Exposure aboard high-performance marine craft increases musculoskeletal pain and lowers contemporary work capacity of the occupants

Abstract

High-Performance Marine Craft (HPMC) occupants are currently being investigated for various psychophysical impairments degrading work performance postulating that these deteriorations are related to their occupational exposures. However, scientific evidence for this is lacking and the association of exposure conditions aboard HPMC with adverse health and performance effects is unknown. Therefore, the study estimates the prevalence of musculoskeletal pain (MSP) among HPMC occupants and the association of their work exposure with MSP and performance degradation. It also presents a criterion for evaluating the self-reported exposure severity aboard three different types of mono-hull HPMC; displacement, semi-displacement and planing, on a par with the available standard criteria for objectively measurable exposures. Furthermore, another criterion is proposed to assess the performance-degradation of HPMC occupants based on self-reported fatigue symptoms and MSP. Swedish Coast Guard HPMC occupants were surveyed for MSP, fatigue symptoms as well as for work-related and individual risk indicators using a validated web-based questionnaire. Prevalence of MSP and performance-degradation during the past 12 months were assessed and presented as a percentage of the sample. Associations of exposure conditions aboard HPMC with MSP and performance-capacity were systematically evaluated using multiple logistic regression models and expressed as odds ratio (OR). Prevalence of MSP was 72% among which lower back pain was the most prevalent (46%) followed by neck pain (29%) and shoulder pain (23%) while 29% with degraded performance. Exposure to severe conditions aboard semi-displacement craft was associated with lower back (OR = 2.3) and shoulder (OR = 2.6) pain while severe conditions aboard planing craft with neck pain (OR = 2.3) and performance-degradation (OR = 2.6). MSP is common among Swedish coast guards. Severe exposure conditions aboard HPMC are significantly associated with both MSP and performance-degradation. The spine and shoulders are the most susceptible to work-related MSP among HPMC occupants which should be targeted in work-related preventive and corrective measures.

Keywords

High-speed craft whole-body vibration epidemiology pain fatigue

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References

Ensign

Hodgdon

Prusaczyk

, et al. A survey of self-reported injuries among special boat operators. Technical Report 00-48, 2000. San Diego, California, USA: Naval Health Research Center.

Zigheimat

Ebadi

Rahmati Najarkolaei

, et al. Mental health levels and incidence of musculoskeletal complaints among speed boat crew members. Trauma Mon 2013; 17(4): 373–376.

McCallum

Raby

Rothblum

. Procedures for investigating and reporting fatigue contributions to marine casualties. Report No. CG-D-09-97, 1996. U.S. Department of Transportation, Washington, DC 20593-0001. United States Coast Guard, Marine Safety and Environmental Protection, (G-M).

Stevens

Parsons

. Effects of motion at sea on crew performance: a survey. Mar Technol 2002; 39: 29–47.

Wadsworth

EJK

Allen

McNamara

, et al. Fatigue and health in a seafaring population. Occup Med 2008; 58: 198–204.

Gollwitzer

Peterson

. Repeated water entry shocks on high-speed planning boats. Report CSS/TR-96/27, 1995. Panama City, FL: Coastal Systems Station.

Allen

Taunton

Allen

. A study of shock impacts and vibration dose values on board high-speed marine craft. Int J Marit Eng (RINA Trans. Part A) 2008; 150: 1–10.

McMorris

Myers

Dobbins

, et al. Seating type and cognitive performance after 3 hours travel by high-speed boat in sea states 2–3. Aviat Space Environ Med 2009; 80: 24–28.

Myers

Dobbins

King

, et al. Physiological consequences of military high-speed boat transits. Eur J Appl Physiol 2011; 111: 2041–2049.

10.

Garme

Burström

Kuttenkeuler

. Measures of vibration exposure for high speed craft crew. J Eng Marit Environ 2011; 225(4): 338–349.

11.

Myers

Dobbins

King

, et al. Effectiveness of suspension seats in maintaining performance following military high-speed boat transits. Hum Fact 2012; 54(2): 264–276.

12.

Townsend

Coe

Wilson

, et al. High speed marine craft motion mitigation using flexible hull design. Ocean Eng 2012; 42: 126–134.

13.

