scholarly journals Variation in lifting kinematics related to individual intrinsic lumbar curvature: an investigation in healthy adults

2018 ◽  
Vol 4 (1) ◽  
pp. e000374 ◽  
Author(s):  
Anastasia V Pavlova ◽  
Judith R Meakin ◽  
Kay Cooper ◽  
Rebecca J Barr ◽  
Richard M Aspden

ObjectiveLifting postures are frequently implicated in back pain. We previously related responses to a static load with intrinsic spine shape, and here we investigate the role of lumbar spine shape in lifting kinematics.MethodsThirty healthy adults (18–65 years) performedfreestyle,stoopandsquatlifts with a weighted box (6–15 kg, self-selected) while being recorded by Vicon motion capture. Internal spine shape was characterised using statistical shape modelling (SSM) from standing mid-sagittal MRIs. Associations were investigated between spine shapes quantified by SSM and peak flexion angles.ResultsTwo SSM modes described variations in overall lumbar curvature (mode 1 (M1), 55% variance) and the evenness of curvature distribution (mode 2 (M2), 12% variance). M1 was associated with greater peak pelvis (r=0.38, p=0.04) and smaller knee flexion (r=–0.40, p=0.03) angles; individuals with greater curviness preferred to lift with a stooped lifting posture. This was confirmed by analysis of those individuals with very curvy or very straight spines (|M1|>1 SD). There were no associations between peak flexion angles and mode scores instooporsquattrials (p>0.05). Peak flexion angles were positively correlated betweenfreestyleandsquattrials but not betweenfreestyleandstooporsquatandstoop, indicating that individuals adjusted knee flexion while maintaining their preferred range of lumbar flexion and that ‘squatters’ adapted better to different techniques than ‘stoopers’.ConclusionSpinal curvature affects preferred lifting styles, and individuals with curvier spines adapt more easily to different lifting techniques. Lifting tasks may need to be tailored to an individual’s lumbar spine shape.

2017 ◽  
Vol 231 (2) ◽  
pp. 248-259 ◽  
Author(s):  
Anastasia V. Pavlova ◽  
Fiona R. Saunders ◽  
Stella G. Muthuri ◽  
Jennifer S. Gregory ◽  
Rebecca J. Barr ◽  
...  

2016 ◽  
Vol 234 (8) ◽  
pp. 2215-2226 ◽  
Author(s):  
Shawn M. Beaudette ◽  
Katelyn J. Larson ◽  
Dennis J. Larson ◽  
Stephen H. M. Brown

2018 ◽  
Author(s):  
Edin K. Suwarganda ◽  
Laura E. Diamond ◽  
David J. Saxby ◽  
David G. Lloyd ◽  
A. Killen Bryce ◽  
...  

AbstractAccurate representation of subject-specific bone anatomy in lower-limb musculoskeletal models is important for human movement analyses and simulations. Mathematical methods can reconstruct geometric bone models using incomplete imaging of bone by morphing bone model templates, but the validity of these methods has not been fully explored. The purpose of this study was to determine the minimal imaging requirements for accurate reconstruction of geometric bone models. Complete geometric pelvis and femur models of 14 healthy adults were reconstructed from magnetic resonance imaging through segmentation. From each complete bone segmentation, three sets of incomplete segmentations (set 1 being the most incomplete) were created to test the effect of imaging incompleteness on reconstruction accuracy. Geometric bone models were reconstructed from complete sets, three incomplete sets, and two motion capture-based methods. Reconstructions from (in)complete sets were generated using statistical shape modelling, followed by host-mesh and local-mesh fitting through the Musculoskeletal Atlas Project Client. Reconstructions from motion capture-based methods used positional data from skin surface markers placed atop anatomic landmarks and estimated joint centre locations as target points for statistical shape modelling and linear scaling. Accuracy was evaluated with distance error (mm) and overlapping volume similarity (%) between complete bone segmentation and reconstructed bone models, and statistically compared using a repeated measure analysis of variance (p<0.05). Motion capture-based methods produced significantly higher distance error than reconstructions from (in)complete sets. Pelvis volume similarity reduced significantly with the level of incompleteness: complete set (92.70±1.92%), set 3 (85.41±1.99%), set 2 (81.22±3.03%), set 1 (62.30±6.17%), motion capture-based statistical shape modelling (41.18±9.54%), and motion capture-based linear scaling (26.80±7.19%). A similar trend was observed for femur volume similarity. Results indicate that imaging two relevant bone regions produces overlapping volume similarity > 80% compared to complete segmented bone models. These findings have implications for improving movement analysis and simulation with subject-specific musculoskeletal models.


2008 ◽  
Vol 16 ◽  
pp. S183-S184 ◽  
Author(s):  
M.A. Bowes ◽  
T.G. Williams ◽  
C.J. Taylor ◽  
C.E. Hutchinson ◽  
R.A. Maciewicz ◽  
...  

Author(s):  
Sadegh Naserkhaki ◽  
Jacob L. Jaremko ◽  
Greg Kawchuk ◽  
Samer Adeeb ◽  
Marwan El-Rich

The spinal load sharing and mechanical stresses developed in the spine segments due to mechanical loads are dependent on the unique spinal anatomy (geometry and posture). Variation in spinal curvature alters the load sharing of the lumbar spine as well as the stiffness and stability of the passive tissues. In this paper, effects of lumbar spine curvature variation on spinal load sharing under compressive Follower Load (FL) are investigated numerically. 3D nonlinear Finite Element (FE) models of three ligamentous lumbosacral spines are developed based on personalized geometries; hypo-lordotic (Hypo-L), normal (Normal-L) and hyper-lordotic (Hyper-L) cases. Analysis of each model is performed under Follower Load and developed stress in the discs and forces in the collagen fibers are investigated. Stresses on the discs vary in magnitude and distribution depending on the degree of lordosis. A straight hypo-lordotic spine shows stresses more equally distributed among discs while a highly curved hyper-lordotic spine has stresses concentrated at lower discs. Stresses are uniformly distributed in each disc for Hypo-L case while they are concentrated posteriorly for Hyper-L case. Also, the maximum force in collagen fibers is developed in the Hyper-L case. These differences might be clinically significant related to back pain.


2013 ◽  
Vol 365-366 ◽  
pp. 1342-1349
Author(s):  
Xing Hui Wu ◽  
Zhi Xiu Hao

The spherical parameterization is important for the correspondence problem that is a major part of statistical shape modelling for the reconstruction of patient-specific 3D models from medical images. In this paper, we present comparative studies of five common spherical mapping methods applied to the femur and tibia models: the Issenburg et al. method, the Alexa method, the Saba et al. method, the Praun et al. method and the Shen et al. method. These methods are evaluated using three sets of measures: distortion property, geometric error and distance to standard landmarks. Results show that the Praun et al. method performs better than other methods while the Shen et al. method can be regarded as the most reliable one for providing an acceptable correspondence result. We suggest that the area preserving property can be used as a sufficient condition while the angle preserving property is not important when choosing a spherical mapping method for correspondence application.


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