DOI QR코드

DOI QR Code

Key Strike Forces and Their Relation to High Level of Musculoskeletal Symptoms

  • Levanon, Yafa (Department of Occupational Therapy, Tel Aviv University) ;
  • Gefen, Amit (Department of Bio-Engineering, Tel Aviv University) ;
  • Lerman, Yehuda (Department of Epidemiology, Tel Aviv University) ;
  • Portnoy, Sigal (Department of Bio-Engineering, Tel Aviv University) ;
  • Ratzon, Navah Z. (Department of Occupational Therapy, Tel Aviv University)
  • Received : 2015.07.28
  • Accepted : 2016.04.28
  • Published : 2016.12.30

Abstract

Background: This study aimed to investigate the relation between key strike forces and musculoskeletal symptoms (MSS). Moreover, this study presents a key strike force measurement method to be used in a workplace setting. The correlation between key strike force characteristics and MSS was previously studied, but the measurement methods used either a single-key switch or force platforms applied under the keyboard. Most of the studies were conducted in a laboratory setting. The uniqueness of measurement methods in the current study is their ability to measure forces applied to a specific key in a workplace setting and to provide more information about specific key strike forces during typing. Methods: Twenty-four healthy computer workers were recruited for the study. The demographic questionnaire, and self-reported questionnaires for psychosocial status (General Nordic Questionnaire for Psychological and Social Factors at Work) and for detecting MSS were filled up, which later helped in dividing the participants into two groups (12 participants with pain and 12 without pain). Participants typed a predetermined text that utilized the instrumented keys multiple times. The dynamic forces applied to the keys were recorded and collected, using four thin and flexible force sensors attached to the preselected keys according to their location. Results: The results demonstrated that participants with high levels of MSS, specifically in the back and neck, in the last year exerted significantly higher key strike forces than those with lower levels of symptoms (p < 0.005). Conclusion: The key strike force exerted while typing on a keyboard may be a risk factor for MSS, and should therefore be considered in ergonomic evaluations and interventional programs.

