Überblick über aktuelle Erkenntnisse berufsbedingter muskuloskeletaler Beschwerden am Bildschirmarbeitsplatz hinsichtlich der Anwendung des Oberflächen-EMGs zur Beanspruchungsmessung

Zusammenfassung

Fragestellung Muskuloskeletale Erkrankungen zählen zu den häufigsten berufsbedingten Erkrankungen. Mittels Oberflächen-Elektromyografie (OEMG) lässt sich der muskuläre Beanspruchungsgrad messen, der die beruflichen Tätigkeiten am Bildschirmarbeitsplatz widerspiegelt. In Untersuchungen konnte eine Korrelation zwischen statischer Haltung mit wiederkehrend gleichen Bewegungen und berufsbedingten muskuloskeletalen Erkrankungen nachgewiesen werden. Vor diesem Hintergrund stellt sich die Frage, ob das OEMG hinreichende Daten zur Analyse körperlicher Beanspruchung am Bildschirmarbeitsplatz liefert.

Material und Methoden Eine systematische Literaturrecherche zu Electromyografy AND Work-Related Disorders innerhalb der Datenbank Web of Science Core Collection wurde durchgeführt.

Ergebnisse Von 124 Abstracts wurden 19 in die Volltextanalyse einbezogen.

Diskussion Die OEMG ist eine effektive Methode muskuläre Beanspruchungen zu erfassen, jedoch fehlen einheitliche Datenpools, um eine Klassifikation der Daten vorzunehmen.

Schlussfolgerung Einheitliche Studiendesigns sind zwingend notwendig, um gesundheitsförderliche Ableitungen treffen zu können.

Abstract

Purpose Work-Related Musculoskeletal Disorders (WRMSD) is a leading cause for disability in workers. Surface EMG (sEMG) data can be used to assess physical load at monitored-based workplaces. Research findings have indicated a correlation between static postures with repetitive movements and WRMSD. Therefore it must be clarified if the sEMG Data is sufficient to classify workload.

Materials and Methods A systematic literature research was performed searching the electronic database of Web of Science Core Collection. Search terms are Electromyography AND Work-Related Disorders.

Results The search resulted in 124 matches. Based on title and abstracts, 19 fulltext papers were selected.

Discussion sEMG values provide important evidence for the development of workload, but it not allow any derivations.

Conclusion SEMG is a useful method to assess workload, but there is a need of standardized studies to derive health-promoting measures.

