Abstract
BACKGROUND:
This paper reports on the torques developed in the shoulder joint experienced by occupants of moving vehicles during manual handling tasks. Handling heavy weights can cause musculoskeletal injuries, especially if handling is done with arms extended or at high levels.
OBJECTIVE:
The aim of the study was to measure the longitudinal and lateral accelerations in a variety of passenger vehicles together with the postures of subjects lifting luggage onto storage shelves. This data enabled the application of inverse dynamics methods in a non-inertial reference frame to calculate the shoulder joint torques.
METHODS:
The subjects lifted 3 pieces of luggage of masses of 5 kg, 10 kg and 14 kg onto shelving which were at heights of 1.2 m, 1.6 m and 1.8 m. The movement of subjects was measured using a 12 camera, 3-dimensional optical tracking system. The subjects stood on force plates to measure the ground reaction forces.
RESULTS:
Sixty-three trials were completed, although 9 trials were aborted because subjects felt unable to complete the task. It was found that the shoulder torques exceeded the levels recommend by the UK Health and Safety Executive for manual handling. A lift assistance device is suggested to reduce the shoulder torques required for luggage handling.
Introduction
Large torques developed at a joint have been shown to have a detrimental effect on the prevalence of injury at the joint [1, 2] and the forces in the muscles surrounding the joint which generate the torque also act to increase the contact loads at the joint. Therefore, it could be hypothesized that there exists a correlation between measureable, quantifiable biomechanical features (joint torques, joint contact forces) and the injury risk associated with various body locations (e.g. spine, knees, shoulders) and various pathologies (e.g. joint, neurological or muscle damage) during lifting. The Health and Safety Executive Manual Handling Operations Regulations [3] estimates that 12.3 million working days are lost in Great Britain each year due to musculoskeletal disorders. The HSE provides useful and practical advice on how to reduce the risk of injury, which apply to a wide range of manual handling activities including lifting, lowering, pushing, pulling or carrying. It suggests that ways to reduce the risk of manual handling injuries include reducing the amount of twisting and stooping, avoiding lifting heavy loads from floor level or to above shoulder height and reducing carrying distances. Manual handling is frequently studied but rarely in a non-inertial reference frame where the linear accelerations and rotational velocities and accelerations cause pseudo-forces to act on masses within the reference frame. These pseudo-forces may be significant for manual handling tasks performed within accelerating vehicles. An example of such a task is luggage handling on a passenger vehicle, which is accelerating from stationary, emergency braking or cornering with small radius of curvature at high speeds. This paper investigates the torques, which occur at the shoulders during luggage handling in the presence of pseudo-forces, and compares the torques with those recommended by the UK Health and Safety Executive.
An example of a posture during the luggage lifting task.
The pseudo-forces acting on a mass in a non-inertial reference is:
where
r̈ is the linear acceleration vector of the non-inertial reference frame
Peak lateral and longitudinal accelerations for each mode of transport
Maximum shoulder torques of each subject for each luggage mass/shelf height combination.
Luggage lifting device suitable for retro-fitting into existing commercial passenger vehicles showing the control panel and hoist.
Therefore, to calculate the pseudo forces it is necessary to measure the linear acceleration and the angular velocity and angular acceleration of the reference frame attached to the vehicle. To measure these variables, a Sony Xperion mobile phone was mounted onto the internal structure of main line rail carriages, light rail carriages, buses, underground metro systems and airport shuttle buses. The above time histories of these vehicles were measured with the phone’s MEMS tri-axial accelerometer and gyroscopes at a rate of 200 samples per sensor per second. The accelerometer saturates at 2 g which is substantially less than the accelerations encountered on any mode of transport (maximum acceleration
The movement of the 7 subjects (mean height
The subjects were instructed to lift 3 pieces of luggage onto the shelving; the shelf heights were 1.2 m, 1.6 m and 1.8 m and typical of the heights of shelving on public transport. The 3 pieces of luggage had masses of 5 kg, 10 kg and 14 kg. One trial consisted of lifting the luggage from the ground onto the shelf, returning to a resting posture and then lowering the luggage from the shelf back to the floor. The task was to be completed at a self-selected rate. The subjects were instructed to abort the trial if they felt unable to complete the lift. In total 63 trials were recorded, 9 trials were aborted because the subject felt unable to complete the task. The testing protocol was granted ethical approval by the University’s Ethics Board and each subject gave informed consent to participate in the trials.
The Biomechanics of Bodies (BoB) software [5] was used to calculate the time histories of the major joints of the body from the optical tracking data. An example of a posture measured using the optical tracking system and illustrated in BoB is shown in Fig. 1. BoB also calculated the actual (inertial and gravitational) forces acting on the human body due to self-weight, from a mass distribution model [6]. Bespoke code was written to additionally incorporate pseudo-forces from Eq. (1). BoB was also used to calculate the torques at the shoulders using inverse dynamics.
The peak lateral and longitudinal accelerations and jerks recorded for each mode of transport is listed in Table 1.
The maximum shoulder torque occurring for each subject for each luggage mass and shelf height combination was calculated using inverse dynamics techniques; the results are illustrated in Fig. 2. Also shown in Fig. 2 are the maximum shoulder torques for males and females lifting masses onto low and high shelves recommended for a single lift by the Health and Safety Executive and by the Liberty Mutual Insurance Group [7].
Conclusions
The accelerations occurring on light railways, underground railways, mainline railways, passenger busses and airport shuttle busses were measured. The maximum acceleration was found to be 0.38 g occurring on the passenger. This acceleration will cause pseudo forces to act on the passenger, which will significantly increase the loads acting on the body when compared to the same task performed in a non-accelerating environment.
The movement of a range of subjects were measured whilst lifting luggage of various weights onto shelves of heights, which are typical of storage shelves on passenger vehicles. From this data, the torques occurring at the shoulders were calculated and it was found that many of these mass/height combinations exceed the shoulder torques recommend by the HSE and insurance company.
One of the subjects (Male1, in Fig. 1) appears to be controlling his motion based on maintaining a constant maximum shoulder torque.
An assistive lifting device has been constructed (see Fig. 3) which will reduce the shoulder torques to below the recommended values and is suitable for retro-fitting into passenger vehicles.
Footnotes
Conflict of interest
None to report.
