Correlations between Ratings and Technical Measurements in Hand-Intensive Work

An accurate rating of hand activity and force is essential in risk assessment and for the effective prevention of work-related musculoskeletal disorders. However, it is unclear whether the subjective ratings of workers and observers correlate to corresponding objective technical measures of exposure...

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Main Authors: Gunilla Dahlgren, Per Liv, Fredrik Öhberg, Lisbeth Slunga Järvholm, Mikael Forsman, Börje Rehn
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/7/867
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author Gunilla Dahlgren
Per Liv
Fredrik Öhberg
Lisbeth Slunga Järvholm
Mikael Forsman
Börje Rehn
author_facet Gunilla Dahlgren
Per Liv
Fredrik Öhberg
Lisbeth Slunga Järvholm
Mikael Forsman
Börje Rehn
author_sort Gunilla Dahlgren
collection DOAJ
description An accurate rating of hand activity and force is essential in risk assessment and for the effective prevention of work-related musculoskeletal disorders. However, it is unclear whether the subjective ratings of workers and observers correlate to corresponding objective technical measures of exposure. Fifty-nine workers were video recorded while performing a hand-intensive work task at their workplace. Self-ratings of hand activity level (HAL) and force (Borg CR10) using the Hand Activity Threshold Limit Value<sup>®</sup> were assessed. Four ergonomist observers, in two pairs, also rated the hand activity and force level for each worker from video recordings. Wrist angular velocity was measured using inertial movement units. Muscle activity in the forearm muscles flexor carpi radialis (FCR) and extensor carpi radialis (ECR) was measured with electromyography root mean square values (RMS) and normalized to maximal voluntary electrical activation (MVE). Kendall’s tau-b correlations were statistically significant between self-rated hand activity and wrist angular velocity at the 10th, 50th, and 90th percentiles (0.26, 0.31, and 0.23) and for the ratings of observers (0.32, 0.41, and 0.34). Significant correlations for force measures were found only for observer-ratings in five of eight measures (FCR 50th percentile 0.29, time > 10%MVE 0.43, time > 30%MVE 0.44, time < 5% −0.47) and ECR (time > 30%MVE 0.26). The higher magnitude of correlation for observer-ratings suggests that they may be preferred to the self-ratings of workers. When possible, objective technical measures of wrist angular velocity and muscle activity should be preferred to subjective ratings when assessing risks of work-related musculoskeletal disorders.
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spelling doaj.art-d47e4b05bde0408eab1fcf6c7ad5a0b02023-11-18T18:22:26ZengMDPI AGBioengineering2306-53542023-07-0110786710.3390/bioengineering10070867Correlations between Ratings and Technical Measurements in Hand-Intensive WorkGunilla Dahlgren0Per Liv1Fredrik Öhberg2Lisbeth Slunga Järvholm3Mikael Forsman4Börje Rehn5Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, S-901 87 Umeå, SwedenSection of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, S-901 87 Umeå, SwedenRadiation Physics, Department of Radiation Sciences, Umeå University, S-901 87 Umeå, SwedenSection of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, S-901 87 Umeå, SwedenIMM Institute of Environmental Medicine, Karolinska Institutet, S-171 77 Stockholm, SwedenDepartment of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, S-901 87 Umeå, SwedenAn accurate rating of hand activity and force is essential in risk assessment and for the effective prevention of work-related musculoskeletal disorders. However, it is unclear whether the subjective ratings of workers and observers correlate to corresponding objective technical measures of exposure. Fifty-nine workers were video recorded while performing a hand-intensive work task at their workplace. Self-ratings of hand activity level (HAL) and force (Borg CR10) using the Hand Activity Threshold Limit Value<sup>®</sup> were assessed. Four ergonomist observers, in two pairs, also rated the hand activity and force level for each worker from video recordings. Wrist angular velocity was measured using inertial movement units. Muscle activity in the forearm muscles flexor carpi radialis (FCR) and extensor carpi radialis (ECR) was measured with electromyography root mean square values (RMS) and normalized to maximal voluntary electrical activation (MVE). Kendall’s tau-b correlations were statistically significant between self-rated hand activity and wrist angular velocity at the 10th, 50th, and 90th percentiles (0.26, 0.31, and 0.23) and for the ratings of observers (0.32, 0.41, and 0.34). Significant correlations for force measures were found only for observer-ratings in five of eight measures (FCR 50th percentile 0.29, time > 10%MVE 0.43, time > 30%MVE 0.44, time < 5% −0.47) and ECR (time > 30%MVE 0.26). The higher magnitude of correlation for observer-ratings suggests that they may be preferred to the self-ratings of workers. When possible, objective technical measures of wrist angular velocity and muscle activity should be preferred to subjective ratings when assessing risks of work-related musculoskeletal disorders.https://www.mdpi.com/2306-5354/10/7/867ergonomicshumansmusculoskeletal disordersupper extremitywristhand
spellingShingle Gunilla Dahlgren
Per Liv
Fredrik Öhberg
Lisbeth Slunga Järvholm
Mikael Forsman
Börje Rehn
Correlations between Ratings and Technical Measurements in Hand-Intensive Work
Bioengineering
ergonomics
humans
musculoskeletal disorders
upper extremity
wrist
hand
title Correlations between Ratings and Technical Measurements in Hand-Intensive Work
title_full Correlations between Ratings and Technical Measurements in Hand-Intensive Work
title_fullStr Correlations between Ratings and Technical Measurements in Hand-Intensive Work
title_full_unstemmed Correlations between Ratings and Technical Measurements in Hand-Intensive Work
title_short Correlations between Ratings and Technical Measurements in Hand-Intensive Work
title_sort correlations between ratings and technical measurements in hand intensive work
topic ergonomics
humans
musculoskeletal disorders
upper extremity
wrist
hand
url https://www.mdpi.com/2306-5354/10/7/867
work_keys_str_mv AT gunilladahlgren correlationsbetweenratingsandtechnicalmeasurementsinhandintensivework
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AT fredrikohberg correlationsbetweenratingsandtechnicalmeasurementsinhandintensivework
AT lisbethslungajarvholm correlationsbetweenratingsandtechnicalmeasurementsinhandintensivework
AT mikaelforsman correlationsbetweenratingsandtechnicalmeasurementsinhandintensivework
AT borjerehn correlationsbetweenratingsandtechnicalmeasurementsinhandintensivework