The effects of different shift patterns on nurses’ sleep-wake behaviours in selected, private healthcare facilities
- Authors: Bell, Emma Catherine
- Date: 2023-10-13
- Subjects: Fatigue , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Shift systems , Nurses , Health facilities, Proprietary
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424219 , vital:72134
- Description: Nurses are required to work shifts to provide 24-hour care, in which they complete physically and mentally demanding tasks. The length and type of shifts, particularly night shifts interfere with the natural sleep-wake behaviours, leading to extended wakefulness and overall reduced sleep, and increase the likelihood of sleepiness during subsequent shifts. This can in turn affected various cognitive processes such attention, vigilance and alertness, which are necessary during the care process. Sleepiness as a result of working shifts has also been associated with an increased risk accidents and error during the delivery of care. Given the unique demands and ways in which workplaces are structured, each context arranges its shifts in unique ways and thus, in order to determine how to manage the effects of shift work, it is important to understand how it affects self-reported fatigue and sleep, of, in this case, nurses. While there has been extensive research on this in the global north, to date, there has been limited research aimed at examining the effects of shift work on nurses’ sleep-wake behaviours and fatigue in the South African context. Therefore, the aim of this study is to characterise shift arrangements in selected private facilities and explore its effects on private healthcare nurses. This study adopted a cross-sectional, survey design using an amended version of Standard Shiftwork Index. The questionnaire included demographic and shift details and explored the impact of the shift systems on nurse sleep-wake behaviours and disturbances and fatigue and workload. It was distributed among shift working nurses registered with the South African Nursing Council across three selected, private, healthcare facilities in the Eastern Cape, over a two-month period. The responses were analysed with descriptive and inferential statistics, with open-ended questions analysed using a thematic analysis. A total of 51 nurses completed the survey. Nurses worked 12-hour shifts which included night shifts and day shifts with fixed start and end times. Over time was commonly reported and generally, nurses reported having very little control over their shift arrangements. Overall, nurses slept less than what they reported they needed on duty days, with nurses working both day and night shifts reporting to sleep less than the globally recommended required sleep. This was compensated for by longer sleep durations during days off. The data collection revealed that three different shift arrangements were in use, including permanent day shifts, permanent night shifts and rotating shift work including nights, with permanent night nurses working significantly more consecutive shifts (seven) than the other two shift types and having significantly more days off (seven) as well. While there were no significant differences in self-reported sleep across the three shift types, permanent night nurses were found to have the shortest sleep. During days off, rotating nurse reported significantly longer sleep times compared to day shift workers which may point to the need to catch up from sleep debt. Rotating nurses experienced the greater total disturbances to their sleep than permanent day and permanent night shift nurses. While not statistically significant, it may point to the fact that rotating shift workers could not obtain regularly timed sleep (due to having to change their schedules) compared to permanent day and night nurses. Workload (physical, emotional, mental and time pressure) did not differ between the shifts (day or night) or the shift types, but did reflect a heavier workload, possibly due to the data collection occurring during the 5th wave of the COVID 19 pandemic. This study highlights that nurses in private healthcare facilities are working extended hours which were associated with reduced total sleep, irrespective of the nature of the shift, with rotating shift nurses experiencing some degree of greater disturbances to their sleep. The number, duration speed and direction of the shifts of rotating nurses needs to be explored further, whilst also exploring the influence of individual factors on sleep-wake behaviours of nurses. It may be beneficial for the healthcare facilities to implement fatigue management strategies to mitigate the negative impacts of shift work, given the impact that this may impact the delivery of care. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Bell, Emma Catherine
- Date: 2023-10-13
- Subjects: Fatigue , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Shift systems , Nurses , Health facilities, Proprietary
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424219 , vital:72134
