International Journal of Industrial Ergonomics 42 (2012) 183e198
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International Journal of Industrial Ergonomics
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Hand anthropometry of the Colombian oriculture workers of the Bogota plateau
Rafael Guillermo Garca-Cceres a, * , Sarah Felknor a,1 , Jorge E. Crdoba b , Juan P. Caballero b , Lope H. Barrero b
a Escuela Colombiana de Ingeniera Julio Garavito, School of Engineering, Ak 45 No 205-59, Building C Second oor Bogot, Cundinamarca Colombia b Department of Industrial Engineering, School of Engineering, Ponticia Universidad Javeriana, Bogot, Colombia
a r t i c l e i n f o
Article history: Received 4 February 2010 Received in revised form 7 October 2011 Accepted 13 December 2011 Available online 27 January 2012
Keywords: Hand anthropometry Tool design Agriculture Floriculture Female workers a b s t r a c t
The use of hand tools that t users characteristics is essential for task productivity and prevention of musculoskeletal disorders in industry. In Colombia, workers in the oriculture industry use a wide range of hand tools in cultivation tasks. However, little is known about the correspondence between the employed tools and hand dimensions of this population. The present article studies the hand anthro- pometry (HA) of a sample of 120 adult female workers of the Colombian ower industry located in the Bogota plateau. In total thirty-three HA measures were studied. A survey of the tasks and hand tools used in this population was also conducted. Detailed descriptive statistics were estimated for the assessed HA measures; and a comparative statistical analysis with other worker female populations reported in the literature was conducted. We found that the surveyed oriculture workers are systematically using tools with dimensions that do not adequately t their HA and that may impose unnecessary mechanical loads to the users. HA in the present study population appear to be signicantly different from other populations HA, which suggest the need to promote the acquisition, design or re-design of manual tools specically thought for this working population. Relevance to industry: Hand anthropometry is a necessary input for tool design that promotes task productivity and workers health. The detailed HA information presented in this study can be used by tool manufacturers to design tools that are suitable for workers of the Colombian oriculture industry. 2011 Elsevier B.V. All rights reserved.
1. Introduction and background
There is ample evidence in the literature linking anthropo- metrically unadapted manual tools and implements to musculo- skeletal injuries and disorders resulting from cumulative trauma, fatigue and biomechanical stress (Aghazadeh and Mital, 1987; Moore et al., 1991; Kelly et al., 1995; Botha and Bridger, 1998; Gordon and Weinstein, 1998; Sjgaard and Sgaard, 1998; Keir and Wells, 1999; Chao et al., 2000; Sande et al., 2001; Mirka et al., 2002; Boyles et al., 2003). A surveillance study conducted by NIOSH (1993) reported that musculoskeletal injuries accounted for 24% of all injuries caused by power and non-power hand tools. However, this estimate is probably low compared to what the actual situation of a worker population in a developing country could be.
* Corresponding author. Tel.: 571 6683600; fax: 571 6762340. E-mail addresses: rafael.garcia@escuelaing.edu.co (R.G. Garca-Cceres), SFelknor@cdc.gov (S. Felknor). 1 Associate Director for Research Integration and Extramural Performance, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-E-20, Atlanta, GA 30329, United States. Tel.: 1 404 498 2530 (Ofce), 1 404 498 1354 (Direct). The evidence on the relationship between musculoskeletal injuries and disorders resulting from cumulative trauma and occupational risk factors is supported in biomechanics, which relates the Hand Anthropometry (HA) of an individual with the mechanical demands associated with the use of a hand tool (Grant et al., 1992; Rempel et al., 1997; Kattel et al., 1996; Martin et al., 1996; Imrhan and Farahmand, 1999; Gerard et al., 1999; Radwin et al., 2002; Radwin and Jeng, 1997; Espaa-Romero et al., 2008). Some reported occupational risk factors accounting for upper limb cumulative trauma disorders (CTD) are: hands held in xed posi- tion over long periods; repetitive exertions and motion with exed or hyperextended hand or wrist; pressure at the base of the palm; persistent strain, gripping, jolting, vibration; forearm pronation or supination; and extreme hand and wrist postures, among others (Armstrong and Silverstein, 1987). These risk factors can produce internal reactions within the workers upper limb such as compression of nerves, deformation of tissues or decreased circu- lation (Martin et al., 1996). Examples of resulting diseases are: tenosynovitis, tendinitis, DeQuervains syndrome, peritendinitis, carpal tunnel syndrome, ulnar nerve entrapment, perineural brosis, posterior interosseous nerve syndrome, and trigger nger (Armstrong and Silverstein, 1987; Moore and Garg, 1994).
0169-8141/$ e see front matter 2011 Elsevier B.V. All rights reserved. doi:10.1016/j.ergon.2011.12.002 184 184 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 184 184
Previous studies have veried, for example, the relation between hand anthropometry and maximum pinch strength (Eksioglu et al., 1996); hand anthropometry and optimal grip-span for maximum grip force (Eksioglu, 2004); hand anthropometry, tool design and productivity (Eksioglu, 2006); hand anthropometry and optimal cylindrical handle diameter for maximal torque strength (Imrhan and Farahmand, 1999); hand anthropometry and optimal cylindrical handle diameter for maximal grip strength (Grant et al., 1992), and nally, hand anthropometry and optimal workerest cycles for an isometric intermittent gripping task as a function of force, posture and grip-span (Eksioglu, 2006). According to Norris and Wilson (1997), among other authors, the design of safe tools and implements requires anthropometric data as an essential input. In sum, this information is considered a fundamental reference for those involved in the development and manufacture of manual tools and in the selection of appropriate manual implements for specic tasks and populations. Thus, with the aim of contributing to the prevention of distal disorders, the present work not only compares the HA of the oriculture worker population of the Bogota plateau to those of reference populations reported in the literature, but describes the tools utilized by these workers as well. There has been an important amount of work regarding hand anthropometry worldwide. The Table 1 contains general descrip- tions of some of the most relevant works that have included measures on hand anthropometry. We could only nd two local studies on HA (Ruiz, 2001; Estrada, 1995) although one of these studies included only children (Ruiz, 2001). In turn, the work of Estrada constitutes the most complete reference on anthropometry of Colombian workers. Yet, it does not focus on a specic body member, as is the case of the present survey, with which it only has six anthropometric hand measures in common. Also, it is notable that there are only a few efforts aimed at establishing a detailed assessment of HA of a female population. Furthermore, only two of the studies correspond to agricultural workers (Okunribido, 2000; Kar et al., 2003); and only one of them is most comparable to our study population based on the age range of the persons included in the sample (Kar et al., 2003). In the present work, we also compared HA of our population to HA other populations of women that have similar age distributions (Dewangan et al., 2008; Estrada, 1995; Kar et al., 2003; Mandahawi et al., 2008; Nag et al., 2003; Imrhan et al., 1993). The number of anthropometric measures included in the study is only exceeded by those reported by Garrett (1971) and Nag et al. (2003). Regarding female population sample size, the present research is only over- come by those of Dewangan et al. (2008) and Estrada (1995), although we included many more anthropometric measures, and it can be considered to be specic of the oriculture worker pop- ulation of the Cundinamarca region of Colombia.
