672 THE COLLIERY GUARDIAN October 1, 1915. INDUSTRIAL FATIGUE. Experiments on Colliers. An interim report on an investigation of industrial fatigue by physiological methods, carried out by A. F. Stanley Kent, M.A., D.Sc. (Oxon), Henry Overton Wills Professor of Physiology in the University of Bristol, has been published as a White Paper [Cd. 8056]. Some account is given therein of an attempt undertaken on behalf of the Home Office to discover a test for recognising the presence, and a gauge for estimating the degree, of fatigue as met with under factory conditions. The work is to be regarded as preliminary, and is published now in order that others, interested in the subject, may be informed of the progress made and of the relative value to be placed on the methods described. Fatigue is a term used in connection with various struc- tures and bearing different meanings accordingly. In some cases fatigue of various organs—of muscle, of nerve, and of central organs — may be associated in the production of general fatigue, and this is especially likely to be the case in the problem under consideration. The term “ fatigue ” is used in the report as a general term, and may be taken to include a general lowering of the functions of the body as a result of extreme or prolonged activity. The report describes the various tests employed, and the experiments carried out to determine their value. Experiments were carried out, first, upon two students in the laboratory, and subsequently upon four assistants in the department. In these experiments the muscles were used until completely exhausted, and a period of five minutes then allowed for recovery, followed by a second record. From the experiments carried out on these lines, it appeared that in this power of recovery from fatigue there existed an index of the general condition of an individual which might be of great use in the investigation under consideration. Labor- atory experiments made in the way indicated were carried on for some months, the results showing that in a majority of cases the power of recovery was distinctly less at the end of the day’s work than at the commencement. The chief difficulty was that fatigue, in its graver aspects, was not present. Difficulties, however, were experienced owing to the inconstancy of the results and the smallness of the differences observed. Laboratory experiments having been completed, arrange- ments were made to commence investigations under factory conditions. The results obtained were irregular, however, and indicate that some modifications should be introduced into the method before it can be regarded as suitable for measuring the fatigue of factory operatives. For this reason an endeavour was made to discover a method of experiment which should be free from these defects, and to apply it in a wider range of industries, including such as involved more physical strain. Tests on Colliers. The main interest of the report concerns the special senses —tests having been made upon the. special senses of sight and hearing. These tests, to which, in view of the simplicity of application and consistency in results obtained, Dr. Kent attaches a high value, were carried out upon three distinct categories of workers : (a) colliers, engaged in coal mining; (5) chemical works men; and (c) three men and three women engaged in letterpress printing. In each of these classes, tests both of sight and hearing are shown to be capable of indicating distinctly fatigue of only moderate severity, such as occurs at the end of the eight-hour shift,’whilst in some cases the general acuity of sight and of hearing both before and after labour, are found to be markedly lowered towards the end of the week, thus indicating an accumulation of fatigue. With regard to blood pressure the results of the present investigation seem to show that an estimation of this cannot be accepted as a reliable test of the existence of fatigue, although the charts appear to bring out an interesting rela- tion between height of blood pressure and power of response. The examinees from the colliery (Talk-o’-th’-Hill) were four colliers (Nos. 1, 3, 4, and 5) aged 46, 32, 37, and 39 respectively, the first two having to walk four miles in order to reach work, and the last two f mile and | mile respec- tively; and two loaders (Nos. 2 and 6), aged 31 and 21 respectively, who had to walk four miles and f mile respectively. The experiments were carried out at the beginning and at the end of an eight hours “ shift,” in each case. The colliers commenced work on what is called the “ afternoon shift at 3 p.m. on Monday. They went down the pit between 2 and 3 p.m., so as to be ready to start work at 3. They then worked, with one 20 minutes’ interval, till 11p.m., and came up the pit some time between 11 and 12 p.m. This continued until Friday. Saturday and Sunday were rest days. The men started again on Monday, but this time they were engaged on the “ morning shift,” that is, from 6 a.m. till 2 p.m. During this week they would put in six “ shifts.” The loaders would work the same hours as the colliers. Reaction Time Tests. In the experiment on colliers to show the reaction time (chart 1), of the six individuals examined on the first day, three are seen to have reacted less quickly after work than before, whilst three reacted more quickly after work than before. The results are thus evenly divided, and the average comes out exactly the same before and after work. In seek- ing an explanation of this result, it must be remembered :— (1) That the test was made after several days’ rest; (2) that the test was unfamiliar to the examinees. It is therefore possible that the first period of work after a prolonged rest was not sufficient to produce