之后不久,且幅度较小。这些结果表明足部体感和踝关节/膝关节本体感觉可能在感觉滑倒中起作用。因此,脚、脚踝和/或膝盖感觉丧失的工人可能对滑倒的反应能力受损。暴露于模拟的滑移扰动中也可能是防止滑移和跌落程序的一部分。为了确保这种训练扰动的生物保真度,首先应该减少足部力,然后是膝关节的伸展偏差,然后是踝关节的跖屈偏差。技术摘要:理由:滑倒事故是一个严重的职业和公共卫生问题。在体位反应发生之前,由于滑移引起的生物力学偏差仍未得到很好的理解。了解滑倒的这段时间将有助于深入了解滑倒的感觉线索,并可能为制定滑倒训练方案提供指导。目的:本研究考察了与无干扰行走相比,垂直力、下体关节角度和滑移角速度偏差的时间和大小。方法:29名年轻参与者和29名中年参与者在正常的无干扰条件下和意外滑倒时行走。评估了关节角和角速度轨迹以及地面反作用力。在滑动试验中发生的偏差超过±2.58标准差(99%置信区间)被确定为偏离正常行走的开始。结果:滑移腿的垂直力、膝关节角度、膝关节角速度、踝关节角度、踝关节角速度和髋部角速度的偏差时间(以及前200 ms的峰值大小)分别发生在58 ms (0.17 BW复位)、116 ms(6.7°伸展)、111 ms(87°/s伸展)、156 ms(4.4°跖屈)、122 ms(86°/s跖屈)和149 ms(18.9°/s弯曲)。与基线跨步标准偏差归一化的偏差显示,垂直力和膝关节角度的偏差最大,其次是膝关节角速度、踝关节角度和角速度。没有发现年龄的影响。结论:这些结果表明,足部体感以及来自滑腿的踝关节和膝关节本体感觉可能是滑倒的第一个感觉线索。暴露于模拟的滑动扰动中可能是防止滑倒程序的一部分。为了确保这种扰动的生物保真度,首先应该减少足部力,然后是膝关节的伸展偏差,然后是踝关节的跖屈偏差。
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引用次数: 14
Exertion-Dependent Effects of Physical and Mental Workload on Physiological Outcomes and Task Performance 体力和精神负荷对生理结果和任务表现的依赖作用
Pub Date : 2013-01-01 DOI: 10.1080/21577323.2011.632488
Ranjana K. Mehta, M. Agnew
OCCUPATIONAL APPLICATIONS The findings from the current study illustrate the adverse effects of concurrent physical and mental demands on shoulder muscle activation. Furthermore, the results also suggest that the effects of concurrent physical and mental demands are more pronounced during static, as opposed to dynamic, exertions. As such, it is important to consider the interaction of said work parameters (i.e., force levels, mental demands, and type of exertion) when evaluating/designing tasks. Occupational tasks requiring concurrent physical and mental work should be redesigned to reduce static loading (by changing postures or providing frequent breaks). With tasks requiring static exertions, other physical parameters (such as force) should be reduced to minimize interference due to additional cognitive processing. To conclude, concurrent physical and mental demands affect muscle activation and impede worker performance; ergonomists should consider this interaction during task design/redesign, evaluations of injury risk, and potential causal models of injury development. TECHNICAL ABSTRACT Background: Static work is considered an occupational risk factor in the development of injuries, thus there is an emphasis on employing dynamic exertions to work tasks. With workers experiencing concurrent physical and mental demands in their daily jobs, it is unclear whether these exertion types affect overall task demands differentially. Objective: The aim of this study was to compare exertion-dependent physiological responses due to concurrent physical and mental workload during intermittent shoulder exertion. Methods: Twelve young participants, balanced by gender, performed intermittent static and dynamic shoulder abduction for 3 minutes at three levels of physical workload (low, moderate, and high) in the absence and presence of a mental arithmetic task. Study measures included muscle activity, muscle oxygenation, motor and mental arithmetic task performance, and subjective responses (NASA-Task Load Index and Borg CR10 Scale). Results: Static exertions and higher physical demands adversely affected physiological responses (i.e., muscle activity and oxygenation) and performance measures, and they were associated with higher levels of perceived exertion and workload. Additional mental demands negatively affected muscle activity, mental task performance, and subjective workload measures. However, these results were more pronounced during static exertions at high physical demand levels. Conclusions: Results indicated that certain job parameters (static exertions and high physical demands) are more susceptible to interference with mental demands than others (dynamic exertions and low demands). When assessing overall demands placed on workers during concurrent physical and mental work, it is important to consider the interaction of work parameters, specifically physical demand levels and exertion type, with mental demands.
