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    題名: 立姿電腦工作站之偏好設定及上肢之姿勢與肌肉負荷的評估;Evaluation of preferred settings and the posture and muscular load of the upper extremity for standing VDT workstation
    作者: 黃宏凱;Hung-Kai Huang
    貢獻者: 中國醫藥大學:職業安全衛生學系碩士班
    關鍵詞: 立姿電腦工作站;桌面傾斜角度;肌肉負荷;工作相關肌肉骨骼不適;半導體製造;Standing VDT Workstation;Laptop Stand Tilt;Muscular Load;Work-related Musculoskeletal Disorders (WRMSDs);Semiconductor Manufacturing
    日期: 2006-07-05
    上傳時間: 2009-08-12 15:21:07 (UTC+8)
    摘要: 由於空間的限制,在某些工作場所中如在半導體廠的無塵室,必須使用立姿電腦工作站(Standing Visual Display Terminal Workstation),以取代傳統的坐姿電腦工作站,並搭配使用筆記型電腦以進行資料輸入。經由查閱國外文獻發現,立姿電腦工作站設定之研究很少,僅有依據人體計測數據,將鍵盤高度設訂於立姿肘高之建議,然而若將筆記型電腦置於立姿肘高,因為其螢幕與鍵盤連結在一起,會造成螢幕高度太低,導致頸部過度向下彎曲或身體向前彎曲,進而造成肩頸及背部的不適。因此我們懷疑,使用者是否會偏好將筆記型電腦置於高於立姿肘高之位置,以降低肩頸不適,但此時可能導致上臂因前屈而增加負荷。
    本研究分為兩階段進行,第一階段目的為探討電腦立姿工作站之偏好設定(Preferred settings)、姿勢與肌肉負荷,由於第一階段實驗完成後,發現受試者仍偏好將筆記型電腦置於立姿手肘高,因此第二階段進一步探討在不影響偏好鍵盤高度下,藉由改變桌面之傾斜角以提高螢幕高度,對作業人員視角、頸部前傾角與上肢肌肉負荷之影響。
    二階段實驗,分別有40位與24位女性大學生參與,第一階段獨立變數包括:電腦種類(12吋、14吋筆記型電腦與對照之15吋桌上型電腦)、工作站種類(電動可調立姿電腦工作站、固定式平台電腦工作站)、偏好桌面高度起始設定(高到低、低到高)。第二階段實驗獨立變數包括:桌面傾斜角起始設定(分別為由30度往下調,水平0度未調整與由0度往上調),而評估之應變數為頸部與上肢姿勢參數及以肌電儀量測受試者之上肢肌肉負荷。所有實驗獨立變數均為受試者內變數(within-subject variables),實驗次序以完全隨機方式進行,以避免疲勞與學習效果之影響,兩階段實驗時間分別約為180分與165分,並且在每次實驗完成後填寫主觀不適問卷。
    第一階段實驗結果顯示,偏好桌面高度受到起始桌面高度設定影響有顯著的差異(p<0.001),但不同電腦種類對偏好桌面高度並無顯著影響,而偏好桌面高度非常接近受試者之平均立姿手肘高,顯示受試者並未將筆記型電腦的置放高度提至超過其立姿手肘高,藉此降低向下視角與頸部彎曲向前角度,此外,12吋的筆記型電腦明顯有比較大的向下視角、頸部彎曲角度與肌肉負荷,而15吋之桌上型電腦則是有最小的向下視角、頸部彎曲角度與肌肉負荷;第二階段實驗結果顯示不同電腦種類與起始桌面高度設定對偏好桌面傾角並無顯著影響,有大於54.2%受試者喜歡桌面傾角可調整,僅有4.2%受試者不喜歡,其偏好角度範圍平均值為4.8到6.8度,實驗結果亦顯示起始桌面高度設定(p<0.001)與起始桌面傾角設定(p<0.001)均對偏好桌面原始高度有顯著影響,此外增加桌面傾角會提升螢幕中心高,改善受試者向下之視角與頸部傾斜角度,但同時會些微增加手腕伸展角度與增加左肩三角肌之負荷;而在主觀不適問卷的統計結果發現兩階段實驗皆無顯著差異。研究結果除了能提供立姿電腦工作站設計參考外,也可以作為半導體廠立姿電腦工作站實務改善之依據。

    Owing to the space limit the standing visual display terminal (VDT) workstation was necessary and can not be replaced by sitting VDT workstation in practice at some workplaces such as at the semiconductor fabrication cleaning room. The guides or recommendations for standing VDT workstation were few. Only recommendation based on standing elbow height was reported. The elbow-height based recommendation for stand VDT workstation equipped with laptop PC will still possibly result in the neck/shoulder discomfort because of the lower monitor height. We wonder that will the subjects prefer to elevate the keyboard height higher than the standing elbow height to ease the shoulder and neck discomfort. Through, in opposite, this will increase the upper arm discomfort.
    There are two stages of experiments. Aims of the first experiment are to evaluate the preferred settings for standing VDT workstation especially for laptop PC and the associated postural and workstation settings and muscular loads. Results of the first stage of experiments show that the subjects still preferred to set keyboard height at about standing elbow height. Therefore, the second stage of experiment aimed to evaluate the effects of increasing laptop stand tilt on the posture and muscular load of the upper extremity.
    There were forty and twenty-four healthy female university students participated in the two stages of experiments respectively. They were all familiar with laptop and desktop PC use. The explored independent variables included type of computer (12.1- and 14-inch laptops and desktop PC with 15-inch monitor), initial desk height setting (i.e. from highest/lowest position before adjustment), and initial laptop stand tilt setting (i.e. from 30 degrees to preference, flat, from 0 degrees to preference). All independent variables are within-subject variables. Electromyograph and dynamic single/two-axis goniometers were utilized to evaluate the associated muscular loads and postural settings for the upper extremity. Each subjects completed all sessions of experiments which were completely randomized to reduce fatigue and learning effects. The first and second stage of experiment took about 180 and 165 minutes respectively for each subject. Besides, a questionnaire was used to evaluate the subjective discomfort after each session of experiment.
    Results of the repeated measures ANOVAs showed that initial settings significantly affected the preferred desk height settings. However, no significant differences for the preferred desk height among the three experiment computers were found. The preferred desk height in average was quite close to the average standing elbow height of the subjects which indicated that subjects did not elevate the keyboard higher than their elbow height to ease the large neck flexion and gaze angle for the two laptops. Besides, significantly large neck flexion angle, gaze angle, and muscular loads were reported for the 12 inch laptop compared with the other two types of computers. The desktop PC with 15 inch monitor was found with the smallest neck flexion and gaze angles and the muscular loads. Results of the second stage of experiments showed that the preferred laptop stand tilt was significantly affected by the initial laptop stand tilt settings in the second experiment. 54.2% of subjects preferred the increased laptop stand tilt than the flat setting. The preferred range of laptop stand tilt was between 4.8 to 6.8 degrees. The results also showed that the preferred desk height of VDT workstation was not affected by types of monitor and initial laptop stand tilt settings. The increased laptop stand tilt resulted in elevated monitor center height and therefore decreased gaze angle to monitor center and downwards gaze angle. However, minor but significant increased wrist extension angle muscular load for left deltoids were found. No significant differences were reported for the subjective discomfort data of the two experiments.
    Recommendations of our study for standing VDT workstation can be applied to the improvement of the design of standing VDT workstation of semiconductor fabrication.
    顯示於類別:[職業安全與衛生學系暨碩士班] 博碩士論文

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