Three-Dimensional Spinal Loading during Complex Lifting Tasks

Author(s):  
Fadi A. Fathallah ◽  
William S. Marras ◽  
Mohamad Parnianpour

Knowledge of the complex three-dimensional loads imposed on the spine during typical manual materials handling (MMH) tasks could provide more insights about the mechanical etiology of low back injuries in occupational settings. Comprehensive treatment of such information has been lacking. Most previous studies quantified spinal loading in terms of compressive forces alone. However, there is enough empirical and epidemiological evidence to indicate that the shear forces imposed on the spine may be more important than mere compression. Hence, the purpose of this study was to assess, in-vivo, the three-dimensional complex spinal loading associated with lifting tasks. Subjects performed simulated lifting tasks with varying workplace characteristic. An EMG-assisted model provided the continuous three-dimensional spinal loads. Asymmetric (complex) lifting tasks showed distinctive loading patterns from those observed under symmetric conditions. Simultaneous occurrences of spinal loads in all three directions (compression and shear forces) were patterns unique under the “risky” asymmetric lifting conditions. These situations could be identified and abated through proper workplace design. In conclusion, this approach allow the determination of the magnitudes and temporal occurrence(s) of complex spinal loading, and assess the sensitivity of these loading patterns to workplace characteristics.

Author(s):  
Kermit G. Davis

In industry, workers perform tasks requiring both lifting and lowering. During concentric lifting, the muscles are shortening as the force is being generated. Conversely, the muscle lengthens while generating force during eccentric lowering. While research on various lifting tasks is extensive, there has been limited research performed to evaluate the lowering tasks. Most of the research that does exist on lowering has investigated muscle activity and trunk strength. None of these studies have investigated spinal loading. The current study estimated the effects of lifting and lowering on spinal loads and predicted moments imposed on the spine. Ten subjects performed both eccentric and concentric lifts under sagittally symmetric conditions. The tasks were performed under isokinetic trunk velocities of 5, 10, 20, 40, and 80 deg/s while holding a box with weights of 9.1, 18.2, and 27.3 kg. Spinal loads and predicted moments in three dimensional space were estimated by an EMG-assisted model which has been adjusted to incorporate the artifacts of eccentric lifting. Eccentric strength was found to be 56 percent greater than during concentric lifting. The lowering tasks produced significantly higher compression forces but lower anterior-posterior shear forces than the concentric lifting tasks. The differences in the spinal loads between the two lifting tasks were attributed to the internal muscle forces and unequal moments resulting from differences in the lifting path of the box. Thus, the differences between the lifting tasks resulted from different lifting styles associated with eccentric and concentric movements


Author(s):  
Gang Yang ◽  
Riley Splittstoesser ◽  
Gregory Knapik ◽  
David Trippany ◽  
Sahika Vatan Korkmaz ◽  
...  

Kneeling in a restricted posture during manual materials handling has been associated with increased risk of low back pain. Little is known about the effect of kneeling posture on spinal loads. The purpose of this study was to compare differences in spinal loading between kneeling and standing postures for lifting tasks. Twelve subjects asymmetrically lifted luggage of three weights to three heights from floor while kneeling. Three subjects also performed the same tasks from waist height while standing. An adapted free-dynamic EMG-assisted biomechanical model was used to calculate spinal loads. Statistical analysis showed that there was no difference in compression between kneeling and standing (p=0.9605), but kneeling resulted in increased anterior-posterior and lateral shear forces on the lumbar spine (p =0.0002 and p<0.0001, respectively). Spinal loading changes while kneeling in a restricted posture may increase the risk of low back injury and must be considered in ergonomic job design.