a grade of fatigue capable of detection by this means, and also that the question of prac- tice comes in, and that the quicker result after work is really due to a better understanding of what was required. If this suggestion is well-founded—that marked fatigue is not produced in the first period of work after a prolonged rest (under the conditions of the experiment)—and it is a fact that the work is sufficiently heavy to produce fatigue during the week, an examination of the records for the week of the individuals concerned should show a gradually increas- ing lengthening of the evening response compared with that of the afternoon. This cannot be said to be the case with No. 1, who shows a ratio of 0-9130 (Monday), 1-2336 (Tuesday), 0-8505 (Wednesday), 1-0550 (Thursday), and 0'7959 (Friday). That is, the diminution of the ratio A/N (afternoon to night) which should correspond with the increasing fatigue, is altogether irregular. In No. 2, on the other hand, after a quicker response after work on the first day, there is a progressive decrease in the ratio A/N to the end of the week. No. 3, again, is irregular. No. 4 uniformly longer B/W (before work) than A/W (after work), for the first three days of the experiment, with a reversal of the ratio, i.e., B/W less than A/W on the last two days of the test. No. 5 shows the effect of practice for the first two days, the results on the second day being considerably lower than those on the first; on the third day there is a remark- able increase of A/W over B/W, which is continued on the fourth day, but which is again reversed on the last day of the test. No. 6, again, is irregular, though, like three of the five others, he shows a B/W less than A/W on the last day. Taking the averages, it is seen that of the five days, the first shows no difference between B/W and A/W, the second shows an actual diminution of time after work, i.e., B/W greater than A/W, whilst the other three days all show a distinct increase in the time taken to respond after work as compared with that taken before the work is commenced. The figures, therefore, give some indication that practice has an appreciable effect at the beginning of the series, and also that the effect of fatigue only becomes obvious towards the end of the week’s work. These results must be judged from the averages in'the present state of the enquiry, and indications afforded that a modified form of the test should be capable of giving useful results. This suggestion is supported in a remarkable manner by a chart taken from another set of experiments, in which the temporary absence of the manager of the works, and a consequent relaxation of supervision of the -workers, is accompanied by a very pro- nounced rise an the curve, indicating a considerable diminu- tion of the fatigue present. In the charts the curves show the variations which occurred (u) reaction time; (b) acuity of vision; (c) blood- pressure; and (d) acuity of hearing during five successive days, Monday to Friday, January 4-8. Sight Tests. The second experiment (colliers) was made to show the maximum distance in centimetres at which standard letters Mon (Noon) Tues (Noon) Wed (Noon) Tburs. (Noon) *3 I- --->- TIME HOURS Chart 1. can be recognised (chart 2). This—the first test of the present series based upon an examination of the special senses—is of great interest. With two exceptions, every test shows that the distance at which the standard letters could be seen proved to be greater before than after work, that is to say, as a result of the work, the acuity of the sight was diminished. The two exceptions referred to both occur on the second day of the test (No. 2, B/W 66, A/W 72, and No. 5, B/W 277, and A/W 300). The differences are not very considerable, being but 9 cm.—9 per cent.—in the case of No. 2, and 23 cm.—8’2 per cent.—in the case of No. 5. The differences in many of the remaining cases are large, and omitting the results of the first day, when the novelty of the conditions probably affected the results more than later in the series, it is seen that the ratio A/N rises consistently during most of the time of the test—1'118-1'20-1'240-1'190. The existence of large individual differences will be noticed, the most marked example being found in No. 1. In explanation of this it may be mentioned that this man was the oldest of the examinees, and that a few years ago he suffered from a bad accident, being imprisoned by a fall in the mine for a period of 15 hours. The results of this experiment are distinctly encouraging, the values appear to be consistent, and the differences suffi- Mon (Noon) fri(NvOr) Tues (Noon) INed.(No'sn) Thurs.(Nocn) Chart 2. ciently large to minimise the influence of experimental error. Moreover, the’test is not one in which the individual is likely to influence the result wilfully. Blood Pressure Tests. In the third experiment (colliers), the blood pressure was charted in millimetres of mercury (chart 3). A series of experiments upon the variations in the blood pressure was carried out in conjunction with the other tests for two dis- tinct purposes :—(1) To ascertain whether a spell of labour exerts any definite effect upon the blood pressure; (2) to ascertain whether there is any definite relation between the blood pressure and the power of responding to the other tests employed. With regard to the first question, an examination of the records obtained from No. 1 shows that in every case the period of labour is followed by a definite—in some cases a considerable—rise of pressure. Nos. 2 and 3, however, do not bear out this indication, the effect being very variable from day to day; whilst No. 4, J.W.B., shows a uniformly lower pressure after work than before it throughout the