Effects of Ergorest arm supports on muscle strain and wrist positions during the use of the mouse and keyboard in work with visual display units: a work site intervention.

The effects of Ergorest arm supports on wrist angles and musculoskeletal strain in the neck-shoulder-arm region and electrical activity in the shoulder and arm muscles were studied during typing or the use of the mouse in work with a visual display unit (VDU). Twenty-one women were randomized into 3 groups (1 arm support, 2 arm supports, and control). Measurements were carried out before and after the 6-week intervention. The wrist extension of the mouse hand, the muscle activity of the trapezius muscle, and the subjective discomfort ratings indicated that 2 arm supports were better than 1 in work with a mouse. The Ergorest arm support alleviates muscle and joint strain in VDU work when used for both arms.

Cardiorespiratory responses to fatiguing dynamic and isometric hand-grip exercise.

In occupational work, continuous repetitive and isometric actions performed with the upper extremity primarily cause local muscle strain and musculoskeletal disorders. They may also have some adverse effects on the cardiorespiratory system, particularly, through the elevation of blood pressure. The aim of the present study was to compare peak cardiorespiratory responses to fatiguing dynamic and isometric hand-grip exercise. The subjects were 21 untrained healthy men aged 24-45 years. The dynamic hand-grip exercise (DHGE) was performed using the left hand-grip muscles at the 57 (SD 4)% level of each individual's maximal voluntary contraction (MVC) with a frequency of 51 (SD 4) grips x min(-1). The isometric hand-grip exercise (IHGE) was done using the right hand at 46 (SD 3)% of the MVC. The endurance time, ventilatory gas exchange, heart rate (HR) and blood pressure were measured during both kinds of exercise. The mean endurance times for DHGE and IHGE were different, 170 (SD 62) and 99 (SD 27) s, respectively (P < 0.001). During DHGE the mean peak values of the breathing frequency [20 (SD 6) breaths x min(-1)] and tidal volume [0.89 (SD 0.34) l] differed significantly (P < 0.01) from peak values obtained during IHGE [15 (SD 5) breaths x min(-1) and 1.14 (SD 0.32) l, respectively]. The corresponding peak oxygen consumptions, pulmonary ventilations, HR and systolic blood pressures did not differ, and were 0.51 (SD 0.06) and 0.46 (SD 0.11) l x min(-1), 17.1 (SD 3.0) and 16.7 (SD 4.7) l x min(-1), 103 (SD 18) and 102 (SD 17) beats x min(-1), and 156 (SD 17) and 161 (SD 17) mmHg, respectively. The endurance times of both DHGE and IHGE were short (< 240 s). The results indicate that the peak responses for the ventilatory gas exchange, HR and blood pressure were similar during fatiguing DHGE and IHGE, whereas the breathing patterns differed significantly between the two types of exercise. The present findings emphasize the importance of following ergonomic design principles in occupational settings which aim to reduce the output of force, particularly in tasks requiring isometric and/or one-sided repetitive muscle actions.

Physical activity, fitness and body composition of Finnish police officers: a 15-year follow-up study.

This study evaluated changes in the physical activity, fitness and body composition of 103 police officers during a 15-year follow-up. The absolute aerobic capacity was similar in 1981 and 1996, muscular performance had declined, and body weight had increased approximately 0.5 kg/year. More than half the subjects (53%) had increased their leisure-time physical activity in 1996. The correlation was significant between physical activity in 1981 and physical fitness in 1996, but weak between physical activity in 1996 and fitness in 1996. It was also significant between waist circumference and waist/hip ratio in 1996 and physical activity during the previous 5 and 15 years. No significant correlations were found between physical activity and work ability or perceived physical or mental job stress. The physical fitness of middle-aged police officers seems to be predicted strongly by physical activity in early adulthood. Therefore health and fitness promotion measures should start at that time. This, together with regular systematic training, should help to sustain work ability of middle-aged police officers.

Work ability and job demands of aging white- and blue-collar workers in 1981 and 1996.