- Description: Nurses are required to work shifts to provide 24-hour care, in which they complete physically and mentally demanding tasks. The length and type of shifts, particularly night shifts interfere with the natural sleep-wake behaviours, leading to extended wakefulness and overall reduced sleep, and increase the likelihood of sleepiness during subsequent shifts. This can in turn affected various cognitive processes such attention, vigilance and alertness, which are necessary during the care process. Sleepiness as a result of working shifts has also been associated with an increased risk accidents and error during the delivery of care. Given the unique demands and ways in which workplaces are structured, each context arranges its shifts in unique ways and thus, in order to determine how to manage the effects of shift work, it is important to understand how it affects self-reported fatigue and sleep, of, in this case, nurses. While there has been extensive research on this in the global north, to date, there has been limited research aimed at examining the effects of shift work on nurses’ sleep-wake behaviours and fatigue in the South African context. Therefore, the aim of this study is to characterise shift arrangements in selected private facilities and explore its effects on private healthcare nurses. This study adopted a cross-sectional, survey design using an amended version of Standard Shiftwork Index. The questionnaire included demographic and shift details and explored the impact of the shift systems on nurse sleep-wake behaviours and disturbances and fatigue and workload. It was distributed among shift working nurses registered with the South African Nursing Council across three selected, private, healthcare facilities in the Eastern Cape, over a two-month period. The responses were analysed with descriptive and inferential statistics, with open-ended questions analysed using a thematic analysis. A total of 51 nurses completed the survey. Nurses worked 12-hour shifts which included night shifts and day shifts with fixed start and end times. Over time was commonly reported and generally, nurses reported having very little control over their shift arrangements. Overall, nurses slept less than what they reported they needed on duty days, with nurses working both day and night shifts reporting to sleep less than the globally recommended required sleep. This was compensated for by longer sleep durations during days off. The data collection revealed that three different shift arrangements were in use, including permanent day shifts, permanent night shifts and rotating shift work including nights, with permanent night nurses working significantly more consecutive shifts (seven) than the other two shift types and having significantly more days off (seven) as well. While there were no significant differences in self-reported sleep across the three shift types, permanent night nurses were found to have the shortest sleep. During days off, rotating nurse reported significantly longer sleep times compared to day shift workers which may point to the need to catch up from sleep debt. Rotating nurses experienced the greater total disturbances to their sleep than permanent day and permanent night shift nurses. While not statistically significant, it may point to the fact that rotating shift workers could not obtain regularly timed sleep (due to having to change their schedules) compared to permanent day and night nurses. Workload (physical, emotional, mental and time pressure) did not differ between the shifts (day or night) or the shift types, but did reflect a heavier workload, possibly due to the data collection occurring during the 5th wave of the COVID 19 pandemic. This study highlights that nurses in private healthcare facilities are working extended hours which were associated with reduced total sleep, irrespective of the nature of the shift, with rotating shift nurses experiencing some degree of greater disturbances to their sleep. The number, duration speed and direction of the shifts of rotating nurses needs to be explored further, whilst also exploring the influence of individual factors on sleep-wake behaviours of nurses. It may be beneficial for the healthcare facilities to implement fatigue management strategies to mitigate the negative impacts of shift work, given the impact that this may impact the delivery of care. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2023
- Full Text:
- Date Issued: 2023-10-13
The reported prevalence of aircrew fatigue and the contributing factors within the South African aviation industry
- Authors: Blair, Dylan Ross
- Date: 2022-10-14
- Subjects: Fatigue , Flight crews , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Air travel Safety measures , Airlines South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/362762 , vital:65360
