跳到主要內容

臺灣博碩士論文加值系統

(18.97.14.84) 您好!臺灣時間:2024/12/08 21:37
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:陳郁雯
研究生(外文):Yu-Wen Chen
論文名稱:電腦輸入暴露與上肢肌肉骨骼抱怨關聯性之探討
論文名稱(外文):Exploring the relationship between computer-input exposures and upper-limb musculoskeletal complaints
指導教授:陳協慶陳協慶引用關係
口試委員:林彥輝梁曉帆
口試日期:2012-07-12
學位類別:碩士
校院名稱:國立臺北科技大學
系所名稱:工業工程與管理系碩士班
學門:工程學門
學類:工業工程學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:67
中文關鍵詞:累積性傷害電腦暴露肌肉骨骼抱怨打字模式
外文關鍵詞:CTDscomputer exposuremusculoskeletal complaintpattern of keyboarding
相關次數:
  • 被引用被引用:1
  • 點閱點閱:165
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
電腦操作所引起的肌肉骨骼危害,與電腦使用的暴露程度和時間有密切關聯,故電腦族群作業之暴露主要在於作業強度(每日暴露量)及暴露時程(持續暴露年資)。儘管過去有多項電腦操作暴露之研究,評估作業人員長期暴露及作業強度,然而滑鼠及鍵盤的操作方式並不相同,鍵盤長期記錄所得之暴露量會分佈於雙手的不同手指,而滑鼠大多集中於慣用手之食指與中指,因此研究需分離雙手的鍵盤操作量,才能準確地估計慣用與非慣用手的實際輸入量。本研究針對三種電腦族群進行暴露抽樣及傷病問卷調查,使用軟、硬體收集電腦操作資料,將雙手之鍵盤作業負荷分離,再以統計迴歸分析肌肉骨骼抱怨與電腦作業負荷之關聯,探討適當之滑鼠與鍵盤的替換比率,並提出建立電腦作業暴露警戒值之方法。
本研究發現電腦族群身體各部位之主觀不適情形,明顯受到滑鼠及鍵盤以外之其他因素影響,而電腦操作平均日暴露僅與手腕部之主觀不適有較高之關聯性。大多數受測者之慣用手負荷明顯高於非慣用手,且操作滑鼠之負荷不亞於鍵盤,迴歸分析研究結果顯示適當的滑鼠-鍵盤替換率>1。未來相關研究應可採用非主觀評估工具進行資料收集,以降低其它因素所造成之變異。


Musculoskeletal disorders associated with computer use are closely related to the level of computer exposure. Computer exposure of a computer operator is mainly determined by working strength (daily exposure) and exposure duration (years of continual exposure). Various studies have been developed for recording and evaluating long-term exposures (use) of mouse and keyboard in computer workers. However, operating a mouse is different from operating a keyboard. The long-term keyboard exposure is distributed over two hands and different fingers. Nevertheless, mouse workload is mostly centralized in the dominant index finger. Therefore, we need to know the distribution of keyboard workload in one’s each hand and finger before we can accurately estimate the actual workload (keyboard + mouse use) in one’s dominant hand which is with significantly higher musculoskeletal risk.
The aim of this research is to provide guideline for VDT task by determining the relationship between computer exposure and musculoskeletal complaints. This research investigates computer exposure and musculoskeletal complaint of three workgroups. Hardware and software were developed to separate keyboarding workload in dominant and non-dominant hands. Regression analysis was used to determine the relation between computer exposure and musculoskeletal complaints and to determine adequate convert ratio of mouse workload to keyboard workload. A health guidance caution zone was then suggested based on the finding of mouse-keyboard convert ratio.
This study found that the subjective discomfort in computer workgroups was significantly affected by factors other than mouse and keyboard use. Participants’ average daily computer exposure was only moderately correlated with their wrist discomfort. The workload in most participants’ dominant hands was significantly higher than their non-dominant hand workload. Moreover, the experimental finding suggests the physical cost in mouse use may not be less than that in keyboard use. The result of regression analysis indicates the appropriate mouse click to keyboard stroke conversion ratio > 1. Future studies can apply objective assessment tools for data collection to reduce data variability caused by other factors.


