Iranian Journal of Ergonomics

Introduction: Manual load lifting is the most common and most stressful activity in manual handling of loads that imposes the highest possible amount of biomechanical pressure on the body, particularly on the spine. The present study was conducted to determine the prevalence of musculoskeletal disorders and to estimate the mechanical force exerted on the lower back in workers responsible for manual load lifting.

Material and Methods: The present cross-sectional study was conducted on 120 workers responsible for manual load lifting activities in 7 industrial settings in the city of Shiraz. The Nordic Musculoskeletal Questionnaire (NMQ) was used for determining the prevalence of musculoskeletal disorders and the 3DSSPP software was used to estimate the forces exerted on the lower back during load lifting. Data were then analyzed in SPSS-19.Findings: The results showed that lower back problems constitute the most prevalent musculoskeletal disorder (68.3%). Evaluations conducted in 3DSSPP showed that in 17.5% of the cases, compressive forces, and in 10.8% of the cases, shearing forces exerted on the L5-S1 disc were higher in the workers than the permissible levels. There were no significant differences between the rate of the prevalence of lower back pain at different levels of compressive and shearing forces exerted on the disc (p>0/05).

Results: This finding might indicate the limitations of the method used in this study for conducting a comprehensive assessment of loads exerted on the spine.

Conclusion: The prevalence of musculoskeletal disorders, in particular lower back pain, was estimated to be high among the subjects studied. The risk levels of compressive and shearing forces exceeded the permissible amount in a low percentage of the workers studied. The 3DSSPP software might have certain limitations in the assessment of the pressure exerted on the spine.

Background: The aim of this study was to investigate the effect of the heel wedges on the electromyography activities of the selected left and right lower back muscles during load lifting.
Methods: A total of 17 male subjects voluntarily participated in this quasi-experimental study. The selected subjects lifted a box, weighing 10% of their body weight, above the height of their hip joint, descending as far as the thigh, parallel to the ground, and then ascending to the starting position. The above task was performed nine times in two conditions, including with and without the heel wedges. Using the ME6000 electromyography system, the activity level variables were normalized and the median frequencies of the erector spinae (ES) and the multifidus (MU) muscles were recorded. The subjects also held the box for 30 s in the standing position with stretched hands. The paired t-test was used for the data analysis.
Results: The results showed that during static load lifting using the heel wedge, the median frequency of the right ES muscle changed significantly (P<0.05). Also during dynamic load lifting using the heel wedge, the activities of the left and the right ES muscles as well as the left MU muscle decreased significantly (P<0.05). However, no significant differences between the two conditions were observed for the other variables (P>0.05).
Conclusion: During such occupational tasks, a decrease in the activities of the selected lower back muscles with the heel wedge might result in a delay in the onset of muscle fatigue. The above findings might be used in the design of shoes, suitable for the work environments. However, further investigations are needed in this area in order to provide more accurate results.