Keywords

References

  1. Gerr F, Marcus M, Ensor C, Kleinbaum D, Cohen S, Edwards A. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med [Internet]. 2002;41:221-35. Availablefrom: http://dx.doi.org/10.1002/ajim.10066.
  2. Gerr F, Marcus M, Monteilh C. Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. J Electromyogr Kinesol [Internet]. 2004;14:25-31. Available from: http://dx.doi.org/10.1016/j.jelekin.2003.09.014.
  3. Maitland ME. Musculoskeletal disorders of the neck and shoulder and ergonomic interventions. In: Kumar S, editor. Ergonomics for rehabilitation professionals [Internet]. Boca Raton (FL): Taylor and Francis; 2009. p. 339-45. Available from: http://dx.doi.org/10.1201/9780849382697.ch11.
  4. Van Dieen JH, Van der Beek AJ. Work-related low-back pain: biomechanical factors and primary prevention. In: Kumar S, editor. Ergonomics for rehabilitation professionals [Internet]. Boca Raton (FL): Taylor and Francis; 2009. p. 359-95. Available from: http://dx.doi.org/10.1201/9780849382697.ch12.
  5. Shuval K, Donchin M. Prevalence of upper extremity musculoskeletal symptoms and ergonomic risk factors at a hi-tech company in Israel. Int J Ind Ergon [Internet]. 2005;35:569-81. Available from: http://dx.doi.org/10.1016/j.ergon.2005.01.004.
  6. Barry J. Keyboards. In: Jacobs K, Bettencourt CM, editors. Ergonomics for therapists. 3rd ed. Boston (MA): Butterworth-Heinemann; 1995. p. 157-82.
  7. Bernard BP. Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work related musculoskeletal disorders of the neck, UE and low back [Internet]. Washington DC (WA): National Institute for Occupational Health (NIOSH). 1997. Available from: http://www.cdc.gov/niosh/docs/97-141/pdfs/97-141.pdf.
  8. Jindrich DL, Balakrishnan AD, Dennerlein JT. Finger joint impedance during tapping on a computer keyswitch. J Biomech [Internet]. 2004;37:1589-96. Available from: http://dx.doi.org/10.1016/j.jbiomech.2004.01.001**.
  9. Armstrong TJ, Foulke JA, Martin BJ, Gerson J, Rempel DM. Investigation of applied forces in alphanumeric keyboard work. Am Ind Hyg Assoc J [Internet]. 1994;55:30-5. Available from: http://dx.doi.org/10.1080/15428119491019230.
  10. Asundi K, Odell D. Effects of keyboard key switch design: a review of the current literature. Work [Internet]. 2011;39:151-9. Available from: http://dx.doi.org/10.3233/WOR-2011-1161.
  11. Asundi K, Johnson PW, Dennerlein JT. Inertia artefacts and their effect on the parameterisation of keyboard reaction forces. Ergonomics [Internet]. 2009;52:1259-64. Available from: http://dx.doi.org/10.1080/00140130903023691.
  12. Feuerstein M, Armstrong T, Hickey P, Lincoln A. Computer keyboard force and upper extremity symptoms. J Occup Environ Med[Internet]. 1997;39:1144-53. Available from: http://dx.doi.org/10.1097/00043764-199712000-00008.
  13. Gerard MJ, Armstrong TJ, Martin BJ, Rempel DM. The effects of work pace on within-participant and between-participant keying force, electromyography, and fatigue. Hum Factors [Internet]. 2002;44:51-61. Available from: http://dx.doi.org/10.1518/0018720024494757.
  14. Kim JH, Johnson PW. Viability of using digital signals from the keyboard to capture typing force exposures. Ergonomics [Internet]. 2012 [cited 2012 Aug 17];55:1395-403. Available from: http://dx.doi.org/10.1080/00140139.2012.709542
  15. Pascarelli EF, Kella JJ. Soft-tissue injuries related to use of the computer keyboard: a clinical study of 53 severely injured persons. JOM-J Occup Med 1993;35:522-32.
  16. Hughes LE, Babski-Reeves K, Smith-Jackson T. Effects of psychosocial and individual factors on physiological risk factors for upper extremity musculoskeletal disorders while typing. Ergonomics 2007;50:261-74. https://doi.org/10.1080/00140130601049378
  17. Radwin RG, Ruffalo BA. Computer key switch forceedisplacement characteristics and short-term effects on localized fatigue. Ergonomics [Internet]. 1999 [cited 2010 Dec 6];42:160-70. Available from: http://dx.doi.org/10.1080/001401399185865.
  18. Rempel D, Tittiranonda P, Burastero S, Hudes M, So Y. Effect of keyboard keyswitch design on hand pain. J Occup Environ Med. 1999;41:111-9. https://doi.org/10.1097/00043764-199902000-00006
  19. Lee DL, Kuo P-L, Jindrich DL, Dennerlein JT. Computer keyswitch forcee displacement characteristics affect muscle activity patterns during index finger tapping. J Electromyogr Kinesol [Internet]. 2009;19:810-20. Availablefrom: http://dx.doi.org/10.1016/j.jelekin.2008.03.011.