- Description: Fatigue in aviation results from the complex interaction of various factors (both work and non-work-related) that are important to understand when attempting to manage it. Managing fatigue effectively is important given that it has and continues to influence crew wellness and aviation safety. One of the ways of managing fatigue is through appropriately designed Flight Time Limitations (FTLs) however; in South Africa there have been calls from the unions and the crew to update these in line with the latest science and operational demands and insights. Doing this requires the generation of context specific data, which this thesis aimed to provide as an initial step. Firstly, this study aimed to explore the reported prevalence of fatigue across the South African aviation industry. Secondly, it elucidated what factors (both work and non-work related) crew perceived contributed to fatigue and lastly, the crew‟s perceptions regarding the current FTLs were explored. Methods: To realize the aims of the study, an online survey was developed using existing literature initially, and through consulting with and getting information from aviation industry stakeholders and other experts in the field of aviation and fatigue. This consultation (which occurred over a number of iterations of the survey) ensured that there was a balance between the scientific and the actual operational perspectives on how best to explore crew perceptions around fatigue. The finalized survey was divided into five parts: part one was consent to participate; part two included questions pertaining to the participants‟ demographic information; part three included questions pertaining to the crews‟ perceptions around fatigue (its prevalence, its impact on safety and how it affected crew); part four explored crew‟s perceptions on fatigue contributory factors, both work and non-work related; finally part five included questions pertaining to crew perceptions about the current South African FTLs, specifically their concerns, suggestions for improvement and any aspects they considered as fatigue mitigating. The survey was made available via the South African Civil Aviation Authority‟s (SACAA) website as well as via the industry stakeholder‟s networks that encouraged all crew across the different sectors of the industry to participate. All numerical data collected were analysed descriptively through inferential statistics, while the qualitative data were analysed using thematic analysis. Results: 194 participants completed the survey, 167 were from cockpit and 27 were from the cabin crew. The results of the study highlight that there is a high perceived prevalence of fatigue. The crew also recognized that fatigue is a significant safety risk, but less indicated that fatigue interfered with their ability to do their duties. Crew reported that the length of duties, number of sectors flown, insufficient sleep at night, early sign-on‟s, late sign-offs, working too many consecutive days in a row, inadequate or irregular sleep before and during periods of duty, night flying, bad weather, severe turbulence, having young children or dependents to look after, financial stress, extended commuting to get to and from work, and poor diet were some of the work and non-work-related contributory factors to fatigue. In line with these findings, questions around the perceived concerns about the current FTLs revealed that crew were concerned about unclear definitions of the civil aviation regulations (CARs), the lack of control of disruptive rostering schedules, periods of high workload due to the number of sectors flown per duty, the length of duty periods and effects of being on standby duty, inadequate rest between duties and strings of duty. The crew also had concerns regarding the Flight Duty Periods (FDPs) where the crew were concerned with the flying limits being used as targets by the operators, a lack of science applied to the FDPs, and that the current FDPs are outdated. The recommendations included limiting disruptive rostering schedules by altering standby provisions for the crew, instilling a block roster schedule, disallowing double signing on and off on the same day, and reducing split shifts. The crew also recommended adjusting duty durations by adjusting daily and monthly limits, tapering duty lengths, but also limiting discretionary extensions. Increasing rest provision was another recommendation suggested by the crew and included increasing the number of rest days off as well as the minimum hours of rest between duties needs to be increased. The fatigue mitigating aspects were minimal if any. Conclusion: Overall the study revealed that there is a high perceived prevalence of fatigue within this sample of the South African aviation industry and that the concerns outlined by crew around the contributory factors to fatigue are consistent with previous research, but also reflect the unique operating context of South Africa. This study serves as a base from which to explore more specific areas of the crew working time that are disruptive to sleep. This may help operator‟s roster duties in a more predictable way to limit the incidence of fatigue, while also offering the opportunity for the regulator and other stakeholders to focus their efforts on how to better design the current FTLs to limit the prevalence and risks associated with crew fatigue. , Thesis (MSc) -- Human Kinetics and Ergonomics, 2022
- Full Text:
- Date Issued: 2022-10-14
- Authors: Blair, Dylan Ross
- Date: 2022-10-14
- Subjects: Fatigue , Flight crews , Fatigue in the workplace , Sleep deprivation , Sleep-wake cycle , Air travel Safety measures , Airlines South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/362762 , vital:65360
