Arjaree Ausavanonkulporn
ABSTRACT
Pain at the lower back is a common health problem affecting working-age population around the world. The risk of low back pain has been assessed through spinal loads that change across different postures. Lifting is the most frequent posture that has been studied in previous literature. However, it is unclear which lifting posture should be performed in order to decrease the incidence of low back pain. The objective of this study was to evaluate spinal loads for three different lifting techniques; stoop, squat, and kneeling, at several levels of the lumbar spine. The present study was conducted via musculoskeletal modeling using commercial software (AnyBody Technology). The results indicate that there was no significant difference in compressive and resultant force among the three liftings. However, the difference in shear force between stoop and kneeling lifting was found to be significant. Increasing level of the lumbar spine significantly led to the decrease of shear force. The findings should benefit various research studies dealing with LBP.
- J. Hartvigsen, M. J. Hancock, A. Kongsted, Q. Louw, M. L. Ferreira, S. Genevay, D. Hoy, J. Karppinen, G. Pransky, J. Sieper, R. J. Smeets, M. Underwood, R. Buchbinder, J. Hartvigsen, D. Cherkin, N. E. Foster, C. G. Maher, M. Underwood, M. van Tulder, J. R. Anema, R. Chou, S. P. Cohen, L. Menezes Costa, P. Croft, M. Ferreira, P. H. Ferreira, J. M. Fritz, S. Genevay, D. P. Gross, M. J. Hancock, D. Hoy, J. Karppinen, B. W. Koes, A. Kongsted, Q. Louw, B. Öberg, W. C. Peul, G. Pransky, M. Schoene, J. Sieper, R. J. Smeets, J. A. Turner, and A. Woolf, "What low back pain is and why we need to pay attention," The Lancet, vol. 391, no. 10137, pp. 2356--2367, 2018.Google Scholar
Cross Ref
- D. Hoy, L. March, P. Brooks, F. Blyth, A. Woolf, C. Bain, G. Williams, E. Smith, T. Vos, J. Barendregt, C. Murray, R. Burstein, and R. Buchbinder, The global burden of low backpain: estimates from the Global Burden of Disease 2010 study, Ann Rheum Dis, vol. 73, no. 6, pp. 968--74, Jun, 2014.Google ScholarCross Ref
- M. R. Nourbakhsh, and A. M. Arab, Relationship between mechanical factors and incidence of low back pain, Journal of Orthopaedic & Sports Physical Therapy, vol. 32, no. 9, pp. 447--460, Sep, 2002.Google ScholarCross Ref
- R. Norman, R. Wells, P. Neumann, J. Frank, H. Shannon, and M. Kerr, A comparison of peak vs cumulative physical work exposure risk factors for the reporting of low back pain in the automotive industry, Clin Biomech (Bristol, Avon), vol. 13, no. 8, pp. 561--573, Dec, 1998.Google Scholar
- G. J. Macfarlane, E. Thomas, A. C. Papageorgiou, P. R. Croft, M. I. V. Jayson, and A. J. Silman, Employment and Physical Work Activities as Predictors of Future Low Back Pain, Spine, vol. 22, no. 10, pp. 1143--1149, 1997.Google ScholarCross Ref
- B. Bazrgari, A. Shirazi-Adl, and N. Arjmand, Analysis of squat and stoop dynamic liftings: muscle forces and internal spinal loads, Eur Spine J, vol. 16, no. 5, pp. 687--99, May, 2007.Google ScholarCross Ref
- J. L. Low, and A. Reed, Basic Biomechanics Explained: Butterworth-Heinemann 1996.Google Scholar
- M. Dreischarf, A. Shirazi-Adl, N. Arjmand, A. Rohlmann, and H. Schmidt, Estimation of loads on human lumbar spine: A review of in vivo and computational model studies, J Biomech, vol. 49, no. 6, pp. 833--845, Apr 11, 2016.Google ScholarCross Ref
- T. Bassani, E. Stucovitz, Z. Qian, M. Briguglio, and F. Galbusera, Validation of the AnyBody full body musculoskeletal model in computing lumbar spine loads at L4L5 level, J Biomech, vol. 58, pp. 89--96, Jun 14, 2017.Google ScholarCross Ref
- L. D. Vecchio, Choosing a Lifting Posture: Squat, Semi-Squat or Stoop, MOJ Yoga & Physical Therapy, vol. 2, no. 2, 2017.Google Scholar
- T. Zander, M. Dreischarf, H. Schmidt, G. Bergmann, and A. Rohlmann, Spinal loads as influenced by external loads: a combined in vivo and in silico investigation, J Biomech, vol. 48, no. 4, pp. 578--84, Feb 26, 2015.Google ScholarCross Ref
- M. Dreischarf, A. Rohlmann, F. Graichen, G. Bergmann, and H. Schmidt, In vivo loads on a vertebral body replacement during different lifting techniques, J Biomech, vol. 49, no. 6, pp. 890--895, Apr 11, 2016.Google ScholarCross Ref
- T. Bassani, and F. Galbusera, Musculoskeletal Modeling, Biomechanics of the Spine, pp. 257--277, 2018.Google ScholarCross Ref
- M. A. Rajaee, N. Arjmand, A. Shirazi-Adl, A. Plamondon, and H. Schmidt, Comparative evaluation of six quantitative lifting tools to estimate spine loads during static activities, Appl Ergon, vol. 48, pp. 22--32, May, 2015.Google ScholarCross Ref
- M. Mirakhorlo, M. R. Azghani, and S. Kahrizi, Validation of a musculoskeletal model of lifting and its application for biomechanical evaluation of lifting techniques, J Res Health Sci, vol. 14, no. 1, pp. 23--8, Winter, 2014.Google Scholar
- I. Kingma, G. S. Faber, A. J. M. Bakker, and J. H. van Dieen, Can low back loading during lifting be reduced by placing one leg beside the object to be lifted?, Physical Therapy, vol. 86, no. 8, pp. 1091-+, Aug, 2006.Google Scholar
- G. MSM, Low back disorders: evidence-based preventation and rehabilitation, 2002.Google Scholar
- K. S. Han, A. Rohlmann, T. Zander, and W. R. Taylor, Lumbar spinal loads vary with body height and weight, Med Eng Phys, vol. 35, no. 7, pp. 969--77, Jul, 2013.Google ScholarCross Ref
- Frederik G. Larsena, and Frederik P. Svenningsen, Estimation of spinal loading using inertial motion capture and ground reaction force prediction: A validation study, Master Thesis, June 07, 2008.Google Scholar
- Mark de Zee, Lone Hansen, Christian Wong, John Rasmussen,and Erik B.Simonsen, A generic detailed rigid-body lumbar spine model, Journal of Biomechanics, vol. 40, no. 6, pp. 1219--1227, 2007.Google ScholarCross Ref
Index Terms
- Lumbar Spinal Loading during Stoop, Squat, and Kneeling Lifting: A Musculoskeletal Modeling Analysis
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