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Repetition

JSI Job Strain Index

Assess the risk of distal upper extremity musculoskeletal disorders — specifically the wrist, hand, and forearm — in jobs involving repetitive or forceful exertions.

Introduction

What is JSI?

The Job Strain Index (JSI) was developed by Moore and Garg at the Medical College of Wisconsin as a method to quantify risk of wrist, hand, and forearm disorders. It combines six task variables into a multiplicative score — so when high force, awkward wrist posture, and low recovery overlap, the calculated risk rises sharply. JSI was originally validated against physician-diagnosed disorders in industrial workers.

When to use JSI

Use JSI for tasks involving repetitive hand and wrist exertions — packing, assembly, supermarket scanning, repetitive typing, or any job where the wrist and fingers bear repeated force or sustained posture.

Primary citation: Moore, J.S. & Garg, A. (1995). The Strain Index: A proposed method to analyze jobs for risk of distal upper extremity disorders. American Industrial Hygiene Association Journal, 56(5), 443–458.

What JSI assesses

The body segments and task variables evaluated in a JSI assessment.

Six Task Variables (multiplicative)

  • Intensity of exertion (IE) — percentage of maximum strength required
  • Duration of exertion (DE) — proportion of cycle with active exertion
  • Exertions per minute (EM) — frequency of discrete exertions
  • Hand/wrist posture (HWP) — neutral through severely deviated
  • Speed of work (SW) — pace relative to comfortable working speed
  • Duration of task per day (DD) — hours per day the task is performed
Teal anatomical x-ray of a worker in the method’s real scenario, with assessed regions marked
Grip
Wrist
Forearm
How JSI reads hand-intensive shop-floor work — grip force, wrist posture and exertion frequency on the distal upper limb.

Scoring and action levels

Final score range: Strain Index (SI) — continuous

Developed by: Moore & Garg, 1995

≤ 3.0
0
Safe
Probably safe
3.1–7.0
1
Increased risk
Localised soft-tissue strain — modify
> 7.0
2
Hazardous
Strongly linked to distal UE injury — redesign

Key characteristics

What makes JSI the right tool for its intended use case.

Six-variable multiplicative model — captures combined effects

Wrist and hand specific — not whole-body

Validated against physician-diagnosed distal upper extremity disorders

Accounts for work pace and daily task duration

Complementary to OCRA for repetitive fine-motor tasks

Ergocure.ai

How Ergocure.ai applies JSI

Ergocure AI uses AI Vision to assess JSI's six task variables from video captures of the task cycle. Intensity of exertion, hand/wrist posture, and speed of work are extracted from frame analysis. Exertions per minute are counted across the sampled clip. Duration and daily task time are input via structured questionnaire. The JSI multiplicative score is computed before ergonomist review.

Workstation capture on a phone, face-blurred on device

Captured on any phone, scored for JSI, and validated by a certified ergonomist — face-blurred on-device.

Related assessment methods

Methods commonly used alongside JSI in a complete ergonomic assessment.

See JSI in a live assessment

Request a pilot — we'll run JSI with your team and deliver validated reports in 48 hours.