2. Relevance to industry
2.1. World market
The international demand for owers is characterized by continuous growth and intense offer and demand concentration. In Europe, Holland is the main supplier for Germany, Switzerland, France and the UK. In America, Ecuador follows Colombia as the main supplier for the USA. In Asia, for its part, Japan receives owers from China, New Zealand and Europe. The main ower producers worldwide are the Holland, with 7378 ha, the United States (20,181 ha), and Japan (17,569 ha). These three countries control about 50% of the world production on about 20% of the planted area. Considering that among them only Holland generates export surplus, Colombia is the second fresh ower exporter of the world (Asocolores, 2007). 2
2.2. The situation in Colombia
After more than 30 years of entrepreneurial history in Colombia, owers have been ranked as the main non-traditional export product of the country, holding 14% of the world market. The country counts with 7266 ha of ower crops, mainly located in the Bogota plateau (79%), Antioquia (17%) and the central/west regions (4%). The cultivated owers include roses (29.7% of the cultivated area), carnations (12.7%), mini carnations (6.7%), chrysanthemums and pompons (7.5%), bouquets (32.4%), and a series of other owers with lower percentages. The sector is oriented to the international market, some companies reaching export percentages up to 98% of their production. In 2007, the sector sold approximately US$ 1,114,000,000. In sum, this activity can be said to be consolidated and capable of sustainably generating employment and currencies (Asocolores, 2007). In spite of all this, the sector has been undergoing a very con- cerning health situation that might eventually put its competi- tiveness at risk. The most recent report of the Ministry of Health and Social Protection on professional disease (corresponding to the period from years 2003 to 2005) presents Carpal Tunnel Syndrome (CTS) as the most prevalent (32%) of all occupational illness diag- noses, out of which 82% correspond to musculoskeletal disorders (MPS, 2007). Although this situation is not exclusive of the sector, it is particularly intense there due to activities that imply forceful frequent use of hand tools and implements. Deterioration of the workers wellbeing due to hand disease prevalence has a negative impact on the productivity and sustainability of the sector, there- fore affecting its development, and consequently, that of the country. Respectively in 2000 and 2001, the US National Research Council and the European Agency for Safety and Health at Work concluded that job-related musculoskeletal injuries continue to account for about one-third of all workers compensation costs. This gure has not yet been estimated for Colombia, but based on the mentioned references it can be reasonably supposed to repre- sent a considerable expenditure for the country. The population under study comes from the harvest and post-harvest areas of the oriculture sector of the Bogota plateau, whose production responds for 79% of the fresh ower exports of the country (Asocolores, 2007). It is a particularly vulnerable social sector, as far as it is mainly constituted by women that are frequently head of household. The current research is intended as an anthropometric guide for the development of hand occupational disease reducing interventions on the studied population, espe- cially regarding the design and (eventually industrial) production of adequate manual tools and implements.
3. Methods
3.1. Study population
The study was carried out in the rural zones of the Bogota plateau, whose populations occupation is mainly agricultural, in many occasions involving harvest and post-harvest labors in ower growing industries. The people who participate of these activities have low educational levels (usually not more than primary studies) and come from large families in which they have had contact with country labors since their childhood. The Colombian
2 Referenced as Asociacin Colombiana de Exportadores de Flores, which translates as Colombian Association of Flower Exporters. 185 185 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 185 185
Author Population Country Age Gender AM HAM AMN AMC AMI (mean, range) (women, men) Courtney and Ng (1984) Clothes manufacturing apprentices Hong Kong (-, 15e33)
(100, -) 24 24 16 8 25 Davies et al. (1980) Industry workers UK Not reported
(92,-) 28 28 21 7 26 Dewangan et al. (2008) Adults India (-, 18e60)
(400,-) 76 12 9 3 30 Espaa-Romero et al. (2008) Boys and girls Spain (-, 6e12)
(70,123) 2 1 1 0 33 Estrada (1995) Employees of industries with Colombia (-, 20e59)
(840,1260) 69 6 1 5 28
more than 100 workers.
Garrett (1971) Air force workers USA Not reported
(23, 26) 56 56 23 33 0 Imrhan et al. (1993) Vietnamese university students USA (24.8, 17e56.1)
(30, 41) 24 24 14 10 23
Imrhan et al. (2005) and home helpers. Ofce and industry workers,
Bangladesh
(32.2, -)
(32, -)
23
23
15
8
25
university students and home helpers.
Japanese Committee Not reported Japan Not reported
(768, -) 3 3 1 2 31 Kar et al. (2003) Agricultural workers India (-, 18e65)
(204, 200) 8 8 4 4 27 Klamklay et al. (2008) Students from South Thailand Thailand (-, 18e25)
(150, 15) 39 2 0 2 31 Mandahawi et al., 2008 Industry workers, secretaries, Jordan (-, 18e59)
(120, 115) 24 24 15 9 24
nurses, students and teachers of four cities.
Nag et al., 2003 Industry workers India (-, 16e58)
(95, -) 51 51 18 33 0 Okunribido, 2000 Workers of a farm Nigeria (-, 9e60)
(37, -) 18 18 10 8 25 Prado-Leon et al., 2001 Not reported Mexico (-, 6e11)
(2387, 2371) 50 5 3 2 31 Imrhan and Contreras, 2005 Mexicans in the USA border, USA (32, -)
(25, 25) 23 23 15 8 25
industry workers,
university students and home helpers.
Ruiz, 2001 Male and female students Colombia (-, 5e10)
(250, 25) 30 4 2 2 31
of public schools of Bogota
from strata 1 and 2.
Table 1 Review of works on hand anthropometry. AM: Number of anthropometric measures of the reference work. HAM: Number of hand anthropometric measures of the reference work. AMN: Number of hand anthropometric measures of the reference work that are not considered in the present work. AMC: Number of hand anthropometric measures that are common to the reference and the present work. AMI: Number of hand anthropometric measures that have been included in the current work, but not in the reference one.
of Anthropometry (1967)
population is of mixed race, but the phenotypes vary among regions. In the particular case of the surveyed region, it is close to the original native population. Due to ower delicacy, oriculture companies prefer to hire women, thus determining the population under study to be mainly female. The age of the sampled workers ranged between 18 and 59, thus conforming to the Colombian labor regulations (Cdigo sustantivo del trabajo de la Repblica de Colombia, 1950). 3
The sample size of this study was 120 which result in different precision of the estimated means depending on the expected variance of specic anthropometric measures. For variances of 4 and 64 mm 2 (SD 2 mm and 8 mm, respectively), which include most typically observed variances in HA measures (Garrett, 1971; Courtney and Ng, 1984; Imrhan et al., 2005; Estrada, 1995; Okunribido, 2000; Nag et al., 2003; Imrhan and Contreras, 2005; Mandahawi et al., 2008); an error of 2 mm and a 95% condence, a sample size of 63 would be required. For the sample size used in the present study (n 120), keeping the same condence level and for variances of HA measures as large as 225 mm 2 (SD 15 mm), we expect a maximum error of 2.7 mm in the measures. The ower plantations were chosen at random and the data collection process was coordinated with their administrators, who granted the corresponding temporary permissions for the workers to participate in the data collection process.
3.2. Measuring instruments
The instruments used for the anthropometric data collection included: a small metallic anthropometer to measure each hands breadth, length and depth, equipped with curved sliding branches providing direct readings to the nearest millimeter over a range of 30 cm; an anthropometric grid (a 25 25 cm board with a 5 cm
3 Substantive labor code of the Republic of Colombia. square grid on its surface) was used as an extra measurement aid; and nally, circumference measurements were taken with a measuring fabric tape also calibrated in centimeters and millimeters over a range of 1.5 m. These measuring instruments are entirely analog and manual, do not require calibration, and are similar to those used in previous studies (Nag et al., 2003) (Fig. 1). As a result, the accuracy of data collection depends on the methodology and the ability of the person doing the measurement. In this case, the measuring team had received special training in order to ensure a standardized process. Additionally, it was necessary to use a form to collect basic information from workers including personal identication, contact and socio-cultural information, and an informed consent. The data collection procedure was approved by the Research and Ethics Committee of the School of Medicine of Ponticia Uni- versidad Javeriana, Bogota, Colombia.
