Articles: lifting.
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To date, the mechanisms of disc failure have been explored at a microstructural level in relatively simple postures. However, in vivo the disc is known to be subjected to complex loading in compression, bending and shear, and the influence of these factors on the mechanisms of disc failure is yet to be described at a microstructural level. The purpose of this study was to provide a microstructural analysis of the mechanisms of failure in healthy discs subjected to compression while held in a complex posture incorporating physiological amounts of flexion and facet-constrained shear. ⋯ The complex posture as used in this study significantly reduced the load required to cause disc failure, providing further evidence that asymmetric postures while lifting should be avoided if possible.
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Part I of this study explored mechanisms of disc failure in a complex posture incorporating physiological amounts of flexion and shear at a loading rate considerably lower than likely to occur in a typical in vivo manual handling situation. Given the strain-rate-dependent mechanical properties of the heavily hydrated disc, loading rate will likely influence the mechanisms of disc failure. Part II investigates the mechanisms of failure in healthy discs subjected to surprise-rate compression while held in the same complex posture. ⋯ This study has again shown that multiple modes of damage are common when compressing a segment in a complex posture, and the load bearing ability, already less than in a neutral or flexed posture, is further compromised with high rate complex loading.
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It is not known whether, during the course of aging, changes occur in the motor strategies used by the CNS for lifting objects of different weights. Here, we analyzed the kinematics of object-lifting in two different healthy groups (young and elderly people) plus one well-known deafferented patient (GL). The task was to reach and lift onto a shelf an opaque cylindrical object with changing weight. ⋯ It appears that, depending on age and on available proprioceptive information, the CNS uses different strategies of lifting. We suggest that elder people tend to optimize their feedforward control in order to compensate for less functional afferent feedback, perhaps to optimize movement time and energy expenditure at the expense of high precision. In the case of complete loss of proprioceptive input, however, compensation follows a different strategy as suggested by GL's behavior who moved more slowly compared to both our younger and older participants.
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Comparative Study
The effect of training on lumbar spine posture and intervertebral disc degeneration in active-duty Marines.
Military training aims to improve load carriage performance and reduce risk of injuries. Data describing the lumbar spine (LS) postural response to load carriage throughout training are limited. We hypothesised that training would reduce the LS postural response to load. ⋯ The lumbar posture of 27 Marines was measured from upright MR images, with and without load throughout infantry training. No changes in posture or IVD degeneration were found across training. Marines with degeneration at the L5-S1 level had larger sacral postural perturbations in response to load.
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Human movement science · Aug 2017
Local dynamic stability of the spine and its coordinated lower joints during repetitive Lifting: Effects of fatigue and chronic low back pain.
The nonlinear Lyapunov exponent (LyE) has been proven effective for evaluating the local stability of human movement and exploring the effects of load, speed and direction of individuals with and without nonspecific chronic low back pain (CLBP). The purpose of this study was to examine spinal and lower joint stability and response to fatigue of individuals with and without CLBP while performing lifting-lowering movements. Fourteen healthy individuals and 14 patients with nonspecific CLBP were recruited to perform lifting movement repeatedly while holding two equally-sized dumbbells in their hands. ⋯ Patients with CLBP showed more stable hip movement on the frontal and transverse planes (p<0.05). These results suggested that lifting/progressive fatigue could increase the risk of injury to the spine and hip. These findings indicate that patients with CLBP applied different control strategies for the hip; thus, spinal control stability should be evaluated together with the stability of the lower joints.