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Available online at www.sciencedirect.com ScienceDirect Procedia Manufacturing 3 (2015 ) 1812 1816 6th International Conference on Applied Human Factors and Ergonomics (AHFE 2015) and the Affiliated Conferences, AHFE 2015 Designing an ergonomic chair for pedicurists and manicurists in Quezon City, Philippines Rosanna Alojado*, Benette Custodio, Klarissa Mai Lasala, Paco Lorenzo Marigomen Department of Industrial Engineering and Operations Research, University of the Philippines, Diliman, Quezon City, Philippines Abstract In the Philippines, there has been a growing population of businesses engaging in the industry of providing personal care services. From the statistics provided by the Bureau of Labor and Employment Statistics, in 2008 to 2010, there has been a 34.7% increase in the people employed in this sector [1]. These services include that of salons, with pedicure and manicure services consisting 23% and 19% respectively [2]. Manicurists and pedicurists suffer severe discomfort and pain due to the awkward posture and repetitive motions involved in their work. Manicurists and pedicurists are commonly seen hunching over, bowing and tilting their heads, and sitting in stools lower than their popliteal height. Because of this, the proponents of this study aim to design an ergonomically-fit chair suitable for manicurists and pedicurists. In line with this goal, the proponents conducted a survey in areas near the University of the Philippines Diliman to backup observations regarding the workers' working posture and ailments occurring due to this. The need to change their working posture was analyzed through Rapid Entire Body Assessment (REBA) and necessary anthropometric measurements were obtained. From the survey conducted among the workers, the body parts which most often experienced pain were the neck, shoulders, and back. In addition, the legs, back, and hands were the areas perceived to experience the most severe pain while working. The legs and the back were also seen to be the areas where pain frequently occurs, as well as the chest part. Furthermore, the nature of their job entails that manicurists and pedicurists frequently tilt and bow their heads while working. These factors were taken into consideration for the design of the chair. Postures of the workers were evaluated by the proponents to support the claims of the participants. REBA of their working posture revealed that manicurists and pedicurists adopt high-risk postures that require immediate investigation to implement change. Using all the data gathered, the proponents designed a chair allowing workers to have a better posture. Regarding the improved ergonomic chair design for nail salon workers, it was suggested that further studies could include customer s anthropometric measurements to supplement the design of the chair and come up with a better set up beneficial for both the worker and the customer. In addition, attention should also be paid to the selection of the materials used in the chair. 2015 The Authors. Published by by Elsevier Elsevier B.V. B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AHFE Conference. Peer-review under responsibility of AHFE Conference Keywords:Nail technicians; Ergonomic design; Health and safety of workers * Corresponding author. Tel.: +63935-311-2841. E-mail address: rmalojado@up.edu.ph 2351-9789 2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AHFE Conference doi:10.1016/j.promfg.2015.07.220

Rosanna Alojado et al. / Procedia Manufacturing 3 ( 2015 ) 1812 1816 1813 1. Introduction The personal care service industry has experienced continuous growth due to rising awareness of personal aesthetics and hygiene. In the Bureau of Labor and Employment Statistics' (BLES) 2010 Survey of Employment in Philippine Industry and Service Sectors, the personal care service sector only constituted 3% of the country's total employment, but when compared with 2008 data, constituted a 34.7% increase in people employed in the sector. This industry includes hairdressers, barbers, beauticians, manicurists and pedicurists, and other related jobs [1, 2]. The work of a nail technician involves shaping, cleaning, and applying products to the nail and cuticle. Pedicurists normally work on a low stool below their popliteal height, with the client s foot on a towel positioned on top of the worker s thighs/knees. Manicurists occupy similar posture but the work is more concentrated on the customer s fingernails. This is done for the comfort of the client more than for ease of work. Based on observation, manicurists and pedicurists appear to experience bad posture relative to other workers. They are commonly seen hunching over, bowing and tilting their heads, and sitting on a chair lower than their popliteal height. A definite concern is that these postures are maintained for 30-60 minutes, and that the hands perform repetitive motions. Many studies were also conducted regarding the safety and comfort of the workers. One example was done in Daegu City, Korea in which a