3.3. Data capturing and processing
The data collection process was carried out as follows. All workers included in the sample were interviewed at the work place, i.e., the ower-growing farms of the Bogota plateau. They were told about the purpose of the project and how their cooperation would represent a fundamental contribution to such development. We made emphasis on the strict need to follow the instructions of the interviewer to ensure the collection of reliable information. The measurement process was carried out by a ve member research team on two groups of workers. The members of the measuring team had received preliminary training in a Gesell chamber, 4 after which
4 The Gesell chamber is a two-compartment room disposed to facilitate the observation of peoples performance. A one-way vision glass separates the two compartments and allows observers on one side to watch what goes on the other side. An audiovisual system records the experiment. 186 186 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 186 186
they were asked to proceed with the measuring as indicated, in order to conrm and revise their learning. This process also allowed adjusting the time each measurement session would take. Each measurement session was conducted with two seated persons: the worker and an interviewer from the research team; and a supervisor from the research team. We then proceeded to make the length measurements with the anthropometric grid, the width measurements with the curved arm anthropometer, and circumference measurements with the tape. During the sessions, after asking the worker to adopt the posture dened for the measurement, the interviewer read aloud the measured value, which was entered into the corresponding form by the supervisor. The latter was in charge of verifying that the procedure conformed to the established protocol; he was authorized to order the repe- tition of the measurement as many times as he deemed necessary to ensure the reliability of the information.
3.4. Description of the hand tools
The harvest activities of the studied population consist mainly in ower gathering and plant pruning, whereas post-harvest activities include ower preparation, bunching and packing in different Stock Keep Units (SKUs). These two processes are per- formed with the aid of different tools and manual implements such as large and small blade pruners for rose and carnation cutting, respectively; handicraft knife for mini carnations; and trimming board to make the bunch stalks even during post- harvest, as it can be seen in Fig. 2. The Felco 2 pruner e designed in the 60s by the Swiss company of the same name e is among the most widespread tools for the pruning and harvesting of roses in the Colombian ower industry (Figs. 2A and 3). Although it has been a long time since it was rst conceived, this is still a highly appreciated tool and the best selling one of its brand (www.felco.ch). Forged aluminum central pieces support rubber coated handles held in place by a central steel spring. The replaceable, steel made, by-pass cutting blades are attached to the handles. The whole tool weights 250 g and has a stalk cutting capacity up to 25 mm. For the cutting of those ower stems that are softer and thinner than roses, these industries use lighter shears generally of the Bahco brand, weighting 120 g, with rigid plastic handles, steel xed blades and stalk cutting capacity up to 20 mm (Fig. 2B).
Fig. 2. Manual tools and implements commonly used in the Colombian oriculture industry. A: Felco
pruning shears; B: Bahco
light shears for ower cutting; C: Pruning knife; D: Handcrafted knife. 187 187 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 187 187
Fig. 3. Hand grip of the Felco 2 pruner. A: Open Felco 2
pruner exceeding the workers hand dimensions; B: Full hand grip with Felco 2 pruner.
The nal preparation of the owers takes place in specially adapted rooms where all the stems that will make up a bouquet are cut the same length. The cutting is done with a manual board trimmer attached to a table. This implement involves the use of a pivoted steel blade that is driven vertically along a horizontal blade xed on tables edge as it cuts the stems for the bouquet (Figs. 2D and 4). The pivot end of the blade is attached to the table by a shaft that allows the necessary vertical movement to cut the stems. The moving end has the handle on which the operator applies hand and arm force. Finally, for the collection of some varieties of owers, including mini carnations and other varieties with thin and weak stems growing close together, no scissors are used but a handcrafted cutting tool developed by the workers, consisting in a hacksaw blade segment sharpened at one end, and inserted in a piece of plastic tube or rubber hose on the other end (Figs. 2C and 5). This tool is not comparable with any other one in the oriculture market, but it resembles a small light pocket knife.
3.5. Hand grip on each tool
The Felco 2 pruner allows a full hand grip, but in order to start the closing movement the handles need to be held with the ngertips. During the eld inspections we could observe that when the workers manipulate this tool sometimes it falls down from their relatively small hands (Fig. 3). In the operation of the board trimmer its good sized handle allows a full hand grip with no biomechanical disadvantages. The maximum effort falls on the operators arm, particularly on the wrist as the handle is rmly held while moving the blade down (Fig. 4). Lastly, the handicraft knife is a small tool apparently intended for a full hand grip. In practice, though, it is almost held with the ngers in a pincer grip by strongly pressing the thumb on the knifes small handle (Fig. 5).
3.6. Selection, description and comparison of anthropometric measures
The selection of the hand anthropometric measures studied in the present work was based on three criteria: (i) measure repre- sentativeness; (ii) measurement reliability with the available instruments; and (iii) pertinence with regards to the object of study. For the latter purpose, we analyzed the frequency of inclu- sion of the anthropometric measures in the literature and their relation to the tools and implements used in harvest and post- harvest labors. Based on this selection process we discarded measures such as the distance of each ngers phalange, width and length of the ngertips, grip diameter (outside) and each ngers maximum grip breadth, which have been included in previous studies (e.g., Nag et al., 2003; Imrhan, et al. 1993). In total, this work characterized 33 HA measures (Icon column of Table 2 and Appendix A). All included measures were statistically described as in previous studies by its mean, standard deviation (DS), and percentiles 5, 10, 25, 75, 90 and 95 (e.g., Mandahawi et al., 2008). Also, tests of normality were executed for each HA measure using the Kolmogorov Smirnov and ShapiroeWilk statistical tests, applied at a 95% condence level. Lastly, we conducted formal t- tests of differences in the reported means between our study and previous studies that shared the same anthropometric measures and that reported information for women in a similar range of age. However, as it has been discussed previously (Imrhan et al., 2009), comparisons should be observed with care because there exists a variety of factors related to instrumentation, measurement technique and individual factors that can affect the comparability of the samples and can confound differences that are due to ethnicity or nationality.
Fig. 4. Grip on the board trimmer. A: Starting the board trimmer cut; B: Finishing the board trimmer cut. 188 188 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 188 188
4. Results
Fig. 5. Grip on the handicraft knife. measures ranged between a minimum (hand breadth: 4.3%) and a maximum (perpendicular height at wrist prolongation - thumb: 14.7%). Among the non-hand measures, the highest CV was that of corporal weight (16.3%). These data showed no major deviations, probably due to the phenotypic homogeneity of the studied population. Also, we could not nd statistically signicant differences between age groups (i.e., <30, 30 to <40, 40 to <50 and, <60, with sample sizes equal to 10, 38, 50 and 23 in each age group, respectively) for most mean measures, except for the thickness and circumference of the thumb at the joint, thickness and circumference of the forenger at the distal joint, and the circumference of the middle nger at the proximal joint. However, this study was not designed to observed differences by age groups and therefore this result is considered only descriptive of the present population. The tests of normality did not reject the null hypothesis of data normality for most of the considered measures, except for hand depth; thickness and depth of the thumb at the joint; thickness and depth of the forenger and middle nger at the proximal and distal joints; and the circumference of the forenger at the distal joint (Table 2).
Table 2 presents a descriptive analysis of the measures considered in this work. The coefcient of variation (CV) of the HA The means and standard deviations of previous studies on female hand anthropometry are presented in Appendix B. The formal tests of differences in hand anthropometry between our study population and populations with similar age ranges reported
Table 2 Hand anthropometry of a sample of female workers of the oriculture sector of the Bogota plateau. See Appendix C for picture denitions of the ICON column. All measures are in millimeters except where indicated. * Measures that did not t to the normal distribution.
Table 3 Comparison summary of comparable HA measures reported in studies with female populations. N: number of comparable measures of the reference study. MS: number of comparable measures whose mean value was lower than the present studys. ML: number of comparable measures whose mean value was larger than the present studys.
