Arm posture and human movement capability.

Many workers perform manual assembly tasks or use hand tools while the hands are postured above the shoulders or to the side of the body. Experiments were conducted to study the sensitivity of speed-accuracy movement performance to a wide range of hand locations around the shoulder under various levels of hand loads, ratios of work to rest, and task durations. Subjects performed a spatially constrained stylus-to-hole Fitts reciprocal movement task designed to simulate high-incentive manual assembly operations while providing basic information regarding changes in human move and positioning capabilities. Significant decrements in movement performance occurred when hands were postured above shoulder level. Move and positioning times increased 15.3% and 26.5%, respectively, with elevation of the hand from -15 to 60 deg respective to shoulder level. Posturally based decrements in movement capability were unrelated to differences in subject strength capability found among test postures. The consequences of elevated arm postures on human move and positioning capability are presented along with workplace design and methods recommendations for job designers facing work-height decisions in manual assembly environments.

Shoulder posture and localized muscle fatigue and discomfort.

In many industries workers perform manual assembly tasks with hands postured above the shoulders. Awkward shoulder and arm postures are often viewed as acceptable given costs of workplace modification, postural exertions which are in compliance with current design recommendations, ready availability of strong workers, and numbers of electromyographic studies which fail to detect significant signs of localized muscle fatigue (LMF). An experiment was conducted to: (a) study the onset and severity of (LMF) in the shoulder when performing a stylus-to-hole Fitts reciprocal movement task under a range of postures, hand loads, ratios of work-to-rest, and task durations, and (b) to evaluate the efficacy of three techniques (i.e., changes in EMG behaviour, postural tremor, and cross-modal matching estimates) in detecting and monitoring posturally-based LMF and discomfort in the shoulder complex. Experimental findings showed that posturing hands above shoulder level significantly increased the risk of LMF and postural discomfort even in light-weight manual assembly environs where postural exertions are small, and that cross-modal matching estimates and postural tremor were more sensitive metrics of LMF in the shoulder complex than EMG RMS voltage and mean spectral power frequency metrics. The basis for experimental findings, as well as potential application of LMF metrics in future postural stress investigations, are discussed. Recommendations for workplace posture are provided for job designers facing work height decisions in manual assembly environs.

Neurological abnormalities associated with remote occupational elemental mercury exposure.

We examined 502 subjects, 247 of whom had occupational elemental mercury exposures 20 to 35 years previously, to identify potential exposure-related neurological abnormalities. Few significant (p less than 0.05) differences existed between exposed and unexposed subjects. However, multiple linear regression analysis demonstrated several significant correlations between declining neurological function and increasing exposure as determined by urine mercury measurements from the exposure interval. Subjects with urine mercury peak levels above 0.6 mg/L demonstrated significantly decreased strength, decreased coordination, increased tremor, decreased sensation, and increased prevalence of Babinski and snout reflexes when compared with the remaining subjects. Furthermore, subjects with clinical polyneuropathy had significantly higher peak levels than normal subjects (0.85 vs 0.61 mg/L; p = 0.04), but not increased exposure duration (20.1 vs 20.8 quarters; p = 0.34), and 28% of subjects with peak levels above 0.85 mg/L had clinical evidence of polyneuropathy, compared with 10% of remaining subjects (p = 0.005). Although exposure was not age dependent, several neurological measures showed significant age-mercury interaction, suggesting that natural neuronal attrition may unmask prior exposure-related subclinical abnormalities.

A neurological evaluation of workers exposed to mixtures of organic solvents.