comparison of work-related symptoms was made between nail salon technicians and office workers. It was found out that in terms of musculoskeletal symptoms, a large percentage of nail salon workers experience pain in shoulders and neck [3]. Additionally, in a study by Harris-Roberts et al, 71 nail technicians in 39 salons were interviewed. Despite having already received proper training, majority of the respondents still reported work-related neck, shoulder, wrist or hand, and lower back problems [4]. This study aims to design a chair that will allow the workers to work comfortably, lessening the chance of suffering back injuries and/or other spine impairments. In addition, the design must ensure that the tools being used are securely placed within their arm span to allow an efficient flow of work, decreasing the strain they experience as they twist and flex their body to reach a hand tool they need. Furthermore, this would result to increased customer safety and well-being. 2. Methodology The study involves 42 manicurists and pedicurists working in areas surrounding University of the Philippines Diliman (UPD). 2.1. Survey A survey was conducted to document necessary information about the workers including the parts of the body where they often feel pain and what positions they deemed to cause more strain in their body while working. 2.2. Rapid Entire Body Assessment The information gathered in the survey was then incorporated in the Rapid Entire Body Assessment (REBA). This method of assessment was chosen because the study deals with the entire body posture of the workers [5]. The result of the assessment would determine if there is indeed a need to change the working posture. 2.3. Considerations for the chair design Anthropometric measurements were taken to be able to design a chair conforming to Filipino manicurists and pedicurists, specifically those in areas near the University of the Philippines Diliman. The measurements taken into consideration were: Sitting Height, Sitting Shoulder and Elbow Height Upper Arm Length, Elbow-Fingertip Length

1814 Rosanna Alojado et al. / Procedia Manufacturing 3 ( 2015 ) 1812 1816 Knee and Popliteal Height Buttock-Knee Length and Buttock-Popliteal Length Thigh Thickness Hip Breadth Chest Depth The particular percentile for specific parts was also considered. The chair's initial specifications were: 1. Adjustable back rest - the height of the curved backrest can be changed to cover the dimensions from the 5th to the 95th percentile. 2. Adjustable desk or arm rest - the arm rest or desk can be changed to cover the dimensions from the 5th to the 95th percentile. It is cushioned for comfortable placement of the customers' feet. The tool box is also attached to one arm rest, in order to allow the workers' to have access to their tools right away. 3. Adjustable seat height - the height of the seat is adjustable in order to match the worker's popliteal height. Its height covers measurements from the 5th to the 95th percentile. 3. Results and discussion The respondents for the study mainly consisted of females, with only two males in the sample. This is because this type of job is usually undertaken by females in the Philippines. Their age group ranges from 18 to 56 years old, with an average of 33 years old. Their experience in the field ranges from 4 months to 20 years. 26 of the respondents are full-time manicurists or pedicurists while the other 10 perform other jobs such as hair cutting, hair coloring and other salon work. Their working hours range from 8 to 12 hours in a day, and their working days are usually 6 or 7 days in a week. Their average service time ranges from 30 to 60 minutes, with an average of 44.3 minutes. Among the 36 respondents, only two of them said that they do not feel body pain or discomfort during or after work. The neck, shoulders and back are the body parts where pain is most frequently reported. Based on observations of the proponents of this study and survey answers of the respondents, the workers are commonly bowing and tilting their heads to have a good view of their work. This causes the neck to be overly stressed. In addition, the shoulders and back also suffer from pain since most of the workers sit in a chair with no back support, making the workers hunch over. Furthermore, the legs, back, and hands were perceived to be the most painful while working. The workers' movements are only minimal and their job requires focus so their posture is held for the duration of the service, causing aching and stiffness. Lastly, the proponents of this study also conducted a Rapid Entire Body Assessment to evaluate the workers' job, posture-wise. The result shows that there is indeed a need to investigate the nature of the work and implement changes to prevent the high risks of injury the workers are exposed to. Increased worker comfort can also lead to the improvement of employee productivity. The anthropometric measurements considering all respondents and only female respondents differed by 6.35cm at most. Since the two males might be a biased representation of the whole population, the proponents of the study opted to design the chair solely for females. Table 1 shows the summary of anthropometric measurements for female respondents. Table 1. Anthropometric Measurements (Females Only). Anthropometric Measurement Mean (cm) 5th percentile (cm) Median (cm) 95th percentile (cm) Standard deviation (cm) sitting height 78.0 73.2 77.5 83.6 1.3 sitting shoulder height 52.0 44.5 52.3 62.0 2.8

