Dynamic forces on the lumbar spine during manual handling: can they be estimated using EMG techniques alone?

P. Dolan, I. Kingma, J.H. van Dieen, M.P. de Looze, H.M. Toussaint, C.T.M. Baten, M.A. Adams

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    Study Design. Compressive loading of the lumbar spine was analyzed using electromyographic, movement analysis, and force-plate techniques. Objectives. To evaluate the inertial forces that cannot be detected by electromyographic techniques alone. Summary of Background Data. Links between back pain and manual labor have stimulated attempts to measure spine compressive loading. However, direct measurement of intradiscal pressure are too invasive, and force plates too cumberstone for use in the workplace. Electromyographic techniques are noninvasive and portable, but ignore certain inertial forces. Methods. Eight men lifted boxes weighing 6.7 and 15.7 kg from the ground, while joint moments acting about L5-S1 were quantified 1) by using a linked- segment model to analyze data from Kistler force plates and a Vicon movement- analysis system, and 2) by measuring the electromyographic activity of the erector spinae muscles, correcting it for contraction speed and comparing it to moment generation during static contractions. The linked-segment model was used to calculate the 'axial thrust,' defined as the component of the L5-S1 reaction force that acts along the axis of the spine and that is unrelated to trunk muscle activity or static body weight. Results. Peak extensor moments predicted by the two techniques were similar and equivalent to spinal compressive forces of 2.9-4.8 kN. The axial thrust 'hidden' from the electromyographic technique was negligible during slow lifts, and remained below 4% of peak spinal compression even during fast heavy lifts. Peak axial thrust was proportional to the peak vertical ground reaction (R
    Original languageEnglish
    Pages (from-to)698-703
    Number of pages6
    JournalSpine
    Volume24
    Issue number7
    DOIs
    Publication statusPublished - 1999

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    Spine
    Muscles
    Back Pain
    Workplace
    Joints
    Body Weight
    Pressure

    Cite this

    @article{99fc85a181634693b6b94ba6edee5e8d,
    title = "Dynamic forces on the lumbar spine during manual handling: can they be estimated using EMG techniques alone?",
    abstract = "Study Design. Compressive loading of the lumbar spine was analyzed using electromyographic, movement analysis, and force-plate techniques. Objectives. To evaluate the inertial forces that cannot be detected by electromyographic techniques alone. Summary of Background Data. Links between back pain and manual labor have stimulated attempts to measure spine compressive loading. However, direct measurement of intradiscal pressure are too invasive, and force plates too cumberstone for use in the workplace. Electromyographic techniques are noninvasive and portable, but ignore certain inertial forces. Methods. Eight men lifted boxes weighing 6.7 and 15.7 kg from the ground, while joint moments acting about L5-S1 were quantified 1) by using a linked- segment model to analyze data from Kistler force plates and a Vicon movement- analysis system, and 2) by measuring the electromyographic activity of the erector spinae muscles, correcting it for contraction speed and comparing it to moment generation during static contractions. The linked-segment model was used to calculate the 'axial thrust,' defined as the component of the L5-S1 reaction force that acts along the axis of the spine and that is unrelated to trunk muscle activity or static body weight. Results. Peak extensor moments predicted by the two techniques were similar and equivalent to spinal compressive forces of 2.9-4.8 kN. The axial thrust 'hidden' from the electromyographic technique was negligible during slow lifts, and remained below 4{\%} of peak spinal compression even during fast heavy lifts. Peak axial thrust was proportional to the peak vertical ground reaction (R",
    author = "P. Dolan and I. Kingma and {van Dieen}, J.H. and {de Looze}, M.P. and H.M. Toussaint and C.T.M. Baten and M.A. Adams",
    year = "1999",
    doi = "10.1097/00007632-199904010-00017",
    language = "English",
    volume = "24",
    pages = "698--703",
    journal = "Spine",
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    publisher = "Lippincott Williams & Wilkins",
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    }

    Dynamic forces on the lumbar spine during manual handling: can they be estimated using EMG techniques alone? / Dolan, P.; Kingma, I.; van Dieen, J.H.; de Looze, M.P.; Toussaint, H.M.; Baten, C.T.M.; Adams, M.A.