This study compared perceived work ability and job demands in 1981 and 1996. Two samples of municipal workers were formed by matching according to location (eastern Finland), occupational status (white- and blue-collar jobs), gender (men), and age (> or = 45 years). In 1981, 50 white-collar (mean age 51 [SD 3] years) and 214 blue-collar (mean age 51 [SD 4] years) workers responded. In 1996, the corresponding numbers were 43 and 54, respectively, the mean age being 50 [SD 4] years for both groups. Perceived work ability and psychological resources changed very little from 1981 to 1996, but there seemed to be a trend towards a more positive view of future work ability. General and mental job demands, in particular, seemed to be increasing among white-collar workers. The observed differences in work ability and job demands were systematically more positive among blue-collar workers than among the white-collar workers.

Physiological strain during kitchen work in relation to maximal and task-specific peak values.

Six female and three male subjects from a hospital kitchen volunteered for the study. The subjects were working on a conveyor belt collecting and sorting dirty plates, glasses and cutlery for cleaning. In the study, a medical examination, a maximal clinical exercise test with a 12-lead electrocardiogram (ECG) and a maximal arm cranking test were performed in the laboratory. Further, each subject was studied for 30 min during a normal work shift in the kitchen. Oxygen uptake (VO2) and heart rate (HR) were continuously registered. During the work period, a rating of perceived exertion (RPE) was asked at the 5th, 15th and 30th minute. Physiological responses were measured by a portable system (K4) both in the laboratory and in the field. VO2 and HR measured in the field were proportioned to corresponding maximal values during cycling and to peak values during arm-cranking. The mean VO2 for the male and the female subjects during kitchen work was 0.65 +/- 0.16 l min-1. This corresponded to 24% of VO2max and to 41% of VO2peak during arm-cranking. The difference was significant (p < 0.001). Owing to a magnetic field at the conveyor belt, reliable HR values were obtained only from the female subjects. The mean HR during work among the female subjects was 101 beats min-1. It corresponded to 55% of HRmax and 67% of HRpeak during arm-cranking (p < 0.05). The present study shows that the relative work intensity is markedly higher when it is expressed relative to the corresponding muscle group's VO2peak instead of the VO2max. Similar difference was also seen in the HR response. More task-specific testing of physical capacity may provide improved evaluation of physical strain in a job.

Heart rate and blood pressure responses to isometric exercise in young and older men.

The aim of this study was to examine the isometric endurance response and the heart rate and blood pressure responses to isometric exercise in two muscle groups in ten young (age 23-29 years) and seven older (age 54-59 years) physically active men with similar estimated forearm and thigh muscle masses. Isometric contractions were held until fatigue using the finger flexor muscles (handgrip) and with the quadriceps muscle (one-legged knee extension) at 20%, 40%, and 60% of the maximal voluntary contraction (MVC). Heart rate and arterial pressure were related to the the individual's contraction times. The isometric endurance response was longer with handgrip than with one-legged knee extension, but no significant difference was observed between the age groups. The isometric endurance response averaged 542 (SEM 57), 153 (SEM 14), and 59 (SEM 5) s for the handgrip, and 276 (SEM 35), 94 (SEM 10) and 48 (SEM 5) s for the knee extension at the three MVC levels, respectively. Heart rate and blood pressure became higher during one-legged knee extension than during handgrip, and with increasing level of contraction. The older subjects had a lower heart rate and a higher blood pressure response than their younger counterparts, and the differences were more apparent at a higher force level. The results would indicate that increasing age is associated with an altered heart rate and blood pressure response to isometric exercise although it does not affect isometric endurance.

Prediction of acceptable physical work loads based on responses to prolonged arm and leg exercise.