Workers with long term exposure to mixtures of organic solvents below regulatory limits have been reported to experience mild, but clinically detectable, sensory or sensorimotor polyneuropathies. In conjuction with a cross sectional study of behavioural performance a clinical neurological evaluation was conducted among printers and spray painters to examine dose response relations. All 240 subjects completed an occupational history and symptom questionnaire and underwent a clinical neurological examination. On average, subjects had been employed on their current job for six years. Classification of solvent exposure for each subject was based on exposed versus non-exposed job titles and observations during an industrial hygiene walk-through or on the measured concentration of solvents in full shift personal air samples. The average full shift solvent concentration was 302 ppm for printing plant workers and 6-13 ppm for workers at other plants. Isopropanol and hexane were the major constituents. Neurological abnormalities consistent with mild polyneuropathy were found in 16% of subjects; none was clinically significant. Exposed/non-exposed comparisons showed slightly higher frequency of symptoms in the exposed subjects which was not related to solvent level. Subjects categorised as exposed during the walk- through survey also had poorer vibratory sensation measured at the foot and diminished ankle reflexes. In multiple linear regression models, however, controlling for age, sex, alcohol intake, and examiner, no significant (p less than 0.05) relation was found between solvent concentration and poor neurological function except for two point discrimination measured at the foot. This investigation has not provided evidence for dose related adverse neurological effects from exposure to moderately low levels of solvent mixtures for a relatively short duration, although this may be due to the shortness of exposure duration, the type of solvent exposure, or to selection factors.

Behavioural evaluation of workers exposed to mixtures of organic solvents.

Reports from Scandinavia have suggested behavioural impairment among long term workers exposed to solvents below regulatory standards. A cross sectional study of behavioural performance was conducted among printers and spray painters exposed to mixtures of organic solvents to replicate the Scandinavian studies and to examine dose-response relationships. Eligible subjects consisted of 640 hourly workers from four midwestern United States companies. Of these, 269 responded to requests to participate and 240 were selected for study based on restrictions for age, sex, education, and other potentially confounding variables. The subjects tested had been employed on average for six years. Each subject completed an occupational history, underwent a medical examination, and completed a battery of behavioural tests. These included the Fitts law psychomotor task, the Stroop colour-word test, the Sternberg short term memory scanning test, the short term memory span test, and the continuous recognition memory test. Solvent exposure for each subject was defined as an exposed or non-exposed category based on a plant industrial hygiene walk-through and the concentration of solvents based on an analysis of full shift personal air samples by gas chromatography. The first definition was used to maintain consistency with Scandinavian studies, but the second was considered to be more accurate. The average full shift solvent concentration was 302 ppm for the printing plant workers and 6-13 ppm for the workers at other plants. Isopropanol and hexane were the major components, compared with toluene in Scandinavian studies. Performance on behavioural tests was analysed using multiple linear regression with solvent concentration as an independent variable. Other relevant demographic variables were also considered for inclusion. No significant (p greater than 0.05) relation between solvent concentration and impairment on any of the 10 behavioural variables was observed after controlling for confounding variables. Exposed/non-exposed comparisons showed a significantly poorer digit span among those exposed, but this has not been generally reported in the Scandinavian studies. The medical examination showed no abnormalities of clinical significance. The inability to replicate the findings of the Scandinavian studies could have been due to the shortness of the duration of workers' exposure, the type of solvents in the mixtures, use of different behavioural tests, or to selection factors.

Solvent vapor exposures in booth spray painting and spray glueing, and associated operations.

Time-weighted average exposures for all solvents present at detectable levels were obtained for eighty-nine solvent-using workers and thirty-six control-group (unexposed) workers in seven plants of three companies applying paints and glues, primarily by spraying. Over twenty solvents were quantified if detected. Concentrations of specific solvents and cumulative fractions of TLVs were measured for various job types. All spray painting and most spray glueing was conducted in operating spray booths. Only low to moderate exposures were observed, with one TWA exceeding the cumulative TLV and three additional TWAs exceeding 50 percent of the cumulative TLV. It may be concluded that solvent TWA exposures in spraying of paints and glues are often well-controlled by common spray booths, and further, that other solvent-use operations including light-duty solvent wiping and manual paint mixing do not frequently produce high exposures (relative to TLV levels) in the presence of ordinary general room ventilation.

Effect of occupational exposure to elemental mercury on short term memory.

