Gagnon M
Laboratoire de biomécanique, Département de kinésiologie, Université de Montréal, 2100 boul Edouard-Montpetit, C.P. 6128, Succursale Centre-Ville, Montréal, Qué., Canada H3C 3J7.
Clin Biomech (Bristol). 2003 Aug;18(7):601-11. doi: 10.1016/s0268-0033(03)00076-7.
To evaluate the efficacy of training for three manual handling strategies, i.e. load tilting/hands positioning, shoulders positioning and feet orientation based on the observation of the contrasted strategies of expert and novice workers and free practice using a search approach.
Ten novice male workers were tested at pre-training (one trial) and post-training with homogeneous boxes (three trials) and heterogeneous boxes (two trials) sampled from two sessions. Training took place with homogeneous boxes whereas heterogeneous boxes were new situations.
The effectiveness of training programs in safe handling and the repetition of specified techniques are contested; they should rather be based on expert workers' strategies.
Pre-training and post-training trials were analyzed with five video cameras and a large force plate. The biomechanical variables included three safety criteria: net 3D resulting moments at L5/S1, asymmetry of posture/efforts at L5/S1 and mechanical work on load; kinematics and ergonomic variables were used as explicative variables.
Training produced safer strategies by reducing mechanical work and back extensor moments; this occurred in both load conditions, an indication of the transfer of knowledge. These strategies consisted of changes in load maneuvers (tilting/hand positioning) and feet orientation.
Training programs should be based on observations of workers.
These results may guide the specialists involved in training programs. Training based on a search approach by the learner and anchored on observations of contrasted strategies (load tilts/hands positioning and feet orientation) by experts and novices appears promising for safe handling.
基于对专家和新手工人对比策略的观察以及采用搜索方法的自由练习,评估三种手工搬运策略(即负载倾斜/手部定位、肩部定位和足部方向)的培训效果。
对10名新手男性工人在培训前(一次试验)以及培训后进行测试,使用从两个时间段抽取的同质箱子(三次试验)和异质箱子(两次试验)。培训使用同质箱子进行,而异质箱子代表新的情况。
安全搬运培训项目的有效性以及特定技术的重复使用存在争议;培训项目应更多地基于专家工人的策略。
使用五个摄像机和一个大型测力板对培训前和培训后的试验进行分析。生物力学变量包括三个安全标准:L5/S1处的净三维合成力矩、L5/S1处姿势/用力的不对称性以及负载上的机械功;运动学和人体工程学变量用作解释变量。
培训通过减少机械功和背部伸肌力矩产生了更安全的策略;这在两种负载条件下均出现,表明知识发生了迁移。这些策略包括负载操作(倾斜/手部定位)和足部方向的改变。
培训项目应基于对工人的观察。
这些结果可为参与培训项目的专家提供指导。基于学习者搜索方法并以专家和新手对比策略(负载倾斜/手部定位和足部方向)观察为基础的培训,对于安全搬运似乎很有前景。