MODULE: INTRODUCTION TO ERGONOMICS

WORK RELATED UPPER LIMB DISORDERS (WRULD)

The Rapid Upper Limb Assessment (RULA) is an ergonomic technique used to evaluate exposures to posture, forces and muscle activities that have been shown to contribute to repetitive strain injuries. The ergonomic evaluation results in a risk score between one and seven, where higher scores signify greater levels of apparent risk.

The RULA tool was developed to detect work postures or risk factors that need further attention. This tool requires no equipment and provides a quick assessment of the postures of the neck, trunk and upper limbs along with muscle function and the external loads experienced by the body. A coding system is used to generate an action score, which indicates the level of loading experienced by the different body parts. The final score is then used as a guideline for the level of intervention required to reduce the risks of injury due to physical loading on the operator. The risk factors assessed are external load factors which include the number of movements, static muscle work, force, work posture determined by the equipment and time worked without a break.

Links to the form and RULA tool are as follows:

http://ergo.human.cornell.edu/Pub/AHquest/CURULA.pdf
http://www.ergonomics.co.uk/Rula/Ergo/index.html

Example of Ergonomic risk assessment: the Rapid Upper Limb Assessment (RULA) technique was used to assess the tablet packaging task of filling blisters.

See also this link for other tools: Analysis Tools for Ergonomists

Hand-arm vibration:

Vibrating hand tools transmit vibrations to the holder and depending on the vibration level and duration factors, may contribute to Raynaud’s syndrome or vibration induced white finger disorders (hand-arm vibration syndrome).

Vibration analysis:

The Specific Performance Approach to analyzing vibration can be found on page 6 of the Hazard Zone Checklist*. This simple method bypasses the need to measure the vibration transmitted to the hand. It depends on the vibration reported by the manufacturer and is only as accurate as their claimed value. Care should be taken in using such values since they may be measurements taken under favourable conditions.

Repetition:

A task cycle time of less that 30 sec has been considered as "repetitive". Motions performed every few seconds may produce fatigue and muscle-tendon strain. Without sufficient recovery, time for repair there is an increased risk of tissue damage.

How much is too much? There is no consensus at to what repetition rates increase the risk factor for MSDs. Tray 6-B is a possible guideline published by A. Kilbom.

Tray 6-B. High Risk Repetion Rtaes for Different Body Parts
Body Part Repetitions per minute
Shoulder More than 2½
Upper arm/elbow More than 10
Forearm/wrist More than 10
Finger More than 200
From Kilbom, A. Repetitive work of the upper extremity; Part II; The scientific basis for the guide: Int,.J. Ind. Erg. 14 59-86

Frequency and duration of exposure from "Cumulative trauma disorders of the upper extremities" by Anil Mital state that:

Proactive ergonomics:NIOSH- Elements of an Ergonomics Programme Tray 9 A - 9F
Evaluating control effectiveness: Examples from the NIOSH - Elements of an Ergonomics programmes Tray 7 A - B.

* Permission pending




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General Introduction to Occupational Health: Occupational Hygiene, Epidemiology & Biostatistics by Prof Jonny Myers is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 2.5 South Africa License
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