Rosanna Alojado et al. / Procedia Manufacturing 3 ( 2015 ) 1812 1816 1815 Anthropometric Measurement Mean (cm) 5th percentile (cm) Median (cm) 95th percentile (cm) Standard deviation (cm) upper arm length 30.0 23.1 29.2 35.6 2.9 sitting elbow height 22.9 17.8 23.1 27.9 1.4 knee height 46.0 41.7 46.0 49.5 1.0 popliteal height 16.1 34.3 40.9 47.0 1.5 buttock knee length 40.9 45.2 50.8 56.6 1.6 buttock popliteal length 44.7 38.6 44.5 52.8 1.8 thigh thickness 6.2 3.8 6.0 9.6 1.8 hip circumference 18.1 15.4 18.4 20.6 1.6 elbow-fingertip length 16.0 15.0 16.1 17.3 0.8 chest depth 8.4 4.8 8.5 12.4 2.9 The resulting chair design is shown in figures 1a and 1b. Some parts of the chair can be made out of different materials, and material strength is an important factor in the standard design dimensions. The chair was designed with seat height adjustable from 34.29cm to 46.99cm from the ground and the armrests adjustable from 17.78cm to 27.94cm from the seat height. The seat is cushioned for sitting comfort. Its seat was proposed to have a length of 52.32cm and width of 47.24cm. These figures reflect the 95th percentile of the samples for hip breadth and buttock-popliteal length, respectively. The desk is also cushioned for the customer's comfort. Its length was set at least 52.32cm, not including adjustments in length due to the dimensions of the arm rests. It was designed to rest on both armrests and be stable. Fig. 1. (a) Chair Design with Desk Placed on Top (b) Chair Design with Desk Placed on the Side.

1816 Rosanna Alojado et al. / Procedia Manufacturing 3 ( 2015 ) 1812 1816 The tool box is attached on the right armrest so that changes in the height of the arm rest would automatically apply to the tool box. The backrest is also cushioned to lessen the pain brought about by continuous sitting. It supports the curvature of the lower back. Further study is required to obtain proper measurements of lower back curvature. Since the new design of chair is substantially taller than current seating, customer seating will also be adjusted. Following Novabos and Po's ideal seat height for multi-purpose chairs, 40 cm, the proponents of the study recommend an increase in about 12 cm so that the customers' seat height would be equal to the desk height [6]. This could be done by placing the seat on a platform so that the customers would still be able to get on the seat properly. 4. Conclusion In conclusion, Filipino pedicurists and manicurists suffer from pain and stress due to the bad posture normally adopted while working. This is similar to results from the selected related literature discussed in the paper. There is a clear evidence of built-up of musculoskeletal disorders among manicurists and pedicurists. From the observations and survey conducted, the proponents saw the need and thus, designed a better working chair for the nail technicians in order to improve their posture and lessen stress on the body. 5. Recommendations for further studies This study only considers the anthropometric measurements of the Filipino workers. Further studies could include the customers, in order to create a set-up beneficial for both the workers and the customers. This study does not include the common measurements and usage frequency of the workers' tools. If taken into consideration, the tool holder could be modified to match the tools' frequency of use. Furthermore, the materials to be used for the chair should also be taken into account. References [1] Bureau of Labor and Employment Statistics. "2010 Survey of Employment in Philippine Industry and Services Sectors." November 2011. Philippine Statistics Authority - Bureau of Labor and Employment Statistics. 5 December 2014 (http://www.bles.dole.gov.ph/archives/labstat%20updates/issues/vol15_30.pdf). [2] Bureau of Labor and Employment Statistics. "2013 First Quarter Survey of Hot Jobs in Large Enterprises in Metro Manila." August 2013. Philippine Statistics Authority - Bureau of Labor and Employment Statistics.5 December 2014 (http://www.bles.dole.gov.ph/archives/labstat%20updates/issues/vol17_16.pdf). [3] S.-A. Park, S. Gwak, S. Choi, (2014, May 30), Assessment of Occupational Symptoms and Chemical Exposures for Nail Salon Technicians in Daegu City, Korea. [4]J. Harris-Roberts, J. Bowen, J. Sumner, M. Stocks-Greaves, L. Bradshaw, D. Fishwick, C. M. Barber, Work-related symptoms in nail salon technicians, Occupational Mediciine Vol. 61 Issue 5, 2011, pp. 335-340. [5] S. Hignett & L McAtamney. Rapid Entire Body Assessment (REBA), 2000. [6] C. Novabos, &R. Po,The Application of Filipino Anthropometric Data in the Design of House Rooms and Furniture, 2012.