Shoulder postural fatigue and discomfort: A preliminary finding of no relationship with isometric strength capability in a light-weight manual assembly task

Abstract

Does greater strength capacity in the shoulder-complex afford increased protection against regionalized fatigue and discomfort induced by sustained awkward arm postures in light-weight manual assembly environments? This question was addressed by testing the relationship between differences in shoulder complex strength capacity, produced by variations in arm posture within a subject, and among subjects assuming equivalent arm postures, and severity of fatigue and discomfort sensed during a low-exertion manual performance task. Experimental findings showed that: (a) awkward arm postures produced substantial and rapid onset of postural fatigue and discomfort during a light-weight manual performance task where strength demands were low (i.e., less than 15 percent of maximum voluntary contraction (MVC)), (b) variations in strength capability found among arm postures within an individual subject, or 3mong subjects assuming the same arm posture, did not affect onset of substantial fatigue or discomfort when hands are postured near or above shoulder level, and (c) postures which simply appeared to be awkward, or which compromised strength capacity (e.g., working with the arm to the side of the body, or aligned in the coronal plane), did not necessarily increase discomfort of fatigue. Our findings suggest caution against sole reliance upon population or individual worker upper-extremity strength capabilities as predictors of fatigue and discomfort in the shoulder complex when manual exertions are small (e.g., light-weight manual assembly activities involving small parts or small hand-tools) and hands are postured at or above shoulder level.