Foundations of the Method

The evaluation of postural comfort is a key aspect of ergonomic work analysis, as it allows for the identification of postures that may cause discomfort, fatigue, or musculoskeletal disorders. In this context, the LUBA method (Loading on the Upper Body Assessment) emerges as a systematic procedure aimed at analyzing trunk, neck, and upper limb postures in order to estimate the level of postural discomfort associated with a given task.

Unlike other widely used methods such as OWAS, RULA, or REBA, LUBA focuses exclusively on postural assessment, without considering the duration of the maintained posture or the magnitude of handled loads. This makes it a more specific method for evaluating postural stress in tasks where the load component is low, but postural demand is high or sustained. For example, it can be especially useful in inspection tasks, administrative work, or manual precision activities, where poor posture may be maintained for long periods, even in the absence of load handling.

The LUBA method was developed by Kee and Karwowski in 2001, based on observations and analyses of postures adopted in real work environments. The methodology is based on the evaluation of specific joint angles of the body and their correlation with levels of postural discomfort, which were empirically established through previous biomechanical and subjective perception studies.

LUBA is mainly applied to tasks that involve static or semi-static postures, both in standing and seated positions. Its application requires postural (angular) measurements, which can be obtained through direct observation, video recordings, or photo analysis. However, it is important to note that due to its nature, LUBA should not be used as the sole evaluation criterion for activities involving heavy load handling or highly dynamic tasks.

 Remember...

The aim of the LUBA method is to assess the worker's level of postural comfort.

LUBA focuses exclusively on postural assessment, without considering either the duration of the maintained posture or the magnitude of the handled loads.

 Remember...

LUBA stands for Loading on the Upper Body Assessment. Unlike the RULA, REBA, or OWAS methods, it is a specific method designed to assess postural stress in tasks where the load component is low but postural demand is high or sustained.

Introduction

The application of the LUBA method requires following a structured sequence of steps, including identifying the posture to be analyzed (individual postures must be assessed), measuring the relevant joint angles, and assigning discomfort scores to each body segment. These scores are then integrated to calculate a global postural load index, which allows the situation to be classified into one of the defined action categories.

It is essential to analyze the right side and left side of the body independently, as there may be significant postural differences between them. Likewise, the method distinguishes between tasks performed in a standing position and those carried out in a seated position, as joint ranges and biomechanical demands vary depending on the general body posture.

The measurements to be taken on the worker's postures are angular (the angles formed by different body segments in relation to specific references). These measurements can be taken directly from the worker using goniometers, electrogoniometers, or any device that allows angular data collection. It is also possible to use photographs of the worker adopting the studied posture and measure the angles on them. When using photographs, it is necessary to take a sufficient number of images from different viewpoints (front, side, detail views, etc.). In this case, it is very important to ensure that the angles to be measured appear in true magnitude in the images — that is, the plane in which the angle lies must be parallel to the camera plane. For this task, you can use RULER, the Ergonautas tool for measuring angles on photographs.

As mentioned, the method must be applied separately to the right and left sides of the body. The expert evaluator may initially choose the side that appears to be under greater postural load, but in case of doubt, it is preferable to analyze both

 Remember...

LUBA assesses individual postures, not sets or sequences of postures. Select those to be evaluated based on their duration, frequency, or because they show greater deviation from the neutral position.

 Remember...

If you use photographs to measure angles, make sure they appear in true magnitude in the images (see Figure 1).

 RULER...

You can use RULER, the Ergonautas tool, to measure angles on photographs of the worker performing their task.

 Remember...

The right and left sides of the body must be assessed separately. In case of doubt, analyze both sides.

  Method Application

The procedure for applying the LUBA method can be summarized in the following steps:

1

Select those postures that are likely to involve greater postural load, either due to their duration, frequency, or because they show greater deviation from the neutral position.

2

Determine whether to assess the left or right side of the body

In case of doubt, both sides should be analyzed.

3

Take the required angular measurements

Photographs can be taken from appropriate viewpoints to perform the measurements. For this task, you can use RULER, the Ergonautas tool for measuring angles on photographs.

4

Determine the relative discomfort scores for each body part

Using the corresponding table for each limb.

5

Obtain the final scores to determine the presence of risk and establish the Action Category

6

If needed, determine what type of corrective measures should be taken

Review the scores for the different body parts to determine where corrections are necessary.

7

Redesign the workstation or implement changes to improve posture, if necessary

8

If changes have been implemented, reassess the posture using the LUBA method to verify the effectiveness of the improvement

 Did you know?

