Total trunk muscle force and spinal compression are lower in asymmetric moments as compared to pure extension moments.

The aim of the present study was to test the assumption that asymmetric trunk loading requires a higher total muscle force and consequently entails a higher compression forces on the spine as compared to symmetric loading. When the trunk musculature is modelled in sufficient detail, optimisation shows that there is no mechanical necessity for an increase in total muscle force (or compression force) with task asymmetry. A physiologically based optimisation does also not predict an increase in total muscle force or spinal loading with asymmetry. EMG data on 14 trunk muscles collected in eight subjects showed antagonistic coactivity to be present in both conditions. However, estimates of total muscle force based on the EMG were lower when producing an asymmetric moment. In conclusion, producing an asymmetric moment appears to cause slightly lower forces on the lumbosacral joint as compared to a symmetric moment. Only lateral shear forces increase with asymmetry but these remain well below failure levels.

[1]  Richard Evan Hughes,et al.  Empirical evaluation of optimization-based lumbar muscle force prediction models. , 1991 .

[2]  W. Marras,et al.  An EMG-assisted model of trunk loading during free-dynamic lifting. , 1995, Journal of biomechanics.

[3]  Jaap H. van Dieën,et al.  Sensitivity of single-equivalent trunk extensor muscle models to anatomical and functional assumptions. , 1999 .

[4]  W. Marras,et al.  An EMG-assisted model of loads on the lumbar spine during asymmetric trunk extensions. , 1993, Journal of biomechanics.

[5]  A Shirazi-Adl,et al.  Strain in Fibers of a Lumbar Disc: Analysis of the Role of Lifting in Producing Disc Prolapse , 1989, Spine.

[6]  R. Norman,et al.  1986 Volvo Award in Biomechanics: Partitioning of the L4 - L5 Dynamic Moment into Disc, Ligamentous, and Muscular Components During Lifting , 1986, Spine.

[7]  N Bogduk,et al.  Anatomy and biomechanics of psoas major. , 1992, Clinical biomechanics.

[8]  W. Marras,et al.  The Role of Complex, Simultaneous Trunk Motions in the Risk of Occupation‐Related Low Back Disorders , 1998, Spine.

[9]  W S Marras,et al.  Biomechanical risk factors for occupationally related low back disorders. , 1995, Ergonomics.

[10]  J. Kelsey,et al.  An epidemiologic study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc , 1984, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[11]  Mohamad Parnianpour,et al.  THE EFFECT OF VARIATIONS IN TRUNK MODELS IN PREDICTING MUSCLE STRENGTH AND SPINAL LOADING , 1997 .

[12]  W S Marras,et al.  Spine loading during asymmetric lifting using one versus two hands. , 1998, Ergonomics.

[13]  A Shirazi-Adl,et al.  Mechanical Response of a Lumbar Motion Segment in Axial Torque Alone and Combined with Compression , 1986, Spine.

[14]  I A Stokes,et al.  Lumbar spine maximum efforts and muscle recruitment patterns predicted by a model with multijoint muscles and joints with stiffness. , 1995, Journal of biomechanics.

[15]  King H. Yang,et al.  Mechanism of Disc Rupture: A Preliminary Report , 1991, Spine.

[16]  D B Chaffin,et al.  Muscle lines-of-action affect predicted forces in optimization-based spine muscle modeling. , 1995, Journal of biomechanics.

[17]  I. Kingma,et al.  Validation of a full body 3-D dynamic linked segment model , 1996 .

[18]  A. Schultz,et al.  Loads on the lumbar spine. Validation of a biomechanical analysis by measurements of intradiscal pressures and myoelectric signals. , 1982, The Journal of bone and joint surgery. American volume.

[19]  J. H. van Dieen Preliminary validation of a model to estimate tissue loads in the lumbosacral spine , 1998 .

[20]  G B Andersson,et al.  Trunk muscle cocontraction: The effects of moment direction and moment magnitude , 1992, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[21]  HighWire Press,et al.  The journal of bone and joint surgery - British volume , 1948 .

[22]  Mark D. Grabiner Current issues in biomechanics , 1993 .

[23]  A Schultz,et al.  Use of lumbar trunk muscles in isometric performance of mechanically complex standing tasks , 1983, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[24]  H. Hafez,et al.  Lumbar Load Associated with Symmetrical Holding of Asymmetrical Loads , 1997 .

[25]  Thomas R. Oxland,et al.  Sequence of injury in the thoracolumbar spine under lateral shear , 1998 .

[26]  Nikolai Bogduk,et al.  The morphology and biomechanics of latissimus dorsi. , 1998, Clinical biomechanics.

[27]  R. Hughes,et al.  Evaluation of muscle force prediction models of the lumbar trunk using surface electromyography , 1994, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[28]  W. Marras,et al.  A Three-Dimensional Motion Model of Loads on the Lumbar Spine: II. Model Validation , 1991, Human factors.

[29]  R. Crowninshield,et al.  A physiologically based criterion of muscle force prediction in locomotion. , 1981, Journal of biomechanics.

[30]  J. Cholewicki,et al.  Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. , 1996, Clinical biomechanics.

[31]  S. Kumar Advances in Occupational Ergonomics and Safety , 1998 .

[32]  Jaap H. van Dieën,et al.  Are recruitment patterns of the trunk musculature compatible with a synergy based on the maximization of endurance , 1997 .

[33]  A Mital,et al.  Psychophysical and physiological responses to lifting symmetrical and asymmetrical loads symmetrically and asymmetrically. , 1986, Ergonomics.

[34]  J H van Dieën,et al.  Fractures of the lumbar vertebral endplate in the etiology of low back pain: a hypothesis on the causative role of spinal compression in aspecific low back pain. , 1999, Medical hypotheses.

[35]  S. McGill Electromyographic activity of the abdominal and low back musculature during the generation of isometric and dynamic axial trunk torque: Implications for lumbar mechanics , 1991, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[36]  J H van Dieën,et al.  Asymmetric low back loading in asymmetric lifting movements is not prevented by pelvic twist. , 1998, Journal of biomechanics.