Back/Frontal Back/Sagittal Head/Frontal Head/Sagittal
Sitting
S/S45%
Figure 5: Four subplots showing the comparison of five dimensions of data using the curtain graph. Subplot curtain identifiers:
Back Avoid
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
●
● ● ●
● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
●
●
● ●
●
●
●
0
5
10
15
23 4 5 6 78
●
● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ●
●
0
5
10
15
23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
. Back Risk
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
●
● ● ●
● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
●
●
● ●
●
●
●
0
5
10
15
23 4 5 6 78
●
● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ●
●
0
5
10
15
23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
. Fatigue Avoid
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
●
● ● ●
● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
●
●
● ●
●
●
●
0
5
10
15
23 4 5 6 78
●
● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ●
●
0
5
10
15
23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
. Fatigue Risk
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
●
● ● ●
● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ●
●
0
5
10
15
23 4 5 6 78
●
●
● ●
●
●
●
0
5
10
15
23 4 5 6 78
●
● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ● ●
0
5
10
15
23 4 5 6 7 8
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
●
●
●
● ●
●
0
5
10
15
23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
. Neck Avoid
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
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23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
. Neck Risk
HS00 HS-1 HS00 HS+1
à à à
Postural state sequence duration and musculoskeletal
disorder marker perception at sit-stand workstations
Kassandra'Raymond¹. Andrew'Hamilton-Wright¹.'Nancy'Black
2
.'''
!"# $%&''()'*)+',-./01)$%203%04)53260172/8)'*)9.0(-&): ;1<8,'3=>.'?.0(-&@%< !A#)B<%.(/C =D23?C3201204)53260172/C =0)E'3%/'3
INTRODUCTION
Musculoskeletal disorders (MSDs) account for approximately 43% of all workers
compensation claims in Ontario, costing the government up to 22 billion dollars a year [1].
Prolonged static postures, such as those required in office work, are a known cause of
MSDs [2]. In a past study by Black et al., significant postural gestures that were associated
with perceived pain or fatigue were identified, however duration of postural state was not
considered [3]. Objective: To add duration analysis to a previous study of the
relationship between postural gestures (movements) and participants’ perception of
pain and fatigue during office work.
References
1, Owen, N., Healy, G.N., Mathews, C.E. and Dunstan, D.W. (2010). Too much sitting: The population health science of sedentary behavior. Exercise and Sport Sciences Reviews 38 (3): 105-13
2. Bhanderi D, Choudhary S, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort in Computer Operators. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jan;33(1):65–6.
3. Black N, Hamilton-Wright A, Lange J, Bouet C, Shein MM, Samson M, et al. Postural Deviation Gestures Distinguish Perceived Pain and Fatigue Particularly in Frontal Plane. In: Bagnara S, Tartaglia R, Albolino S, Alexander T, Fujita Y, editors. Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). Springer; 2019. p. 495–501.
4. Keyserling, W.M. (1986). Postural analysis of the trunk and shoulders in simulated real time. Ergonomics. 29, 569–583.
5. McAtamney, L., and Corlett, N. (1993). RULA: A Survey Method for the Investigation of Work Related Upper Limb Disorders. Applied Ergonomics, 24(2), 91-99.
METHODOLOGY
(A) Data Collection
• 10 participants completed a 1 hr data entry task at each of 3 workstations (sitting,
S/S30%, S/S45%) and used a 10 point visual analogue scale to mark their perception of
fatigue and neck and back pain
• 16 Hz, 2D inclinometers on the back and neck of each participant measuring angles in
the frontal and sagittal planes
RESULTS & DISCUSSION
Back Frontal Back Sagittal Head Frontal Head Sagittal
SittingS/S30%S/S45%
-∞ -5
HS00 -5 10
HS+1 10 20
HS+2 20 ∞
HF HF
-10 -2
HF00 -2 2
HF+1 2 10
HF+2 10 ∞
BS BS
-5 10
BS00 10 20
BS+1 20 60
BS+2 60 ∞
BF BF
-10 -2
BF00 -2 2
BF+1 2 10
BF+2 10 ∞
CONCLUSION & FUTURE DIRECTIONS
While the data are noisy, there is evidence to suggest that there are postural movements that may be
associated with the risk or avoidance of pain and fatigue. Future work will explore subtle movements
based on direct measurements of postural angles to compare found patterns with those reported here
with the RULA paradigm. This study provides a novel method for categorizing human movement
based on raw inclinometer measurements and underscores the importance of understanding
quantization boundaries upon their introduction.
Figure 1: Waterfall plots showing the absolute and relative change in number of postural sequences significantly associated with a
given perception as an MPD filter is applied for each workstation (sitting, S/S30%, S/S45%) and channel (head frontal plane, head
sagittal plane, back frontal plane, back sagittal plane).