Comparison population Length Width Depth WidtheDepth N MS ML N MS ML N MS ML N MS ML Colombian (Estrada, 1995) 1 0 0
2 2 0
0 0 0
2 2 0 Indian (Kar et al., 2003) 1 0 1
1 0 1
0 0 0
2 0 2 Indian (Nag et al., 2003) 10 3 6
7 7 0
7 6 1
9 9 0 Indian (Dewangan et al., 2008) 1 1 0
1 1 0
1 0 1
0 0 0 Jordanian (Mandahawi et al., 2008) 3 0 3
3 1 0
3 2 0
0 0 0 Vietnamese (Imrhan et al., 1993) 3 0 0
3 1 0
3 2 0
1 1 0
in previous studies are presented in Appendix C, and are summa- rized in Table 3. The small number of measures taken in other reference populations both hindered and dened the extent to which their HA can be compared to our study population. Depending on the number of HA measures in the reference populations that were found statistically different from the Colombian population, we attempted to classify those reference female populations in one of three groups: Reference populations that are different (1), similar (2) or show no tendency (3) with respect to the Colombian workers in the present study (Table 3). Nevertheless, none of the reference comparable populations showed denite similarities in HA with the Colombian female workers of the present study, except for the Colombian general population reported previously (Estrada, 1995) that appear to have thinner but otherwise similar hands to our study population. In the group 1, we found four populations that were mostly different from our population: (i) Indian workers (Nag et al., 2003) with slender (less wide), thinner (less deep) hands and generally longer hands compared to our population; (ii) Adult Indian females (Dewangan et al., 2008) came from a population with shorter, slenderer and deeper hands than workers in our study population; (iii) Indian agricultural workers (Kar et al., 2003) who appear to have longer and wider hands than workers in our study population (iv) Jordanians (Mandahawi et al., 2008) came from a population with longer, slenderer and thinner hands than our study population. In group 3, we found one additional population that shows some similarities but also some important differences with our study population (Imrhan et al., 1993). The Vietnamese Americans reported in that study were similar to our study population regarding length but appeared to be slenderer and thinner than our study population.
5. Conclusions
The article contributes to the characterization of a series of hand anthropometric measures in the oriculture worker population of the Bogota plateau. Due to the features of the sample, such characterization can be useful in the development or selection of work tools and implements. Given the small number of comparable measures, no denite statements can be made about hand anthropometric differences between this study population and most comparable reference populations found in the literature. Furthermore, comparability may be confounded by potential differences in the methods of various studies and individual factors (Imrhan et al., 2009). However, in spite of these possible issues, some differences can be noted. Our results suggest that the HA of this Colombian oricul- ture worker population does not resemble markedly to any particular population in other country; and is characterized by wider and shorter hands than most of the populations to which it was contrasted. The results also showed that the surveyed oriculture workers are systematically using tools with designs that do not adequately t their HA. In the context provided by the literature, the muscu- loskeletal disorders suffered by these workers could be considered to be at least partially the result of this mismatch. A preventive approach would aim to design and develop tools that conform to the HA of the population. As established by Law 100 of the Republic of Colombia, this duty corresponds to the oriculture companies themselves, Workers Insurance Companies in Colombia (ARPs 5 ) and the Ministry of Health and Social Protection.
Acknowledgments
This project was funded in part by grant 5D43TW000644-14 from the National Institute of Health, sub-award 0005919B. This work would not have been possible without the people who participated and collaborated in its realization. We are grateful to both the workers of the oriculture plantations of the Bogota plateau, and the administrative staff who facilitated the capture of the information. Special thanks to the Director of the Center for Ergonomics Studies at Ponticia Universidad Javeriana, Bogot, Colombia, Dr. Leonardo Quintana Jimnez, and to Dr. Augusto Len, occupa- tional health physician with specialty in oriculture, for their initial contributions and logistical support in project design.
Appendix A. Explanatory gures and denitions for the icon column in Table 2
Hand length: Hand is in neutral posture (in line with the fore- arm) with extended ngers and palm is facing up. This dimension is measured from the wrist crease directly below the pad of muscle at the base of the thumb to the tip of the middle nger (Described as in Garrett, 1971 (Hand length; wrist crease); Estrada, 1995 (#39 in Table 3); Kar et al., 2003 (#1); Dewangan et al., 2008 (#59); Nag et al., 2003 (#1); Klamklay et al., 2008 (#22 in Table 1); Imrhan et al., 2009 (#21); Mandahawi et al., 2008 (#21)).
5 ARP stands for Administradora de Riesgos Profesionales. 190 190 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 190 190
Hand width: Hand is in neutral posture (in line with the fore- arm) with extended ngers and palm is facing up. This dimension is measured across the palm of the hand at the junction between the palm and the ngers, not including the thumb. The hand and ngers must be held at (Described as in Garrett, 1971 (Hand breadth; metacarpale); Estrada, 1995 (#31); Kar et al., 2003 (#3); Nag et al., 2003 (#13); Dewangan et al., 2008 (#60); Klamklay et al., 2008 (#21 in Table 1); Imrhan et al., 2009 (#20)).
Wrist width: Hand is in neutral posture (in line with the fore- arm) with extended ngers and palm is facing up. This dimension is measured across the wrist at the crease between the hand and the forearm below the pad of muscle at the base of the thumb. The hand must be held at as a direct extension of the forearm (Described as in Garrett, 1971 (wrist breadth); Estrada, 1995 (#30); Nag et al., 2003 (#19)).
Metacarpal hand circumference: Hand is in neutral posture (in line with the forearm) with extended ngers and palm is facing up. This dimension is measured with a tape along the circumference of the palm of the hand over the junction between the palm and the ngers (palmar side) and over the knuckles (dorsal side). The hand and ngers must be held at (Described as in Garrett, 1971 (Hand circumference; metacarpale); Estrada, 1995 (#55); Kar et al., 2003 (#6); Nag et al., 2003 (#23)).
Hand circumference holding ngertips: The 5 ngertips of the hand are held together. The ngertip of the ring nger rests above the pinkie nger; and the ngertip of the thumb faces up opposite to the index, middle and ring ngers. This dimension is measured with a tape along the circumference that goes over halfway of the proximal phalanges of the ngers (Described as in Garrett, 1971 (Hand circumference; ngertips even); Nag et al., 2003 (#24)).
Fist circumference: Hand is closed making a st with the thumb resting over the second phalanges of the index and middle ngers. This dimension is measured with a tape along the circumference over the knuckles at the metacarpophalangeal joints (Described as in Garrett, 1971 (st circumference); Kar et al., 2003 (#7); Nag et al., 2003 (#25)).
Wrist circumference: Hand is extended and palm is facing up. This dimension is measured with a tape along the circumference over the wrist joint, at the crease between the hand and the fore- arm (palmar side). The hand must be held at as a direct extension of the forearm (Described as in Garrett, 1971 (wrist circumference); Estrada, 1995 (#54); Nag et al., 2003 (#26)).
Hand thickness: Hand is extended; thumb extended held away from the hand but the other ngers close together. This measure- ment is taken as the depth of the hand at the distal ends of the metacarpals of digits 2e5 (index, middle, ring and pinky) (Described as in Garrett, 1971 (Hand thickness; metacarpal III); Nag et al., 2003 (#34); Imrhan et al., 2009 (#23 at digit 2); Dewangan et al., 2008 (#62); Mandahawi et al., 2008 (#23)).
Hand depth: Hand is extended with the index, middle, ring and pinky ngers close together; thumb held halfway exed and adducted, closed together with the other ngers in a way that the 191 191 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 191 191
nail of the thumb is in line with the side of the palm and index nger. This dimension is measured between the lowest part of the interphalangeal joint of the thumb and the upper-most part of the metacarpophalangeal joint of the index nger (Described as in Garrett, 1971 (Hand depth; thenar pad)).
Joint: thickness (thumb): Hand is extended; thumb extended and abducted just below the palm in a way that the nail of the thumb is held vertical. This measure is taken from side to side of the interphalangeal joint of the thumb across the crease of the joint facing the nail of the thumb (Described as in Garrett, 1971 (Digit 1; interphalangeal joint; breadth); Nag et al., 2003 (#14)).