Previous studies have indicated that exposure to elemental mercury is associated with increased short term memory scanning time. In an effort to provide converging evidence that short term memory is one locus of the neurotoxic effect of mercury, two measures of short term memory capacity were used in this study. The first measure, the Wechsler digit span forward, was too imprecise and unreliable to detect any adverse effects. The second measure, an estimate of the worker's 50% threshold for correct serial recall, was more satisfactory and provided evidence of a statistically significant decrease in short term memory capacity associated with increasing exposure to elemental mercury (based on a group of 26 workers, urinary mercury average 0.20 mg/l, range 0.0-0.51 mg/l). A replication study of another group of 60 workers was performed to confirm this apparent mercury related effect. Despite lower urinary mercury concentrations in this second group (0.11 mg/l average), a statistical association was again observed relating urine mercury to reduced short term memory capacity.

Quantification of human performance circadian rhythms.

The quantification of worker performance changes during a shift is critical to establishing worker productivity. This investigation examined the existence of circadian rhythms in response variables that relate most meaningfully to the physiological and neurological state of the body for three subjects maintaining a resting posture for 25 hours on five separate occasions. Significant circadian variation ranging from 3% to 11% of the mean value was detected for elbow flexion strength, physiological tremor, simple reaction time, information processing rate and critical eye-hand tracking capacity.

Asymptomatic sensorimotor polyneuropathy in workers exposed to elemental mercury.

Neurologic and electrodiagnostic evaluations and urine mercury level determinations were performed on 138 chlor-alkali plant workers, some of whom were chronically exposed to inorganic mercury vapor. Eighteen subjects had a mild polyneuropathy on clinical examination. These subjects had significantly (p less than 0.05) elevated urine mercury indexes, reduced sensation on quantitative testing, prolonged distal latencies with reduced sensory evoked response amplitudes, and increased likelihood of abnormal needle electromyography compared with the remaining 120 subjects. Similar results were found for subgroups matched by sex and age. We conclude that elemental mercury exposure is associated with a sensorimotor polyneuropathy of the axonal type; the degree of neurologic impairment appears related to the magnitude of exposure.

Elemental mercury exposure: peripheral neurotoxicity.

Nerve conduction tests were performed on the right ulnar nerve of factory workers exposed to elemental mercury vapour. Time integrated urine mercury indices were used to measure the degree of exposure. Workers with prolonged distal latencies had significantly higher urine mercury concentrations when compared with those with normal latencies. Significant correlations between increasing urine mercury concentrations and prolonged motor and sensory distal latencies were established. Elemental mercury can affect both motor and sensory peripheral nerve conduction and the degree of involvement may be related to time-integrated urine mercury concentrations.

Evaluation of workers exposed to elemental mercury using quantitative tests of tremor and neuromuscular functions.

Workers exposed to metallic mercury vapor were subjects for tremor, EMG, and psychomotor tests. Regression analysis revealed statistically significant trends in these test results related to workers' urine mercury histories. Effects were subclinical, functionally insignificant and most associated with those workers whose urine mercury had exceeded 0.5 mg/L in the previous year. In agreement with previous reports, effects were reversible upon reduction of mercury exposure.

An investigation of fitts' law using a wide range of movement amplitudes.

The relationship between Fitts' Index of Difficulty (ID = log2 2A/W) and movement time was investigated for finger, wrist, and whole arm motions over a wide range of movement distances (0.25 to 30.5 cm). Results supported Fitts' original speculation that various limb segments may show different maximum information processing rates. Short-distance finger and wrist motions showed much higher rates (38 and 23 bits/sec, respectively) than longer-distance arm motions (10 bits/sec). Examination of motion trajectories qualitatively supported a descriptive model whereby a visually mediated discrete-correction control process is used, as proposed by Crossman and Goodeve (Note 1) and Keele (1968). However, evidence of severe nonlinearities in the measured human movement responses did not support the use of linear control models in explaining the empirical validity of Fitts' law in predicting human motor performance.