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- Gustafsson, Ewa, 1955, et al.
(författare)
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Technique, muscle activity and kinematic differences in young adults texting on mobile phones
- 2011
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Ingår i: Ergonomics. - : Informa UK Limited. - 1366-5847 .- 0014-0139. ; 54:5, s. 477-87
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate whether there are differences in technique between young adults with and without musculoskeletal symptoms when using a mobile phone for texting and whether there are differences in muscle activity and kinematics between different texting techniques. A total of 56 young adults performed a standardised texting task on a mobile phone. Their texting techniques were registered using an observation protocol. The muscular activity in six muscles in the right forearm/hand and both shoulders were registered by surface electromyography and the thumb abduction/adduction and flexion/extension were registered using a biaxial electrogoniometer. Differences in texting techniques were found between the symptomatic and the asymptomatic group, with a higher proportion of sitting with back support and forearm support and with a neutral head position in the asymptomatic group. Differences in muscle activity and kinematics were also found between different texting techniques. The differences in texting technique between symptomatic and asymptomatic subjects cannot be explained by them having symptoms but may be a possible contribution to their symptoms. Statement of Relevance: There has been a dramatically increased use of mobile phones for texting especially among young people during the last years. A better understanding of the physical exposure associated with the intensive use is important in order to prevent the development of musculoskeletal disorders and decreased work ability related to this use.
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| 2. |
- Johansson, Ewa-Lena, et al.
(författare)
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Small and large airway reactions to osmotic stimuli in asthma and chronic idiopathic cough
- 2018
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Ingår i: Pulmonary Pharmacology & Therapeutics. - : Elsevier BV. - 1094-5539. ; 49, s. 112-118
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Tidskriftsartikel (refereegranskat)abstract
- Background: Chronic cough is a common symptom and related to several pulmonary, airway and heart diseases. When all likely medical explanations for the coughing are excluded, there remains a large group of patients with chronic coughing, which is mostly a cough reflex easily triggered by environmental irritants and noxious stimuli. The main aim of this study was to improve the diagnostic ability to differentiate chronic idiopathic cough (CIC) from asthma. Methods: Twenty-three patients with CIC, 16 patients with mild asthma and 21 control participants were included. The study consisted of three randomised bronchial provocations with osmotic stimuli: mannitol, eucapnic dry air and hypertonic saline. At each provocation lung function was assessed by spirometry and impulse oscillometry (IOS). Results: In a comparison of the groups, while the FEV1 measurements did not differ, the CIC group had increased airway resistance and reactance after provocation with hypertonic saline compared to the control subjects. After mannitol provocation the patients with asthma had significantly increased airway resistance compared to the controls and from eucapnic dry air provocations these patients had a significant reduction in spirometry values and increased airway resistance compared to both the patients with CIC and the controls. Conclusion: The asthma group reacted in a predictable way with impaired lung function from osmotic provocations, whereas the patients with CIC demonstrated peripheral airway changes from hypertonic saline, also known to be a noxious stimulus. The IOS method uncovers differences between patients with CIC and control participants that contribute to our ability to provide a correct diagnosis.
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| 3. |
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| 4. |
- Gerhardsson, Lars, 1952, et al.
(författare)
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Vibration-induced injuries in workers exposed to transient and high frequency vibrations
- 2020
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Ingår i: Journal of Occupational Medicine and Toxicology. - : Springer Science and Business Media LLC. - 1745-6673. ; 15:1
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Tidskriftsartikel (refereegranskat)abstract
- Background The risk of developing vibration white fingers and neurosensory symptoms increases with the duration and intensity of the exposure. The aim of this study was to investigate the risk of developing vibration white fingers (VWF), neurosensory symptoms and musculoskeletal disorders among workers exposed to transient and high frequency vibrations. Methods The study included 38 vibration exposed workers from a loader assembly plant in Sweden (30 males and 8 females). All participants answered questionnaires and had a structured interview about work and medical history. A following medical examination included the determination of vibration and temperature perception thresholds and musculoskeletal symptoms in the neck, shoulder, elbow and hands. The individual vibration exposure expressed as A (8)-values and vibration exposure in minutes per day, were obtained from questionnaires answered by the participants. Results The prevalence of VWF was 30% among the male workers and 50% among the females. The corresponding prevalence of neurosensory symptoms was 70% among the males and 88% among the females. Musculoskeletal findings were common among the male workers. Dominant symptoms/syndromes were tension neck syndrome, biceps tendinitis, carpal tunnel syndrome and ulnar entrapment in hand/wrist. A total of 32 diagnoses were observed among the male workers and four diagnoses among the female workers. Numbness in fingers and age had the strongest impact on perceived work ability. Conclusions ISO 5349-1 considerably underestimates the risks of VWF for this group of workers exposed to transient and high frequency vibrations. It is therefore important to develop a risk assessment standard also covering this frequency range.