Joint: depth (thumb): Hand is extended; thumb extended and abducted. This measure is taken from the dorsal to the palmar side of the thumb at the interphalangeal joint (Described as in Garrett, 1971 (Digit 1; interphalangeal joint; depth); Nag et al., 2003 (#36)).
Joint: circumference (thumb): Hand is extended; thumb extended and abducted. This dimension is measured with a tape around the circumference of the interphalangeal joint of the wrist (Described as in Garrett, 1971 (Digit 1; interphalangeal joint; circumference); Nag et al., 2003 (#27)).
Perpendicular height, wrist prolongation (thumb): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing down and supported over a grid. The forearm is in line with the middle nger. On the grid, the wrist crease between the hand and the forearm is made to coincide with one of the horizontal lines of the grid. Also, a horizontal line on the grid is marked in a way that it coincides with the thumb ngertip (ngerprint side). The measure is taken as the vertical distance between the two horizontal lines, i.e., the horizontal line of the wrist crease and the horizontal line of the thumb ngertip (Described as in Garrett, 1971 (Digit 1 height; perpendicular to wrist crease); Nag et al., 2003 (#2)).
Distance from ngertip to vertex (thumb): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured between the creases of the metacarpophalangeal joint of the thumb (palmar side) to the ngertip of the thumb along the middle line of the nger (Described as in Garrett, 1971 (Digit 1 length; ngertip to crotch level); Nag et al., 2003 (#7)).
Distal Joint: thickness (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This measure is taken from side to side of the interphalangeal distal joint of the index nger across the crease of the joint (Described as in Garrett, 1971 (Digit 2; distal interpha- langeal joint; breadth); Nag et al., 2003 (#7)).
Distal Joint: Depth (forenger): Hand is closed with the index nger extended and the thumb exed over the middle nger (as pointing out with the index nger). This measure is taken from the dorsal to the palmar side of the index nger at the distal inter- phalangeal joint (Described as in Garrett, 1971 (Digit 2; distal interphalangeal joint; depth); Nag et al., 2003 (#36)). 192 192 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 192 192
Distal Joint Circumference (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured with a tape around the circumference of the interphalangeal distal joint of the index nger (Described as in Garrett, 1971 (Digit 2; distal interphalangeal joint; circumference); Nag et al., 2003 (#28)).
Proximal Joint thickness (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This measure is taken from side to side of the interphalangeal middle joint of the index nger across the crease of the joint (Described as in Garrett, 1971 (Digit 2; proximal inter- phalangeal joint; breadth); Nag et al., 2003 (#16)).
Proximal Joint depth (forenger): Hand is closed with the index nger extended and the thumb exed over the middle nger (as pointing out with the index nger). This measure is taken from the dorsal to the palmar side of the index nger at the middle inter- phalangeal joint (Described as in Garrett, 1971 (Digit 2; proximal interphalangeal joint; depth); Nag et al., 2003 (#38)). Proximal Joint Circumference (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured with a tape around the circumference of the interphalangeal middle joint of the index nger (Described as in Garrett, 1971 (Digit 2; proximal interphalangeal joint; circumference); Nag et al., 2003 (#29)).
Perpendicular height, wrist prolongation (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing down and supported over a grid. The forearm is in line with the middle nger. On the grid, the wrist crease between the hand and the forearm is made to coincide with one of the horizontal lines of the grid. Also, a horizontal line on the grid is marked in a way that it coincides with the index ngertip. The measure is taken as the vertical distance between the two horizontal lines, i.e., the horizontal line of the wrist crease and the horizontal line of the index ngertip (Described as in Garrett, 1971 (Digit 2 height; perpendicular to wrist crease); Nag et al., 2003 (#3)).
Distance from ngertip to vertex (forenger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured between the creases of the metacarpophalangeal joint of the index nger (palmar side) to the ngertip of the index nger along the middle 193 193 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 193 193
line of the nger ((Digit 2 length; ngertip to crotch level); Nag et al., 2003 (#8)).
Distal Joint: thickness (middle nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This measure is taken from side to side of the interphalangeal distal joint of the middle nger across the crease of the joint (Described as in Garrett, 1971 (Digit 3; distal interphalangeal joint; breadth); Nag et al., 2003 (#17); Mandahawi et al., 2008 (#10); Imrhan et al., 2009 (#10)).
Distal Joint: depth (middle nger): Hand is semi-closed (meta- carpophalangeal and interphalangeal joints of the ngers but the middle nger exed, as pointing out with the middle nger). This measure is taken from the dorsal to the palmar side of the middle nger at the distal interphalangeal joint (Described as in Garrett, 1971 (Digit 3; distal interphalangeal joint; depth); Nag et al., 2003 (#39); Mandahawi et al., 2008 (#16); Imrhan et al., 2009 (#16)).
Distal Joint: circumference (middle nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured with a tape around the circumference of the interphalangeal distal joint of the middle nger (Described as in Garrett, 1971 (Digit 3; distal interphalangeal joint; circumference); Nag et al., 2003 (#30)).
Proximal Joint: thickness (middle nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This measure is taken from side to side of the interphalangeal middle joint of the middle nger across the crease of the joint (Described as in Garrett, 1971 (Digit 3; proximal interphalangeal joint; breadth); Nag et al., 2003 (#18); Mandahawi et al., 2008 (#12); Imrhan et al., 2009 (#12)).
Proximal Joint: depth (middle nger): Hand is semi-closed (metacarpophalangeal and interphalangeal joints of the ngers but the middle nger exed, as pointing out with the middle nger). This measure is taken from the dorsal to the palmar side of the middle nger at the middle interphalangeal joint (Described as in Garrett, 1971 (Digit 3; proximal interphalangeal joint; depth); Nag et al., 2003 (#40); Mandahawi et al., 2008 (#18); Imrhan et al., 2009 (#18)).
Circumference (middle nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured with a tape around the circumference of the interphalangeal middle joint of the middle nger (Described as in Garrett, 1971 (Digit 3; proximal interpha- langeal joint; circumference); Nag et al., 2003 (#31)). 194 194 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 194 194
Distance from ngertip to vertex (middle nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured between the creases of the metacarpophalangeal joint of the middle nger (palmar side) to the ngertip of the middle nger along the middle line of the nger ((Digit 3 length; ngertip to crotch level); Nag et al., 2003 (#4); Mandahawi et al., 2008 (#2); Imrhan et al., 2009 (#2)).
Perpendicular height, wrist prolongation (annular): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing down and supported over a grid. The forearm is in line with the middle nger. On the grid, the wrist crease between the hand and the forearm is made to coincide with one of the horizontal lines of the grid. Also, a horizontal line on the grid is marked in a way that it coincides with the ring ngertip. The measure is taken as the vertical distance between the two horizontal lines, i.e., the horizontal line of the wrist crease and the horizontal line of the ring ngertip (Described as in Garrett, 1971 (Digit 4 height; perpendicular to wrist crease); Nag et al., 2003 (#5)).
Distance from ngertip to vertex (annular): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured between the creases of the metacarpophalangeal joint of the ring nger (palmar side) to the ngertip of the ring nger along the middle line of the nger ((Digit 4 length; ngertip to crotch level); Nag et al., 2003 (#10)).
Perpendicular height, wrist prolongation (little nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing down and supported over a grid. The forearm is in line with the middle nger. On the grid, the wrist crease between the hand and the forearm is made to coincide with one of the horizontal lines of the grid. Also, a horizontal line on the grid is marked in a way that it coincides with the pinky ngertip. The measure is taken as the vertical distance between the two horizontal lines, i.e., the horizontal line of the wrist crease and the horizontal line of the pinky ngertip (Described as in Garrett, 1971 (Digit 5 height; perpendicular to wrist crease); Nag et al., 2003 (#6)).