Dobbins

Hill

Myers

. Fatigue in military operations; high speed craft repeated shock and other factors. In: 51st United Kingdom conference on human responses to vibration. 2016; Gosport, England: Institute of Naval Medicine.

14.

de Alwis

LoMartire

Äng

, et al. Development and validation of a web-based questionnaire for surveying the health and working conditions of high-performance marine craft populations. BMJ Open 2016; 6: e011681.

15.

de Alwis

Garme

. Monitoring and characterization of vibration and shock conditions aboard high-performance marine craft. Proc IMechE, Part M: J Engineering for the Maritime Environment 2019; 233(4): 1068–1081. [published Online First: 8 November 2018].

16.

Olausson

Garme

. Prediction and evaluation of working conditions on high-speed craft using suspension seat modelling. Proc IMechE, Part M: J Engineering for the Maritime Environment 2015; 229(3): 281–290. [published Online First: 27 January 2014].

17.

BS 6841:1987. Guide to measurement and evaluation of human exposure to whole-body mechanical vibration and repeated shock. London: British Standards Institution.

18.

ISO 2631-1:1997. Mechanical vibration and shock-evaluation of human exposure to whole-body vibration-part 1: general requirements. Geneva: International Organization for Standardization.

19.

ISO 2631-5:2004. Mechanical vibration and shock-evaluation of human exposure to whole-body vibration-Part 5: method for evaluation of vibration containing multiple shocks. Geneva: International Organization for Standardization, 2004.

20.

de Alwis

. Methods for shock and vibration evaluation applied on offshore powerboats. Master’s thesis. KTH Royal Institute of Technology Sweden, 2014. http://urn:nbn:se:kth:diva-162066 and Aalto University Finland 2014. http://urn.fi/URN:NBN:fi:aalto-201410212829

21.

Griffin

. A comparison of standardized methods for predicting the hazards of whole-body vibration and repeated shocks. J Sound Vib 1998; 215(4): 883–914.

22.

Lewis

Griffin

. A comparison of evaluations and assessments obtained using alternative standards for predicting the hazards of whole-body vibration and repeated shocks. J Sound Vib 1998; 215(4): 915–926.

23.

Directive 2002/44/EC of the European Parliament and of the Council of 25 June 2002 on the minimum health and safety requirements regarding the exposure of workers to the risk arising from physical agents (vibration) (sixteenth individual directive within the meaning of article 16(1) of directive 89/391/EEC). Off J Eur Communities 2002; 177: 13–19.

24.

ISO 2923:1996. Acoustics – Measurement of noise on board vessels. Geneva: International Organization for Standardization.

25.

ISO 7730:2005. Ergonomics of the thermal environment - Analytical determination and interpretation of thermal comfort using calculation of the PMV and PPD indices and local thermal comfort criteria. Geneva: International Organization for Standardization.

26.

de Alwis

Garme

LoMartire

, et al. Crew acceleration exposure, health and performance in high-speed operations at sea. In: Proceedings of the 11th symposium on High-Speed Marine Vehicles (HSMV2017), Naples, Italy, 25–26 October, 2017. University of Naples Federico II. ISSN 2532-4888.

27.

de Alwis

. On evaluation of working conditions aboard high-performance marine craft. Licentiate thesis. KTH Royal Institute of Technology Sweden, 2018, http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-223903; http://kth.diva-portal.org/smash/record.jsf?pid=diva2:1187558

28.

Regional Committee for Medical Research Ethics (Dnr.2015/576-31), Stockholm, Sweden.

29.

Savitsky

. On the subject of high-speed monohulls. In: Presented to the Greek Section of the Society of Naval Architects and Marine Engineers (SNAME), October 2003. Athens, Greece: The Greek Section of the Society of Naval Architects and Marine Engineers (SNAME).

30.

Buckenmaier

Galloway

Polomano

, et al. Pain as a barrier to human performance: a focus on function for self-reporting pain with the defense veterans’ pain rating scale. J Spec Oper Med 2016; 16(2): 82–87.

31.

Kewman

Vaishampayan

Zald

, et al. Cognitive impairment in musculoskeletal pain patients. Int J Psychiatry Med 1991; 21(3): 253–262.

32.

Lindegård

Larsman

Hadzibajramovic

, et al. The influence of perceived stress and musculoskeletal pain on work performance and work ability in Swedish health care workers. Int Arch Occup Environ Health 2014; 87: 373–379.