Nine healthy men (aged 54-59 years) performed arm crank and leg cycle exercises for 30 min at relative work loads of 50 and 75% of peak oxygen uptake (VO2) for the corresponding muscle group, and for 60 min at a relative work load of 30% of peak VO2 for the corresponding muscle group. In the tests, heart rate (HR), blood pressure, gas exchange variables, rating of perceived exertion (RPE) and blood lactate were measured. At the 75% target exercise level, four subjects interrupted the arm-cranking test, and one subject interrupted the leg-cycle test. Owing to differences in peak values during arm-cranking and leg-cycling, the work load and the VO2 were higher during leg-cycling than during arm-cranking. There was no difference in HR between the work modes, but the HR increased to a greater extent during arm-cranking compared to leg-cycling at the 30% (NS) and 50% (P < 0.05) exercise levels. Similarly, the RPE increased more during arm-cranking compared to leg-cycling at each exercise level. The blood lactate concentration was higher after arm-cranking than after leg-cycling; at the 50% exercise level the difference was statistically significant. The results indicate a higher physiological strain with time during arm exercise than during leg exercise at the same muscle group-specific relative work load. The acceptable physical work load, expressed as the percentage peak VO2 for the corresponding muscle group, should thus be lower during arm exercise than during leg exercise. The RPE and the relative HR, expressed as percentage of peak HR for the corresponding muscle group, however, seem to be comparable indicators for the physiological strain during arm and leg exercise.

Cardiorespiratory and subjective responses to prolonged arm and leg exercise in healthy young and older men.

Ten young (aged 23-30 years) and nine older (aged 54-59 years) healthy men with a similar size of limb muscle mass performed arm crank and leg cycle exercise for 30 min at relative exercise intensities of 50% and 75% of maximal oxygen uptake for the corresponding muscle group. In the tests, heart rate, blood pressure, gas exchange variables, rating of perceived exertion and blood lactate concentration were measured. The limb muscle mass was determined by anthropometric measurements. At the 75% target exercise level, four of the older men and two of the young men could not complete the arm-cranking test, and one of the older men and two of the young men could not complete the leg-cycle test. During arm-cranking the absolute exercise intensity was similar for the young and older men because of similar maximal values during arm-cranking. But during leg-cycling the absolute exercise intensity was higher for the young men than for the older men due to the difference in corresponding maximal values. During arm-cranking there were no significant differences in the physiological responses between the age groups except that a higher ventilatory response was noted among the older compared to the young men. During leg-cycling the heart rate values were higher among the young compared to the older men. But, when the heart rate values were expressed as a percentage of maximal heart rate in the corresponding maximal tests, no significant differences between the age groups were found. The results indicated that 30-min of arm or leg exercise at the same relative submaximal exercise intensity produces a similar degree of physiological strain in healthy older compared to young men. During armcranking, the young and the older men exercised at the same external intensity, indicating a similar ability to perform prolonged excercise using smaller muscle groups expressed both in absolute and relative terms.

Rating of acceptable load in manual sorting of postal parcels.

The psychophysical test, the rating of acceptable load (RAL) were used to assess acceptable weights for dynamic lifting in postal workers engaged in sorting parcels. The standard test (RALSt) and a work-simulating test (RALW) were administered to 103 volunteers: all experienced male sorters. In the RALSt, subjects selected the weight which would be acceptable for lifting in a box with handles from table to floor and back to the table once every 5 min for the working day. for the RALW, the box was without handles and the weight was chosen to be acceptable for transfer 4-6 times/min from a table to the parcel container and back to the table. Both tests were made during normal working hours at postal sorting centres. The overall means for RALSt and RALW were 16.4 kg and 9.4 kg respectively (p < 0.001): both being substantially higher than the average parcel weight of 4 kg. The RALSt and RALW tests proved to be repetitive and sensitive for differentiating the effects of load and task variable in actual manual material handling. Thus they appear to be applicable to the evaluation of manual materials handling problems.

Physical work capacity in dynamic exercise with differing muscle masses in healthy young and older men.