  20. Lowe M, King A, Lovett E, Papakostas T. Flexible tactile sensor technology: bringing haptics to life. Sensor Rev [Internet]. 1981;24:33-6. Available from:http://dx.doi.org/10.1108/02602280410515798.
  21. Ouckama R, Pearsall DJ. Evaluation of a flexible force sensor for measurement of helmet foam impact performance. J Biomech [Internet]. 2011;44:904-9. Available from: http://dx.doi.org/10.1016/j.jbiomech.2010.11.035.
  22. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987;18:233-7. https://doi.org/10.1016/0003-6870(87)90010-X
  23. Palmer K, Smith G, Kellingray S, Cooper C. Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. Occup Med C 1999;49:171-5. https://doi.org/10.1093/occmed/49.3.171
  24. Kaufman-Cohen Y, Ratzon N. Correlation between risk factors and musculoskeletal disorders among classical musicians. Occup Med C [Internet]. 2011 [cited 2011 Jan 26];61:90-5. Available from: http://dx.doi.org/10.1093/occmed/kqq196.
  25. Lindstrom K, Elo A-L, Skogstad A, Dallner M, Gamberale F, Hottinen V, Knardahl S, Orhede E. User's guide for the QPSNordic: general Nordic questionnaire for psychosocial and social factors at work. Copenhagen (Denmark): Nordic Council of Ministers; 2000. 74 p.
  26. Pascarelli EF, Quilter D. Repetitive strain injury: a computer user's guide. New York (NY): Wiley; 1995. 240 p.
  27. Jindrich DL, Balakrishnan AD, Dennerlein JT. Effects of keyswitch design and finger posture on finger joint kinematics and dynamics during tapping on computer keyswitches. Clin Biomech [Internet]. 2004;19:600-8. Availablefrom: http://dx.doi.org/10.1016/j.clinbiomech.2004.03.003.
  28. Cordo PJ, Nashner LM. Properties of postural adjustments associated with rapid arm movements. J Neurophysiol 1982;47:287-308. https://doi.org/10.1152/jn.1982.47.2.287
  29. McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. J Athl Train 2000;35:329-37.
  30. Putnam CA. Sequential motions of body segments in striking and throwing skills: descriptions and explanations. J Biomech [Internet]. 1993;25:125-35. Available from: http://dx.doi.org/10.1016/0021-9290(93)90084-r.
  31. Hall LM, Brauer S, Horak F, Hodges PW. Adaptive changes in anticipatory postural adjustments with novel and familiar postural supports. J Neurophysiol [Internet]. 2010;103:968-76. Available from: http://dx.doi.org/10.1152/jn.00479.2009.
  32. Cagnie B, Danneels L, Van Tiggelen D, Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J [Internet]. 2006;16:679-86. Available from: http://dx.doi.org/10.1007/s00586-006-0269-7.
  33. Waersted M. Human muscle activity related to non-biomechanical factors in the workplace. Eur J Appl Physiol [Internet]. 2000;83:151-8. Available from:http://dx.doi.org/10.1007/s004210000273.
  34. Rasotto C, Bergamin M, Simonetti A, Maso S, Bartolucci GB, Ermolao A, Zaccaria M. Tailored exercise program reduces symptoms of upper limb workrelated musculoskeletal disorders in a group of metalworkers: a randomized controlled trial. Man Ther 2015;20:56-62. Available from: http://dx.doi.org/10.1016/j.math.2014.06.007.
  35. Rasotto C, Bergamin M, Sieverdes JC, Gobbo S, Alberton CL, Neunhaeuserer D, Maso S, Zaccaria M, Ermolao A. A tailored workplace exercise program for women at risk for neck and upper limb musculoskeletal disorders: a randomized controlled trial. J Occup Environ Med 2015;57:178-83. https://doi.org/10.1097/JOM.0000000000000329
  36. Eltayeb S, Staal JB, Kennes J, Lamberts PHG, de Bie RA. Prevalence of complaints of arm, neck and shoulder among computer office workers and psychometric evaluation of a risk factor questionnaire. BMC Musculoskelet Disord [Internet]. 2007;8:68. Available from: http://dx.doi.org/10.1186/1471-2474-8-68.
  37. Marcus M, Gerr F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, Edwards A, Ensor C, Kleinbaum D. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med [Internet]. 2002 [cited 2002 Mar 15];41:236-49. Available from: http://dx.doi.org/10.1002/ajim.10067.
  38. Woods M, Babski-Reeves K. Effects of negatively sloped keyboard wedges on risk factors for upper extremity work-related musculoskeletal disorders and user performance. Ergonomics [Internet]. 2005 [cited 2007 Feb 20];48:1793-808. Available from: http://dx.doi.org/10.1080/00140130500292087.

Cited by

  1. Análisis del impacto ergonómico asociado a la manipulación de cargas en trabajadores de equipos de perforación del sector petrolero vol.18, pp.34, 2016, https://doi.org/10.22490/24629448.3923