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3D Measurements of the Thoracic and Lumbar Spine Range of Motions Using Inertial Sensors
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Musculoskeletal abnormalities affect joints and change their range of motion (RoM). Correcting these abnormalities thoroughly depends on the information related to the normal spine movement. Therefore, spine motion analysis can be used as an important tool to distinguish between healthy and patient individuals as well as to determine the intensity of such diseases. Additionally, existing biomechanical models need kinematics data in order to analyze spinal forces. The present study hence aims to measure 3D range of motion of thoracic and lumbar spine using inertial sensors. Their small size, portability, low weight, and relatively low cost make inertial sensors as indispensable tools in...
Estimation of Lumbar Spine Load sharing using a Detailed Finite Element Model Driven by X-Ray Kinematics
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Spinal diseases are prevalent and costly. Excessive mechanical loads on the spine play a crucial role in the etiology of back disorders. To estimate spinal loads one needs to calculate unknown muscle forces through either an optimization or EMG-driven approach. Both approaches involve several assumptions and simplifications regarding anatomy of muscles,mechanical properties of the spinal tissues, and estimation of the muscle forces. An alternative approach is to estimate spinal loads through effect of muscle forces, i.e., kinematics generated by muscles rather than forces generated by muscles. The present study hence aims to estimate spinal loads using a detailed finite element (FE) model of...
Design and Manufacturing of a Patient-specific Drill Guide Template for Thoracic Pedicle Screw Placement
,
M.Sc. Thesis
Sharif University of Technology
;
Arjmand, Navid
(Supervisor)
Abstract
Spinal instrumentation with pedicle screws has become a widespread surgical procedure in the treatment of spinal disease. The traditional way of placing pedicle screws is to use the anatomical landmarks which at many times can be a best guess resulting in breaches of the pedicle and causing neurological injuries. Additional modalities used include the intra-operative fluoroscopy or navigation systems, which results in radiation exposure and more intra-operative time. In order to solve the technical problems, a pedicle screw navigation template that guarantees the correct implantation position and direction of vertebral pedicle screws, can be used. Compared to pedicles in the lumbar spine,...
Effect of Lumbar Spine Lordosis on Intervertebral Joint Load Sharing Using Musculoskeletal and Finite Element Modeling
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
There is a large, at times contradictory body of investigations relating low back pain and spinal curvature in sagittal plane. The previous studies have not been subject-specified, and they have not considered the active tissues in the models. The mechanical load has a significant impact on the prevalence of low back pain and the geometry of lumbar spine in the sagittal plane is one of the most important characteristics in determining the load sharing of the spine. Thus, it is essential to know how the geometry load affects the load sharing of the lumbar spine. As a matter of fact, the purpose of this project is to know how the geometry of the lumbar spine affects the load sharing. Thus,...
In Vivo-Based Artificial Neural Networks to Predict 3d Human Body Posture and Lumbosacral Joint Moment During Lifting Activities
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Manual material handling (MMH) is associated with mechanical back injuries. To manage such injuries, musculoskeletal models are employed to estimate spinal loads during MMH. These models require, as input, 3D-position of the hand-load and body posture whose measurements involve skillful and time-consuming motion analysis investigations.In order to facilitate the procedure of posture measurements and load estimations, three coupled artificial-neural-networks (ANNs) were developed. To predict whole body posture, ANN1 was trained based on our novel measurements on 15 individuals. Each individual performed several static-tasks by holding 0, 5, and 10 kg weight at 9 different anterior-left...
Sagittal Range of Motion of the Thoracic Spine Using Inertial Tracking Device and Effect of Measurement Errors on Model Predictions
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Range of motion (ROM) of the thoracic spine has implications in patient discrimination for diagnostic purposes and in biomechanical models for predictions of spinal loads. Few previous studies have reported quite different thoracic ROMs. Total (T1-T12), lower (T5-T12) and upper (T1-T5) thoracic, lumbar (T12-S1), pelvis, and entire trunk (T1) ROMs were measured using an inertial tracking device as asymptomatic subjects flexed forward from their neutral upright position to full forward flexion. Correlations between body height and the ROMs were conducted. Effect of measurement errors of the trunk flexion (T1) on the model-predicted spinal loads was investigated. Mean of peak voluntary total...
A Detailed Finite Element Model of the Lumbar Spine under Muscle Forces
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Etiological studies proves the fact that Low Back Pain (LBP) is one of the most expensive and prevalent desease all over the world. This fact illustrates the reqiurment of the special effort in ordet to reducing the pain due to this problem. Finite element modeling of human spine is one the suitable methods to simulate the behavior of human spine in different loading conditions. These conditions could be different daily occupational tasks. There is two general viewpoint toward finite element modeling of human spine. The fisrt method focuses on the detailed geometry and mechanical properties of spine, while the other complexities such as detailed muscle forces are overlooked. The latter...
Effect of Iatrogenic Muscle Injuries on Spine Biomechanics During Posterior Lumbar Surgeries Using a Biomechanical Model for Design of Rehabilitation Exercises
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Posterior lumbar surgery is often associated with extensive injuries to back muscles. In this thesis, the effect of such iatrogenic injuries in some patients was examined. For this purpose, the CSA of back muscles in 6 patients were measured using MR scan. To examine any natural change in CSAs of healthy people or instrument errors, same measurement were carried out on 10 healthy volunteers. In addition, a detailed anatomical model of an intact human spine was developed. With the aim of experimental studies and intact model, the post-operative model of patients was also developed. These two models were used to quantizing the change in activity of back muscles during some symmetric, normal...
