Applied ErgonomicsPub Date : 2025-09-10DOI: 10.1016/j.apergo.2025.104639
Evan D. Feigel , Ayden McCarthy , Joel T. Fuller , Lily Rosenblum , Mita Lovalekar , Tommi Ojanen , Kai Pihlainen , Brian J. Martin , Kristen J. Koltun , Tim L.A. Doyle , Bradley C. Nindl
{"title":"Nonlinear analysis reveals duration and gradient-dependent disruption of load carriage gait variability during an outdoor 6.72 km time trial in military personnel","authors":"Evan D. Feigel , Ayden McCarthy , Joel T. Fuller , Lily Rosenblum , Mita Lovalekar , Tommi Ojanen , Kai Pihlainen , Brian J. Martin , Kristen J. Koltun , Tim L.A. Doyle , Bradley C. Nindl","doi":"10.1016/j.apergo.2025.104639","DOIUrl":"10.1016/j.apergo.2025.104639","url":null,"abstract":"<div><div>This investigation assessed the effect of gradient and duration on the gait variability exponent, DFA-α, in military personnel affixed with dual inertial measurement units performing a load carriage time-trial. Gait data (N = 14) were partitioned into 256 stride time segments by gradient (uphill, downhill) using a gait event algorithm. Detrended fluctuation analysis calculated DFA-α per segment, which was averaged across one-third durations (phases 1–3) per gradient. Two-way repeated measures ANOVA examined effects of gradient, duration, and interaction on DFA-α, with Bonferroni-adjusted post-hoc comparisons. There was a significant main effect of duration (phase 1: 0.593 ± 0.021; phase 2: 0.563 ± 0.031; phase 3: 0.493 ± 0.021; F = 3.833, p = 0.035, η<sub>p</sub><sup>2</sup> = 0.228), but not gradient (uphill: 0.486 ± 0.031; downhill: 0.614 ± 0.035; F = 4.252, p = 0.060, η<sub>p</sub><sup>2</sup> = 0.246), or interaction (F = 0.019, p = 0.981, η<sub>p</sub><sup>2</sup> = 0.001). Pairwise comparisons revealed significantly lower DFA-α during phase 3 than phase 1 (p = 0.016). Elapsed duration and uphill gradient, despite a large, but non-significant effect, may represent factors altering gait variability for injury risk.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"130 ","pages":"Article 104639"},"PeriodicalIF":3.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145027333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-09-08DOI: 10.1016/j.apergo.2025.104588
Janette Edmonds , Sue Hignett , Helen Vosper , Hugh Currie , Paul Bowie
{"title":"COVID-19 vaccination systems: Human Factors at the ‘sharp end’","authors":"Janette Edmonds , Sue Hignett , Helen Vosper , Hugh Currie , Paul Bowie","doi":"10.1016/j.apergo.2025.104588","DOIUrl":"10.1016/j.apergo.2025.104588","url":null,"abstract":"<div><h3>Purpose</h3><div>To share key learnings from the assessment of a COVID-19 vaccination system in Scotland using a Human Reliability Analysis (HRA) approach.</div></div><div><h3>Method</h3><div>Project data were collected in February 2021 in NHS Ayrshire and Arran (NHSAA) – the regional health authority - using document analysis (Service Delivery Manual, 2020), observations (2 site visits), and workshops (n = 8, with 26 participants). The Systematic Human Error Reduction and Prediction Approach (SHERPA) is a framework for human reliability analysis that can be used as part of a safety assessment or safety case to determine whether the system is ‘safe enough’ and provide recommendations to improve safety by mitigating error potential. In this paper it was used to assess the service delivery system and make recommendations.</div></div><div><h3>Results</h3><div>Many recovery mechanisms and risk control measures had already been implemented by NHSAA. Eighteen issues required additional risk control, grouped into three themes.<ul><li><span>1.</span><span><div>Improve staff training and awareness, and the management of expectations.</div></span></li><li><span>2.</span><span><div>Improve equipment and information provision.</div></span></li><li><span>3.</span><span><div>Implement additional checks and contingencies.</div></span></li></ul></div><div><ul><li><span>1.</span><span><div>Improve staff training and awareness, and the management of expectations.</div></span></li><li><span>2.</span><span><div>Improve equipment and information provision.</div></span></li><li><span>3.</span><span><div>Implement additional checks and contingencies.</div></span></li></ul></div></div><div><h3>Conclusion</h3><div>The findings were used to improve the current service delivery and provide guidance for the safe design and delivery of future rollouts of time-critical public health vaccination programmes.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"130 ","pages":"Article 104588"},"PeriodicalIF":3.