目錄

摘 要 I
ABSTRACT II
誌 謝 IV
目錄 V
表目錄 VIII
圖目錄 X
第一章 緒論 1
1.1研究背景與動機 1
1.2研究目的 3
1.3研究範圍與限制 3
1.4研究架構 4
第二章 文獻探討 5
2.1肌肉骨骼傷害 5
2.2電腦輸入作業與累積性傷害 5
第三章 研究方法 11
3.1 研究方法概述 11
3.2實驗平台及辨識系統 12
3.3鍵盤輸入人工視覺分析軟體 14
3.4 受測人員 16
3.4.1受測者個別鍵盤輸入模式建立 18
3.4.2電腦作業族群暴露 19
3.5肌肉骨骼不適調查 20
第四章 實驗結果 21
4.1電腦作業暴露模式 24
4.2肌肉骨骼不適問卷調查 28
4.3作業負荷與肌肉骨骼不適程度關聯性 41
4.4滑鼠及鍵盤操作生理負荷替換比例 44
4.5電腦作業暴露警戒值建議 48
第五章 討論與結論 51
5.1滑鼠與鍵盤操作替代比例之合理性 51
5.2影響不適程度及研究結果之其它因素 52
5.3結論 57
參考文獻 58
附錄 A —電腦輸入操作問卷調查表 63