33.

Marcora

Staiano

Manning

. Mental fatigue impairs physical performance in humans. J Appl Physiol 2009; 106: 857–864.

34.

Enoka

Duchateau

. Translating fatigue to human performance. Med Sci Sports Exercise, Author manuscript 2016; 48(11): 2228–2238.

35.

Peng

Bouak

Wang

, et al. An improved model to predict performance under mental fatigue. Ergonomics 2018; 61(7): 988–1003.

36.

Fisher

. Statistical methods for research workers. Edinburgh, UK: Oliver and Boyd, 1925, p.43. ISBN 978-0-050-02170-5.

37.

Hosmer

Jr Lemeshow

Sturdivant

. Applied logistic regression. 3rd ed. John Wiley & Sons, Inc., 2013.

38.

Cohen

Evans

Stokols

, et al. Behavior, health, and environmental stress. Hoboken, NJ: Springer Science, 1986.

39.

Parsons

. Human thermal environments: the effects of hot, moderate, and cold environments on human health, comfort, and performance. Boca Raton, FL: CRC Press, 2002.

40.

Leboeuf-Yde

Lauritsen

. The prevalence of low back pain in the literature. A structured review of 26 Nordic studies from 1954 to 1993. Spine 1995; 20(19): 2112–2118.

41.

Crombie

Croft

Linton

, et al. Epidemiology of pain. Seattle: IASP Press, 1999.

42.

Walker

. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord 2000; 13(3): 205–217.

43.

Brattberg

Thorslund

Wikman

. The prevalence of pain in a general population. The results of a postal survey in a county of Sweden. Pain 1989; 37(2): 215–222.

44.

Chung

Wong

. Prevalence of pain in a community population. Pain Med (Malden, Mass.) 2007; 8(3): 235–242.

45.

Morken

Magerøy

Moen

. Physical activity is associated with a low prevalence of musculoskeletal disorders in the Royal Norwegian Navy: a cross sectional study. BMC Musculoskelet Disord 2007; 8: 56.

46.

Clarke

Nahin

Barnes

, et al. Use of complementary health approaches for musculoskeletal pain disorders among adults: United States, 2012. National Health Statistics Reports, Number 98, October 2012.

47.

Glad

Skillgate

Holm

. The occurrence and severity of musculoskeletal disorders in Swedish military personnel during peacekeeping operations in Afghanistan. Eur Spine J 2012; 21(4): 739–744.

48.

Kelsall

McKenzie

Forbes

, et al. Pain-related musculoskeletal disorders, psychological comorbidity, and the relationship with physical and mental well-being in gulf war veterans. Pain 2014; 155: 685–692.

49.

Shattuck

Matsangas

Moore

, et al. Prevalence of musculoskeletal symptoms, excessive daytime sleepiness, and fatigue in the crew members of a U.S. Navy ship. Mil Med 2016; 181(7): 655–662.

50.

Monnier

Larsson

Djupsjöbacka

, et al. Musculoskeletal pain and limitations in work ability in Swedish marines: a cross-sectional survey of prevalence and associated factors. BMJ Open 2015; 5: e007943.

51.

Lopes

TJA

Simic

Bunn

PDS

, et al. Prevalence of musculoskeletal symptoms among brazilian merchant navy cadets: differences between sexes and school years. Mil Med 2017; 182(11): e1967–e1972.

52.

Hollingsworth

. The prevalence and impact of musculoskeletal injuries during a pre-deployment workup cycle: survey of a Marine Corps special operations company. J Spec Oper Med 2009; 9: 11–15.

53.

Picavet

Schouten

. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003; 102: 167–178.

54.

Hoy

Bain

Williams

, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012; 64(6): 2028–2037.

55.

Hoy

Brooks

Blyth

, et al. The epidemiology of low back pain. Best Pract Res Clin Rheumatol 2010; 24(6): 769–781.

56.

Hoy

Protani

, et al. The epidemiology of neck pain. Best Pract Res Clin Rheumatol 2010; 24(6): 783–792.

57.

LoMartire

de Alwis

Äng

, et al. Construction of a web-based questionnaire for longitudinal investigation of work exposure, musculoskeletal pain and performance impairments in high-performance marine craft populations. BMJ Open 2017; 7: e016006.

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