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| 5. |
- Gerhardsson, Lars, 1952, et al.
(författare)
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Vibration related symptoms and signs in quarry and foundry workers
- 2021
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Ingår i: International Archives of Occupational and Environmental Health. - : Springer Science and Business Media LLC. - 0340-0131 .- 1432-1246. ; 94, s. 1041-1048
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The development of vascular and neurosensory findings were studied in two groups of long-term exposed quarry and foundry workers with different vibration exposures, working conditions and work tasks. Methods The study included 10 quarry workers (mean age 43 yrs., mean exposure time 16 yrs.) and 15 foundry workers (35 yrs.; 11 yrs.) at two plants in Sweden. All participants completed a basic questionnaire and passed a medical examination including a number of neurosensory tests, e.g. the determination of vibration (VPT) and temperature (TPT) perception thresholds as well as a musculoskeletal examination of the neck, shoulders, arms and hands. Results A high prevalence of neurosensory findings (40%) was found among the quarry workers. Both groups, however, showed a low prevalence of vibration white fingers (VWF). Foundry workers showed significantly better sensitivity than quarry workers for all monofilament tests (p <= 0.016), TPT warmth in dig 2 (p = 0.048) and 5 dexter (p = 0.008), and in dig 5 sinister (p = 0.005). They also showed a better VPT performance in dig 5 dexter (p = 0.031). Conclusions Despite high vibration exposure, the prevalence of VWF was low. The high prevalence of neurosensory findings among the quarry workers may depend on higher A(8) vibration exposure and higher exposure to high-frequency vibrations. An age-effect and exposure to cold could also be contributing factors. The nervous system seems to be more susceptible to high-frequency vibrations than the vascular system. For neurosensory injuries, the current ISO 5349-1 standard is not applicable.
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| 6. |
- Gustafsson, Ewa, 1955, et al.
(författare)
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Computer mouse use in two different hand positions: exposure, comfort, exertion and productivity
- 2003
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Ingår i: Appl Ergon. - 0003-6870. ; 34:2, s. 107-13
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine whether there are differences in exposure, comfort, exertion and productivity between a neutral and a pronated hand position when using a computer mouse. Nineteen experienced VDU workers performed a standardised text editing task with each mouse hand position. The wrist positions and movements in the working arm were registered by an electrogoniometer and the muscle activity in the shoulder, two extensors in the forearm and the first dorsal interossei (FDI) was registered by electromyography. The subjects rated perceived exertion and comfort in work with each mouse hand position. Work with the neutral hand position, compared to the pronated, gave a decreased muscle activity in the extensors of the forearm and in the FDI and a trend indicating a decrease in the frequency of deviation movements in the wrist. At the same time, the subjects showed a decreased productivity and they rated less comfort in work with the neutral hand position.
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| 7. |
- Gustafsson, Ewa, 1955
(författare)
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Ergonomic recommendations when texting on mobile phones
- 2012
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Ingår i: Work-a Journal of Prevention Assessment & Rehabilitation. - : IOS Press. - 1051-9815. ; 41:Supplement 1, s. 5705-5706
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this report was to give ergonomic recommendations in order to prevent musculoskeletal symptoms/disorders among young people due to intensive texting on mobile phones. In a study of 56 Swedish young adults (19-25 years, 41 with musculoskeletal symptoms in neck and/or upper extremities and 15 without symptoms) registration of thumb movements with electrogoniometry, muscle activity with electromyography and observation of texting technique were conducted during texting on mobile phones. The results showed differences in physical load between the group with musculoskeletal symptoms and the group without symptoms. There were also found differences in muscle activity and kinematics between different texting techniques. These differences could not be explained by the asymptomatic group having symptoms but may be a possible contribution to their symptoms. According to these results it can be recommended to support the forearms, to use both thumbs, to avoid sitting with the head bent forward and to avoid texting with high velocity in order to prevent musculoskeletal disorders when using mobile phones for texting.
