Evidence map›Paper›PMID 41940884›Full record

ArticleScandinavian journal of work, environment & health2026

Standardizing upper arm movement definitions across observational and sensor-based methods: A Delphi consensus study among European ergonomics experts.

Anders Dreyer Frost, Mikael Forsman, Luiz Augusto Brusaca, Andreas Holtermann, Lars Louis Andersen, Karen Søgaard, Nidhi Gupta

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Article in Scandinavian journal of work, environment & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Anders Dreyer FrostNational Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark. adf@nfa.dk.
Mikael Forsman
Luiz Augusto Brusaca
Andreas Holtermann
Lars Louis Andersen
Karen Søgaard
Nidhi Gupta

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMusculoskeletal disorders from repetitive upper arm movements contribute substantially to sickness absence and productivity loss. Despite widespread use of observational and sensor-based assessments, inconsistent definitions hinder comparison across studies and translation to practice. This study explored threshold criteria for defining upper arm movements and static postures across observational and sensor-based approaches and examined conceptual differences between practical observability and biomechanical measurability.

methodsWe conducted a two-round Delphi study following the ACCORD guidelines. We invited 35 European experts to rate agreement on proposed definitions. A consensus criterion was set to ≥75% agreement. A thematic analysis of free-text responses guided definition revisions between rounds.

resultsFifteen (43%) and fourteen (93% retention) completed rounds 1 and 2, respectively. Consensus defined a fast-paced movement as ≤1 second (80% agreement) and static posture as ≥4 seconds with ±5° movements (87% agreement). No agreement emerged regarding the minimum amplitude threshold for defining an arm movement (eg, 10° versus 20°; 53% agreement). Experts' comments reflected a tension between observability, favoring higher amplitude thresholds, and biomechanical relevance, favoring lower thresholds, while highlighting velocity's importance.

conclusionsExpert consensus on time-based thresholds for fast-paced movements and static postures provides a starting point for standardized ergonomic assessment. The absence of consensus on amplitude thresholds highlights the need for field validation studies examining which thresholds capture measurement reliability and prediction of musculoskeletal health outcomes. These findings support efforts toward transparency and alignment in upper arm exposure definitions across research and practice, while acknowledging remaining conceptual and methodological challenges.

Indexed as

ArmErgonomicsBiomechanical PhenomenaConsensusDelphi TechniqueEuropeHumansMovementPosture

Identifiers

PMID41940884
PMCPMC13150856

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.