- Description: Fatigue in aviation results from the complex interaction of various factors (both work and non-work-related) that are important to understand when attempting to manage it. Managing fatigue effectively is important given that it has and continues to influence crew wellness and aviation safety. One of the ways of managing fatigue is through appropriately designed Flight Time Limitations (FTLs) however; in South Africa there have been calls from the unions and the crew to update these in line with the latest science and operational demands and insights. Doing this requires the generation of context specific data, which this thesis aimed to provide as an initial step. Firstly, this study aimed to explore the reported prevalence of fatigue across the South African aviation industry. Secondly, it elucidated what factors (both work and non-work related) crew perceived contributed to fatigue and lastly, the crew‟s perceptions regarding the current FTLs were explored. Methods: To realize the aims of the study, an online survey was developed using existing literature initially, and through consulting with and getting information from aviation industry stakeholders and other experts in the field of aviation and fatigue. This consultation (which occurred over a number of iterations of the survey) ensured that there was a balance between the scientific and the actual operational perspectives on how best to explore crew perceptions around fatigue. The finalized survey was divided into five parts: part one was consent to participate; part two included questions pertaining to the participants‟ demographic information; part three included questions pertaining to the crews‟ perceptions around fatigue (its prevalence, its impact on safety and how it affected crew); part four explored crew‟s perceptions on fatigue contributory factors, both work and non-work related; finally part five included questions pertaining to crew perceptions about the current South African FTLs, specifically their concerns, suggestions for improvement and any aspects they considered as fatigue mitigating. The survey was made available via the South African Civil Aviation Authority‟s (SACAA) website as well as via the industry stakeholder‟s networks that encouraged all crew across the different sectors of the industry to participate. All numerical data collected were analysed descriptively through inferential statistics, while the qualitative data were analysed using thematic analysis. Results: 194 participants completed the survey, 167 were from cockpit and 27 were from the cabin crew. The results of the study highlight that there is a high perceived prevalence of fatigue. The crew also recognized that fatigue is a significant safety risk, but less indicated that fatigue interfered with their ability to do their duties. Crew reported that the length of duties, number of sectors flown, insufficient sleep at night, early sign-on‟s, late sign-offs, working too many consecutive days in a row, inadequate or irregular sleep before and during periods of duty, night flying, bad weather, severe turbulence, having young children or dependents to look after, financial stress, extended commuting to get to and from work, and poor diet were some of the work and non-work-related contributory factors to fatigue. In line with these findings, questions around the perceived concerns about the current FTLs revealed that crew were concerned about unclear definitions of the civil aviation regulations (CARs), the lack of control of disruptive rostering schedules, periods of high workload due to the number of sectors flown per duty, the length of duty periods and effects of being on standby duty, inadequate rest between duties and strings of duty. The crew also had concerns regarding the Flight Duty Periods (FDPs) where the crew were concerned with the flying limits being used as targets by the operators, a lack of science applied to the FDPs, and that the current FDPs are outdated. The recommendations included limiting disruptive rostering schedules by altering standby provisions for the crew, instilling a block roster schedule, disallowing double signing on and off on the same day, and reducing split shifts. The crew also recommended adjusting duty durations by adjusting daily and monthly limits, tapering duty lengths, but also limiting discretionary extensions. Increasing rest provision was another recommendation suggested by the crew and included increasing the number of rest days off as well as the minimum hours of rest between duties needs to be increased. The fatigue mitigating aspects were minimal if any. Conclusion: Overall the study revealed that there is a high perceived prevalence of fatigue within this sample of the South African aviation industry and that the concerns outlined by crew around the contributory factors to fatigue are consistent with previous research, but also reflect the unique operating context of South Africa. This study serves as a base from which to explore more specific areas of the crew working time that are disruptive to sleep. This may help operator‟s roster duties in a more predictable way to limit the incidence of fatigue, while also offering the opportunity for the regulator and other stakeholders to focus their efforts on how to better design the current FTLs to limit the prevalence and risks associated with crew fatigue. , Thesis (MSc) -- Human Kinetics and Ergonomics, 2022
- Full Text:
- Date Issued: 2022-10-14
System analysis of fatigue in pilots and co-pilots executing short-hall flight operations
- Authors: Bennett, Cleo Taylor
- Date: 2020
- Subjects: Air pilots -- Health and hygiene , Fatigue , Work environment -- Psychological aspects , Work environment -- Physiological aspects