Author(s):  
Kermit G. Davis ◽  
William S. Marras ◽  
Kevin P. Granata

This study documented three-dimensional spine loading associated with asymmetric lifting while using either one or two hands to perform the task. Lift asymmetry was defined as a function of the load origin relative to the sagittal plane of the body. Lifts occurred at 0, 30, or 60 degrees off the sagittal plane on both sides of the body (lifting from the right and from the left relative to the sagittal plane). Ten subjects lifted a 13.7 kg box from one of these origins to a sagittally symmetric destination. Spinal loads were estimated through the use of a validated EMG-assisted model. Spine compression and lateral shear forces increased as the lift origin became more asymmetric. However, spine compression and lateral shear increased by about twice the rate when lifting from origins to the left of the sagittal plane compared to lifting from origins to the right of the sagittal plane. Anterior-posterior spinal shear decreased as asymmetry increased with larger decreases occurring when lift origins occurred to the right of the sagittal plane. One-hand lifting changed the compression and shear profiles significantly. One-hand lifts using the hand on the same side of the body as the load resulted in compression forces that were approximately equal to those observed when lifting with two hands in a sagittally symmetric position. Anterior -posterior shear decreased and lateral shear increased under these conditions. These results reflect the trade-offs that must be considered among spinal forces during asymmetric lifting while using one or two hands.


1992 ◽  
Vol 36 (10) ◽  
pp. 757-760 ◽  
Author(s):  
William S. Marras ◽  
Steven A. Lavender ◽  
Sue E. Leurgans ◽  
Sudhakar L. Rajulu ◽  
W. Gary Allread ◽  
...  

Few assessment technigues have attempted to define the role of occupational trunk motion in the risk of occupationally-related low back disorder (LBD) even though laboratory studies have indicated that motion significantly Increases spine loading. An in-vivo study was performed to assess the contribution of three- dimensional dynamic trunk motions to the risk of LBD during occupational lifting in industry. Over 400 industrial lifting jobs were studied in 48 industries. Specific manual materials handling jobs historically identify as either high risk or low risk for LBD were identified. A tri-axial electrogoniometer was worn by workers and documented the three-dimensional trunk motion characteristics associated with these high risk or low risk jobs. Workplace characteristics such as load moment arm, load weight, etc. were also documented for each of the repetitive lifting tasks. A multiple logistic regression model indicated that a combination of five trunk motion and workplace factors (lifting frequency, load moment, trunk lateral velocity, trunk twisting velocity, and trunk sagittal angle) predicted occupational-related LBD risk well. The analyses have enabled us to determine the LBD risk associated with combined changes in the magnitudes of the five factors. This model could be used as a quantitative, objective measure to redesign the workplace so that the risk of occupationally-related LBD is minimized.


Author(s):  
Eric B. Weston ◽  
Alexander Aurand ◽  
Jonathan S. Dufour ◽  
Gregory G. Knapik ◽  
William S. Marras