    In: Spine, Vol. 24, No. 7, 1999, p. 698-703.

    Research output: Contribution to JournalArticleAcademicpeer-review

    TY - JOUR

    T1 - Dynamic forces on the lumbar spine during manual handling: can they be estimated using EMG techniques alone?

    AU - Dolan, P.

    AU - Kingma, I.

    AU - van Dieen, J.H.

    AU - de Looze, M.P.

    AU - Toussaint, H.M.

    AU - Baten, C.T.M.

    AU - Adams, M.A.

    PY - 1999

    Y1 - 1999

    N2 - Study Design. Compressive loading of the lumbar spine was analyzed using electromyographic, movement analysis, and force-plate techniques. Objectives. To evaluate the inertial forces that cannot be detected by electromyographic techniques alone. Summary of Background Data. Links between back pain and manual labor have stimulated attempts to measure spine compressive loading. However, direct measurement of intradiscal pressure are too invasive, and force plates too cumberstone for use in the workplace. Electromyographic techniques are noninvasive and portable, but ignore certain inertial forces. Methods. Eight men lifted boxes weighing 6.7 and 15.7 kg from the ground, while joint moments acting about L5-S1 were quantified 1) by using a linked- segment model to analyze data from Kistler force plates and a Vicon movement- analysis system, and 2) by measuring the electromyographic activity of the erector spinae muscles, correcting it for contraction speed and comparing it to moment generation during static contractions. The linked-segment model was used to calculate the 'axial thrust,' defined as the component of the L5-S1 reaction force that acts along the axis of the spine and that is unrelated to trunk muscle activity or static body weight. Results. Peak extensor moments predicted by the two techniques were similar and equivalent to spinal compressive forces of 2.9-4.8 kN. The axial thrust 'hidden' from the electromyographic technique was negligible during slow lifts, and remained below 4% of peak spinal compression even during fast heavy lifts. Peak axial thrust was proportional to the peak vertical ground reaction (R

    AB - Study Design. Compressive loading of the lumbar spine was analyzed using electromyographic, movement analysis, and force-plate techniques. Objectives. To evaluate the inertial forces that cannot be detected by electromyographic techniques alone. Summary of Background Data. Links between back pain and manual labor have stimulated attempts to measure spine compressive loading. However, direct measurement of intradiscal pressure are too invasive, and force plates too cumberstone for use in the workplace. Electromyographic techniques are noninvasive and portable, but ignore certain inertial forces. Methods. Eight men lifted boxes weighing 6.7 and 15.7 kg from the ground, while joint moments acting about L5-S1 were quantified 1) by using a linked- segment model to analyze data from Kistler force plates and a Vicon movement- analysis system, and 2) by measuring the electromyographic activity of the erector spinae muscles, correcting it for contraction speed and comparing it to moment generation during static contractions. The linked-segment model was used to calculate the 'axial thrust,' defined as the component of the L5-S1 reaction force that acts along the axis of the spine and that is unrelated to trunk muscle activity or static body weight. Results. Peak extensor moments predicted by the two techniques were similar and equivalent to spinal compressive forces of 2.9-4.8 kN. The axial thrust 'hidden' from the electromyographic technique was negligible during slow lifts, and remained below 4% of peak spinal compression even during fast heavy lifts. Peak axial thrust was proportional to the peak vertical ground reaction (R

    U2 - 10.1097/00007632-199904010-00017

    DO - 10.1097/00007632-199904010-00017

    M3 - Article

    VL - 24

    SP - 698

    EP - 703

    JO - Spine

    JF - Spine

    SN - 0362-2436

    IS - 7

    ER -