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/146622 , vital:38543
- Description: Background: This study was conducted as part of Denel’s South African Regional Aircraft (SARA) development project. Regional aircraft have a maximum flight time of 60 minutes. Hence, the study focuses on matters pertaining to the short-haul flight context. Pilot fatigue has been recognised as a safety concern in the aviation industry. It impacts on pilot performance across the board, not least in the short-haul context. However, the specific factors that lead to pilot fatigue in short-haul operations have not been well researched. Research Aim: To identify and examine the factors which influence pilot/co-pilot fatigue in short-haul aviation contexts. Method: Fatigue is multifaceted, and has multiple definitions and descriptions. It is acknowledged as a complex phenomenon, the development of which is dynamically influenced by various factors. Thus, a systems approach based on the work system model by Smith and Carayon-Sainfort (1989) was adopted for this study. A systems analysis was conducted in two parts: 1) a literature analysis, and 2) expert interviews. Results: Both the literature analysis and the interviews indicated that pilot fatigue in short-haul flight operations represent composite system outcomes influenced by various factors. The factors identified were structured (systematised) into categories, namely organizational factors, task-related factors, environmental factors, factors linked to technology and tools, and non-work-related factors specific to the individual pilot. An example of a task-related factor would be the performance by pilots of multiple take-offs and landings; organizational factors include work time arrangements and duty scheduling (e.g. unpredictable schedule, early starts/late finishes, number of flight sectors in a shift, extended working hours, numerous consecutive work days, standby duties, flight, duty and rest limitations (regulations and guidelines); and short turnaround periods); environmental factors might include the small pressurised cockpit environment, movement restriction, very low humidity, low air pressure, vibrations, high noise levels, low light intensity light, and inclement weather); there are many examples of how tools and technology utilized by pilots might affect their fatigue levels; and finally, pilot-specific non-work-related factors would include things like the pilot’s age, health (lifestyle), family stress, work experience and sleep environment. All of these factors were identified during the literature analysis and have a significant bearing on how fatigue could present in short-haul pilots/co-pilots. Other important fatigue-related factors revealed during the expert interviews included, organizational culture, time management, health implications of fatigue, and management of fatigue. Conclusions: Pilot fatigue is a complex and multi-factorial physiological condition. There are many interacting components which contribute to pilot fatigue in short-haul operations. These should be viewed from an integrated perspective and holistic, systems-based approaches should be taken to manage these issues, particularly in the context of short-haul operations. This would optimize pilot performance and well-being and, most importantly, improve the safety of the work environment to enhance overall operation safety. Limitations: The study does not quantify the contributions made to pilot fatigue by the various factors explored. Therefore, care needs to be taken when designing and implementing interventions based on this research.
- Full Text:
- Date Issued: 2020
- Authors: Bennett, Cleo Taylor
- Date: 2020
- Subjects: Air pilots -- Health and hygiene , Fatigue , Work environment -- Psychological aspects , Work environment -- Physiological aspects
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/146622 , vital:38543
- Description: Background: This study was conducted as part of Denel’s South African Regional Aircraft (SARA) development project. Regional aircraft have a maximum flight time of 60 minutes. Hence, the study focuses on matters pertaining to the short-haul flight context. Pilot fatigue has been recognised as a safety concern in the aviation industry. It impacts on pilot performance across the board, not least in the short-haul context. However, the specific factors that lead to pilot fatigue in short-haul operations have not been well researched. Research Aim: To identify and examine the factors which influence pilot/co-pilot fatigue in short-haul aviation contexts. Method: Fatigue is multifaceted, and has multiple definitions and descriptions. It is acknowledged as a complex phenomenon, the development of which is dynamically influenced by various factors. Thus, a systems approach based on the work system model by Smith and Carayon-Sainfort (1989) was adopted for this study. A systems analysis was conducted in two parts: 1) a literature analysis, and 2) expert interviews. Results: Both the literature analysis and the interviews indicated that pilot fatigue in short-haul flight operations represent composite system outcomes influenced by various factors. The factors identified were structured (systematised) into categories, namely organizational factors, task-related factors, environmental factors, factors linked