Forearm muscular load and wrist angle among automobile assembly line workers in relation to symptoms

Electromyographic activity (EMG) from m. flexor carpi radialis (FCR) and m. extensor carpi radialis longus (ECRL) of the right forearm was recorded together with wrist angles in the flexion/extension and radial/ulnar plane in 20 healthy automobile assembly line workers during work. Eleven of these were randomly recruited from assembly stations with a low prevalence of subjective wrist/forearm symptoms (LPS), while the rest came from stations with a high prevalence of symptoms (HPS). The main EMG finding was a clear difference in activation pattern between flexors and extensors. ECRL was activated more statically, while FCR had a more dynamic pattern with more pauses but also higher peak loads. The main wrist angle finding was a difference in angle distribution as well as absolute angular velocity in the radial/ulnar plane between LPS and HPS work stations. Workers in HPS stations worked longer times in a more ulnar deviated hand position and had higher absolute deviation angular velocity compared to LPS workers, indicating ulnar deviation as a risk factor. Generally, ulnar deviation from a neutral position was more frequent than angular displacement in the flexion/extension plane.