test except on the last day, when no difference was shown. No. 5 also shows sometimes a rise—sometimes a fall—as the result of labour; and No. 6 the same. Obviously, then, as a direct indication of fatigue produced by labour of the type here investigated, the blood pressure cannot be relied upon. With regard to (2), a very interesting point is brought out in the graphical records plotted on chart 5. Here the line indicating the ratio A/N of reaction time (equals reciprocal of daily fatigue) follows very closely the line indicating the ratio A/N of blood pressure (equals reciprocal of daily rise of blood pressure), i.e.. the rapidity of response seems to vary directly with the blood pressure. The magnitudes in the case of blood pressure are small, yet they are based upon a considerable number of observations. The magnitudes in the case of the reaction time are larger. The correspondence between the tw7o is remarkable, and bears out the observa- tions made long ago on the influence of the blood pressure on the nervous system. The line of visual acuity also shows a marked tendency to vary with or against the blood pressure. Hearing Tests. In the fourth experiment (colliers) the test was the maxi- mum distance at which a standard watch could be heard (in cms.) (chart 4). In the great majority of the instances here also, as in the tests of the sense of sight, the readings at the end of a period of labour are less than at the beginning, thus indicating that a distinct lowering of the acuity of the special sense investi- gated has resulted. The few discrepancies present are alto- gether swamped in the averages, and the ratio A/N rises ,5° —————"T——————————————————— J_____1^ — _____________________________. I Mon.(Noon) Tues.(Noon) tNed.(Noon) Thors (Noon) Tri. (Noon) ----— TIME HOURS Chart 3. from 1-186 on the first day to 1-288 on the third day, falling to 1-198 on the last day of the test. The special interest attaching to this series of tests has reference to the fact that it supports the results obtained in the tests of sight, and seems to confirm the indication that the special senses are largely affected by labour prolonged to the point of fatigue, and that an examination of their condition may be found to afford a valuable index of such fatigue. The fresh tests mentioned as having been arranged in connection -with sight will be combined with further tests on the lines here indicated. Experiments with Other Workers. Chemical Works Men.—The experiments carried out on workmen employed in other industries may be briefly summarised. It appears that the results of the “ reaction time ” tests as at present arranged cannot be taken as affording a trustworthy index of the grade of fatigue present, though in view of the figures obtained from the colliers, and especially in view of the remarkable indication afforded of a diminution of fatigue corresponding to a less stringent supervision it appears to be by no means improbable that a modified test would give results of value. The conclusions drawn from the sight tests carried out on the colliers are strengthened by a consideration of the results obtained. As with the colliers, no constant relation exists between the blood pressure and the wmrk performed. The results obtained from the hearing test also support the results obtained in the examination of the colliers, and are distinctly encouraging, as indicating a line of investigation to be pursued in the future. It is of special interest to note that in one case, whilst the individual was able.to hear the watch used at a distance of 15'5 cm. on the morning of the first day, this distance gradually diminished to half that value Mon.(Noon) Tues (Noor) Chart 4, Wedfttoon) THurs(N3xi) -----> TtME HOURS after the first spell of work, and at the end of the series was reduced to zero. Letterpress Printing Workers.—An examination of the results of this “ reaction time ” test shows that during the first week the workers were more readily fatigued on Thursday and Friday than on Monday, Tuesday, or Wednesday. Such a result might be brought about as a result of the nightly rest proving insufficient to sweep away the day’s stock of fatigue, the worker starting next morning with a small debit balance, to be increased on successive mornings until the end of the week was reached. The week’s accumulation would, as a rule, be swept away by the week-end rest. On the following Monday the curve has risen to the zero line; it then commences to fall steadily on Tuesday and Wednesday. On Thursday and Friday, how- ever, the line, instead of continuing to fall, takes a sharp turn upwards, indicating a diminution in fatigue production on these days. The full notes made at the time of all the circum- stances of the experiment enable one to offer an explanation of this apparent anomaly. On referring to these notes, the following entry is found :—“ Manager absent,” and this absence of the manager coincides in time with the period during which less fatigue was indicated. Less strict super- vision, accompanied by a less development of fatigue, has Chart 5. been indicated in an unmistakable manner in the records obtained by the method under discussion, and to this extent the method may be said to be of value. A point of some interest brought out by the sight experi- ment is the difference in acuity of vision existing between different individuals. With these exceptions, the evening readings are smaller than the morning readings, indicating that with the development of fatigue a diminution in the acuity of vision had occurred. Under the conditions of the blood pressure experiment, the blood pressure was as a rule higher in the evening than in the morning. It is possible, however, that this may have been