Background: In an attempt to reduce heavy lifting exposures, the manual materials handling burden has shifted towards pushing and pulling. Pushing and pulling may pose a biomechanical risk due to excessive loads placed onto the lumbar spine, particularly in anterior/posterior (A/P) shear (Knapik and Marras 2009). The only risk limits available in the scientific literature for pushing and pulling were psychophysically-determined, relying on the assumption that subjective perception of an individual’s maximum acceptable external forces corresponds to biomechanical tolerance (Snook and Ciriello 1991). However, individuals are unlikely able to sense biomechanical loading on critical tissues in the spine due to the lack of nociceptors in the intervertebral disc (Adams et al. 1996). As such, the objective of this study was to create a set of biomechanically-determined risk limits for occupational pushing and pulling that are protective of the low back. Methods: Sixty-two subjects (31 male, 31 female) performed occupational pushing and pulling tasks in a laboratory. Subjects performed three types of exertions (one-handed pull, two-handed pull, two-handed push) at three handle heights (32 in., 40 in., 48 in.) and in one of two directions (straight or turn). Subjects pushed or pulled on custom-built hand transducers connected to an overhead braking system via a rig while performing each exertion. To document a wide range of pushing and pulling exposures, the braking system incrementally increased the linear or rotational resistance proportional to the subject’s changes from the initial global position throughout each trial; subjects exerted up to a maximum voluntary exertion. Dependent measures consisted of the magnitude and direction of three-dimensional forces recorded at the hands, turning torques, net joint moments calculated at each shoulder, and three-dimensional spinal loads (compression, A/P shear, lateral shear) at the superior and inferior endplates of each spinal level extending from T12/L1 to L5/S1, as calculated by a dynamic EMG-driven biomechanical spine model (Knapik and Marras 2009; Hwang et al. 2016a; Hwang et al. 2016b). Multiple linear regression techniques correlated spinal loads with hand force or turning torque in order to develop biomechanically-determined hand force and turning torque limits. The values for straight two-handed pushing and pulling were also compared to psychophysically-determined thresholds developed by Snook and Ciriello (1991). Results and Discussion: The independent measures (exertion type, handle height, and exertion direction) and their interactions significantly influenced dependent measures of hand force, turning torque, shoulder moment, and spinal load. In agreement with Knapik and Marras (2009), spinal loads most frequently exceeded tissue tolerance limits for spinal loading (NIOSH 1981; Gallagher and Marras 2012) in A/P shear. The biomechanically-determined limits developed from this work are up to 30% lower than the closest psychophysically-derived equivalents (Snook and Ciriello 1991). Conclusion: Psychophysically-derived hand force limits are not protective enough of biomechanical risk imposed onto the lumbar spine during pushing and pulling. The biomechanically-determined pushing and pulling guidelines proposed herein provide a more objective and conservative indication of risk and should be implemented moving forward.


Author(s):  
D. Reis ◽  
B. Vian ◽  
J. C. Roland

Wall morphogenesis in higher plants is a problem still open to controversy. Until now the possibility of a transmembrane control and the involvement of microtubules were mostly envisaged. Self-assembly processes have been observed in the case of walls of Chlamydomonas and bacteria. Spontaneous gelling interactions between xanthan and galactomannan from Ceratonia have been analyzed very recently. The present work provides indications that some processes of spontaneous aggregation could occur in higher plants during the formation and expansion of cell wall.Observations were performed on hypocotyl of mung bean (Phaseolus aureus) for which growth characteristics and wall composition have been previously defined.In situ, the walls of actively growing cells (primary walls) show an ordered three-dimensional organization (fig. 1). The wall is typically polylamellate with multifibrillar layers alternately transverse and longitudinal. Between these layers intermediate strata exist in which the orientation of microfibrils progressively rotates. Thus a progressive change in the morphogenetic activity occurs.


Author(s):  
Greg V. Martin ◽  
Ann L. Hubbard

The microtubule (MT) cytoskeleton is necessary for many of the polarized functions of hepatocytes. Among the functions dependent on the MT-based cytoskeleton are polarized secretion of proteins, delivery of endocytosed material to lysosomes, and transcytosis of integral plasma membrane (PM) proteins. Although microtubules have been shown to be crucial to the establishment and maintenance of functional and structural polarization in the hepatocyte, little is known about the architecture of the hepatocyte MT cytoskeleton in vivo, particularly with regard to its relationship to PM domains and membranous organelles. Using an in situ extraction technique that preserves both microtubules and cellular membranes, we have developed a protocol for immunofluorescent co-localization of cytoskeletal elements and integral membrane proteins within 20 µm cryosections of fixed rat liver. Computer-aided 3D reconstruction of multi-spectral confocal microscope images was used to visualize the spatial relationships among the MT cytoskeleton, PM domains and intracellular organelles.


2009 ◽  
Vol 30 (05) ◽  
pp. 432-438 ◽  
Author(s):  
Akira Goto ◽  
Hisao Moritomo ◽  
Tomonobu Itohara ◽  
Tetsu Watanabe ◽  
Kazuomi Sugamoto

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