to technology and tools, and non-work-related factors specific to the individual pilot. An example of a task-related factor would be the performance by pilots of multiple take-offs and landings; organizational factors include work time arrangements and duty scheduling (e.g. unpredictable schedule, early starts/late finishes, number of flight sectors in a shift, extended working hours, numerous consecutive work days, standby duties, flight, duty and rest limitations (regulations and guidelines); and short turnaround periods); environmental factors might include the small pressurised cockpit environment, movement restriction, very low humidity, low air pressure, vibrations, high noise levels, low light intensity light, and inclement weather); there are many examples of how tools and technology utilized by pilots might affect their fatigue levels; and finally, pilot-specific non-work-related factors would include things like the pilot’s age, health (lifestyle), family stress, work experience and sleep environment. All of these factors were identified during the literature analysis and have a significant bearing on how fatigue could present in short-haul pilots/co-pilots. Other important fatigue-related factors revealed during the expert interviews included, organizational culture, time management, health implications of fatigue, and management of fatigue. Conclusions: Pilot fatigue is a complex and multi-factorial physiological condition. There are many interacting components which contribute to pilot fatigue in short-haul operations. These should be viewed from an integrated perspective and holistic, systems-based approaches should be taken to manage these issues, particularly in the context of short-haul operations. This would optimize pilot performance and well-being and, most importantly, improve the safety of the work environment to enhance overall operation safety. Limitations: The study does not quantify the contributions made to pilot fatigue by the various factors explored. Therefore, care needs to be taken when designing and implementing interventions based on this research.
- Full Text:
- Date Issued: 2020
The time course changes in selected fatigue indicators in moderately trained participants
- Authors: Maduna, Bongani Cyprian
- Date: 2019
- Subjects: Athletes -- Health and hygiene , Fatigue , Athletes -- Physiology
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/76354 , vital:30553
- Description: Background: During daily physical activities, individuals will encounter some level of fatigue. This is especially true for athletes who exert their bodies to achieve superior performance and attempt to delay the onset of fatigue as far as possible. However, fatigue is a progressive process that is part of physical exercise. It is therefore, important to understand the various factors associated with fatigue. Objective: The purpose of this research project was to observe the changes in perceptual, physiological responses, and workload while participants performed a fatiguing cycling exercise task. In order to observe the aforementioned changes, one of the three variables, either perceptual, physiological responses or workload was kept constant, while the other two were observed as dependent variables. There were three test conditions, which permitted each variable to be kept constant in at least one of the three test conditions. Methods: Thirty-six apparently healthy university students were recruited for the study. The exercise was of 35 minute duration for each condition, with the data collection for HR (physiological response), RPE (perceptual response), and power output (workload) occurring at two minute intervals from the eighth minute until the thirtieth minute. The participants were required to perform a peak-power-output test in order set the relative performance ranges for each participant in order to elicit an observable fatigue response from all the participants. The three conditions included constant HR response, constant workload, and constant RPE response where each participant performed all of the above conditions on separate days.Results: The perceptual (RPE) response increased significantly (p<0.05) over time in all three test conditions, even under the constant RPE condition where it was expected to remain unchanged throughout the test duration. The HR response only demonstrated a significant (p<0.05) increase over time under the constant workload condition. Lastly, workload remained constant in all three testing conditions. Conclusion: Participants may be able to exercise for longer periods during sub-maximal exercise if they disregard the RPE warning response. In the current study, the RPE response illustrated that participants were being exerted more over time; however, the participants still had physiological and workload capacity to continue exercising. This research project has confirmed the fact that fatigue is a multifaceted phenomenon. Furthermore, it has been illustrated that RPE response alone as an indicator of fatigue onset may be misleading as participants did not breach the HR and workload steady state during the current research. Therefore, it may be more appropriate to assess fatigue onset through the assessment of more than one fatigue variable in order to ensure increased accuracy of the participants’ fatigue state assessment.
