Manual material handling (MMH) work contributes to a large percentage of the over half a million cases of musculoskeletal disorders reported annually in the United States. Musculoskeletal disorders often involve strains and sprains to the lower back, shoulders, and upper limbs. They can result in protracted pain, disability, medical treatment, and financial stress for those afflicted with them; employers often find themselves paying the bill, either directly or through workers' compensation insurance, at the same time they must cope with the loss of the full capacity of their workers.