Distance from ngertip to vertex (little nger): Hand is in neutral posture (in line with the forearm) with extended and abducted ngers and palm is facing up. This dimension is measured between the creases of the metacarpophalangeal joint of the pinky nger (palmar side) to the ngertip of the pinky nger along the middle line of the nger ((Digit 5 length; ngertip to crotch level); Nag et al., 2003 (#11); Mandahawi et al., 2008 (#1); Imrhan et al., 2009 (#1)). 195 195 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 195 195
Appendix B. Means and standard deviations of previous studies reporting hand anthropometry with female populations
Measure American (Garrett, 1971) (n 23) Bangladeshi (Imrhan et al., 2005) (n 32) Colombian (Estrada, 1995) (n 840) Hongkonger Chinese (Courtney and Ng, 1984) (n 100) Indian (Nag et al., 2003) (n 95) Indian (Dewangan et al., 2008) (n 400) Indian (Kar et al., 2003) (n 204)
Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Age (year) e e 32.2 e e e e e 32.2 10.1 e e e e Height (cm) e e 128 e 155.8 5.9 e e 149.8 6.3 153.3 5.5 e e Weight (kg) e e 63.4 e 59.8 9.4 e e 45.3 8.5 48.0 4.4 e e Hand measures (mm)
1. Hand length 179.3 8.6 175.1 11.07 166 7.9 e e 169.6 9.4 165.3 7.3 175.1 8.5 2. Hand width 77.0 3.8 75.8 5.17 74 3.6 e e 68 5.1 64.9 3 82.3 4.4 3. Wrist width 58.2 3.3 e e 49 3 e e 46.1 4.8 e e e e 4. Metacarpal Hand 187.2 8.4 e e 179 8.9 e e 188.6 10.2 e e 194.4 9.5 circumference
5. Hand circumference 214.6 12.2 e e e e e e 182.5 21.6 e e e e holding ngertips together
6. Fist circumference 248.4 13.2 e e e e e e 235.1 12.3 e e 263.5 13.3 7. Wrist circumference 149.9 7.1 e e 146 8 e e 143.6 6.9 e e e e 8. Hand thickness 27.7 1.8 e e e e 24.4 1.47 22.2 2.4 26.8 2.4 e e 9. Hand depth 51.6 3.8 e e e e 29.7 2.82 64.2 7.1 e e e e 10. Joint: thickness (thumb) 19.1 1.3 e e e e e e 14.7 2.1 e e e e 11. Joint: depth (thumb) 16.8 1.0 e e e e e e 11.5 1.6 e e e e 12. Joint: circumference (thumb) 56.1 3.3 e e e e e e 60.6 3 e e e e 13. Perpendicular Height 86.4 8.4 e e e e e e 82.1 11.2 e e e e at wrist prolongation (thumb)
14. Distance from 53.8 4.3 e e e e e e 64.1 6.3 e e e e ngertip to vertex (thumb)
15. Distal Joint: 15.5 1.0 e e e e e e 10.4 1.6 e e e e thickness (forenger)
16. Distal Joint: 13.0 1.0 e e e e e e 7.8 1.5 e e e e Depth (forenger)
17. Distal Joint 44.7 2.5 e e e e e e 48 4.2 e e e e Circumference (forenger)
18. Proximal Joint 18.3 1.0 e e e e e e 13 1.7 e e e e thickness (forenger)
19. Proximal Joint 16.3 1.0 e e e e e e 11.3 1.5 e e e e depth (forenger)
20. Proximal Joint 53.8 2.8 e e e e e e 57 3.1 e e e e Circumference (forenger)
21. Perpendicular height 164.3 9.1 e e e e e e 152.2 9.6 e e e e at wrist prolongation (forenger) 22. Distance from ngertip 69.1 5.1 e e e e e e 69.2 5.5 e e e e to vertex (forenger)
23. Distal Joint: 15.2 1.0 14.8 2.05 e e 14.9 0.83 10.4 1.5 e e e e thickness (middle nger)
24. Distal Joint: 13.2 1.0 12.2 1.5 e e 12.2 0.82 7.9 1.3 e e e e depth (middle nger)
25. Distal Joint: 44.7 2.5 e e e e e e 49.1 2.5 e e e e circumference (middle nger)
26. Proximal Joint: 18.3 1.0 17.9 1.95 e e 17.4 0.97 13.3 1.5 e e e e thickness (middle nger)
27. Proximal Joint: 16.8 1.0 15.5 1.7 e e 15.7 0.84 11.3 1.3 e e e e depth (middle nger)
28. Proximal Joint: 55.1 2.8 e e e e e e 59.2 3.6 e e e e circumference (middle nger)
29. Distance from ngertip 78.0 5.1 74.2 5.49 e e 77.5 3.7 76 5.7 e e e e to vertex (middle nger)
30. Perpendicular height 163.6 8.9 e e e e e e 153.7 9 e e e e at wrist prolongation (annular)
31. Distance from 73.2 5.1 e e e e e e 70.2 5.4 e e e e ngertip to vertex (annular)
32. Perpendicular height 130.0 8.9 e e e e e e 113.9 12 e e e e at wrist prolongation (little nger) 33. Distance from 54.6 4.3 54.2 4.93 e e 55.7 3.88 56.3 5.4 e e e e ngertip to vertex (little nger) 196 196 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 196 196
24. Distal Joint: depth e e 13.2 0.96 12.4 1 e e e e 12.6 1.1 10.7 2.5 (middle nger) 25. Distal Joint:
e
e
e
e
e
e
e
e
e
e
e
e
e
e
29. Distance from ngertip 73 4 75.2 3.62 72.9 5.1 74.2 5.4 e e 77.8 5.3 72.3 4.6 to vertex (middle nger) 30. Perpendicular height
e
e
e
e
e
e
e
e
e
e
e
e
e
e
Measure Japanese (Japanese Committee of Anthropometry, 1967) Jordanian (Mandahawi et al., 2008) Mexican (Imrhan and Contreras, 2005) Nigerian (Okunribido, 2000) (n 37) Thai (Klamklay et al., 2008) UK Resident (Davies et al., 1980) Vietnamese (Imrhan et al., 1993) (n 768)
(n 120)
(n 25)
(n 150)
(n 92)
(n 30) Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Mean SD Age (years) e e
28.0 9.2
32 11.4
33.5 15.4
e e
e e
24.8 7.79 Height (cm) e e
162.2 5.2
160.4 7.8
157.2 8.9
169.2 5.6
e e
155.9 6.1 Weight (kg) e e
63.5 12.3
64.2 14.6
52.7 12.1
59.7 8.5
e e
48.7 5.7 Hand measures (mm)
1. Hand length e e
171.3 7.4
171.8 10
175.1 11.1
179.8 1.5
e e
165 9 2. Hand width e e
77.8 3.9
77 4
75.8 5.2
83.6 0.5
e e
71 4.3 3. Wrist width e e
e e
e e
e e
e e
e e
e e 4. Metacarpal hand e e
e e
e e
e e
e e
e e
e e circumference
5. Hand circumference e e
e e
e e
e e
e e
e e
e e holding ngertips together
6. Fist circumference e e
e e
e e
e e
e e
e e
e e 7. Wrist circumference e e
e e
e e
