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Research Data Review:

Effects of Neutral Posture on the Musculoskeletal System During VDT Work

 

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About Situs

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Workstation Information

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About Situs

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Workstation Information

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Liz Dowler OTR/L, CRC
Bruno Kappes Ph.D.

A field research project was conducted by Liz Dowler to evaluate if adapting work-
station environments to a worker's physical profile facilitates a reduction in Cumulative Trauma Disorders(CTD), improve safety and increase efficiency in work performance.


Neutral posture as defined in this study:
1. A forward sloping seatpan set at a worker specific height puts pelvis, spine and head in full upright position thus reducing stress on spinal structures and musculoskeletal systems. (Mandal, Schoberth, Bridger, Bendix)
2. Height of desk, keyboard and monitor is based on individual seated height in a forward sloping seatpan.
3. The monitor, document and keyboard are in alignment in front of operator.
4. Keyboard placed at 15° negative slope and elbows at 115° and wrists in mid-range.

Subjects:
Eighty-seven (87) workers at Alyeska Pipeline Services Co., the University of Alaska, Anchorage, and the Anchorage School
District participated in the study.

Methods:
Surface electromyography (sEMG) measures the work done by muscles in terms of micro volts(mv) of activity. Upper trapezius and forearm extensors were measured
during four, 5 minute typing tests while
subjects worked at four different workstation arrangements. These positions include: (Position 1) subject's working position as they were found (Position 2) workstations using the American National Standard Institute (ANSI HFS 100-1988) as a guideline (Position 3) positioned height specific, seatpan tilted forward at the pelvis, keyboard on desk with 90 degrees at the elbows and wrists in mid-range (Position 4) neutral posture, as defined above. Subjects were placed in one of four groups and then tested again 30 days later. Pain was recorded by each participant during a pre-screening and at the conclusion of the study.

Results:
A. Results reveal muscle tension during typing activity reduced significantly (p<.001) when using the Negative Sloping Keyboard Tray
(Position 4).

B. There were no differences between pre-test and post-test scores in either control or intervention groups indicating that the muscles used when doing VDT work responded immediately to changes in positioning.

C. The intervention group who used the neutral posture workstation (Position 4) significantly reduced (p<.001) pain levels.

D. Productivity was measured by word count per minute during typing tasks. The data reveals no decrease in productivity or efficiency when in neutral position.

Conclusion:
VDT workers responded immediately to neutral posture using forward tilted seating, midline positioned monitor and document, and the Negative Sloped Keyboard Tray. This was demonstrated by reduced muscle use and reduced pain symptoms. These results may produce potential cost saving by influencing long term benefits to employee health without decreasing performance and efficiency.

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