Biomedical subjects

Robert G Radwin

Publications and source records attributed to Robert G Radwin.

11 recordsLinked to original sources

PubMed2006

Comparison of stoop versus prone postures for a simulated agricultural harvesting task.

Physical and psychophysical differences between working in the stooped and prone postures were compared while performing a simulated agricultural harvesting task for 30 min. Fifteen male subjects participated. The measures used to compare the two postures included perceived discomfort, electromyography (EMG), and heart rate (HR). Average hamstrings localized discomfort (0-10 scale) was 6.17 (SD=2.9) for the stoop posture and 0.67 (SD=1.29) for the prone posture. Erector spinae and hamstring EMG RMS increased 68% and 18%, respectively, while mean power frequency for the hamstrings decreased 13% for the stoop task. Mean power frequency for the middle trapezius muscle decreased in both postures (stoop 4.13%, prone 3.79%). Average heart rate during the last work cycle was 35% greater than the resting heart rate for the stoop posture while average heart rate was 17% greater for the prone posture. Subjects worked on the prone workstation without rest during the 15 min work simulations with less discomfort, no localized fatigue in the back or leg muscles tested, and lower working heart rates than subjects working in the stoop posture.

Adult↗

PubMed2006

Upper limb dynamic responses to impulsive forces for selected assembly workers.

This study evaluated the upper limb, dynamic, mechanical response parameters for 14 male assembly workers recruited from selected jobs based on power tool use. It was hypothesized that the type of power tool operation would affect stiffness, effective mass, and damping of the upper extremity; and workers with symptoms and positive physical examination findings would have different mechanical responses than asymptomatic workers without physical examination findings. Participants included operators who regularly used torque reaction power hand tools, such as nutrunners and screwdrivers, and nontorque reaction power hand tools, such as riveters. The mechanical parameters of the upper limb were characterized from the loading response of an apparatus having known dynamic properties while worker grasps an oscillating handle in free vibration. In addition, all workers underwent a physical examination, magnetic resonance imaging, and completed a symptom survey. Workers were categorized as controls or cases based on reported forearm symptoms and physical exam findings. A total of seven workers were categorized as cases and had less average mechanical stiffness (46%, p > 0.01), damping (74%, p > 0.01), and effective mass (59%, p > 0.05) than the seven workers categorized as controls. Magnetic resonance imaging (MRI) findings suggestive of muscle edema were observed for two workers classified as cases and who regularly used torque reaction power tools. No MRI enhancement was observed in the seven subjects who did not regularly use torque reaction power tools. The ergonomic consequences of less stiffness, effective mass, and damping in symptomatic workers may include reduced capacity to react against rapidly building torque reaction forces encountered when operating power hand tools.

Adult↗

PubMed2005

Anatomical and mechanical changes following repetitive eccentric exertions.

BACKGROUND: Submaximal eccentric exertions occur occupationally when rapidly rising tool-generated forces exceed the operator's capacity to react against them. The purpose of this study was to investigate the effects of short duration repetitive submaximal eccentric forearm exertions at levels comparable to industrial power hand tool use on dynamic mechanical properties (stiffness, effective mass and damping) and on forearm edema. METHODS: This study investigated changes following short term repetitive submaximal eccentric exertions comparable to occupational levels. Eight male participants exercised eccentrically for 30 min at 50% of isometric maximum voluntary contraction forearm supination in a posture and loading similar to power hand tool use in the workplace. Dynamic mechanical properties (stiffness, effective mass and damping) of the upper limb were measured before, immediately following, and daily for three days after the activity. An MRI scan to assess edema was also performed for five of the participants before, on day one and day three following the activity. FINDINGS: Mechanical stiffness decreased 51% (P < 0.05) and effective mass decreased 43% (P = 0.052) immediately following eccentric exercise. Average isometric strength also decreased 42% immediately following exercise (P < 0.01) and pain persisted for two days. The recovery of static strength however was not correlated with changes in mechanical stiffness (r = 0.56) or effective mass (r = 0.30). The exercised arms had a 360% increase (P < 0.01) in supinator-extensor T(2) relaxation time difference, a quantifiable measure of edema, one day after exercise while the non-exercised arms had no significant changes. INTERPRETATION: Changes in both T(2) relaxation time, indicative of edema, and forearm mechanical properties, were observed following short duration submaximal repetitive exercise. If similar changes in dynamic mechanical properties of the upper extremity occur following repetitive submaximal eccentric activity in the workplace, they could negatively impact the ability of the arm to react to rapid forceful loading during repetitive industrial work activities and increase mechanical loading of the upper limb.