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"VR- or lecture-based training? The role of culture in safety training outcomes","authors":"Estefany Rey-Becerra , Lope H. Barrero , Rolf Ellegast , Annette Kluge","doi":"10.1016/j.apergo.2025.104626","DOIUrl":"10.1016/j.apergo.2025.104626","url":null,"abstract":"<div><div>Virtual reality (VR) training provides immersive, risk-free experiences that leverage multisensory integration to improve memory retention, presence and embodiment to strengthen engagement and attention, and situational learning to promote transfer of training to real-world contexts. Adding gamification through serious games (SG) further enhances engagement and active learning. This study validates a VR-SG safety training previously evaluated in Colombia, now applied to 74 professional roofers in Germany comparing ViStra (VR-SG) with LeStra (lecture-based with problem-based learning). Using Kirkpatrick's model, we assessed reaction, cognitive and attitudinal outcomes, self-reported behavior, and safety climate through validated questionnaires. Both programs improved cognitive and attitudinal outcomes, with no significant differences. No effects were found for behavior or safety climate. Thus, ViStra matched LeStra's effectiveness. Post hoc comparison with Colombian data suggests cultural factors influence some outcomes, highlighting the importance of adapting training strategies to cultural contexts for future safety training strategies in diverse work environments.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"130 ","pages":"Article 104626"},"PeriodicalIF":3.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-27DOI: 10.1016/j.apergo.2025.104622
Baris Cogan , Esther Bosch , Birte Thomas-Friedrich , Helena Wasle , David Schackmann , Christian Klotz , Birgit Milius
{"title":"Evaluating train drivers’ performance to inform the development of automatic train operation","authors":"Baris Cogan , Esther Bosch , Birte Thomas-Friedrich , Helena Wasle , David Schackmann , Christian Klotz , Birgit Milius","doi":"10.1016/j.apergo.2025.104622","DOIUrl":"10.1016/j.apergo.2025.104622","url":null,"abstract":"<div><div>Understanding train driver performance can provide valuable insights for the development of automatic train operation systems. This study investigates the visual perception of train drivers under different conditions using driving simulator experiments. The 43 participating train drivers were instructed to drive the train and react to stationary objects on the tracks of varying size and contrast to the background. Two train protection systems (the German intermittent train protection system PZB and the European Train Control System with in-cab signalling ETCS) and on-sight driving were used. The results showed significant effects of size, contrast, and speed on reaction times. The effects of the train protection systems and on-sight driving were inconclusive. The approach presented in this study, along with an understanding of the relative impact of various performance shaping factors can serve as a basis for defining the requirements for ATO systems.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104622"},"PeriodicalIF":3.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-23DOI: 10.1016/j.apergo.2025.104627
Jung Hyup Kim , Wenbin Guo , Will Mastrantuono , Kangwon Seo
{"title":"Exploring the relationship between severity of patient illness and in room primary care nursing time in a medical intensive care unit","authors":"Jung Hyup Kim , Wenbin Guo , Will Mastrantuono , Kangwon Seo","doi":"10.1016/j.apergo.2025.104627","DOIUrl":"10.1016/j.apergo.2025.104627","url":null,"abstract":"<div><div>This study explores a connection between sequential organ failure assessment (SOFA) of patients in a medical intensive care unit (ICU) and primary care nursing time. Although ICU nurses have many responsibilities that impact patient outcomes, little is known about how the severity of a patient's illness influences the time and activities that nurses dedicate to primary care within a medical ICU. Data collection was set for February to April 2020, as suspended on March 11 due to COVID-19. It resumed on July 6, 2020, after clinical research activities were reinstated. We collected data for a time-motion study. We combined the manual observation data with the real-time location data of a Near Field Electromagnetic Ranging (NFER) system to analyze how time is structured in primary care. Our goal was to investigate the impact of a patient's illness severity on how time is allocated in intensive care nursing. Overall, there was no significant difference between February and July in terms of time spent on primary care and peer support activities. However, for specific primary-care tasks, ICU nurses spent less time on patient assessment, patient care, and medication tasks compared to February, significantly more time on patient transport in July. In the February data, we found a significant correlation between the SOFA score and the time devoted to primary care, indicating a meaningful association between patient illness severity and the allocation of nursing time. However, in the July data, no correlation was found between the SOFA score and the time spent on primary care. These findings improve our understanding of the challenges that nurses experience in medical ICU units, emphasizing the necessary adjustments to enhance nursing care.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104627"},"PeriodicalIF":3.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-23DOI: 10.1016/j.apergo.2025.104613