To facilitate data collection, Ergonautas offers this LUBA Method Field Sheet for applying the method. Click on the image to download it.

Field Sheet for applying the LUBA method by Ergonautas


The body segments (or joints) considered by the LUBA method are the following: the wrist, elbow, shoulder, neck, and trunk. For each of them, specific joint angles must be measured. Below is a brief description of the angles involved and how they should be measured:


Wrist

Wrist Flexion/Extension: The angle is measured between the forearm axis and the longitudinal axis of the hand in the plane perpendicular to the palm. These angles are mutually exclusive.
Wrist Radial/Ulnar Deviation: This refers to the lateral movement of the wrist toward the radial (thumb) or ulnar (little finger) side. The angle is measured between the forearm axis and the longitudinal axis of the hand in the plane parallel to the palm. These angles are mutually exclusive.

Elbow

Elbow Flexion: The angle is measured between the axis of the upper arm and the axis of the forearm in the plane formed by both axes.
Forearm Pronation/Supination: This refers to the rotation of the forearm that positions the palm facing upward (supination) or downward (pronation) from the neutral hand position (where the palm is parallel to the plane formed by the arm and forearm axes). These angles are mutually exclusive.

Shoulder

Shoulder Flexion/Extension: The angle is measured between the upper arm and the trunk axis in the sagittal plane. Flexion occurs when the arm is raised forward, while extension involves a backward movement, behind the frontal plane of the trunk. These angles are mutually exclusive.
Shoulder Adduction/Abduction: This angle is measured in the frontal plane. Abduction occurs when the arm moves laterally away from the body (e.g., lifting the arm to the side), and adduction when the arm moves back toward the trunk or even crosses to the opposite side of the body. These angles are mutually exclusive.
Medial/Lateral Rotation: This measures the rotation of the arm around its longitudinal axis. Medial (internal) rotation occurs when the arm rotates such that, if the forearm is flexed, it moves toward the trunk. Lateral (external) rotation is the opposite—when the flexed forearm moves away from the trunk. These angles are mutually exclusive.

Neck

Neck Flexion/Extension: The angle is measured between the vertical and the trunk axis in the sagittal plane. It indicates how far the head leans forward or backward. These angles are mutually exclusive.
Neck Rotation: Measures the degree of head rotation from the neutral position (with the gaze perpendicular to the frontal plane).
Neck Lateral Bending: This is the angle formed between the neck and the trunk axis in the frontal plane.

Trunk

Trunk Flexion/Extension: The angle is measured between the longitudinal axis of the trunk and the vertical in the sagittal plane. These angles are mutually exclusive.
Trunk Rotation: Measures the degree of trunk twist relative to the frontal plane.
Trunk Lateral Bending: Refers to the angle of sideways inclination of the trunk measured in the frontal plane.


The following section explains how to obtain the relative discomfort for each body segment, the final scores, and the risk category based on the measured angles.



  Relative Discomfort Scores

Once the corresponding postural angles have been recorded and measured, the next step is to assign a relative discomfort score to each of them, using the tables shown below. Attention should be paid to whether the posture is standing or sitting, as the thresholds for postural comfort vary depending on the support base and overall body mechanics.

Each segment and angle receives a discomfort score based on the degree of deviation from a neutral posture. These scores reflect the level of postural demand for each part of the body.


Wrist Score

Flexion

The wrist flexion score is based on the angle between the forearm axis and the longitudinal axis of the hand in the plane perpendicular to the palm. The score is obtained using Table 1. If the wrist is not flexed but extended, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–2011
20–6022
>6055
Table 1: Wrist Score (Flexion).

Extension

The wrist extension score is based on the angle between the forearm axis and the longitudinal axis of the hand in the plane perpendicular to the palm. The score is obtained using Table 2. If the wrist is not extended but flexed, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–2011
20–4522
>4577
Table 2: Wrist Score (Extension).

Radial Deviation

The wrist radial deviation score is based on the angle between the forearm axis and the longitudinal axis of the hand in the plane parallel to the palm. The score is obtained using Table 3. If the wrist is not radially deviated (toward the thumb) but ulnarly deviated (toward the little finger), a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–1011
10–3033
>3077
Table 3: Wrist Score (Radial Deviation).

Ulnar Deviation

The wrist ulnar deviation score is based on the angle between the forearm axis and the longitudinal axis of the hand in the plane parallel to the palm. The score is obtained using Table 4. If the wrist is not ulnarly deviated (toward the little finger) but radially deviated (toward the thumb), a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–1011
10–2033
>2066
Table 4: Wrist Score (Ulnar Deviation).