參考文獻

[1]勞工安全衛生研究所,電腦工作站安全衛生指引,臺北,行政院勞工委員會勞工安全衛生研究所,1999,第2-3頁。
[2]P.K.Nag, S. Pal, A.Nag,H.Vyas, "Influence of arm and wrist support on forearm and back muscle activity in computer keyboard operation," Applied Ergonomics, vol. 40, 2009, pp.286-291.
[3]Catherine Cook, Robin Burgess-Limerick, Shona Papalia, "The effect of upper extremity support on upper extremity posture and muscle activity during keyboard use, " Applied Ergonomics, vol. 35, 2004, pp.285-292.
[4]David Rempel, Alan Barr, David Brafman, Ed Young, "The effect of six keyboard designs on wrist and forearm postures," Applied Ergonomics, vol. 38, 2007, pp.293-298.
[5]Hsieh-Ching Chen, Hsin-Chieh Wu, Yung-Ping Liu, "Differences in computer exposure between university administrators and CAD draftsmen, " Applied Ergonomics, vol.41, 2010, pp.849-856.
[6]J.-F. Yang, C.-Y. Cho, "Comparison of posture and muscle control pattern between male and female computer users with musculoskeletal symptoms, " Applied Ergonomics, vol. 43, 2012, pp.785-791.
[7]Vern Putz-Anderson, Cumulative trauma disorders: a manual for musculoskeletal diseases of the upper limbs, England:Taylor & Francis, 1994.
[8]Armstrong, T.J., "Upper extremity posture: definition, measurement and control," Proceedings of the international Occupational Ergonomics Symposium, Zadar, Yugoslavia , 1985.
[9]Van Wely, P., "Design and disease, " Applied Ergonomics, vol.1, no.5, 1970, pp.262-269.
[10]Smith, E.M., Sonstegard, D.A. Anderson, Jr., W.H., "Carpal tunnel syndrome: contribution of flexor tendons, " Arch. Phys. Med. Rehabil,vol. 58, 1977, pp.379-385.
[11]Armstrong, T.J. Chaffin, D.B., "Carpal tunnel syndrome and selected personal attributes, " J.Occup.Med, vol.21, no.7, 1979, pp.481-486.
[12]Hagberg, M., "Occupational musculoskeletal stress and disorders of the neck and shoulder: a review of possible pathophysiology, " Int. Arch.Occup. Environ. Health, " vol.53 , 1984, pp.269-278.
[13]Bjelle, A., Hagberg, M. Michaelsson, G., "Clinical and ergonomic factors in prolonged shoulder pain among industrial workers, " Scand. J. Work Environ. and Health, vol.5, 1979, pp.205-210.
[14]Feldman, R.G., Goldman , R., Keyserling, W.M., "Peripheral nerve entrapment syndromes and ergonomic factors, " Am. J. Ind. Med., vol.4, 1983, pp.661-681.
[15]Tichauer, E.R., "Biomechanics sustains occupational safety and health, " Ind. Engin, vol.8, 1976, pp.16-56.
[16]Gardner, R.C., "Tennis elbow: diagnosis, pathology and treatment, "Clin. Orthop, vol.72, 1970, pp.248-253.
[17]Bergqvist, U., Wolgast, E., Nilsson, B., Voss, M., "Musculoskeletal disorders among visual display terminal workers: individual, ergonomics, and work organizational factors, "Ergonomics, vol.38, 1995, pp.763-776.
[18]Fagarasanu, M., Kumar, S., "Carpal tunnel syndrome due to keyboarding and mouse tasks: a review, "Int. J. Ind. Ergon, vol.31, 2003, pp.119-136.
[19]Silverstein, M.A., Silverstein, B.A., Franklin, G.M., "Evidence for work-related musculoskeletal disorders: a scientific counterargument, "J. Occup. Environ. Med., vol.38, 1996, pp.477-484.
[20]Putz-Anderson, V., Cumulative trauma disorders: a manual for musculoskeletal diseases of the upper limbs, London: Taylor and Francis, 1988
[21]Bergqvist, U., Wolgast, E., Nilsson, B., Voss, M., "Musculoskeletal disorders among visual display terminal workers: individual, ergonomics, and work organizational factors, "Ergonomics, vol.38, 1995, pp.763-776.
[22]Matias, A.C., Salvendy, G., Kuczek, T., "Predictive models of carpal tunnel syndrome causation among VDT operators, "Ergonomics, vol.41, 1998, pp. 213-226.
[23]Schreuer, N., Lifshitz, Y., Weiss, P.L., "The effect of typing frequency and speed on the incidence of upper extremity cumulative trauma disorder, " Work, vol.6, 1996, pp.87-95.
[24]Jensen, C., Finsen, L., Sogaard, K., Christensen, H., "Musculoskeletal symptoms and duration of computer and mouse use, "Int. J. Ind. Ergon., vol.30, 2002, pp.265-275.
[25]Blatter, B.M., Bongers, P.M., "Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb, "Int. J. Ind. Ergon., vol.30, 2002, pp.295-306.
[26]Szeto, G.P.Y., Straker, L.M., O''Sullivan, P.B., "The effect of typing speed and force on motor control in symptomatic and asymptomatic office workers, "Int. J. Ind. Ergon., vol.35, 2005, pp.779-795.
[27]Sauter, S.L., Schleifer, M., Knutson, S., "Work posture, work station design, and musculoskeletal discomfort in a VDT data entry task, "Hum Factors, vol.33, 1991, pp.151-167.
[28]Rempel, D.R., Tittiranonda, P., Burasteno, S., Hudes, M., So, Y., "Effect of keyboard key switch design on hand pain, "J. Occup. Environ. Med., vol.41, 1999, pp.111-119.