- Full Text:
- Date Issued: 2019
- Authors: Maduna, Bongani Cyprian
- Date: 2019
- Subjects: Athletes -- Health and hygiene , Fatigue , Athletes -- Physiology
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/76354 , vital:30553
- Description: Background: During daily physical activities, individuals will encounter some level of fatigue. This is especially true for athletes who exert their bodies to achieve superior performance and attempt to delay the onset of fatigue as far as possible. However, fatigue is a progressive process that is part of physical exercise. It is therefore, important to understand the various factors associated with fatigue. Objective: The purpose of this research project was to observe the changes in perceptual, physiological responses, and workload while participants performed a fatiguing cycling exercise task. In order to observe the aforementioned changes, one of the three variables, either perceptual, physiological responses or workload was kept constant, while the other two were observed as dependent variables. There were three test conditions, which permitted each variable to be kept constant in at least one of the three test conditions. Methods: Thirty-six apparently healthy university students were recruited for the study. The exercise was of 35 minute duration for each condition, with the data collection for HR (physiological response), RPE (perceptual response), and power output (workload) occurring at two minute intervals from the eighth minute until the thirtieth minute. The participants were required to perform a peak-power-output test in order set the relative performance ranges for each participant in order to elicit an observable fatigue response from all the participants. The three conditions included constant HR response, constant workload, and constant RPE response where each participant performed all of the above conditions on separate days.Results: The perceptual (RPE) response increased significantly (p<0.05) over time in all three test conditions, even under the constant RPE condition where it was expected to remain unchanged throughout the test duration. The HR response only demonstrated a significant (p<0.05) increase over time under the constant workload condition. Lastly, workload remained constant in all three testing conditions. Conclusion: Participants may be able to exercise for longer periods during sub-maximal exercise if they disregard the RPE warning response. In the current study, the RPE response illustrated that participants were being exerted more over time; however, the participants still had physiological and workload capacity to continue exercising. This research project has confirmed the fact that fatigue is a multifaceted phenomenon. Furthermore, it has been illustrated that RPE response alone as an indicator of fatigue onset may be misleading as participants did not breach the HR and workload steady state during the current research. Therefore, it may be more appropriate to assess fatigue onset through the assessment of more than one fatigue variable in order to ensure increased accuracy of the participants’ fatigue state assessment.
- Full Text:
- Date Issued: 2019
The effects of intermittent task parameters on muscle fatigue development during submaximal dynamic exertions
- Authors: King, Josephine Claire
- Date: 2018
- Subjects: Muscles -- Physiology , Muscles -- Wounds and injuries , Fatigue , Human engineering , Occupational diseases
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/63855 , vital:28498
- Description: The negative effects of localised muscle fatigue on accidents, injuries and poor work performance are well known, as is the realisation that modifying task characteristics can minimise fatigue development. A large amount of literature has investigated the effects of task-dependent factors on localised muscle fatigue, most studies have focussed on prolonged or intermittent static (isometric) exertions. Few studies have investigated muscle fatigue development during more complex tasks, namely those which resemble common work activities and which tend to be intermittent and dynamic in nature. More specifically, the interactions between the main intermittent parameters - duty cycle, force level, and cycle time - during dynamic exertions are poorly understood. The purpose of this study was to investigate the effects of cycle time and combinations of duty cycles and force levels on the development of muscle fatigue during submaximal dynamic exertions while the overall mean muscle load was kept constant. A two-factorial repeated-measures experiment was developed for this study. Nine experimental conditions, each lasting 16 minutes, aimed at inducing muscle fatigue in the middle deltoid muscle via intermittent dynamic shoulder abduction and adduction motions at three cycle times (30, 60, and 120 seconds) and three combinations of duty cycles and force levels. The percentage of muscle activation during one cycle (i.e. the duty cycle) varied depending on the exertion intensity (force level) so that the overall mean muscle load remained consistent throughout all experimental conditions, namely at 20% of maximum force exertion. As a result, the three duty cycle/force level combinations were: 0.8/25% of maximum voluntary force (MVF), 0.5/40%MVF, and 0.4/50%MVF. Muscle fatigue development was inferred by changes in peak torque, total work, average power, local Ratings of Perceived Exertion (RPE), and surface electromyographical (EMG) activity (time domain and frequency domain).Two-factorial analyses of variance with Tukey post-hoc tests were used to identify significant condition effects at p<0.05. All dependent measures showed that muscle fatigue was induced by the 16-minute fatigue protocol. Peak torque, total work, average power, and EMG percentage of maximum showed that cycle time and the duty cycle/force level combination had no effect on the development of muscle fatigue, whereas the measures evaluated during the 16-minute fatigue protocol did. The cycle time of 120 seconds induced the greatest change in six of the eight variables, while the duty cycle/force level combination (0.8/25%) also resulted in the greatest effect in six of the measures. Fatigue was also found to be dependent on the interaction of cycle time and duty cycle/force level combination. The conclusion draws from this study is that shorter cycles and activities with short activation periods, and proportionally longer rest breaks result in the lowest fatigue developments.