Elbow Score

Flexion

The elbow flexion score is based on the angle between the upper arm axis and the forearm axis in the plane formed by both. The score is determined using Table 5.


Angle (°) Score (sitting) Score (standing)
0–4511
45–12023
>12055
Table 5: Elbow Score (Flexion).

Pronation

The elbow pronation score is based on the angle of forearm rotation that positions the palm facing downward (pronation) from the neutral hand position (where the palm is parallel to the plane formed by the arm and forearm axes). The score is determined using Table 6. If the forearm is not pronated but supinated, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–7022
>7077
Table 6: Elbow Score (Pronation).

Supination

The elbow supination score is based on the angle of forearm rotation that positions the palm facing upward (supination) from the neutral hand position (where the palm is parallel to the plane formed by the arm and forearm axes). The score is determined using Table 7. If the forearm is not supinated but pronated, a score of 1 is assigned.


Angle (°) Score (standing) Score (sitting)
0–90°22
>90°77
Table 7: Elbow Score (Supination).

Shoulder Score

Flexion

The shoulder flexion score is based on the angle between the upper arm and the trunk axis in the sagittal plane. Flexion occurs when the arm is raised forward. The score is obtained using Table 8. If the shoulder is not flexed but extended, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–45°11
45–90°33
90–150°66
>150°1111
Table 8: Shoulder Score (Flexion).

Extension

The shoulder extension score is based on the angle between the upper arm and the trunk axis in the sagittal plane. Extension occurs when the arm moves backward. The score is obtained using Table 9. If the shoulder is not extended but flexed, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–20°11
20–45°43
45–60°96
>60°1310
Table 9: Shoulder Score (Extension).

Aducción

La puntuación del la aducción de hombro se obtiene a partir del ángulo entre el brazo y el eje del tronco en el plano frontal. La aducción se produce cuando el brazo se aproxima al tronco o incluso cruza hacia el otro lado del cuerpo. La puntuación se obtiene mediante la Tabla 10. Si el hombro no está aduccido sino abducido, se asigna la puntuación 1.


Ángulo (°) Puntuación (sentado) Puntuación (de pie)
0–10° 1 1
10–30° 2 2
>30° 8 8
Tabla 10: Puntuación del hombro (Aducción).

Abduction

The shoulder abduction score is based on the angle between the arm and the trunk axis in the frontal plane. Abduction occurs when the arm moves away from the trunk. The score is obtained using Table 11. If the shoulder is not abducted but adducted, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–30°11
30–90°33
>90°107
Table 11: Shoulder Score (Abduction).

Medial Rotation

The shoulder medial rotation score is based on the rotational angle of the arm around its longitudinal axis. Medial (internal) rotation occurs when the arm rotates such that, if the forearm were flexed, it would move toward the trunk. The score is determined using Table 12. If the shoulder is not medially rotated but laterally rotated, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–30°11
30–90°22
>90°75
Table 12: Shoulder Score (Medial Rotation).

Lateral Rotation

The shoulder lateral rotation score is based on the rotational angle of the arm around its longitudinal axis. Lateral (external) rotation occurs when the arm rotates such that, if the forearm were flexed, it would move away from the trunk. The score is determined using Table 13. If the shoulder is not laterally rotated but medially rotated, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–10°11
10–30°32
>30°75
Table 13: Shoulder Score (Lateral Rotation).

Neck Score

Flexion

The neck flexion score is based on the angle between the vertical and the trunk axis in the sagittal plane. It indicates how far the head leans forward. The score is determined using Table 14. If the neck is not flexed but extended, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–20°11
20–45°33
>45°55
Table 14: Neck Score (Flexion).

Extension

The neck extension score is based on the angle between the vertical and the trunk axis in the sagittal plane. It indicates how far the head leans backward. The score is determined using Table 15. If the neck is not extended but flexed, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–30°11
30–60°64
>60°129
Table 15: Neck Score (Extension).

Rotation

The neck rotation score is based on the angle of head rotation relative to the neutral position (with the gaze perpendicular to the frontal plane). The score is determined using Table 16.


Angle (°) Score (sitting) Score (standing)
0–30°11
30–60°22
>60°88
Table 16: Neck Score (Rotation).

Lateral Bending

The neck lateral bending score is based on the angle formed by the neck relative to the trunk axis in the frontal plane. The score is determined using Table 17.


Angle (°) Score (sitting) Score (standing)
0–30°11
30–45°32
>45°107
Table 17: Neck Score (Lateral Bending).

