Background: The increasing use of helmet-mounted displays in aviation raises issues of head-supported weight and neck musculoskeletal function, especially during acceleration.
Objectives: This study aimed to quantify musculoskeletal stress as weight was added to the front of the head in different head positions and determine the effectiveness of a counterbalance in reducing stress.
Methods: There were 20 subjects who participated. The study required that the subject move his head every 10 s for 10 min to one of five positions that were assumed to represent those readily adopted in everyday situations: neutral, 30 degrees extended, 30 degrees flexed, 35 degrees left rotated, and 35 degrees right rotated. Of the subjects, 10 repeated the test while wearing a GSMK6 helmet, and when 0.5 kg, 1.0 kg, or 2.0 kg was added to the front of the helmet. The other 10 subjects repeated the test but with counterbalances. During testing, EMG was recorded from the neck extensors and sternocleidomastoid muscle. Pain levels were recorded using the Borg-CR10 scale.
Results: Changes in head position from neutral resulted in significant increases of EMG amplitude (mean +/- SD) in the neck extensors of up to 18 +/- 13% (p < 0.05), and due to head load by 46 +/- 33% (p < 0.05) with a frontal load of 2 kg. Sternocleidomastoid EMG showed little change due to increases in load but increased significantly by up to 265 +/- 227% of the neutral position (p < 0.05) when the head was rotated.
Conclusions: The use of head-mounted displays presents the risk of detrimental effects to the musculoskeletal system. Determining the effect of added weight requires a knowledge of working head postures.