Reposition sense of lumbar curvature with flexed and asymmetric lifting postures.
Reposition sense of lumbar curvature with flexed and asymmetric lifting postures.
复制标题
通过弯曲和不对称的提升姿势重新定位腰椎曲度的感觉。
DOI:
10.1097/01.brs.0000048674.75474.c4
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发表时间:
2003
期刊:
影响因子:
3
通讯作者:
Granata,KevinP
中科院分区:
文献类型:
--
作者:
Wilson,SaraE;Granata,KevinP
Study Design.Reposition sense of lumbar curvature was assessed as a function of trunk flexion, trunk asymmetry, and target lumbar curvature using a repeated-measures design and an active-active proprioception paradigm.Objective.The objectives of the research were to measure the ability of the subjects to sense and control the lumbar curvature in different lifting postures and to see if error in the lumbar curvature would increase in high-risk postures.Summary of Background Data.The risk of low back disorders (LBDs) is related to trunk posture, with greater risk reported in flexed and asymmetric trunk positions. Spinal posture, including trunk position and lumbar lordosis, influences spinal stability. Hence, the ability to accurately sense and control spinal curvature may be an important factor in the control of LBD risk.Methods.Eleven subjects were trained to assume specified lumbar curvatures using visual feedback. The ability of the subjects to reproduce this curvature without feedback was then assessed. This procedure was repeated for different trunk postures, including flexion and asymmetry, and with different target lumbar curvatures.Results.These measurements demonstrated reposition error was increased in flexed trunk positions but was unchanged with trunk asymmetry. This increase in reposition error with flexion was diminished when the target posture and lumbar curvature were highly flexed and kyphotic.Conclusions.This research suggests that it may be difficult to control spinal curvature in flexed positions, leading to an increased risk of injury. For jobs in which flexed working postures are unavoidable, therefore, it is important to minimize potentially unstable events such as slipping or shifting loads to avoid injury.