Adaptation, Physiological↗

PubMed2004

Upper limb mechanical changes following short duration repetitive eccentric exertions.

BACKGROUND: Power hand tool use is considered a risk factor for upper extremity musculoskeletal disorders. It is unclear if submaximal eccentric activity inherent to power tool use adversely affects the mechanical properties of muscle. METHODS: This study investigated in vivo changes in human upper limb dynamic mechanical properties following exposure to short-term repetitive submaximal eccentric exertions that are similar to operating an industrial power hand tool. Eighteen subjects (12 males and 6 females) were assigned to one of three exercise groups (isometric, eccentric or control) and exercised 10 min for 60 repetitions at 50% of isometric forearm supination maximum voluntary contraction. Supination strength and dynamic mechanical properties (stiffness, effective mass, and damping) of forearm rotation, modeled as a single-degree-of-freedom system during maximal exertion, were ascertained prior to exercise, immediately following exercise and 24 h later. FINDINGS: Strength decreased for the isometric (17%) (P < 0.05) and eccentric (34%) (P < 0.01) groups following exercise. Only the eccentric exercise group had a reduction in mechanical stiffness (53%) (P < 0.01) and effective mass (58%) (P < 0.05). The other groups had no changes in mechanical properties. INTERPRETATION: The change in mechanical properties following repetitive submaximal eccentric activity could negatively impact the ability of the arm to react to rapid forceful loading during repetitive industrial work activities and may indicate mechanical strain on the upper limb.

Adaptation, Physiological↗

PubMed2004

Grip force vectors for varying handle diameters and hand sizes.

Grip force was measured along two orthogonal axes and vector summed. Sixty-one participants recruited from a manufacturing facility (29 men and 32 women) grasped instrumented cylinders (2.54, 3.81, 5.08, 6.35, and 7.62 cm diameter) using a maximal voluntary power grip. Two orthogonal force measurements relative to the third metacarpal were resolved into a magnitude and corresponding angle. On average, magnitude increased 34.8 N as handle diameter increased from 2.54 cm to 3.81 cm, and then monotonically declined 103.8 N as the handle diameter increased to 7.62 cm. The average direction monotonically decreased from 59.2 degrees to 37.7 degrees as handle diameter decreased from the largest to the smallest. When the diameter was smallest, the greatest force component, Fx (168.6 N), was in the direction where the fingertips opposed the palm. Conversely, when the diameter was largest, the smallest component, Fx (77.7 N), was in the same direction. These values are averaged for the left and right hand. The angle for the largest diameter increased with increasing hand size. These relationships should be useful for the design of handles that require gripping in specific directions, such as for hand tools and controls. Actual or potential applications of this research include the design of handles that require gripping in specific directions, such as for hand tools and controls, that reduce effort, and that prevent fatigue and overexertion.

Adult↗

PubMed2004

Functional tests to quantify recovery following carpal tunnel release.

