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葡萄树修剪过程中手腕系统上的生物力学应变。

Biomechanical strains on the hand-wrist system during grapevine pruning.

作者信息

Roquelaure Yves, Dano Corinne, Dusolier Gaétan, Fanello Serge, Penneau-Fontbonne Dominique

机构信息

Consultation de pathologie professionnelle, Centre Hospitalier Universitaire, 49033 Angers Cedex, France.

出版信息

Int Arch Occup Environ Health. 2002 Oct;75(8):591-5. doi: 10.1007/s00420-002-0366-9. Epub 2002 Jul 4.

Abstract

OBJECTIVES

In order to understand the high prevalence of musculoskeletal disorders of the hand among vineyard workers, we conducted a study to evaluate biomechanical strains on the hand-wrist system during grapevine pruning.

METHODS

Surface electromyography (sEMG) activity of the right flexor digitorum muscle and wrist posture were analysed in six healthy vineyard workers using the same hand-powered pruning shears during grapevine pruning.

RESULTS

The biomechanical strains on the hand-wrist system were high during grapevine pruning. Mean sEMG activity during pruning was high [23.5% (standard error of the mean (SEM): 0.4) in the maximal voluntary handgrip contraction (MVC)], as was the mean cutting frequency per minute (38; range=24-48). Approximately 14% of cuts were performed with the wrist in extreme flexion/extension (F/E) (>60% of the maximum range). Numerous cuts required moderate (20%-40% of the maximum range) or extreme (>50% of the maximum range) ulnar deviation (17% and 12% of cuts, respectively). Approximately 18% of cuts required both high muscular activity (sEMG >15% MVC) and extreme ulnar/radial (U/R) deviation of the wrist (>50% of the maximum range).

CONCLUSION

Pruning imposes high biomechanical strains on the hand-wrist system in view of the repetitiveness of the task. The magnitude of physical exposure during pruning explains the high prevalence of hand disorders among vineyard workers. The use of ergonomic pruning shears is advised to lower force exertion and to reduce the frequency of awkward wrist postures during pruning.

摘要

目的

为了解葡萄园工人手部肌肉骨骼疾病的高患病率,我们开展了一项研究,以评估葡萄修剪过程中手腕系统的生物力学应变。

方法

在葡萄修剪期间,对6名健康的葡萄园工人使用同一手动修枝剪时右手屈指肌的表面肌电图(sEMG)活动和手腕姿势进行了分析。

结果

葡萄修剪过程中手腕系统的生物力学应变较高。修剪期间的平均sEMG活动较高[在最大自主握力收缩(MVC)中为23.5%(平均标准误差(SEM):0.4)],每分钟的平均切割频率也较高(38次;范围=24 - 48次)。约14%的切割是在手腕处于极度屈曲/伸展(F/E)(>最大范围的60%)时进行的。许多切割需要中度(最大范围的20% - 40%)或极度(>最大范围的50%)尺侧偏斜(分别占切割次数的17%和12%)。约18%的切割既需要高肌肉活动(sEMG>15%MVC)又需要手腕极度尺侧/桡侧(U/R)偏斜(>最大范围的50%)。

结论

鉴于任务的重复性,修剪给手腕系统带来了较高的生物力学应变。修剪过程中的身体暴露程度解释了葡萄园工人手部疾病的高患病率。建议使用符合人体工程学的修枝剪,以降低用力程度并减少修剪过程中手腕 awkward 姿势的频率。

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