HFM20321_LR.dvi Using Ergonomic Digital Human Modeling in Evaluation of Workplace Design and Prevention of Work-Related Musculoskeletal Disorders Aboard Small Fishing Vessels Enrique Álvarez-Casado,∗ Bing Zhang,∗∗ Sonia Tello Sandoval,∗∗∗ and Mondelo Pedro∗∗ ∗Department d’Organizacio d’Empresses, Universitat Politecnica de Catalunya (UPC), Barcelona, spain, 08028 ∗∗Centre Especific de Recerca per a la Millora i innovació de les Empresses (CERpIE), Universitat Politecnica de Catalunya (UPC), Barcelona, Spain, 08028 ∗∗∗Centro de Ergonomia Aplicada, Barcelona, Spain, 08028 Abstract This article seeks to present methods for preventing work-related musculoskeletal disorders of Spanish fishermen and for redesigning the workplace aboard small fishing vessels. To achieve its objective, the research project was designed in four steps. First, the equipment and procedures for catching, handling, and storing fish were studied. Second, the work postures of all the fishermen were simulated and assessed by using an ergonomic digital human modeling system (ManneQuin Pro). Third, the work environment design aboard vessels was modified on the basis of acceptable simulated work postures to prevent repetitive movements, awkward working postures, and lower back biomechanical stresses. In the fourth step, ergonomic design parameters were provided to vessel designers. C© 2011 Wiley Periodicals, Inc. Keywords: Work-related musculoskeletal disorder (WSMD); Physical risk factors; Vessel ergonomic design; Postures simulation; Work place; Digital human modeling 1. INTRODUCTION In the past 12 months, 8.6% of workers in the EU experienced work-related health problems: This num- ber corresponds to 20 million persons. Meanwhile, back problems (28%); neck, shoulder, arm, or hand problems (19%); and stress, depression, or anxiety (14%) are most often reported as the most serious health problems (Eurostat, 2009). In this report, 70% ∗∗Correspondence to: (CERPIE) Research Centre for Cor- porate Innovation, UPC (Technical University of Catalonia), AV. Diagonal, 647 planta 10 – ETSEIB, 08028 Barcelona, Spain. Phone: +34 93 405 44 69; e-mail: bing.zhang@ upc.edu Received: 14 September 2010; revised 16 December 2010; accepted 7 March 2011 View this article online at wileyonlinelibrary.com/journal/hfm DOI: 10.1002/hfm.20321 of fishermen have been exposed to one or more fac- tors adversely affecting physical health; this number is only slight less than the number of workers in the mining sector (75%). The European Foundation for the Improvement of Living and Working Conditions (2007)presents that almost a third (30.7%) of Spanish workers believe that their workplace design is lacking quality in some way. The most arduous working po- sitions affect farmers, stockbreeders, fishermen, and sailors in particular; in all of these professions, 15.4% of workers carry out their work with a bent back. In Spain, it has been concluded (Ruiz & Ledesma, 2008) that work-related musculoskeletal disorders (WMSDs) (in particular, low back pain [LBP]) are some of the most important problems of the fisherman population. In fact, the official data from the Spanish Labour Ministry about accidents in 2007 show that WMSDs represent the main cause of accidents in fish- ermen (more than 25% of the registered cases). Human Factors and Ergonomics in Manufacturing & Service Industries 00 (0) 1–10 (2011) c© 2011 Wiley Periodicals, Inc. 1 Using Ergonomic DHM in Evaluation of Workplace Aboard Álvarez-Casado et al. The term “musculoskeletal disorder” (MSD) is used collectively for symptoms and disease of the muscles, tendons, and/or joints. WMSDs and in- juries occur when there is a mismatch between the physical requirements and the physical capacity of the human body (Taelman, Adriaensen, Spaepen, Langereis, Gourmelon, & Van Huffel, 2006). Conse- quently, WMSDs and injuries are caused by a combina- tion of risk factors such as repetitive motion, excessive physical exertion, and bad and/or awkward working postures. Posture as a source of musculoskeletal ill- nesses such as low back diseases have attracted the most attention, however. Musculoskeletal problems related to repetitive work are also connected to posture. There are a few studies related to WMSDs in some countries. Swedish studies on fishermen have shown that symptoms from the musculoskeletal system are common and that they follow a logical pattern ac- cording to the fishing and type of working tasks on board. During the 12 months before the study, 74% of the fishermen had experienced symptoms of the musculoskeletal system (Torner, Blide, Eriksson, Kadefors, Karlsson, & Petersen, 1988). The authors found that the largest number of fishermen consid- ered the motion of the vessel to be a major strain, not only on the musculoskeletal system, but on the indi- vidual as a whole. In their research of work-related injury in New Zealand commercial fishermen, Nor- rish and Cryer (1990) found that 139 of the 307 cases were diagnosed as strains or sprains. Back strain (87 cases) represented almost two thirds of these and 28% of the total injuries. This finding agrees with the find- ing that more than one third of the injuries (121 cases) were recorded as having occurred during lifting, low- ering, loading, or unloading and that boxes (probably containing fish in many cases) were specified in 28 of these cases. The worker’s compensation for back strain injuries was 36% of the total cost, and indicates the importance of this injury group. Strains of the knees, shoulders, and forearms were also common. To quantify biomechanical stresses on the lumbar spine during work activities of commercial crab fish- ermen, and thus determine work task priorities for ergonomic intervention, the continuous assessment of back stress methodology was used to develop distribu- tions describing the amount of time that each of the members on a two- or three-man crabbing crew spend at various levels of low back stress (Mirka, Shin, Kucera, & Loomis, 2005). An observational work-sampling technique—Posture, Activity, Tools, and Handling— was used to describe the prevalence of awkward pos- tures and other physical risk factors for shoulder symp- toms among a purposive sample of 11 small-scale com- mercial crab pot fishing crews (Kucera & Lipscomb, 2010). LBP is a generic term for various low back dis- eases. It has many causes, and posture is one possible causal element (Kuorinka, 2010, website of Interna- tional Labour organization). Epidemiological studies have shown that physically heavy work is conducive to LBP and that postures are one element in this process. There are several possible mechanisms that explain why certain postures may cause LBP. Forward bending pos- tures increase the load on the spine and ligaments, which are especially vulnerable to loads in a twisted posture. External loads, especially dynamic ones, such as those imposed by jerks and slipping, may increase the loads on the back by a large factor. From a safety and health standpoint, it is important to identify bad postures and other postural elements as part of the safety and health analysis of work in general. This study was done in Catalunya, Spain, where there are 1349 fishing boats, and 57% are small fishing ves- sels. The main goal of our research was to identify and assess the risk factors of WMSDs in fishing tasks of Spanish fishermen and to evaluate the workplace de- sign aboard in-shore small fishing vessels. There are many challenges to identifying and assess- ing the risk factors on board fishing vessels. In our case, there are three main research problems that have to be solved: 1) ergonomics analyses related to work- place layout design; 2) studies of fishermen’s working postures while catching, handling, lifting, and storing fish; and 3) workplace redesign and construction to prevent WMSDs on board fishing vessels. Integration of the human factor and ergonomics in the design and construction of fishing vessels has been studied by many research groups (Chauvin, Le Bouar, & Renault, 2008; Orosa & Oliveira, 2010). For instance, personnel movement simulation has been integrated into preliminary ship designing for testing vessel layout suitability (Andrews, Casarosa, Pawling, Galea, Deere, & Lawrence, 2007). The project led to improved ship design, provided a major savings for ship operators, improved the efficiency of the ship-designing process by reducing time and costs, and ensured that the ves- sel was safer and more efficient for the personnel on board. Ergonomics research related to workstation lay- outs and manual lifting and handling has been imple- mented in many industrial countries. A structured job 2 Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm Álvarez-Casado et al. Using Ergonomic DHM in Evaluation of Workplace Aboard analysis procedure was developed to assist occupational health and safety professionals in the recognition and evaluation of exposures to ergonomic stresses in the workplace (Keyserling, Armstrong, & Punnett, 1991). Additionally, a comparison between occupational in- juries in the French sea fishing industry in the 1980s and those of today was carried out (Chauvin & Le Bouar, 2007). This research found that catch processing and handling caused a great number of accidents. During these tasks, fishermen have to cope with two main risks: getting cut or pricked, and making an excessive physical effort and/or awkward movement. Digital human modeling has been applied in er- gonomics design and analyses for a long time. A method for conducting workplace assessments in the digital environment was proposed for preventing WMSDs (Chang & Wang, 2007). By integrating dy- namic simulation and ergonomics evaluation, digital human modeling enables the system designer to vi- sualize and improve workplace design in the digital space. The method has been