BACKGROUND: An objective test is needed to evaluate outcome following carpal tunnel release. A method to evaluate sensory and motor function related to carpal tunnel syndrome was investigated. METHODS: Thirty-six candidates for carpal tunnel surgical procedures underwent a physical examination and nerve-conduction studies and completed a survey regarding symptoms. A battery of psychomotor and sensory tests was administered bilaterally immediately before surgery and again six weeks after surgery. The outcome variables included dynamic sensory gap-detection thresholds and rapid pinch-and-release rates. RESULTS: The average gap-detection threshold for the index finger in the surgical-treatment group demonstrated a 43% improvement, decreasing from 0.14 mm preoperatively to 0.08 mm at six weeks postoperatively (p < 0.01). The average gap-detection threshold for the index finger in the non-surgical-treatment group demonstrated no significant improvement, decreasing from 0.10 mm preoperatively to 0.08 mm postoperatively (p = 0.10). With the upper force level set at 10% of the maximum voluntary contraction, the average pinch rate in the surgical-treatment group demonstrated a 20% improvement, increasing from 6.65 pinches per second preoperatively to 7.96 pinches per second postoperatively (p < 0.001). The average pinch rate in the non-surgical-treatment group demonstrated a 7% improvement, increasing from 6.89 pinches per second preoperatively to 7.37 pinches per second at six weeks postoperatively (p < 0.05). CONCLUSIONS: Measurable and significantly greater improvement was observed when the surgical-treatment group was compared with the non-surgical-treatment group in terms of these two sensory and psychomotor functional testing outcomes at six weeks. LEVEL OF EVIDENCE: Therapeutic study, Level II-1 (prospective cohort study). See Instructions to Authors for a complete description of levels of evidence.

Adult↗

PubMed2003

Forces associated with pneumatic power screwdriver operation: statics and dynamics.

The statics and dynamics of pneumatic power screwdriver operation were investigated in the context of predicting forces acting against the human operator. A static force model is described in the paper, based on tool geometry, mass, orientation in space, feed force, torque build up, and stall torque. Three common power hand tool shapes are considered, including pistol grip, right angle, and in-line. The static model estimates handle force needed to support a power nutrunner when it acts against the tightened fastener with a constant torque. A system of equations for static force and moment equilibrium conditions are established, and the resultant handle force (resolved in orthogonal directions) is calculated in matrix form. A dynamic model is formulated to describe pneumatic motor torque build-up characteristics dependent on threaded fastener joint hardness. Six pneumatic tools were tested to validate the deterministic model. The average torque prediction error was 6.6% (SD = 5.4%) and the average handle force prediction error was 6.7% (SD = 6.4%) for a medium-soft threaded fastener joint. The average torque prediction error was 5.2% (SD = 5.3%) and the average handle force prediction error was 3.6% (SD = 3.2%) for a hard threaded fastener joint. Use of these equations for estimating handle forces based on passive mechanical elements representing the human operator is also described. These models together should be useful for considering tool handle force in the selection and design of power screwdrivers, particularly for minimizing handle forces in the prevention of injuries and work related musculoskeletal disorders.

Biomechanical Phenomena↗

PubMed2003

Functional deficits in carpal tunnel syndrome.

BACKGROUND: Carpal tunnel syndrome (CTS) is a major occupational illness in the US. The Wisconsin Test is a quantitative computer-controlled test battery designed for measuring sensory and psychomotor function. Subjects were recruited from industrial jobs at high-risk for CTS to determine if subtle sensory and motor deficits were observable in a working population. Outcomes were studied for potential use as an injury surveillance instrument. METHODS: A total of 208 subjects participated (72 males and 136 females). Participants completed a symptom survey, were given a physical examination, administered nerve conduction tests, and were tested using the Wisconsin Test battery. RESULTS: The greatest functional deficits were observed when nerve conduction findings were positive and were accompanied by either positive symptom survey outcomes or positive physical exam findings. The presence of symptoms alone were not significantly associated with motor deficits and no significant sensory threshold differences were observed among subjects categorized using any single criterion (i.e., nerve conduction, symptom reports, or examination). CONCLUSIONS: Measurable and quantifiable sensory and psychomotor deficits were observed in a working industrial population, and were greatest when positive symptoms or physical exam was accompanied by positive nerve conduction test findings. These data show that clinical criteria used in the diagnosis of CTS corresponds with functional psychomotor and sensory impairments measured in these tests.