Schlüsselwörter

OEMG - Bildschirmarbeitsplatz - berufsbedingte muskuloskeletale Erkrankungen

Key words

work-related musculoskeletal disorders - sEMG - monitor-based workplace

• Literatur

• 1 Basmajian J, De Luca C. 1985. Muscle alive: Their function revealed by electromyography. Baltimore, MD: Williams & Wilkins;
• 2 Birch L, Juul-Kristensen B, Jensen C. et al. Acute response to precision, time pressure and mental demand during simulated computer work. Scand J Work Environ Health 2000; 26: 299-305
• 3 Bosch T, De Looze MP, Kingma I. et al. Electromyographical manifestations of muscle fatigue during different levels of simulated light manual assembly work. Journal of Electromyography and Kinesiology 2009; 19: 246-256
• 4 Falla D, Bilenkij G, Jull G. Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine 2004; 29: 1436-1440
• 5 Hansson GA, Balogh I, Unge Byström J. et al. Questionnaire versus direct technical measurements in assessing postures and movements of the head, upper back, arms and hands. Scand. J. Work Environ. Health 2001; 27: 30-40
• 6 Hansson GA, Balogh I, Ohlsson K. et al. Physical workload in various types of work: Part I. Wrist and forearm. International Journal of Industrial Ergonomics 2009; 39: 221-233
• 7 Hansson GA, Balogh I, Ohlsson K. et al. Physical workload in various types of work: Part II. Neck, shoulder and upper arm. International Journal of Industrial Ergonomics 2010; 40: 267-281
• 8 Hengel KMO, Houwink A, Odell D. et al. Smaller external notebook mice have different effects on posture and muscle activity. Clinical Biomechanics 2008; 23: 727-734
• 9 Jensen C, Finsen L, Sogaard K. et al. Musculoskeletal symptoms and duration of computer and mouse use. International Journal of Industrial Ergonomics 2002; 30: 265-275
• 10 Johnston V, Jull G, Darnell R. et al. Alterations in cervical muscle activity in functional and stressful tasks in female office workers with neck pain. European Journal of Applied Physiology 2008; 103: 253-264
• 11 Leonard JH, Kok KS, Ayiesha R. et al. Prolonged writing task: comparison of electromyographic analysis of upper trapezius muscle in subjects with or without neck pain. Clinica Terapeutica 2010; 161: 29-33
• 12 Lohmann-Haislah A. Stressreport Deutschland 2012, Psychische Anforderungen, Ressourcen und Befinden. Bundesanstalt für Arbeitsschutz und Arbeitsmedizin 2012
• 13 Luttmann A, Schmidt KH, Jager M. Working conditions, muscular activity and complaints of office workers. International Journal of Industrial Ergonomics 2010; 40: 549-559
• 14 Mathiassen SE, Winkel J, Hägg GM. Normalization of surface EMG amplitude from the upper trapezius muscle in ergonomic studies: a review. J Electromyogr Kinesiol 1995; 4: 197-226
• 15 Muller C, Tomatis L, Laubli T. Muscular load and performance compared between a pen and a computer mouse as input devices. International Journal of Industrial Ergonomics 2010; 40: 607-617
• 16 Nordander C, Hansson GA, Ohlsson K. et al. Exposure-response relationships for work-related neck and shoulder musculoskeletal disorders - Analyses of pooled uniform data sets. Applied Ergonomics 2016; 55: 70-84
• 17 Nordander C, Ohlsson K, Akesson I. et al. Exposure-response relationships in work-related musculoskeletal disorders in elbows and hands - A synthesis of group-level data on exposure and response obtained using uniform methods of data collection. Applied Ergonomics 2013; 44: 241-253
• 18 S2k-Leitlinie Oberflächen-Elektromyographie in der Arbeitsmedizin, Arbeitsphysiologie und Arbeitswissenschaft, 2013. Deutsche Gesellschaft für Arbeitsmedizin und Umweltmedizin e.V. (DGAUM)
• 19 Samani A, Fernandez-Carnero J, Arendt-Nielsen L. et al. Interactive effects of acute experimental pain in trapezius and sored wrist extensor on the electromyography of the forearm muscles during computer work. Applied Ergonomics 2011; 42: 735-740
• 20 Samani A, Holtermann A, Soogard K. et al. Experimental pain leads to reorganisation of trapezius electromyography during computer work with active and passive pauses. European Journal of Applied Physiology 2009; 106: 857-866
• 21 Szeto GPY, Lin JKM. A study of forearm muscle activity and wrist kinematics in symptomatic office workers performing mouse-clicking tasks with different precision and speed demands. Journal of Electromyography and Kinesiology 2011; 21: 59-66
• 22 Szeto GPY, Sham KSW. The effects of angled positions of computer display screen on muscle activities of the neck-shoulder stabilizers. International Journal of Industrial Ergonomics 2008; 38: 9-17
• 23 Szeto GPY, Straker LM, O'Sullivan PB. Neck-shoulder muscle activity in general and task-specific resting postures of symptomatic computer users with chronic neck pain. Manual Therapy 2009; 14: 338-345
• 24 Szeto GPY, Straker LM, O'Sullivan PB. Examining the low, high and range measures of muscle activity amplitudes in symptomatic and asymptomatic computer users performing typing and mousing tasks. European Journal of Applied Physiology 2009; 106: 243-251
• 25 Thorn S, Soogard K, Kallenberg LAC. et al. Trapezius muscle rest time during standardised computer work - A comparison of female computer users with and without self-reported neck/shoulder complaints. Journal of Electromyography and Kinesiology 2007; 17: 420-427
• 26 Van Eerd D, Hogg-Johnson S, Cole DC. et al. Comparison of occupational exposure methods relevant to musculoskeletal disorders: Worker-workstation interaction in an office environment. Journal of Electromyography and Kinesiology 2012; 22: 176-185
• 27 Veiersted KB, Westgaard RH, Andersen P. Electromyographic evaluation of muscular work pattern as a predictor of trapezius myalgia. Scand J Work Environ Health 1993; 19: 284-290
• 28 Visser B, De Looze MP, De Graaff MP. et al. Effects of precision demands and mental pressure on muscle activation and hand forces in computer mouse tasks. Ergonomics 2004; 47: 202-217
• 29 Voerman GE, Vollenbroek-Hutten MMR, Hermens HJ. Upper trapezius muscle activation patterns in neck-shoulder pain patients and healthy controls. European Journal of Applied Physiology 2007; 102: 1-9
• 30 Walker-Bone K, Cooper C. Hard work never hurt anyone: or did it? A review of occupational associations with soft tissue musculoskeletal disorders of the neck and upper limb. Annals of the Rheumatic Diseases 2005; 64: 1391-1396
• 31 Wahlström J. Ergonomics, musculoskeletal disorders and computer work. Occupational Medicine 2005; 55: 168-176
• 32 Zuniga AMF, Cote JN. Effects of dual monitor computer work versus laptop work on cervical muscular and proprioceptive characteristics of males and females. Human Factors 2017; 59: 546-563