Evaluation of Interhandle Distance During Pushing and Pulling of a Four-Caster Cart for Upper Limb Exertion.

BACKGROUND: This study examined the relationship between interhandle distances and upper limb exertion during simply pushing and pulling of a cart with four swivel wheels, defined by a roll box pallet (RBP) in a Japanese industrial standard. METHODS: Six healthy young male participants were asked to push and pull an RBP at a distance of 5.2 m under six conditions corresponding to different interhandle distances (40 cm, 60 cm, and 80 cm) and weights (130 kg and 250 kg). The upper limb exertion was studied by shoulder abduction and flexion, and elbow flexion, as well as surface electromyogram (EMG) in shoulder extensor, and elbow flexor and extensor. Participants were required to provide subjective evaluations on operability after each trial. RESULTS: Subjective operability indicated that a narrower interhandle distance had a better operability for pushing. Interhandle distance was also related to upper limb exertion especially for pushing. A narrow interhandle distance caused smaller shoulder adduction but larger elbow flexion. The normalized EMG data revealed that muscular activity became smaller with a narrow interhandle distance in shoulder extensor. During the pulling task, elbow flexion was smaller at a narrow interhandle distance, although subjective operability and normalized EMG were not significantly varied. CONCLUSION: A wider interhandle distance, such as 80 cm, was not suitable in the forwardbackward movement of the RBP. Therefore, this study concluded that an interhandle distance of 40 cm would be suitable for pushing and pulling an RBP to protect the workers' hands against the risk of injury by installing inner handles.

Optimal handgrip height of four-wheeled walker on various road conditions to reduce muscular load for elderly users with steady walking.

A four-wheeled walker is a valuable tool for assisting elderly persons with walking. The handgrip height is one of the most important factor determining the usefulness of the walker. However, the optimal handgrip height for elderly users has not been considered from a biomechanical viewpoint. In this study, the handgrip height was optimized by a two-dimensional mechanical model to reduce muscular loads in the lower body as well as in the upper body with various road conditions during steady walking. A critical height of the handgrip existed at 48% of the body height for the user regardless of gender and body dimension. A lower handgrip relieved muscular load for stooping users with a lower standing height. The stooping user pushed the handgrip strongly in the perpendicular direction by leaning the upper body on the walker. However, upright users with a higher standing height should use a four-wheeled walker with a higher handgrip for maintaining his or her upright posture. For downhill movement, the optimal handgrip height depended on the slope angle and the friction coefficient between the road and the wheels of the walker. On a low-friction downhill such as asphalt with a steeper slope angle, the user was required to maintain an erect trunk with a higher handgrip and to press on the handgrip strongly in the perpendicular direction. Movement on a low-friction road was easier for users on a flat road and an uphill road, but it compelled distinct effort from users when moving downhill.

Theoretical optimization of usage of four-wheeled walker and body posture of elderly users for comfortable steady walking.

Usage of a four-wheeled walker and body posture of elderly users is optimized by a two-dimensional statics model for comfortable steady walking. Analytical results suggest that fundamentals of body posture for comfortable walking should be as upright as possible. However, usage of the walker varies with exercise capabilities of elderly users. Users with high capabilities should use a higher handgrip for maintaining upright posture. Stooping users with low capabilities should use a lower handgrip, should maintain an erect trunk as much as possible, and should push the handgrip downward by leaning their upper body on the walker.

Coordination of the upper-limb segments in physiological tremor with various external loads.

BACKGROUND: This study investigates coordination of the upper-limb segments with various external loads by frequency-domain analysis of physiological tremor during the maintenance of limb posture. Physiological tremor is an involuntary oscillation in every segment of a healthy human. MATERIAL/METHODS: A subject raised his right upper limb forward while extending his hand and fingers. Physiological tremor was measured by acceleration sensors attached to four segments: the index finger, hand, forearm, and upper arm. A balloon filled with helium gas was attached to the forearm as a minus-load condition. A weight band was attached as a plus-load condition. The measured signals were evaluated by frequency-domain analysis: power spectrum and coherence spectrum. RESULTS: The amplitude of upper-limb tremor measured from the four segments decreased with the minus-load and increased with the plus-load. However, the degree of the variation depended on the segment. The amplitude of upper-limb tremor measured from the forearm and the hand decreased remarkably with the minus-load, while the amplitude from the upper arm increased with the plus-load. Although adjacent segments were well coordinated, coordination between the segments varied depending on the external load. The minus-load at the forearm led to a lack of coordination between the upper arm and the forearm. To compensate for this, the movements of the forearm and the hand became coordinated. CONCLUSIONS: The experimental protocol of this study allowed implementing a method to estimate the physiological modification of the neuromuscular system under a hypo-gravitational environment.