e e
e e
e e
154.1 6.9 8. Hand thickness e e
e e
e e
22.7 2.8
e e
e e
23.5 4 9. Hand depth e e
40.4 4.3
42.6 3.6
e e
e e
40.5 4.9
40.9 4.9 10. Joint: thickness (thumb) e e
e e
e e
e e
e e
e e
e e 11. Joint: depth (thumb) e e
e e
e e
e e
e e
e e
e e 12. Joint: circumference (thumb) e e
e e
e e
e e
e e
e e
e e 13. Perpendicular height at e e
e e
e e
e e
e e
e e
e e wrist prolongation (thumb) 14. Distance from ngertip to vertex (thumb)
e e e e e e 61.1 5.1 e e e e e e 15. Distal Joint: thickness (forenger) e e e e e e e e e e e e e e 16. Distal Joint: Depth (forenger) e e e e e e e e e e e e e e 17. Distal Joint Circumference (forenger) 18. Proximal Joint thickness (forenger) e e e e e e e e e e e e e e
e e e e e e e e e e e e e e 19. Proximal Joint depth (forenger) e e e e e e e e e e e e e e 20. Proximal Joint Circumference (forenger) 21. Perpendicular height at wrist prolongation (forenger) 22. Distance from ngertip to vertex (forenger) 23. Distal Joint: thickness (middle nger) e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e 15.8 0.99 14.8 1.1 14.8 2.1 e e 15.1 1.2 15.9 2.5
circumference (middle nger) 26. Proximal Joint: thickness (middle nger) 27. Proximal Joint: depth (middle nger) 28. Proximal Joint: circumference (middle nger) e e 18.1 1.1 17.6 1 17.9 2.0 e e 17.6 1.3 17.9 2.5 e e 16.4 1.24 e e e e e e 16.8 1.3 13.9 2.3 e e e e e e e e e e e e e e
at wrist prolongation (annular) 31. Distance from ngertip to vertex (annular) 32. Perpendicular height at wrist prolongation (little nger) 33. Distance from ngertip to vertex (little nger)
e e e e e e e e e e e e e e e e e e e e e e e e e e e e 54 4 56.6 3.4 54.5 4.1 54.2 4.9 e e 56.9 4.4 54.5 4.5
Cases in which the anthropometric measures presented in this study are not found or do not match with measures in reference populations are marked with a dash. 197 197 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 197 197
Appendix C. Statistical comparison of HA measures reported in the present study Colombian population vs. reference female populations
Measure Colombian (Estrada, 1995) Indian (Nag et al., 2003) Indian (Dewangan et al., 2008) Indian (Kar et al., 2003) Jordanian (Mandahawi et al., 2008) Vietnamese (Imrhan et al., 1993) (n 30) %Diff t %Diff t %Diff t %Diff t %Diff t %Diff t Height (cm) 0.8 1.3
3.1 4.4*
0.9 1.5
e e
e e
0.8 0.9 Weight (kg) Hand measures (mm) 0.2 0.1
24.1 11.5*
19.6 12.7*
e e
6.41 2.7**
18.5 8.1* 1. Hand length 0.8 1.6
1.4 1.9
1.2 2.4**
4.7 8.3*
2.4 4.0*
1.4 1.3 2. Hand width 6.1 14.6*
13.7 17.8*
17.7 40.7*
4.4 8.0*
1.3 2.1
9.9 9.3* 3. Wrist width 13.2 23.2*
18.3 17.9*
e e
e e
e e
e e 4. Metacarpal hand circumference 7.0 14.5*
2.0 2.8*
e e
1.0 1.7
e e
e e 5. Hand circumference e e
18.9 16.7*
e e
e e
e e
e e holding ngertips together
6. Fist circumference e e
6.1 8.8*
e e
5.3 8.8*
e e
e e 7. Wrist circumference 7.6 14.7*
9.1 13.8*
e e
e e
e e
2.5 2.6** 8. Hand thickness e e
10.2 8.7*
8.5 10.7*
e e
e e
4.9 1.6 9. Hand depth e e
48.6 26.6*
e e
e e
6.6 5.7*
e e 10. Joint: thickness (thumb) e e
14.0 10.2*
e e
e e
e e
e e 11. Joint: depth (thumb) e e
43.9 47.5*
e e
e e
e e
e e 12. Joint: circumference (thumb) e e
2.9 3.9*
e e
e e
e e
e e 13. Perpendicular height e e
8.6 4.2*
e e
e e
e e
e e at wrist prolongation (thumb)
14. Distance from ngertip to vertex (thumb) e e
12.9 10.0*
e e
e e
e e
e e 15. Distal Joint: thickness (forenger) e e
36.4 32.5*
e e
e e
e e
e e 16. Distal Joint: Depth (forenger) e e
40.6 30.9*
e e
e e
e e
e e 17. Distal Joint Circumference (forenger) e e
9.2 9.9*
e e
e e
e e
e e 18. Proximal Joint thickness (forenger) e e
30.0 28.1*
e e
e e
e e
e e 19. Proximal Joint depth (forenger) e e
30.9 28.9*
e e
e e
e e
e e 20. Proximal Joint Circumference (forenger) e e
7.0 10.0*
e e
e e
e e
e e 21. Perpendicular height e e
2.8 3.5*
e e
e e
e e
e e at wrist prolongation (forenger)
22. Distance from ngertip to vertex (forenger) e e
4.5 4.6*
e e
e e
e e
e e 23. Distal Joint: thickness (middle nger) e e
36.6 33.9*
e e
e e
3.5 4.5*
3.0 1.1 24. Distal Joint: depth (middle nger) e e
41.5 35.4*
e e
e e
2.4
20.8 6.1* 25. Distal Joint: circumference (middle nger) e e
6.3 10.0*
e e
e e
e e
e e 26. Proximal Joint: thickness (middle nger) e e
27.8 28.3*
e e
e e
1.6 2.2
2.8 1.1 27. Proximal Joint: depth (middle nger) e e
31.9 32.6*
e e
e e
1.4 1.6
16.3 6.3* 28. Proximal Joint: e e
2.6 3.4*
e e
e e
e e
e e circumference (middle nger)
29. Distance from e e
3.6 4.5*
e e
e e
2.4 3.5*
1.4 1.1 ngertip to vertex (middle nger)
30. Perpendicular height e e
3.9 5.1*
e e
e e
e e
e e at wrist prolongation (annular)
31. Distance from ngertip to vertex (annular) e e
2.4 2.4**
e e
e e
e e
e e 32. Perpendicular height e e
6.3 5.1*
e e
e e
e e
e e at wrist prolongation (little nger)
33. Distance from ngertip to vertex (little nger) e e
3.6 2.9*
e e
e e
4.2 4.8*
0.3 0.2 %Diff 100 (mean of the Colombian e mean of the reference population)/mean of the Colombian population. *Statistically signicant at a 0.01; **Statistically signicant at a 0.05. Cases in which the anthropometric measures presented in this study are not found or do not match with measures in reference populations are marked with a dash.