目前的研究结果说明了同时的身体和精神需求对肩部肌肉激活的不利影响。此外,研究结果还表明,与动态锻炼相比,静态锻炼对身心同时需求的影响更为明显。因此,在评估/设计任务时,考虑上述工作参数(即力量水平,精神需求和劳累类型)的相互作用是很重要的。需要同时进行体力和脑力工作的职业任务应该重新设计,以减少静态负荷(通过改变姿势或提供频繁的休息)。对于需要静态努力的任务,应该减少其他物理参数(如力),以尽量减少由于额外的认知处理而产生的干扰。综上所述,同时存在的生理和心理需求会影响肌肉的激活,阻碍工人的工作绩效;人类工效学家应该在任务设计/重新设计、损伤风险评估和损伤发展的潜在因果模型中考虑这种相互作用。技术摘要背景:静态工作被认为是伤害发展的职业风险因素,因此强调在工作任务中采用动态努力。由于工人在日常工作中同时经历身体和精神需求,目前尚不清楚这些消耗类型是否会对整体任务需求产生不同的影响。目的:本研究的目的是比较间歇性肩部运动时由于同时存在体力和精神负荷而产生的运动依赖生理反应。方法:12名年轻参与者,按性别平衡,在没有和存在心算任务的情况下,在三种体力负荷水平(低、中、高)下进行间歇性静态和动态肩外展3分钟。研究测量包括肌肉活动、肌肉氧合、运动和心算任务表现以及主观反应(nasa任务负荷指数和博格CR10量表)。结果:静态用力和更高的体力要求对生理反应(即肌肉活动和氧合)和性能测量产生不利影响,并且它们与更高水平的感知用力和工作量相关。额外的心理需求对肌肉活动、心理任务表现和主观工作量测量产生负面影响。然而,这些结果在高体力需求水平的静态运动中更为明显。结论:某些工作参数(静态劳动和高体力要求)比其他工作参数(动态劳动和低体力要求)更容易受到心理需求的干扰。在评估同时进行体力和脑力工作的工人的总体需求时,重要的是要考虑工作参数(特别是体力需求水平和消耗类型)与精神需求的相互作用。
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引用次数: 26
Solution Building Versus Problem Convincing: Ergonomists Report on Conducting Workplace Assessments 解决方案构建与问题说服:人类工效学家关于开展工作场所评估的报告
Pub Date : 2013-01-01 DOI: 10.1080/21577323.2012.708699
R. Wells, W. Neumann, Tizneem Nagdee, N. Theberge
OCCUPATIONAL APPLICATIONS Professional ergonomists (n = 21) from across Canada reported initiating workplace assessments with observations, interviews, and imaging approaches. When necessary, they proceeded to deeper, usually quantitative, methods in order to provide a better understanding of the situation or, more frequently, to motivate action in the company, operating in a “convincing” mode. Some ergonomists reported that when working in a higher trust environment, they used simpler, often more qualitative, evaluation methods to move directly to developing design alternatives—a “solution-building” mode. These findings shed light on how ergonomists judge the appropriateness of a method for a given context in their daily work. They may also be valuable for ergonomists trying to refine their assessment approach, both for researchers trying to better support practitioners through improved tools and knowledge and for the planning of ergonomists’ education. TECHNICAL ABSTRACT Rationale: There are many methods available to help ergonomists in the design and evaluation of work. Very little is known about how practitioners chose appropriate methods in their daily work. Purpose: The purpose of this study was to determine what approaches are used by ergonomists in their daily work, to describe the experiences of ergonomists with different assessment methods, and to discover how they judge the appropriateness of a method. Methods: In order to explore the use of such methods, 21 semi-structured interviews were completed with professional ergonomists across Canada. Results: Most ergonomists reported initiating a study using methods such as observation, interviews, and imaging. There was a frequent mention of hazard identification and risk assessment at workplaces by the ergonomists interviewed. In some situations, ergonomists proceeded to deeper, often quantitative, analyses in order to provide a better understanding of ergonomics issues or, more frequently, to motivate a recommended action—operating in a ‘convincer’ mode. Some ergonomists reported that when working in a higher trust environment, they are able to use simpler evaluation methods to move directly to developing design alternatives—a “solution-building” mode. Applications: These findings shed light on how ergonomists judge the appropriateness of a method for a given context. They may also be valuable for ergonomists trying to refine their assessment approach, for researchers trying to better support practitioners through improved tools and knowledge or in the planning of ergonomists’ education.