Comparison of experimental and numerical muscle fiber conduction velocity (MFCV) distribution around the end-plate zone and fiber endings.

BACKGROUND: The distribution of muscle fiber conduction velocity (MFCV) estimated from surface myoelectric signals differs depending on the recording electrode locations. It is assumed in this study that the irregular values of MFCV may be estimated around the end-plate zone and the fiber endings due to effect of unique interference property of myoelectric signals, and its hypothesis is confirmed experimentally and numerically in consideration of the waveform characteristics of surface myoelectric signals. MATERIAL/METHODS: In experimental study, the surface myoelectric signals are recorded by array electrodes during voluntary isometric contraction in biceps brachii muscle. In the numerical study, the surface myoelectric signals in consideration of the interference property of some motor unit activities are calculated from the current dipole model which simulated the firing features of muscle fiber from end-plate zone to fiber endings. MFCV is estimated by the technique of cross-correlation. Maximum correlation coefficient (Rxy(Ts)) and amplitude ratio (AMPratio) are used to evaluate similarity and attenuation rate between traveling signals. RESULTS: In both results of experimental and numerical studies, the MFCV significantly increase when both Rxy (Ts) and AMPratio decrease around the end-plate zone and fiber endings although three parameters denote constant values in the locations other than the end-plate zone and the fiber endings. The high correlativity is recognized between the experimental and numerical data for MFCV, Rxy (Ts), and AMPratio. CONCLUSIONS: Therefore, it is demonstrated by experimental and theoretical studies that MFCV, Rxy(Ts), and AMPratio are influenced by irregular waveform properties depending on both positions of the end-plate and fiber endings.

Neuromuscular control of physiological tremor during elastic load.

BACKGROUND: Physiological tremor is an involuntary and continuous oscillation in every limb segment of a healthy human. This study investigates the neuromuscular control of physiological tremor by an elastic load applied to the middle finger. MATERIAL/METHODS: The subject maintained a stretching position of the middle finger against various tension springs. Physiological tremor was detected by an acceleration sensor attached to the middle finger. The motor-unit activity was estimated by surface electromyogram (EMG) measured from the extensor digitorum communis muscle with physiological tremor. The tremor and the EMG signals were analyzed by power and coherence spectra. RESULTS: Three frequency components appeared in physiological tremor while the subject extended the middle finger against the tension spring. They were classified as two load-independent components and a load-dependent component. Although the motor-unit activity was enhanced by the extension of the middle finger against a stiffer spring, the tremor amplitude did not significantly change. The extensor digitorum communis muscle produced a larger contraction force to maintain the finger posture against a stiffer spring, while the stiffness of the tension spring restrained the finger movement. The three frequency components of physiological tremor correlated with the motor-unit activity. These results supported the hypothesis of the origin of physiological tremor. The stretch-reflex system caused the load-dependent component, and the mechanical property of the elastic load determined its frequency. The supraspinal system produced the two load-independent components. CONCLUSIONS: The neuromuscular control to maintain the stretching of the middle finger against the elastic load gave rise to the three frequency components in physiological tremor.

The origins of physiological tremor as deduced from immersions of the finger in various liquids.

To investigate the influence of gravity on physiological tremor during a holding stretch of the finger, tremor during immersion of the finger in liquids was measured. Liquids with various densities and various coefficients of viscosity were used. Tremor was detected using an acceleration sensor, and power spectrum analysis was performed on the acceleration signal of the tremor. The total power of the tremor spectrum decreased with an increase of the density and an increase of the coefficient of viscosity, the high frequency domain of the tremor spectrum showing a larger decrease than the low frequency domain. Linear regression analysis showed that the viscosity of the liquid had a larger effect on tremor than the buoyancy due to the liquid. A model was proposed for tremor during immersion of the finger in liquid. The effect of the buoyancy and the viscosity on tremor was examined using the proposed model. The origin of two frequency bands in the tremor spectrum was verified by both the immersion experiment and the proposed model. The stretch-reflex system via the spinal cord produced a high frequency band around 25 Hz, while the supraspinal system caused a low frequency band around 10 Hz. The neuromuscular function of the human body was evaluated using the amplitude and the frequency of tremor.