Trunk Score

Flexion

The trunk flexion score is based on the angle between the longitudinal axis of the trunk and the vertical, in the sagittal plane. It indicates how far the trunk leans forward. The score is determined using Table 18. If the trunk is not flexed but extended, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–20°11
20–60°33
>60°106
>90°12
Table 18: Trunk Score (Flexion).

Extension

The trunk extension score is based on the angle between the longitudinal axis of the trunk and the vertical, in the sagittal plane. It indicates how far the trunk leans backward. The score is determined using Table 19. If the trunk is not extended but flexed, a score of 1 is assigned.


Angle (°) Score (sitting) Score (standing)
0–10°1
10–20°4
20–30°8
>30°15
Table 19: Trunk Score (Extension).

Rotation

The trunk rotation score is based on the rotational angle of the trunk relative to the frontal plane. The score is determined using Table 20.


Angle (°) Score (sitting) Score (standing)
0–20°11
20–30°23
30–45°73
45–60°113
>60°1110
Table 20: Trunk Score (Rotation).

Lateral Bending

The trunk lateral bending score is based on the angle of side bending measured in the frontal plane. The score is determined using Table 21.


Angle (°) Score (sitting) Score (standing)
0–10°11
10–20°34
20–30°99
>30°1313
Table 21: Trunk Score (Lateral Bending).

  Postural Comfort Score and Action Category

Once the relative discomfort scores for each body segment are obtained, the Postural Load Score or Postural Comfort Index (PCI) is calculated. The Postural Comfort Index is obtained by summing the individual discomfort scores for all segments evaluated on one side of the body. Therefore, two separate scores must be calculated: one for the right side and one for the left side.

Analyzing both sides independently makes it possible to detect postural asymmetries that might go unnoticed in a global evaluation.

Based on the PCI value, an Action Category is assigned, which indicates the recommended level of intervention. To determine the Action Category, use Table 22.

Postural Comfort Index Category Risk Level Recommended Action
0 to 5 1 Acceptable This posture is acceptable, except in special situations such as prolonged duration or high repetition.
No corrective actions are required.
5 to 10 2 Needs Improvement This posture requires further investigation and corrective changes during the next regular review, but no immediate intervention is needed.
10 to 15 3 Requires Prompt Improvements This posture requires corrective actions through redesign of the workstation or work methods in the short term.
>15 4 Requires Immediate Improvements This posture requires immediate attention and the implementation of urgent corrective actions.
Table 22: Risk categories based on the Postural Load Score.


  Limitations of the Method

Despite its usefulness in specific contexts, the LUBA method presents several limitations that should be taken into account. Firstly, it does not consider the duration of exposure to a posture nor the frequency with which it is adopted, which may limit its ability to accurately predict the risk of injury. Likewise, LUBA does not incorporate the analysis of external loads or dynamic efforts, and therefore is not suitable for evaluating tasks that involve load handling, pulling, or pushing.

In addition, obtaining accurate postural angles can be labor-intensive. Moreover, the method was originally developed based on subjective discomfort data, which introduces a certain degree of individual variability in the interpretation of results.

Finally, although LUBA provides a clear classification of postural risk, it does not offer direct guidance on how to modify the task or redesign the workstation to reduce such risk. Therefore, it should be considered a screening tool that needs to be complemented with other ergonomic assessment techniques.


  Recommended Bibliography

  • Kee, D. y Karwowski, W., 2001. LUBA: An assessment technique for postural loading on the upper body based on joint motion discomfort and maximum holding time. Applied Ergonomics, 32(4), pp. 357–366.

  • Genaidy, A.M., Karwowski, W. y Al-Shedi, A.A., 1994. Postural stress analysis in industry. Applied Ergonomics, 25(2), pp. 77–87.

  • Juul-Kristensen, B., Fallentin, N. y Ekdahl, C., 1997. Criteria for classification of posture in repetitive work by observation method: a review. International Journal of Industrial Ergonomics, 19(5), pp. 397–411.

  • Diego-Mas, J.A., Poveda-Bautista, R. y Garzon-Leal, D.C., 2015. Influences on the use of observational methods by practitioners when identifying risk factors in physical work. Ergonomics, 58(10), pp. 1660-70.



Cite this document

  • Diego-Mas, Jose Antonio. Postural assessment using the LUBA method. Ergonautas, Universitat Politècnica de València, 2025. Available online: https://www.ergonautas.upv.es/metodos/reba/reba-ayuda.php




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