applied to evaluate au- tomobile assembly tasks. The distinct advantages of integrating the ergonomic analysis model with the dig- ital human modeling include 1) the ability to perform ergonomic assessments in the early design process and 2) improved communication of both ergonomic con- cerns and design alternatives. A comparative study was made of digital human modeling simulation re- sults and their outcomes in the real world (Lamkull, Hanson, & Ortengren, 2009). The results of that study show that ergonomic digital human modeling (EDHM) tools are useful for providing designs of standing and unconstrained working postures. How- ever, Using EDHM tools to simulate work processes and postures for purposes of risk prevention has not been adequately done. This article is aimed at presenting methods for im- proving health and safety in the Spanish fishing sector, where occupational hazard rates are extremely high. To obtain its objective, the research project was designed with the following steps: First of all, equipment and procedures for catching, handling, storing, and pro- cessing fish were studied. Second, the work postures of all the fishermen were simulated and evaluated by using a digital human modeling system (ManneQuin PRO, used by the laboratory of CERpIE, UPC). Third, based on acceptable work postures of fishermen sim- ulated by ManneQuin PRO, the modifications of ves- sel design and construction relevant to preventing low back biomechanical stresses and repetitive movements was recommended. The digital human modeling sys- tem applied in this project has been effective in terms of simulating and evaluating fishermen’s work postures and providing ergonomic design parameters for fishing vessel designers. 2. METHODS Manual handling involves the movement of heavy loads by hand or bodily force, and should be avoided when possible. Work-related upper limb disorders arise mainly from performing repetitive actions. If avoid- ance is not possible, risk of injury must be reduced as much as possible by actions that include 1) improving workplace design so that less movement is needed; 2) modifying the load by making it lighter or easier to hold; and 3) training workers in good practices such as proper handling techniques (Agilent Technologies, Inc., 2007). To improve on board workplace design, one must first simulate the work process and the work postures of the fishermen. Figure 1 depicts the work flowchart for the ergonomic redesign of the workplace aboard fishing vessels. In this research study, the digital fishermen have been built with ManneQuin PRO. ManneQuin PRO human modeling programs have been the most suc- cessful in the world, with thousands of users since the original ManneQuin program was introduced in 1990. Two important features of ManneQuin Pro are 1) er- gonomically correct human figures for a range of ethnic groups, percentiles, and body types and 2) simulation of lifting, pushing, and pulling by adding forces and torque in any direction on any body part. ManneQuin PRO is a PC-based, three-dimensional (3D) human modeling software package that helps per- form basic analysis during the design, validation, and communication stages of any space design project. It features various biomechanical tools that may be used to enhance analyses or validate new or existing human centered designs. Moreover, ManneQuin PRO is con- veniently equipped with the Revised National Institute of Occupational Safety and Health Lifting Equation for lifting task analysis. If properly used, this formulation can provide a recommended lifting weight for a spec- ified activity. The multiple anthropometric databases for creating mannequins ensure that the space fits the desired population characteristics. Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm 3 Using Ergonomic DHM in Evaluation of Workplace Aboard Álvarez-Casado et al. Figure 1 Work flowchart of ergonomic redesign of work areas aboard fishing vessel. Figure 2 Purse seining fishing method. 2.1. Risk Factor Identification and Assessment of Working Aboard Small Shipping Vessels There are several fishing methods for in-shore fishing vessels. Purse seining is the general method of encir- cling a school of fish with a large net. The net is then drawn together underneath the fish (pursed) so that they are completely surrounded. It is one of the most aggressive methods of fishing and aims to capture large, dense shoals of mobile fish such as tuna, mackerel, and herring (Fishing on line). Figure 2 describes the steps used in purse seine fishing. In purse seine fishing inshore, the following tasks are executed: 1. Pulling the net through the water to make a type of wall; 2. Gathering up the net; 3. With scoop nets, placing fish into boxes; 4. Arranging fish into empty boxes until boxes are full; 5. Placing ice on fish; 6. Collecting fish from the floor and placing them into boxes; 7. Carrying boxes to pallet and