- Full Text:
- Date Issued: 2018
- Authors: King, Josephine Claire
- Date: 2018
- Subjects: Muscles -- Physiology , Muscles -- Wounds and injuries , Fatigue , Human engineering , Occupational diseases
- Language: English
- Type: text , Thesis , Masters , MSc
- Identifier: http://hdl.handle.net/10962/63855 , vital:28498
- Description: The negative effects of localised muscle fatigue on accidents, injuries and poor work performance are well known, as is the realisation that modifying task characteristics can minimise fatigue development. A large amount of literature has investigated the effects of task-dependent factors on localised muscle fatigue, most studies have focussed on prolonged or intermittent static (isometric) exertions. Few studies have investigated muscle fatigue development during more complex tasks, namely those which resemble common work activities and which tend to be intermittent and dynamic in nature. More specifically, the interactions between the main intermittent parameters - duty cycle, force level, and cycle time - during dynamic exertions are poorly understood. The purpose of this study was to investigate the effects of cycle time and combinations of duty cycles and force levels on the development of muscle fatigue during submaximal dynamic exertions while the overall mean muscle load was kept constant. A two-factorial repeated-measures experiment was developed for this study. Nine experimental conditions, each lasting 16 minutes, aimed at inducing muscle fatigue in the middle deltoid muscle via intermittent dynamic shoulder abduction and adduction motions at three cycle times (30, 60, and 120 seconds) and three combinations of duty cycles and force levels. The percentage of muscle activation during one cycle (i.e. the duty cycle) varied depending on the exertion intensity (force level) so that the overall mean muscle load remained consistent throughout all experimental conditions, namely at 20% of maximum force exertion. As a result, the three duty cycle/force level combinations were: 0.8/25% of maximum voluntary force (MVF), 0.5/40%MVF, and 0.4/50%MVF. Muscle fatigue development was inferred by changes in peak torque, total work, average power, local Ratings of Perceived Exertion (RPE), and surface electromyographical (EMG) activity (time domain and frequency domain).Two-factorial analyses of variance with Tukey post-hoc tests were used to identify significant condition effects at p<0.05. All dependent measures showed that muscle fatigue was induced by the 16-minute fatigue protocol. Peak torque, total work, average power, and EMG percentage of maximum showed that cycle time and the duty cycle/force level combination had no effect on the development of muscle fatigue, whereas the measures evaluated during the 16-minute fatigue protocol did. The cycle time of 120 seconds induced the greatest change in six of the eight variables, while the duty cycle/force level combination (0.8/25%) also resulted in the greatest effect in six of the measures. Fatigue was also found to be dependent on the interaction of cycle time and duty cycle/force level combination. The conclusion draws from this study is that shorter cycles and activities with short activation periods, and proportionally longer rest breaks result in the lowest fatigue developments.
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- Date Issued: 2018
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