References
Aghazadeh, F., Mital, A., 1987. Injuries due to hand tools; results of a questionnaire. Applied Ergonomics 18 (4), 273e278. Armstrong, T.J., Silverstein, B.A., 1987. Upper extremity pain in the workplace e role of usage in causality. In: Handler, N. (Ed.), Clinical Concepts in Regional Musculoskeletal Illness. Grune and Stratton, New York, pp. 333e354. Asociacin Colombiana de Exportadores de Flores, 2007. Estadsticas Bogota, Colombia. www.asocolores.org. Botha, W.E., Bridger, R.S., 1998. Anthropometric variability, equipment usability and musculoskeletal pain in a group of nurses in the Western Cape. Applied Ergo- nomics 229, 481e490. Boyles, J.L., Yearout, R.D., Rys, M.J., 2003. Ergonomic scissors for hairdressing. International Journal of Industrial Ergonomics 32, 199e207. Chao, A., Kumar, A.J., Emery, C.T.N.D., Nagarajarao, K., You, H., 2000. An ergonomic eval- uation of cleco pliers. Proceedings of the IEA 2000/HFES 2000 Congress, 4-441e4-442. Cdigo sustantivo del trabajo de la Repblica de Colombia, 1950. http://www. secretariasenado.gov.co/senado/basedoc/codigo/codigo_sustantivo_trabajo.html. Courtney, A.J., Ng, M.K., 1984. Hong Kong female hand dimensions and machine guarding. Ergonomics 27, 187e193. Davies, B.T., Abada, A., Benson, K., Cournety, A., Minto, I., 1980. Female hand dimensions and guarding of machines. Ergonomics 23, 79e84. Dewangan, K.N., Owary, C., Datta, R.K., 2008. Anthropometric data of female farm workers from north eastern India and design of hand tools of the hilly region. International Journal of Industrial Ergonomics 38 (1), 90e100. Eksioglu, M., 2004. Relative optimum grip span as a function of hand anthropom- etry. International Journal of Industrial Ergonomics 34 (1), 1e12. Eksioglu, M., 2006. Optimal work e rest cycles for an isometric intermittent grip- ping task as a function of force, posture and grip span. Ergonomics 49 (2), 180e201. Eksioglu, M., Fernandez, J.E., Twomey, J.M., 1996. Predicting peak pinch strength: articial neural networks vs. regression. International Journal of Industrial Ergonomics 18, 431e441. Espaa-Romero, V., Artero, E., Santaliestra-Pasias, A., Gutirrez, A., Castillo, M., Ruiz, J., 2008. Hand span Inuences optimal grip span in Boys and Girls Aged 6 to 12 Years. The Journal of Hand Surgery 33, 378e384. 198 198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 R.G. Garca-Cceres et al. / International Journal of Industrial Ergonomics 42 (2012) 183e198 198 198
Estrada, J., 1995. Parmetros Antropomtricos de la Poblacin laboral Colombiana ACOPLA-95, rst ed. Universidad de Antioquia and Instituto de Seguros Sociales, Medelln, Colombia. Garrett, J.W., 1971. The adult hand: some anthropometric and biomechanical considerations. Human Factors 13, 117e131. Gerard, M.J., Armstrong, T.J., Franzblau, A., Martin, B.J., Rempel, D.M., 1999. The effects of keyswitch stiffness on typing force, nger electromyography, and subjective discomfort. American Industrial Hygiene Association Journal 60 (6), 762e769. Gordon, S.L., Weinstein, J.N., 1998. A review of basic science issues in low back pain. Physical Medicine and Rehabilitation Clinics of North America 9 (2), 323e342. Grant, K.A., Habes, D.J., Steward, L.L., 1992. An analysis of handle designs for reducing manual effort: the inuence of grip diameter. International Journal of Industrial Ergonomics 10, 199e206. Imrhan, S.N., Farahmand, K., 1999. Male torque strength in simulated oil rig tasks: the effects of grease-smeared gloves and handle length, diameter and orien- tation. Applied Ergonomics 30, 455e462. Imrhan, S.N., Contreras, M.G., 2005. Hand anthropometry in a sample of Mexicans in the US Mexico border region. In: Proceedings of the XIX Annual occupational Ergonomics and Safety Conference, pp. 589e593. Las Vegas, NE. Imrhan, S.N., Nguyen, M., Nguyen, N., 1993. Hand anthropometry of Americans of Vietnamese origin. International Journal of Industrial Ergonomics 12, 281e287. Imrhan, S.N., Sarder, M.D., Mandahawi, N., 2005. Hand anthropometry in a sample of Bangladesh females. In: Proceedings of the 10th Annual International Conference on Industrial Engineering-Theory. Applications and Practice, Clearwater, FL, pp. 566e569. Imrhan, S.N., Sheik, N., Sarder, M.D., Mandahawi, N., 2009. Hand anthropometry in Bangladeshis living in America and comparisons with other populations. Ergonomics 52, 987e998. Japanese Editorial Committee of Anthropometry for Ergonomics, 1967. The measure of man. Ergonomics association, Tokyo. In: Courtney, A.J. (Ed.), 1967. Hand Anthropometry of Hong Kong Chinese Females Compared to Other Ethnic Groups. Ergonomics, 27, pp. 1169e1180. 1984. Kar, S.K., Ghosh, S., Manna, I., Banerjee, S., Dhara, P., 2003. An investigation of hand anthropometry of agricultural workers. Journal of Human Ecology 14, 57e62. Kattel, B.P., Fredericks, T.K., Fernandez, J.E., Lee, D.C., 1996. The effects of upper extremity posture on maximum grip strength. International Journal of Indus- trial Ergonomics 18, 423e429. Keir, P.J., Wells, R.P., 1999. Changes in geometry of the nger exor tendons in the carpal tunnel with wrist posture and tendon load: an MRI study on normal wrists. Clinical Biomechanics 14, 635e645. Kelly, B., Jackson, J., Yearout, R., Taylor, J., 1995. Carpal tunnel syndrome: case study of an intercollegiate athlete. International Journal of Industrial Ergonomics 15, 297e300. Klamklay, J., Sungkhapong, A., Yodpijit, N., Patterson, P.E., 2008. Anthropometry of the southern Thai population. International Journal of Industrial Ergonomics 38, 111e118. Mandahawi, N., Imrhan, S.N., Al-Shobaki, S., Sarder, B., 2008. Hand anthropometry survey for the Jordanian population. International Journal of Industrial Ergo- nomics 38, 966e976. Martin, B.T., Armstrong, S., Ulin, S.S., 1996. A Conceptual Model to Analyze Hand- Tool Selection and Design Processes. Proceedings of the IESC, Zurich, 448e453 pp. Ministerio de la Proteccin Social, 2007. Informe de Enfermedad profesional en Colombia 2003e2005, pp. 23e25. Mirka, G.A., Shivers, C., Smith, C., Taylor, J., 2002. Ergonomic interventions for the furniture manufacturing industry Part IIdHand tools. International Journal of Industrial Ergonomics 29, 275e287. Moore, J.S., Garg, A., 1994. Upper extremity disorders in a pork plant: relationship between task risk factors and morbidity. American Industrial Hygiene Associ- ation Journal 55, 703e715. Moore, A., Wells, R., Ranney, D., 1991. Quantifying exposure in occupational manual tasks with cumulative trauma disorder potential. Ergonomics 34, 1433e1453. Nag, A., Nag, P.K., Desai, H., 2003. Hand anthropometry of Indian women. Indian Journal of Medical Research 117, 260e269. NIOSH (National Institute for Occupational Safety and Health), 1997. Musculoskel- etal Disorders and Workplace Factors. NIOSH, Cincinnati, OH. Norris, B.J., Wilson, J.R., 1997. Designing Safety into Products Making Ergonomics Evaluation a Part of the Design Process. The University of Nottingham, Not- tingham, UK. Okunribido, O.O., 2000. A survey of hand anthropometry of female rural farm workers in Ibadan, Western Nigeria. Ergonomics 43, 282e292. Prado-Leon, L.R., Avila-Chaurand, R., Gonzles-Muoz, L., 20 01. Anthropometric study of Mexican primary school children. Applied Ergonomics 32, 339e345. Radwin, R.G., Jeng, O.J., 1997. Activation force and travel effects on overexertion in repetitive key tapping. Human Factors 39 (1), 130e140. Radwin, R.G., Marras, W.S., Lavendertheor, S.A., 2002. Biomechanical aspects of work-related musculoskeletal disorders. Theoretical Issues in Ergonomics Science 2 (2), 153e217. Rempel, D., Serina, E., Kleinenberg, E., Martin, B.J., Armstrong, T.J., Foulke, J.A., Natarajan, S., 1997. The effect of keyboard keyswitch make force on applied force and nger exor muscle activity. Ergonomics 40 (8), 800e808. Ruiz, M.R., 2001. Tablas Antropomtricas Infantiles. Universidad Nacional, Bogota e Colombia. Sande, L.P., Coury, H.J.C.G., Oishi, J., Kumar, S., 2001. Effect of musculoskeletal disorders on prehension strength. Applied Ergonomics 32, 609e619. Sjgaard, G., Sgaard, K., 1998. Muscle injury in repetitive motion disorders. Current Orthopaedic Practice: A Review and Research Journal 351 (June), 2e270.