来自加拿大各地的专业人体工程学专家(n = 21)报告了通过观察、访谈和成像方法开始的工作场所评估。必要时,他们会采取更深入的、通常是量化的方法,以便更好地了解情况,或者更频繁地以“令人信服”的方式激励公司采取行动。一些人体工程学专家报告说,当在一个信任度较高的环境中工作时,他们使用更简单、通常更定性的评估方法,直接转向开发设计替代方案——一种“解决方案构建”模式。这些发现揭示了人类工效学家如何在他们的日常工作中判断一种方法的适当性。对于试图改进评估方法的人类工效学家,对于试图通过改进工具和知识来更好地支持从业者的研究人员,以及对人类工效学家教育的规划,它们也可能是有价值的。技术摘要原理:有许多方法可以帮助人类工效学家设计和评估工作。对于从业者如何在日常工作中选择合适的方法,我们所知甚少。目的:本研究的目的是确定人类工效学家在日常工作中使用的方法,描述人类工效学家使用不同评估方法的经验,并发现他们如何判断方法的适当性。方法:为了探讨这些方法的应用,我们对加拿大各地的专业人体工程学专家进行了21次半结构化访谈。结果:大多数人类工效学家报告使用观察、访谈和成像等方法启动了一项研究。受访的人体工程学专家经常提到工作场所的危险识别和风险评估。在某些情况下,为了更好地理解人体工程学问题,人类工效学家会进行更深入的、通常是定量的分析,或者更常见的是,以“说服者”的方式激发推荐的行动。一些人体工程学专家报告说,当在一个信任度较高的环境中工作时,他们能够使用更简单的评估方法直接转向开发设计替代方案——一种“解决方案构建”模式。应用:这些发现揭示了人类工效学家如何判断一种方法在给定环境下的适当性。对于试图改进评估方法的人类工效学家来说,对于试图通过改进工具和知识来更好地支持从业者的研究人员来说,或者在规划人类工效学家的教育方面,它们也可能是有价值的。
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引用次数: 29
On-Site Observations of Spine Angle Data During Prolonged Office Sitting While Performing Computer-Aided Drafting Work: A Case Study 在长时间办公室坐着进行计算机辅助绘图工作时脊柱角度数据的现场观察:一个案例研究
Pub Date : 2013-01-01 DOI: 10.1080/21577323.2012.708700
B. C. Nairn, N. R. Azar, Janessa Drake
OCCUPATIONAL APPLICATIONS Cervical, thoracic, and lumbar spine angles were recorded from five office workers in their workplace to evaluate how individuals normally sit during a workday and to observe movement patterns. Postural data were collected continuously for 2 hours, and the development of pain/discomfort was documented concurrently. Within participants, mean spine angles varied by less than 13° over the measurement period. One initially asymptomatic participant developed discomfort in the mid-back region, and further analysis showed a distinctly different posture in the thoracic region compared to the other participants. Thus, there may be associations between differences in spine region movement and localized areas of pain development. This also highlights the potential importance of individual variations associated with pain development, accentuates the potential negative effects of remaining in an unchanged posture for a prolonged period of time, and reinforces the notion that frequent breaks or postural adjustments may be beneficial.
研究人员记录了5名办公室工作人员在工作场所的颈椎、胸椎和腰椎的角度,以评估他们在工作日的正常坐姿,并观察他们的运动模式。连续2小时收集体位数据,同时记录疼痛/不适的发展情况。在参与者中,平均脊柱角度在测量期间变化小于13°。一名最初无症状的参与者在背部中部出现不适,进一步的分析显示,与其他参与者相比,胸部区域的姿势明显不同。因此,脊柱区域运动的差异和局部疼痛发展之间可能存在关联。这也强调了与疼痛发展相关的个体差异的潜在重要性,强调了长时间保持不变姿势的潜在负面影响,并强化了经常休息或姿势调整可能有益的概念。
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引用次数: 5
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IIE transactions on occupational ergonomics and human factors
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