Ten young (aged 23-30 years) and nine older (aged 54-59 years) healthy men with similar estimated limb muscle volumes performed, in random order, three different types of ergometer exercise tests (one-arm cranking, two-arm cranking, and two-leg cycling) up to the maximal level. Values for work load (WL), peak oxygen consumption (V0(2)), peak heart rate (HR), peak ventilation (V(E)), respiratory gas exchange ratio (R), recovery blood lactate concentration [La-], and rating of perceived exertion (RPE) were compared between the age-groups in the given exercise modes. No significant age-related differences in WL, peak V0(2), peak HR, R, [La-], or RPE were found in one-arm or two-arm cranking. During one-arm cranking the mean peak V0(2) was 1.65 (SD 0.26)1*min(-1) among the young men and 1.63 (SD 0.10)l*min(-1) among the older men. Corresponding mean peak V0(2) during two-arm cranking was 2.19 (SD 0.32)1*min(-1) and 2.09 (SD 0.18)1*min(-1), respectively. During one-arm cranking peak V(E) was higher (P <0.05) among the older men compared to the young men. During two-leg cycling the young men showed higher values in WL (P <0.001), peak V0(2) (P <0.001), and peak HR (P <0.001). The mean peak V0(2) was 3.54 (SD 0.24)1*min(-1) among the young men and 3.02 (SD 0.20)1 . min(-1) among the older men. Corresponding mean peak HR was 182 (SD 5) beats*min(-1) and 170 (SD 8) beats*min(-1), respectively. During two-leg cycling, peak V(E), R, [La-], and RPE did not differ between the two age-groups. In summary, the older men with similar sizes of estimated arm and leg muscle volumes as the young men had a reduced physical work capacity in two-leg cycling. In one-arm or two-arm cranking, no significant difference in work capacity was found between the age-groups. These results indicate, that in healthy men, age, at least up to the 6th decade of life, is not necessarily associated with a decline in physical work capacity in exercises using relatively small muscle groups, in which the limiting factors are more peripheral than central.

Energy expenditure and clearing snow: a comparison of shovel and snow pusher.

In order to assess the energy demands of manual clearing of snow, nine men did snow clearing work for 15 min with a shovel and a snow pusher. The depth of the snowcover was 400-600 mm representing a very heavy snowfall. Heart rate (HR), oxygen consumption (VO2), pulmonary ventilation (VE), respiratory exchange ratio (R), and rating of perceived exertion (RPE) were determined during the work tasks. HR, VE, R, and RPE were not significantly different between the shovel and snow pusher. HR averaged (+/- SD) 141 +/- 20 b min-1 with the shovel, and 142 +/- 19 beats.min-1 with the snow pusher. VO2 was 2.1 +/- 0.41.min-1 (63 +/- 12%VO2 max) in shovelling and 2.6 +/- 0.51.min-1 (75 +/- 14%VO2max) in snow pushing (p < 0.001). In conclusion manual clearing of snow in conditions representing heavy snowfalls was found to be strenuous physical work, not suitable for persons with cardiac risk factors, but which may serve as a mode of physical training in healthy adults.

Maximal physical work performance with European standard based fire-protective clothing system and equipment in relation to individual characteristics.

Every fire fighter needs to wear fire-protective clothing and a self-contained breathing apparatus (SCBA) several times a year while carrying out various fire-fighting and rescue operations in hazardous work environments. The aim of the present study was to quantify the effects of a multilayer turnout suit designed to fulfil European standard EN 469 used over standardized (Nordic) clothing and with SCBA (total mass 25.9 kg) on maximal physical work performance, and to evaluate the relationship between individual characteristics and power output with the fire-protective clothing system and SCBA. The subjects were 12 healthy firemen aged 26-46 years. The range of their body mass, body fat and maximal oxygen consumption was 69-101 kg, 10-20% and 2.70-5.86 l.min-1, respectively. The maximal tests without (control) and with the fire-protective clothing system and SCBA were carried out on a treadmill in a thermoneutral environment. When compared to the control test, the decrease in the maximal power output in terms of maximal working time and walking speed averaged 25% (P < 0.001) varying from 18% to 34% with the fire-protective clothing system and SCBA. At maximum, no significant differences were found in pulmonary ventilation, absolute oxygen consumption, the respiratory exchange ratio, heart rate, systolic blood pressure, the rate-pressure product, mechanical efficiency, and the rating of perceived exertion between the tests with and without the fire-protective clothing system and SCBA. The reduction of the power output was related to the extra mass of the fire protective clothing and SCBA.(ABSTRACT TRUNCATED AT 250 WORDS)

Are the job demands on physical work capacity equal for young and aging firefighters?