Adolescent↗

PubMed2003

A single-degree-of-freedom dynamic model predicts the range of human responses to impulsive forces produced by power hand tools.

The human operator is modelled as a single-degree-of-freedom dynamic mechanical system for predicting the response to impulsive torque reaction forces produced by rotating spindle power hand tools such as nutrunners or screwdrivers. The model uses mass, spring and damping elements to represent the standing operator supporting the tool in the hand. It was hypothesized that these mechanical elements are affected by work location and vary among individuals. These elements were ascertained by measuring the resulting frequency and amplitude of a freely oscillating defined mechanical system when externally loaded using maximal effort to oppose its motion. Twenty-five subjects (13 female, 12 male) participated in the full factorial experiment that measured the effects of gender, vertical and horizontal work location for various tool shapes (in-line, pistol, right angle), and orientations (horizontal and vertical). The mean operator stiffness decreased from 1721 to 1195 N/m when the horizontal work location increased from 30 to 90 cm in front of the ankles for a pistol-grip handle used on a vertical surface. Males had greater mass moment of inertia of (0.0099 kg m2) than females (0.0072 kg m2) for an in-line handle used on a horizontal surface. Internal validation by independently measuring apparatus torque found that the model satisfactorily explained the measured operator dynamics with an average error of 2.86%. Group variance reflects the range of operator capacities to react against power hand tool generated forces for the sample group and therefore it may also be useful for understanding the range of capacities among a group of operators performing similar tasks.

Adult↗

PubMed2002

A comparison between analysis time and inter-analyst reliability using spectral analysis of kinematic data and posture classification.

This study compares the time needed to analyze data and the inter-analyst variability using observational posture classification vs. spectral analysis of upper limb kinematic measurements made using an electrogoniometer for selected industrial jobs. Eight trained analysts studied four jobs using both methods. An incomplete fixed block experimental design was used, whereby each analyst used one method for each job. The four jobs included (1) punch press operation, (2) packaging, (3) parts hanging, and (4) construction vehicle operation. The posture classification analysis method involved visually classifying tipper extremity joint angles into specific zones relative to the range of motion for every one-third second (10 frames) of videotape. Spectral analysis required the analysts to identify cycle break points. The electrogoniometer signals were synchronized with each cycle, and power spectra for each joint were computed. The average difference in RMS joint deviation among analysts was 0.9 (SD = 0.61 degrees) for spectral analysis and 7.1 (SD = 2.53 degrees) for posture classification. The average difference in mean joint angle was 0.8 (SD = 0.59 degrees) for spectral analysis and 11.4 (SD = 1.58 degrees) for posture classification. Repetition frequency differed an average of 0.05 Hz (SD = 0.054 Hz) for spectral analysis and 0.07 Hz (SD = 0.058 Hz) for posture classification. Posture classification took a factor of 6.3 more time than cycle break point assignment for spectral analysis. Even considering the additional time needed for sensor attachment for direct measurement, posture classification took an average factor of 1.29 more time than spectral analysis using electrogoniometer data.

Biomechanical Phenomena↗

PubMedDate not supplied

Handle dynamics predictions for selected power hand tool applications.

This study uses a previously developed single-degree-of-freedom mechanical model to predict the power hand tool operator handle kinematic response to impulsive reaction forces (Lin, 2001). The model considers the human operator as a lumped parameter passive mechanical system, consisting of stiffness, mass moment of inertia, and viscous damping elements. Six power nutrunners were operated by 9 volunteers (3 men, 6 women) in the laboratory, and corresponding handle kinematics were compared against model predictions. A full-factorial experiment considered torque buildup time and work location. Normalized forearm flexor EMG was measured to quantify muscle exertions and used to proportionally adjust the stiffness parameter. The measured handle displacement for actual tool operation strongly correlated to the model predictions (R = .98) for all handle configurations. The overall model prediction error was 3% for predicting tool handle responses to impulsive reaction forces for various tool and workstation parameters. This model should make it possible for designers to identify conditions that minimize the torque reaction experienced by power hand tool operators.

Arm↗