Sporrong H, Sandsjö L, Kadefors R, Herberts P
Department of Orthopaedics, University of Göteborg, Sahlgrenska University Hospital/Ostra, Sweden.
Appl Ergon. 1999 Dec;30(6):495-503. doi: 10.1016/s0003-6870(99)00016-2.
It is recognised that work related shoulder pain is overrepresented among construction workers compared to other occupations. Studies have shown that working with hands above shoulder level increases the shoulder load. Most studies have been confined to the laboratory. The present project was carried out to map the muscular engagement and postures of construction workers undertaking ceiling fitting, and to compare the results to those of the laboratory studies. Two ambulatory devices were used, one allowing recording of electromyographic (EMG) signals bilaterally from the trapezius muscle, and the other to record the position of both arms and back by means of measuring the angles between the vertical line and the back and both upper arms. These recordings were performed during 1.5-2 h work sequences. The results show that the work was mostly performed in an upright position, that both arms were used to a similar amount and that the workers for a large proportion of their working time had their upper arms at levels that are considered harmful in view of shoulder load. The EMG data showed that nearly 50% of the work was spent with trapezius activity that exceeded that of the reference contraction used (about 15% of maximal voluntary contraction) and that the time spent in muscular relaxation was 10%. It was concluded that the exposure of construction workers undertaking ceiling fitting meets the criteria formulated on the basis of laboratory experiments with respect to a high risk of acquiring chronic shoulder pain, due to rotator cuff tendinitis.
人们认识到,与其他职业相比,建筑工人中与工作相关的肩部疼痛更为普遍。研究表明,在肩部以上高度用手工作会增加肩部负荷。大多数研究都局限于实验室。本项目旨在描绘从事天花板安装工作的建筑工人的肌肉活动和姿势,并将结果与实验室研究结果进行比较。使用了两种可移动设备,一种用于双侧记录斜方肌的肌电图(EMG)信号,另一种通过测量垂直线与背部及双臂之间的角度来记录双臂和背部的位置。这些记录在1.5 - 2小时的工作过程中进行。结果表明,工作大多是在直立姿势下进行的,双臂使用量大致相同,而且在很大一部分工作时间里,工人的上臂处于从肩部负荷角度来看被认为有害的高度。EMG数据显示,近50%的工作时间斜方肌的活动超过了所用参考收缩水平(约为最大自主收缩的15%),肌肉放松时间为10%。得出的结论是,从事天花板安装工作的建筑工人因肩袖肌腱炎而面临患慢性肩部疼痛的高风险,其暴露情况符合基于实验室实验制定的标准。