Paul R. Slaughter, Karl E. Zelik
{"title":"Wearable weight distribution devices for reducing injury risk: How varying amounts of body armor offloading affect biomechanics and comfort","authors":"Paul R. Slaughter, Karl E. Zelik","doi":"10.1016/j.apergo.2025.104613","DOIUrl":"10.1016/j.apergo.2025.104613","url":null,"abstract":"<div><div>Soldiers experience high rates of back injuries from wearing heavy body armor. Wearable weight distribution devices that offload body armor weight to the hips might help mitigate injury risk. However, it is unclear how much offloading is practical without negatively impacting comfort or biomechanics. We explored this knowledge gap by testing 13 veterans while wearing a 15.6 kg body armor vest and a novel weight distribution device. For each trial, the device was adjusted to offload a percentage of the body armor weight. We tested four conditions: ZERO (0%), LOW (∼30%), MED (∼60%), and HIGH (∼90%). We found that LOW, MED, and HIGH offloading of the shoulders and back did not negatively affect trunk muscle activity or posture. Overall user comfort also improved. All participants preferred a portion of the body armor weight distributed to their hip belt, highlighting the potential for these devices to relieve people in occupations that wear body armor.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104613"},"PeriodicalIF":3.4,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-22DOI: 10.1016/j.apergo.2025.104620
Mina Salehi , Jangho Park , Divya Srinivasan , Jeong Ho Kim
{"title":"Simulation-based biomechanical assessment of a passive back support exoskeleton: Comparison of various support levels during a sustained forward bending task","authors":"Mina Salehi , Jangho Park , Divya Srinivasan , Jeong Ho Kim","doi":"10.1016/j.apergo.2025.104620","DOIUrl":"10.1016/j.apergo.2025.104620","url":null,"abstract":"<div><div>This study evaluated the impacts of five support levels (40, 55, 70, 85, and 100 % actuator strengths) of a passive back-support exoskeleton (BSE) on biomechanical loads associated with commercial crab sorting through musculoskeletal simulation. Whole-body kinematics of 20 male participants performing simulated crab sorting were collected and integrated into a human-BSE interaction simulation framework to predict muscle activity, spinal loads, and contact forces at the human-BSE interfaces. Increasing the BSE support level generally reduced trunk extensor muscle activity (up to 28.6 %) and lumbosacral reaction forces (up to 30.7 %). However, the reduced biomechanical load came at the expense of increased contact forces on the chest and thigh areas, potentially causing local discomfort for vulnerable users. These findings suggest that while BSEs can be effective in reducing low back biomechanical loads during crab sorting, support levels should be carefully selected to ensure adequate assistance while minimizing potential side effects, such as local discomfort or pain.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104620"},"PeriodicalIF":3.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-21DOI: 10.1016/j.apergo.2025.104624
Tianke Wang , Hamid Norasi , Joseph Y. Kim , Surabhi Joshi , Bernardo C. Mendes , Randall DeMartino , Fahad Shuja , M. Susan Hallbeck , Emmanuel Tetteh
{"title":"Usability and postural benefits of passive back-support exoskeletons in vascular surgery: A preliminary study","authors":"Tianke Wang , Hamid Norasi , Joseph Y. Kim , Surabhi Joshi , Bernardo C. Mendes , Randall DeMartino , Fahad Shuja , M. Susan Hallbeck , Emmanuel Tetteh","doi":"10.1016/j.apergo.2025.104624","DOIUrl":"10.1016/j.apergo.2025.104624","url":null,"abstract":"<div><div>The awkward trunk postures such as static flexion and twisting required of surgeons in the operating room are a major contributing factor to the high prevalence of work-related musculoskeletal disorders amongst surgeons. One intervention that is currently proposed to reduce the strain associated with awkward intraoperative postures are passive exoskeletons worn intraoperatively. In this study, we measured the intraoperative postures, subjective discomfort, and workload as well as the usability associated with two commercially available exoskeletons during three types of vascular surgery and compared the results between a baseline (not using exoskeleton) and two different trunk exoskeletons (Laevo and HeroWear). A linear mixed model found that while the exoskeletons did not significantly interfere with surgical workflow, use of the exoskeletons did not significantly affect intraoperative trunk postures (28° vs. 27° vs. 34°, p > .05), subjective discomfort change (2.0 vs. 1.25 vs. 1.92, p = .807 in the low back) (3.00 vs. 1.58 vs. 2.58, p = .454 in the upper back), and (3.00 vs. 2.75 vs. 1.92, 0.153 overall fatigue change), or workload in vascular surgeons. Further research on the effectiveness of exoskeletons in vascular surgeons in reducing discomfort and ergonomic risk factors is recommended.