The job demands on physical work capacity and the frequency of the firefighting and rescue tasks were rated by 156 professional firefighters (age range, 22 to 54 years) who responded to a questionnaire. Smoke-diving requiring the use of personal protective equipment was considered to demand most aerobic power. The clearing of debris with heavy manual tools, and roof work set the highest demands on muscular performance and motor coordination, respectively. During the past 5 years, 83 to 88% of the respondents had performed these tasks on average four times a year. The rating and frequency of the tasks were not significantly affected by age. The results suggest that the job demands on physical work capacity remain the same throughout the occupational career of the firefighters.

Physiological responses of firefighting students during simulated smoke-diving in the heat.

While wearing a self-contained breathing apparatus and fire-protective clothing, 35 healthy firefighting students aged 19-27 years performed smoke-diving (entry into a smoke-filled room) during a simulated shipboard fire. The mean (+/- SD) ambient temperature inside the simulator was 119 +/- 12 degrees C, and the task lasted 17 +/- 4 min. All subjects were fit according to their maximal oxygen consumption, which was 52.4 +/- 5.2 mL/min/kg (4.08 +/- 0.45 l/min). During the smoke-diving the average heart rate was 150 +/- 13 beats/min (79 +/- 6% of maximal heart rate attained in a cycle-ergometer test), and the peak heart rate was 180 +/- 13 beats/min (95 +/- 6% of maximal heart rate). The estimated oxygen consumption was 2.4 +/- 0.5 L/min (60 +/- 12% of maximal oxygen consumption). Neither ability to tolerate stress (as determined by the instructors) nor previous experience in smoke-diving tasks seemed to influence the heart rate or estimated oxygen consumption during experiment. Smoke-diving was physically very demanding even for the young and fit subjects, showing the importance of regular evaluation of the health and physical fitness of every firefighter who has to carry out smoke-diving tasks.

Responses to whole body and finger cooling before and after an Antarctic expedition.

Eight subjects, who were indoor workers and not habitually exposed to cold, spent 53 days in Antarctica. They did mainly geological field work often requiring the use of bare hands. The effects of the expedition on responses to a whole body cold exposure test, a finger blood flow test and a cold pressor test were studied. After the expedition, during whole-body cooling the time for the onset of shivering was delayed by 36 min (P < 0.001) and forearm and thigh temperatures were 1.5 degrees C higher (P < 0.05) at the end of exposure. During local cooling of the finger with 10 degrees C perfusion, finger vascular resistance was 14.9 (SEM 6.6) mmHg.ml-1.min.100 ml (P < 0.05) lower and finger temperature 3.9 (SEM 0.8) degrees C higher (P < 0.01). However, the decrease in rectal temperature during whole-body cooling was unaltered and the response to a cold pressor test was unchanged. The data would indicate that partial acclimatization to cold had been developed. Changes in forearm temperature were correlated with the duration of cold exposure of the hands (P < 0.05) and finger vascular resistance and finger temperature were correlated with responses to cooling before the expedition (P < 0.001 and P < 0.01, respectively). Because the ambient temperature was not clearly lower in Antarctica in comparison to Finland, the reason for the changes developed seems to be the increased exposure to the outdoor climate in Antarctica.

Anthropometric, muscle strength, and spinal mobility characteristics as predictors in the rating of acceptable loads in parcel sorting.