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| 8. |
- Gustafsson, Ewa, 1955
(författare)
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Physical exposure, musculoskeletal symptoms and attitudes related to ICT use
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- High prevalence of musculoskeletal symptoms/disorders in neck and upper extremities are reported among computer users. Considering the widespread use of information and communication technology (ICT) and mobile phones becoming more and more like computers with small keyboards it is of importance to identify the factors and conditions related to this use, that influence our health. The overall aim of this thesis was to obtain new ergonomic knowledge of the physical exposure associated with the use of information and communication technology with emphasis on small keyboards, computer mice and young adult ICT users. In an interview study with young adult ICT users, where the data analysis was performed with the grounded theory method, was showed that the young adults experienced ICT as a tool for being and acting in the present, to be social, efficient and independent with almost unlimited opportunities but also risks. A comparative experimental study with experienced computer mouse users evaluated muscle activity with surface electromyography and wrist positions/movements with electrogoniometry during work with a traditional flat computer mouse (pronated hand position) and a vertical computer mouse (neutral hand position). Work with the vertical computer mouse decreased the muscle activity in the extensor muscles in the forearm and in the first dorsal interossei muscle, and the ulnar deviation in the wrist compared to the traditional mouse. An experimental study, with young adults with and without musculoskeletal symptoms from neck and/or upper extremities, evaluated thumb positions/movements with electrogoniometry, muscle activity with surface electromyography, and working techniques with an observational protocol when text entering on a mobile phone. The young adults with symptoms had lower muscle activity in the abductor pollicis longus and tended to have higher velocity and fewer pauses in the thumb movements compared to those without symptoms. Females had higher muscle activity in the first dorsal interossei and the abductor pollicis longus compared to males. It was more common in the group with symptoms to sit with the head bent forward, to sit without forearm and back support and to enter text with one thumb rather than two compared to those without symptoms. Use of forearm support decreased the muscle activity in the trapezius muscles. Use of one hand grip increased the muscle activity in the extensor muscles in the forearm. High observed velocity in the thumb movements was associated with increased muscle activity in the extensor muscles in the forearm compared to low or moderate velocity. In conclusion, this thesis shows that computer mouse design has an effect on the muscle activity in the forearm and hand, and on the wrist positions and movements. It also shows that the individual factors working technique and gender have an effect on muscle activity and thumb movements when entering text on a mobile phone. Furthermore, there were differences in working techniques, thumb movements, and muscle activity between the young adults with musculoskeletal symptoms in the neck and upper extremities and those without symptoms.
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| 9. |
- Gustafsson, Ewa, 1955, et al.
(författare)
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Texting on mobile phones and musculoskeletal disorders in young adults: A five-year cohort study
- 2017
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Ingår i: Applied Ergonomics. - : Elsevier BV. - 0003-6870. ; 58, s. 208-214
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to examine whether texting on a mobile phone is a risk factor for musculoskeletal disorders in the neck and upper extremities in a population of young adults.In a longitudinal population-based cohort study with Swedish young adults (aged 20-24 years) data were collected via a web-based questionnaire at baseline (n = 7092) and after one and five years. Cross-sectional associations were found between text messaging and reported ongoing symptoms in neck and upper extremities (odds ratios, ORs 1.3-2.0). Among symptom-free at baseline prospective associations were only found between text messaging and new cases of reported symptoms in the hand/fingers (OR 2.0) at one year follow up. Among those with symptoms at baseline prospective associations were found between text messaging and maintained pain in neck/upper back (OR 1.6). The results imply mostly short-term effects, and to a lesser extent, long-term effects on musculoskeletal disorders in neck and upper extremities. © 2016 The Authors.
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| 10. |
- Gustafsson, Ewa, 1955, et al.
(författare)
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Texting with touchscreen and keypad phones - A comparison of thumb kinematics, upper limb muscle activity, exertion, discomfort, and performance
- 2018
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Ingår i: Applied Ergonomics. - : Elsevier BV. - 0003-6870. ; 70, s. 232-239
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to compare thumb kinematics and upper limb muscle activity, and the influence of hand size, when texting on a keypad smartphone and a touchscreen smartphone. Furthermore, the study compared exertion, discomfort, and performance when texting on the two phones. The thumb kinematics were tracked using a 3D motion analysis system and muscle activity was registered in six upper limb muscles using surface electromyography in 19 participants. When texting on the touchscreen phone compared to the keypad phone thumb flexion (p = 0.008) and flexion/extension range of motion were smaller (p = 0.02), the thumb was on average less internally rotated (p = 0.02), and activity (50th and 90th percentile) of the thumb and forearm muscles was lower (p ≤ 0.05). The differences in thumb flexion were found only in the group with shorter hands and the differences in muscle activity was found only in the group with longer hands. These findings suggest there are differences in risks for developing musculoskeletal disorders during smartphone use with different key activation mechanisms and different hand sizes. © 2018 The Authors
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