(E) Perceptual Features
Black et al.’s (2018) quintile separation method was
used to categorize perceptual data from the visual
analogue scale into the ‘absence’ or ‘presence’ of a
given perception, for each participant and workstation.
q Filtering using a lower MPD filter shows that in 15 cases there is an increase in the number of
patterns found, while filtering with a longer MPD causes a decrease in the number of patterns (Fig 1).
q Mapping of dynamic posture into quantization boundaries can introduce an apparent increase in the
number of postural state changes. When this occurs due to a small overall change in the measured
angle that crosses into a new quantization region and then returns to the original, this small change
may be better ignored.
q While using RULA allows for the quantification of postural movements, smaller movements that are
occurring within a RULA defined region may be lost.
(B) Postural State Quantization
Each raw sample was quantized using the thresholds
adapted from RULA in Table 1.
(D) Postural Sequence Identification
Postural states were linked together to length 4 to
create postural gestures.
(C) Minimum Persistent Duration (MPD)
A state must have occurred for a minimum number of
samples to be considered a postural state change,
otherwise the sample was assigned to the previous
state. An MPD of 1 through 8 was calculated.
Table 1: Angular thresholds used to assign State
IDs to raw inclinometer angles. Thresholds
adapted from the Rapid Upper Limb Assessment
(RULA) methodology [4][5].
(F) Chi squared contingency test
If the postural gestures for a given perception occurred at least 5 times in both the present
and absence group and the results of the !
"
contingency comparison resulted in a p < .01,
then the postural gesture was deemed significant
●
● ● ●
● ●
●
0
5
10
15
23 4 5 6 78
● ● ● ● ● ● ●
0
5
10
15
23 4 5 6 7 8
●
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●
● ● ●
0
5
10
15
23 4 5 6 7 8
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0
5
10
15
23 4 5 6 7 8
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●
0
5
10
15
23 4 5 6 78
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0
5
10
15
23 4 5 6 78
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15
23 4 5 6 78
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23 4 5 6 7 8
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23 4 5 6 7 8
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23 4 5 6 7 8
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23 4 5 6 7 8
Back'avoid
Back'risk
Fatigue'avoid
Fatigue'risk
Neck'avoid'
Neck'risk
Minimum Persistent Duration
# of Significant Postural Sequences
2 4 6 8
3 5 7
.
3 REAL-WORLD APPLICATIONS
The applications of the curtain graph are very robust;
it can be used in many fields, with different types and
dimensionalities of data. To understand the type of
data that can be expressed using the curtain graph, we
outline three real-world examples of the visualization.
3.1 Example: Posture Data
The data analysis problem which spurred our inter-
est in this type of visualization is a problem in pos-
tural data analysis. (This data and the soil type
data available at the authors’ website https://qemg.
uoguelph.ca/data/.) This data analysis is charac-
terized by evaluating observations regarding percep-
tion (‘perception’) across multiple channels simulta-
neously (‘channel’), as well as across multiple exper-
imental setups (‘modality’). For each of these, we
needed a visualization to explore the relationship be-
tween the effects of progressive degrees of applica-
tion of a new filter (‘filtering’) and the response vari-
able, which in this case was the number of patterns
obtained under the filtering strategy (‘number of pat-
terns’).
The dataset: Researchers are studying sedentary
behaviour in office workers and are concerned with
understanding gestures that are associated with the
risk and avoidance of back pain, neck pain and fatigue
in four different bodily modalities at three different
workstations. The results of this work were presented
at the July 2019 meeting of the Canadian Association
of Ergonomists (Raymond et al., 2019).
The data consists of angular data obtained from
the head and neck measured as an incline from ver-
tical. This data was obtained for a the set of per-
ceptions mentioned above (risk and avoidance of fa-
tigue and of pain at the neck, and of pain at the back),
and under experimental modalities of controlled sit-
ting and standing alternating within a 20 minute cy-
cle. Example data shown here includes at 45% stand-
ing (S/S45%) and sitting, for several channels. Only
the channels ‘Head/Sagittal’ and ‘Back/Frontal’ are
reproduced here, due to space constraints.
This results in a numerical y axis with a numeri-
cal x axis along each curtain rod and a categorical z
between the series of bars (Figure 5).
In Figure 5 the curtain graphs are arranged in a
grid table similar to a matrix. Note that the axes, and
colour/pattern in each curtain graph is consistent with
the other curtain graphs. The column and rows of the
matrix are based on the planes of the body and each
workstation, respectively.
Representation of this five dimensional problem
gave birth to this visualization strategy through the
observation that the critical comparison was the itera-
tive application of the ‘filtering’ factor. As the filter-
ing is occurring relative to the state of a baseline data
set, new values for filtering are understood only in the
context of observations given in relation to the initial
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