[29]Szabo, R.M., "Carpal tunnel syndrome as a repetitive motion disorder, " Clin. Orthop. Relat. Res., vol.351, 1998, pp.78-89.
[30]Jensen, C., Borg, V., Finsen, L., Hansen, K., Juul-Kristensen, B., Christensen, H., Job demands, "muscle activity and musculoskeletal symptoms in relation to work with the computer mouse, "Scand. J. Work Environ. Health, vol.24, 1998, pp.418-424.
[31]Karlqvist, L. K., and Hagberg, M., Koster, M., Wenemark, M., Anell, R., "Musculoskeletal symptoms among computer assisted design (CAD) operators and evaluation of a self-assessment questionnaire, "Int. J. Occup. Environ. Health, vol.2, no.3, 1996, pp.185-194.
[32]Palmer, K.T., Cooper, C., Walker, B. K., Syddall, H., Coggon, D., "Use of keyboards and symptoms in the neck and arm: evidence from a national survey, "Occup. Med., vol.51, 2001, pp.392-395.
[33]Fagarasanu, M., Kumar, S., "Carpal tunnel syndrome due to keyboarding and mouse tasks: a review, "Int. J. Ind. Ergon., vol.31, 2003, pp.119-136.
[34]Keir, P., Bach, J., Rempel, D., "Effects of computer mouse design and task on carpal tunnel pressure, "Ergonomics, vol.42, 1999, pp.1350-1360.
[35]Laursen, B., Jensen, B.R., "Shoulder muscle activity in young and older people during a computer mouse task, "Clin. Biomech. Suppl., vol.1, 2000, pp.S30-S33.
[36]Foglemana, M., and Lewis, R.J., "Factors associated with self-reported musculoskeletal discomfort in video display terminal (VDT) users, "Int J Ind Ergon., vol.29, 2002, pp.311-318 .
[37]Jensen, C., Finsen, L., Sogaard, K., Christensen, H., "Musculoskeletal symptoms and duration of computer and mouse use, "Int J Ind Ergon., vol.30, 2002, pp.265-275.
[38]Chang, C.H., Amick, B.C., Menendez, C.C., "Daily computer usage correlated with undergraduate students’ musculoskeletal symptoms, "Am J Ind Med., vol.50, 2007, pp.481-488.
[39]Lorusso, A., Bruno, S., L''Abbate, N., "Musculoskeletal disorders among university student computer users, "Med Lav., vol.100, no.1, 2009, pp. 29-34.
[40]Fredric, G ., Michele, M., Cindy, E., "A Prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders, "American journal of industrial medicine., vol.41, 2002, pp. 221-235.
[41]Cooper, A., Straker, L., "Mouse versus keyboard use: A comparison of shoulder muscle load, "Int. J. Ind. Ergon., vol.22, 1998, pp.351-357.
[42]Keir, P.J., Bach, J.M., Rempel, D., "Effects of computer mouse design and task on carpal tunnel pressure, "Ergonomics, vol.42, no.10, 1999, pp.1350- 1360.
[43]Dennerlein, J., Dimarino, M.H., Becker, T., Johnson, P., "Wrist and shoulder muscle activity changes across computer tasks, "HFES 46th Annual Meeting, 2002.
[44]Laursen, B., Jensen, B.R., Garde, A.H., Jorgensen, A.H., "Effect of mental and physical demands on muscular activity during the use of a computer mouse and a keyboard, "Scand J Work Environ Health, vol.28, no.4, 2002, pp.211-213.
[45]Feuerstein, M., Armstrong, T., Hickey, P., Lincoln, A., "Computer keyboard force and upper extremity symptoms, "Journal of Occupational & Environmental Medicine, vol.39, no.12, 1997, pp.1144-1153.
[46]Balci, R., Aglazadeh, F., "The effect of work-rest schedules and type of task on the discomfort and performance of VDT users, "Ergonomics, vol.46, 2003, pp.455-465.
[47]Grace, P.Y., Leon, M., Peter, B., "The effect of typing speed and force on motor control in symptomatic and asymptomatic office workers, "Int J Ind Ergon, vol.35, 2005, pp.779-795.
[48]Jmker, S.I., Huysmans, M.A., Blatter, B.M., Beek ,A.J., Mechelen, W., Bongers, P.M.," Should office workers spend fewer hours at their computer? Asystematic review of the literature, "Occup Environ Med., vol.64, 2006, pp.211–222.
[49]Dennerlein, J.T., Johnson, P.W., "Different computer tasks affect the exposure of the upper extremity to biomechanical risk factors," Ergonomics, vol.49, no.1, 2006, pp.45-61.
[50]Bystrom, J.U., Hansson, G.A., Rylander, L., Ohlsson, K., Kallrot, G., Skerving, S., "Physical workload on neck and upper limb using two CAD applications, " Applied Ergonomics, vol.33, 2002, pp.63-74.
[51]Homan, M.M., and Armstrong T.J., "Evaluation of three methodologies for assessing work activity during computer use," Am Ind Hyg Assoc J., vol.64, 2003, pp.48-55.
[52]Blangsted, A.K., Hansen, K., Jensen, C., "Validation of a commercial software package for quantification of computer use, " Int J Ind Ergon., vol.34, 2004, pp.237-241.
[53]葉昭妤,電腦鍵盤滑鼠活動紀錄系統效度測試,碩士論文,臺灣大學職業醫學與工業衛生研究所,臺北,2007。
[54]Chen, H.C., Wu, H.C., Liu, Y. P., "Design and functional evaluation of a novel external logger for computer input activities, " Int J Ind Ergon., vol.39, no.5, 2009, pp.790-797.
[55]勞工安全衛生研究所,電腦作業勞工之上肢肌肉骨骼傷害危險因子評估研究,2010。


電子全文 電子全文(本篇電子全文限研究生所屬學校校內系統及IP範圍內開放)
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top