stacking; and 8. Lowering boxes from ship at port. After getting permission, we used a video camera and a digital camera to record the working tasks aboard one fishing vessel. Other data related to work organiza- tion and time shifting was also collected during three days of observation on board. The fishing boat leaves at 9 o’clock in the evening and comes back to down- load fish at approximately 6 o’clock the morning of the next day. The first step of our research was to identify and assess risk factors in working aboard small fishing 4 Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm Álvarez-Casado et al. Using Ergonomic DHM in Evaluation of Workplace Aboard Figure 3 Typical hazardous postures on board fishing vessels. Left to right: Trunk bending forward/backward; sideways; twisting; low back and lower extremities; and upper arm posture - EN 1005-4:2002(E). Figure 4 Examples of occupational risks in the work areas and tasks aboard small fishing vessels. vessels, based on videos and images collected on board. The hazard parameters and the cause of the parame- ters of all the working postures (including postures of catching, pushing, lifting, and pulling) were identified and assessed. Figure 3 displays the typical hazard postures aboard fishing vessels found in the analysis: trunk bending (forward, backward, and sideways); twisting (lower back and lower extremities); and upper arm posture - EN 1005-4: 2002 (E). Figure 4 shows some exam- ples found aboard small fishing vessels of work areas and tasks with high occupational risks. In Figure 4a, the fishermen place empty boxes (for the incoming fish) on top of the full boxes. Figure 4b shows how, after placing the fish in the boxes, the fishermen must squat on the floor to pick up the remaining fish and put Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm 5 Using Ergonomic DHM in Evaluation of Workplace Aboard Álvarez-Casado et al. TABLE 1. Identification Risks from Working Postures Task a: Arrange the Fish Inside the Boxes Task b: Pick the Fish up from the Floor Task c: Carry the Boxes for Stacking Range Critical for 5% Range Critical for 95% Range Critical for 5% Range Critical for 95% Range Critical for 5% Range Critical for 95% High frequency over 60◦ High frequency over 60◦ Squat to work Squat to work Flexion of the torso 48◦ Flexion of the torso 57◦ Flexion of the torso between 20◦ and 60◦ with high frequency and over 60◦ is NOT ACCEPTABLE Flexion of the torso between 20◦ and 60◦ with high frequency and over 60◦ is NOT ACCEPTABLE FORBIDDEN FORBIDDEN Flexion of the torso between 20◦ and 60◦ with high frequency is NOT ACCEPTABLE Flexion of the torso between 20◦ and 60◦ with high frequency is NOT ACCEPTABLE Flexion of the upper arm 89◦ Flexion of the upper arm 97◦ Flexion of the upper arm 90◦ Flexion of the upper arm 97◦ NOT ACCEPTABLE NOT ACCEPTABLE Flexion of upper arm in 80◦ with high frequency in moving is NOT ACCEPTABLE Flexion of upper arm in 80◦ with high frequency in moving is NOT ACCEPTABLE them in the boxes. This squatting posture is completely forbidden according to International Organization for Standardization (ISO) standards. Figure 4c presents a fisherman manually carrying and stacking boxes one on top of the other. Table 1 depicts the risk factors for each of these three tasks. 2.2. Simulation of Bad or Awkward and Acceptable Working Postures After identifying risk factors, the next step was to sim- ulate bad working postures and present acceptable working postures, with the help of our digital fish- ermen. The practical limit of arm reach, for exam- ple, is not the sole consequence of arm length; the limit is also affected by shoulder movement, partial trunk rotation, possible bending of the back, and the function to be performed by the hand (Sanders & McCormick, 1992). Therefore, it is difficult to simulate all the possible interactions by various body segments of the men while they are fishing. The multiple anthropometric databases for creat- ing mannequins ensure that the space fits the de- sired population characteristics. According to statis- tics from December 2007, there are 50,309 fishermen in Spain (Carmona, 2003). Among these fishermen, 4% are women. 5% and 95% percentiles of Span- ish fishermen (men) were selected. The anthropo- metric data of the ergonomics software (ManneQuin Pro) had been semi-updated. In other words, only weight and height in the original anthropometry data were updated to the ones of Spanish fishermen. Other anthropometry data, such as sitting height, should breath, and so forth, were applied based on the French population. Other biomechanical and anthropometric data were updated according to these two parameters. Dur- ing simulation of working postures, differences in degree of physical effort due to variations in body heights are noted, to better describe actual conditions for workers of different sizes working in the same workplace. 