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Partitioning of the L4-L5 dynamic moment into disc, ligamentous, and muscular components during lifting.
McGill SM,
Norman RW.
This work describes a dynamic model of the low back that incorporates extensive anatomical detail of a three-dimensional musculo-ligamentous-skeletal system. The reactive moment about L4-L5, determined from sagittal plane lifts, was partitioned into restorative components provided by the disc in bending, ligament strain, and active muscle contraction. Skeletal kinematics were obtained from cine analysis of markers on the rib cage and pelvis. The musculature was driven from surface EMG collected from six sites.
When compared with past models, features of this model included improved anatomical modeling, improved monitoring of vertebral motion unit kinematics, improved estimation of neural activation of the musculature, and consideration of the effects of muscle length, velocity, cross-sectional area and passive elasticity in force estimation. Estimations of L4-L5 disc compression and shear were, on average, 16.2% and 42.5% lower, respectively, than those calculated from a simple 5 cm erector tissue moment arm length. There was no need to invoke intra-abdominal pressure or other contentious compression-reducing mechanisms.
Muscle activity, particularly that of the sacrospinalis, dominated the generation of the restorative moment. Ligaments played a very minor role in the lifts studied. High muscle loads are consistent with the common clinical observation of muscle strain often produced by load handling.
PMID: 3787338 [PubMed - indexed for MEDLINE]1986
Lumbar posterior ligament involvement during extremely heavy lifts estimated from fluoroscopic measurements.
Cholewicki J,
McGill SM.
Department of Kinesiology, University of Waterloo, Ontario, Canada.
The mechanical role of the lumbar posterior ligaments during lifting tasks remains controversial. This study was designed to assess the ligament and disc contribution in resisting trunk flexion moment during extremely heavy lifts performed by national class powerlifters. Direct measurements of lumbar vertebrae kinematics in sagittal plane were obtained from videofluoroscopy utilizing multiple digitizing, correction for optical distortions and digital filtering.
Four experienced powerlifters executed three trials, resulting in about 72 mA s of total radiation exposure. In the first trial, joint angles were measured when subjects fully flexed their spines to a point where the passive tissues resisted the flexor moment creating myoelectric silence in the extensor musculature. Next, two conventional deadlift style lifts were executed with the barbell load ranging from 183.7 to 210.9 kg. Four vertebral corners were digitized at a sampling rate of 30 Hz.
The relative intervertebral joint angles, distance between the ligament attachment points, shearing and compressive displacements were calculated from a rigid body motion approach. Analysis revealed that except for one trial of one subject, they accomplished their lifts with an amount of lumbar flexion between 1.5 and 13 degrees less than they demonstrated during full flexion. Resultant ligament lengths at the beginning of the lifts ranged from 56.1 to 99.8% of their lengths when the trunk was fully flexed. It was concluded that ligaments did not strain sufficiently to contribute substantial resistance to the trunk flexion moment, relegating this responsibility to the musculature.
PMID: 1733981 [PubMed - indexed for MEDLINE] 1992
Can the lumbar spine be crushed in heavy lifting?
Hutton WC,
Adams MA.
Cadaveric lumbar intervertebral joints were wedged to simulate forward flexion and then compressed to failure. The compressive strengths of the young male specimens tested were compared with the forces calculated to act when average young men perform maximum lifts from the flexed posture. It is concluded that the spine has a considerable margin of safety when such lifts are performed.
PMID: 7167831 [PubMed - indexed for MEDLINE]1982
Trunk muscle and lumbar ligament contributions to dynamic lifts with varying degrees of trunk flexion.
Potvin JR,
McGill SM,
Norman RW.
Department of Kinesiology, University of Waterloo, Ontario, Canada.
This study was done to assess the interplay between muscular and ligamentous sources of extensor moment during dynamic lifting with various loads and flexion angles of the trunk segment for 15 subjects lifting a total of 150 loads. Ligament forces predicted from an anatomically detailed biomechanical model did not generally contribute more than 60 Nm for most of the lifts because the lumbar spine was only flexed to a moderate and constant degree for each load condition. In contrast, additional moment demands associated with increases in hand load were supported by muscle.
Although the compression forces on the L4-5 intervertebral disc were fairly insensitive to the interplay between the recruitment of muscle and ligament, the shear force was significantly higher with a greater degree of lumbar flexion . The risk of injury may be influenced more by the degree of lumbar flexion than the choice of stoop or squat technique.
PMID: 1948399 [PubMed - indexed for MEDLINE] 1992