Search

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.apergo.2005.06.014 Byline: E. Laperriere, S. Ngomo, M.-C. Thibault, K. Messing Keywords: Pressure-pain threshold; Standing; Sitting; Working posture; Arterial blood pressure; Pain; Sex differences Abstract: North American workers usually stand while working, and prolonged standing is associated with discomfort and cardiovascular problems. Since prolonged sitting is also associated with health problems, and standing postures differ as to mobility and access to seating, it is desirable to identify an optimal mix of postures. As a step towards this identification, it is desirable to develop indicators of potential health effects that respond to changes in work requirements. We observed 65 subjects who usually stood at work, in four types of workplaces. Pressure-pain threshold (PPT) recorded on the plantar surface was used as an indicator of discomfort and arterial blood pressure was used as an indicator of cardiovascular effects. PPT after work was significantly lower than that before work. Sitting for even a small part of the day appeared to be protective. The effects of static vs. dynamic work on PPT and arterial blood pressure may differ. Author Affiliation: CINBIOSE, Universite du Quebec a Montreal, C.P. 8888, Succursale Centre-ville, Montreal, Quebec, Canada H3C 3P8 Article History: Received 1 December 2003; Accepted 3 June 2005

Prolonged standing is described as uncomfortable by exposed workers, but the discomfort has not been linked to precise descriptions of workplace activity. We observed 10 sales and kitchen workers ("group 1") who worked standing. We compared the plantar pain-pressure threshold (PPT) of "group 1" (10 standing workers) to that of "group 2" (11 researchers who could choose their posture freely). Group 1 spent an average time of 62% standing still compared to 5% for group 2. Despite the fact that group 1 were primarily confined to defined areas and stood for 62% of the time, their mean time standing still was only 7 s. They walked 35% of the time, but 57% of walking sequences were only one or two steps. Group 1 PPT declined by 23% over the work day compared to 5% among group 2 (p < 0.05, ANOVA). Foot PPT is a promising quantitative indicator of effects of standing work. [ABSTRACT FROM AUTHOR]

Work is organized based in part on the perceptions, by managers and workers, of workers, their abilities and the characteristics of the work to be done. Physical tasks in factories and services have often been divided into 'light' and 'heavy', a division that often corresponds formally or informally to gender. We have observed the work of cleaners on wards and in offices in an acute-care hospital, using several indicators of workload to identify and characterize typical work situations. 'Heavy' work was characterized by neutral postures, walking, repetitive movements involving the articulations of the upper limb pushing a 1-6 kg (wet or dry) mop, with occasional more intense effort. 'Light' work was characterized by flexed postures, walking, rapid repetitive movements involving the articulations of the upper limb and light weights (dusting) or 1-3 kg weights (emptying wastebaskets), with more occasional intense effort. We did not discover any compelling reason to divide cleaning into 'light' and 'heavy' work. Task assignment by sex may appear to be a solution to excessive job demands which would be better addressed by job re-design. [ABSTRACT FROM AUTHOR]