6 Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm Álvarez-Casado et al. Using Ergonomic DHM in Evaluation of Workplace Aboard TABLE 2. Findings from Analysis Using EDHM in Simulating Three Task on Board Small Fishing Vessels Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm 7 Using Ergonomic DHM in Evaluation of Workplace Aboard Álvarez-Casado et al. Figure 5 An idea to avoid picking up fish from the floor. The simple structure will help to correctly place the fishin the boxes. 2.3. Inputting 3D Geometric Data of Designed Fishing Vessel into ManneQuin Pro The 3D geometric data of the designed fishing ves- sel were imported into ManneQuin Pro, and all the digital fishermen were placed in a 3D fish- ing vessel to simulate real-life work conditions on board. 3. RESULTS By using an EDHM system and simulating all on board work postures, we found multiple risk factors aboard fishing vessels. In contrast, we also found solutions for redesigning the work areas on board to prevent occu- pational hazards in fish collection, processing, trans- portation, and storage. 3.1. Redesigning Work Areas Aboard Shipping Vessels Based on Acceptable Working Postures In this article we present our research findings in the tables. Table 2 presents the findings of our analysis of three tasks aboard small fishing vessels. Task A is to arrange the fish in boxes until the boxes are full. Task B is to collect the fish from the floor and put them into the boxes, Task C is to transport and stack the boxes on pallets. As we can see from Task C, the ergonomic digital fishermen have been simulated in bad postures when transporting and stacking boxes on pallets; accordingly, the upper body–including the upper arm and neck–is in hazard red. In other words, the upper body is in red, which indicates that it is in a posture with risk of developing an MSD. After analysis of risk factors, solutions for workplace redesign are provided with re- gard to work surface height. Acceptable and good pos- tures have also been simulated based on the redesigned workplace. 3.2. Recommendation for Ergonomics Workplace Design In our simulation of the workplace aboard fishing ves- sels, we found that there was inadequate foot clearance in the current workplace when fish boxes were being stacked. Foot clearance is an important design parame- ter if fishermen are to maintain good working postures; therefore, we made some recommendations in connec- tion with the design of the workplace aboard fishing vessels. To avoid picking up fish from the floor and working on one’s knees, we have designed a fish col- lecting table, which is presented in Figure 5. Figure 5 shows how the workplace can be redesigned so as to avoid the need to pick up fish from the floor. With this design, the fish will fall directly into the boxes and not onto the floor. 4. CONCLUSION In this study, we have found that the work areas aboard a fishing vessel present typical examples of a work en- vironments that pose risks to workers regarding the development of WMSDs. The risk factors of MSD have to be controlled at the source, and the risks have to be minimized by such means as the design of safe work systems. Consequently, the current on board work- place needs to be redesigned from an ergonomic and human-centered point of view. A suitable work desk is needed for many on board tasks if the fishermen 8 Human Factors and Ergonomics in Manufacturing & Service Industries DOI: 10.1002/hfm Álvarez-Casado et al. Using Ergonomic DHM in Evaluation of Workplace Aboard are to have good working postures. The size of the on board workplace is limited, however. Using devices for collecting fish and transporting boxes for stacking is difficult. Therefore, there is a need for further innova- tion and redesign of the on board workplace to reduce the risk factors involved. In contrast, we also have found EDHM for simu- lating the workplace and work postures to be an ef- fective tool for assessing the workplace and preventing WMSDs aboard fishing vessels. We have made sev- eral recommendations to the final vessel designer as to how to redesign the workplace to reduce hazards and risk factors involving manual handling operations in the Spanish fishing industry. With regard to computer software, additionally, we have found that the interface and feedback display of the EDHM system has to be improved in the future. ACKNOWLEDGMENT We thank Judith Mayers for correcting the English in this article. References Agilent Technologies, Inc. (2007). Working in comfort. Available at: http://www.agilent.com/quality/Working In Comfort.pdf Andrews, D., Casarosa, L., Pawling, R., Galea, E., Deere, S., & Lawrence, P. (2007). Integrating personnel movement simulation into preliminary ship design. Proceedings of the RINA International Conference on Human Factors in Ship Design (London, March 21-22), pp. 117–128. Carmona, A. (2003). 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