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Strength and Perceived Effort in Repetitive Upper-Limb Tasks: An OCRA Method Analysis of 900 Workers
Stefano Gobbo1, Valentina Bullo2, Francesco Favro2
1Department of Medicine, University of Padova, Via Giustiniani, 2 - 35128 Padova, Italy; Gymhub S.r.l., Spin-off of the University of Padova, Via Nona Strada 4 - 35129 Padova, Italy.
La Medicina Del Lavoro
|August 5, 2025
Summary
Measuring worker handgrip strength can enhance the accuracy of the Occupational Costiong Risk Assessment (OCRA) method. This improves the assessment of biomechanical overload risks from repetitive upper limb tasks.
Area of Science:
- Occupational health and safety
- Ergonomics
- Musculoskeletal disorder prevention
Background:
- Work-related musculoskeletal disorders are a significant public health issue.
- The OCRA method is used to assess risks of repetitive upper limb actions.
- Subjectivity in perceived effort reporting can bias OCRA assessments.
Purpose of the Study:
- To investigate if measuring handgrip strength improves force assessment accuracy in the OCRA method.
- To reduce subjective bias in occupational risk assessments.
Main Methods:
- Handgrip strength was measured within the OCRA risk assessment framework.
- Data were stratified by age, gender, height, and handedness into percentile ranks.
Main Results:
- Significant differences in handgrip strength percentiles were observed between workers reporting high vs. low perceived effort (p=0.047).
- Perceived effort rates varied significantly with different handgrip strength levels (dominant hand: p=0.04; non-dominant hand: p=0.02).
Conclusions:
- Worker handgrip strength is a critical factor influencing perceived effort in repetitive tasks.
- Incorporating handgrip strength measurement enhances the OCRA method for assessing biomechanical overload.
- This study, with a large sample size, offers a significant advancement in occupational risk assessment accuracy.

