Overhead work is a known catalyst for occupational shoulder injury. Industrial workers must often adopt awkward overhead postures and loading profiles to complete required tasks, potentially elevating injury risk. This research examined the combined influence of multiple overhead working parameters on upper extremity muscular demands for an industrial drilling application. Twenty-two right-handed males completed 24 unilateral and bilateral overhead work exertions stratified by direction (upward, forward), point of force application (15, 30 and 45 cm in front of the body), and whole-body posture (seated, standing). The dependency of electromyographic (EMG) activity on several factors was established. Significant two-way interactions existed between point of force application and direction (p < 0.0001) and direction and whole body posture (p < 0.0001). An average increase in muscular activity of 6.5% maximal voluntary contraction (MVC) occurred for the contralateral limb when the bilateral task was completed, compared to unilateral tasks, with less than a 1% MVC increase for the active limb. These findings assist evidence-based approaches to overhead tasks, specifically in the construction industry. A bilateral task configuration is recommended to reduce glenohumeral stability demands. As well, particularly for tasks with a far reach distance, design tasks to promote a forward directed exertion. The considerable inter-subject variability suggests that fixed heights are not ideal, and should be avoided, and where this is not possible reaches should be reduced.
Keywords: Bilateral tasks; Fatigue; Shoulder.
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