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104624"},"PeriodicalIF":3.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-20DOI: 10.1016/j.apergo.2025.104623
Jarrod A. Smith , Shahram R. Heravi , Ryan Porto , Joel A. Cort
{"title":"Comparison of flexion and extension moments from passive low-back exoskeletons as a function of angular velocity","authors":"Jarrod A. Smith , Shahram R. Heravi , Ryan Porto , Joel A. Cort","doi":"10.1016/j.apergo.2025.104623","DOIUrl":"10.1016/j.apergo.2025.104623","url":null,"abstract":"<div><div>Pain or injury to the low back are prevalent among individuals engaged in physically demanding occupations or tasks involving repetitive manual material handling, resulting in significant personal and societal burdens. Exoskeletons have emerged as a promising technology to mitigate the risk of injuries by providing mechanical support and reducing the physical demand on the body. Exoskeleton providers provide minimal information related to the support capability of their product, as many do not publish these magnitudes. Further, it is currently unclear whether these device's behaviors change under varying work demands (e.g., movement velocity). This study aimed to assess the effects of exoskeleton activation levels and angular velocity on sagittal plane moment outputs from the SuitX-backX and Laevo-V2.5. For data collection, we installed exoskeletons on a dynamometer and loaded them in a full range of motion with five different loading rates (5, 10, 20, 30, 45, and 60 deg/sec). We used Statistical Parametric Mapping Two-Way ANOVAs to compare between activation level (high/low) and angular velocities. Results revealed significant differences between activation levels and angular velocities for both models. This study aimed to measure moment outputs from the SuitX-backX and Laevo-V2.5 to determine if differences existed between exoskeleton activation levels and angular velocity to inform task-specific exoskeleton selection for occupational applications.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104623"},"PeriodicalIF":3.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Applied ErgonomicsPub Date : 2025-08-19DOI: 10.1016/j.apergo.2025.104617
Soyeon Kim , Fjollë Novakazi , I.C. MariAnne Karlsson
{"title":"Is conditionally automated driving a bad idea? Observations from an on-road study in automated vehicles with multiple levels of driving automation","authors":"Soyeon Kim , Fjollë Novakazi , I.C. MariAnne Karlsson","doi":"10.1016/j.apergo.2025.104617","DOIUrl":"10.1016/j.apergo.2025.104617","url":null,"abstract":"<div><div>With the increasing adoption of driving automation technologies, vehicles equipped with SAE Level 3 driving automation are becoming available on the market. This study explores drivers’ behaviour when driving conditionally automated vehicles on-road, providing multiple levels of driving automation. Sixteen participants drove a Wizard-of-Oz vehicle offering several levels of automation (Manual, SAE Level 2 and Level 3) on a public highway. Data was collected during driving sessions (observations and think-aloud) and post-driving sessions (in-depth interviews). The results indicate that drivers show errors in mode transitions and mode awareness. These errors include unintended deactivation of Level 2 driving automation, confusion about driving modes after disengaging Level 3 driving automation, and confusion about the current driving mode. These findings highlight a fundamental limitation in the design of automation systems when humans are required to operate multiple modes within a single system, making it challenging to distinguish between them clearly. This ambiguity and lack of understanding affected how drivers interacted with, interpreted, and responded to the automated vehicle. The study provides insights for designing automated vehicles with multiple levels of driving automation, aiming to improve mode awareness and overall safety.</div></div>","PeriodicalId":55502,"journal":{"name":"Applied Ergonomics","volume":"129 ","pages":"Article 104617"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}