The rating of acceptable load (RAL) attained with a standard test (RALSt) and a wrk-simulating test (RALW) for postal parcel sorting was related to anthropometric, muscle strength, and spinal mobility characteristics of 18 male sorters. The subjects comprised a subsample of 103 experienced male sorters who carried out the RAL tests at postal sorting centres. The dynamic hand-grip endurance correlated significantly (p = 0.036) to the RALSt results. Correspondingly, there was a significant correlation (p = 0.044) between the ratio of maximal isometric strength of trunk extension to body weight and the RALW. The dynamic hand-grip endurance predicted 26% of the variation in the RALSt; in the RALW the maximal isometric strength of trunk flexion to body weight ratio predicted 24%. The subjects who rated heavier weights for RALSt tended to have a better trunk mobility. The dynamic endurance of hand-grip muscles, trunk strength, and spinal flexibility seemed to be the most powerful predictors for the psychophysically assessed 'acceptable loads' in experienced workers performing manual materials handling tasks.

Effect of heat stress on muscle blood flow during dynamic handgrip exercise.

During exercise in a hot environment, blood flow in the exercising muscles may be reduced in favour of the cutaneous circulation. The aim of our study was to examine whether an acute heat exposure (65-70 degrees C) in sauna conditions reduces the blood flow in forearm muscles during handgrip exercise in comparison to tests at thermoneutrality (25 degrees C). Nine healthy men performed dynamic handgrip exercise of the right hand by rhythmically squeezing a water-filled rubber tube at 13% (light), and at 34% (moderate) of maximal voluntary contraction. The left arm served as a control. The muscle blood flow was estimated as the difference in plethysmographic blood flow between the exercising and the control forearm. Skin blood flow was estimated by laser Doppler flowmetry in both forearms. Oesophageal temperature averaged 36.92 (SEM 0.08) degrees C at thermoneutrality, and 37.74 (SEM 0.07) degrees C (P less than 0.01) at the end of the heat stress. The corresponding values for heart rate were 58 (SEM 2) and 99 (SEM 5) beats.min-1 (P less than 0.01), respectively. At 25 degrees C, handgrip exercise increased blood flow in the exercising forearm above the control forearm by 6.0 (SEM 0.8) ml.100 ml-1.min-1 during light exercise, and by 17.9 (SEM 2.5) ml.100 ml-1.min-1 during moderate exercise. In the heat, the increases were significantly higher: 12.5 (SEM 2.2) ml.100 ml-1.min-1 at the light exercise level (P less than 0.01), and 32.2 (SEM 5.9) ml.100 ml-1.min-1 (P less than 0.05) at the moderate exercise level.(ABSTRACT TRUNCATED AT 250 WORDS)

Biomechanical evaluation of heavy tool-handling in two age groups of firemen.

The biomechanical load of a rescue-clearing task (lifting a power saw from the floor up to the ceiling level) was evaluated with six older (47 +/- 5 years) and seven younger firemen (32 +/- 2 years). The mean dynamic compressive force at the L5/SI disc was 5998 N for the older subjects and 6392 N for the younger subjects. The peak torques for the back and knee extensions were about equal for the two groups of the subjects. The younger subjects had a significantly higher movement speed in the knee extension than the older subjects (89.1 +/- 25.7 vs. 35.3 +/- 11.5 degrees/s, p less than 0.001). The results showed that lifting a power saw produced a high load on the musculoskeletal system, and that the load was not influenced by age.

Changes in maximal cardiorespiratory capacity among aging municipal employees.

Before and after a four-year follow-up, maximal oxygen consumption (VO2max) was determined for 67 municipal employees (initial age about 51 years). The VO2max (ml.kg-1) decreased 6% among the women and increased 8% among the men, the greatest and smallest change occurring for employees doing mental and physical work, respectively. The men's increase was associated with an increase in leisure-time physical activity. Work content was not associated with the level of VO2max for either gender. After the four years the women's absolute VO2max was about 66% of the men's. There were marked changes in VO2max at the individual level, the most marked decreases being associated with the use of medication in some cases. After the four years the women's VO2max of 63% was insufficient according to current recommendations. Therefore physically demanding jobs are not generally recommended for older women.