A Comparative Study between Available Lifting Tools for Assessment of Risk of Back Injuries
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Epidemiological studies have identified manual material handling and lifting as risk factors in occupational low back pain (LBP). There are many lifting analysis tools to estimate the risk of injury during a specific lifting task. One for using these tools, needs to know the limitations of each tool and be noticed where a tool cannot be used. The purpose of this study is to compare different biomechanical models of lumbar spine and find out their characteristics.Five models are chosen for this study which are: the University of Michigan’s Static Strength Prediction Program ( ) software, the revised Hand-Calculation Back Compressive Force (HCBCF) equation, the simple polynomial equation of...
Evaluation of 1991 NIOSH Lifting Equation in Controlling the Biomechanical Loads of the Human Spine
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
The 1991 NIOSH Lifting Equation (NLE) is widely used to assess risk of injury to the spine by providing estimates of the recommended weight limit (RWL) in hands. The present study uses two biomechanical models of the spine to verify whether the RWL generates L5-S1 loads within the limits (e.g., 3400 N for compression recommended by NIOSH and 1000 N for shear recommended in some studies).Severallifting activities are simulated here to evaluate the RWL by the NLE and the L5-S1 loads by the models. In lifting activities involving moderate to large forward trunk flexion, the estimated RWL generates L5-S1 spine loads exceeding the recommended limits. The NIOSH vertical multiplier is the likely...
A Hyrid EMG-optimization Based Model of the Lumbar Spine to Estimate Muscle Forces in Different Tasks
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Low back pains (LBP) are prevalent and costly. One of the important factors causing LBP is excessive axial compression and shear forces that are applied on the intervertebral discs during different activities. Due to lack of direct in vivo measurement methods for estimating these loads, musculoskeletal biomechanical models have been emerged as indispensable tools under various activities. Different biomechanical models have been suggested to estimate muscle forces and spinal loads base on optimization, EMG and hybrid (EMG assisted optimization, EMGAO) methods. Although there have been a number of studies on the differences between various optimization and EMG-based methods, there has been no...
A Novel Stability-based EMG-assisted Model of the Lumbar Spine to Estimate Trunk Muscle Forces and Spinal Loads in Various Static Activities
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
The spine like every other mechanical pillar, is exposed to buckling and loss of stability. While existing biomechanical models emphasize the pressure force on the disk as the main cause of injury, there is also a possibility of local buckling phenomenon in vertebral discs. Because of the prevalence and high cost of lower back pain, it is essential to evaluate the forces carried by disks and lumbar muscles during occupational activities more accurately. In this regard, hybrid EMG-assisted optimization (EMGAO) approaches are most common methods for estimation of spinal loads. These models, not only use EMG data to be physiologically creditable, but also satisfy equilibrium requirements at all...
Lumbopelvic Rhythm during Forward and Backward Sagittal Trunk Rotations; in vivo Measurements Using Inertial Sensors
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Direct in vivo measurements of spinal loads and muscle forces are invasive. Investigators have thus used musculoskeletal biomechanical models that require kinematic data including trunk and pelvis angular movements as their inputs. . Novel devices measure anglular movements using both inertial sensors (such as gyroscopes and accelerometers) and miniature magnetometers. Relative low cost, portability, and accuracy are among specific characteristics of inertial tracking devices. The main objective of the present study was set to measure spinal kinematics including the lumbopelvic rhythm as the ratio of total lumbar rotation over pelvic rotation during trunk sagittal movement which is essential...
Evaluating the NIOSH Equation Performance to Estimate the Risk of Injury to Spine in Asymmetric Lifting
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
The 1991 NIOSH Lifting Equation (NLE) is widely used to assess the risk of injury to the spine by providing estimates of the recommended weight limit (RWL) in hands. The present study uses the AnyBody modeling software to verify whether the RWL generates L5-S1 within the limits (e.g., 3400 N for compression recommended by NIOSH and 1000 N for shear recommended in the literature). Twenty-four symmetric and asymmetric lifting activities were simulated to evaluate the RWL by the NLE and the L5-S1 loads by AnyBody. In two activities, involving large trunk flexion and 30 and 60 degrees of load asymmetry, the estimated RWL generated L5-S1 spine loads exceeding the recommended limits. The NIOSH...
Effect of Obesity on Spinal Loads during Various Activities: A Combined in Vivo-Modeling Approach
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Obesity is a worldwide growing health challenge affecting ~30% of the world's population. Increased rate of disc degeneration and herniation, low back pain and surgery has been reported in obese individuals. Although obesity-related low back diseases have multifactorial etiology, presumably greater mechanical loads on the spine of heavier individuals during their daily activities may be considered as a risk factor. Likely larger trunk muscle sizes, disc sizes and thus passive stiffness in heavier individuals may however partly or fully offset the effect of their additional body weight on the spinal loads. In absence of in vivo approaches, the present study aims to construct subject-specific...
Nonlinear Analysis of Dynamic Spine Stability in Healthy and Low Back Pain Patients During Repetitive Flexion Extension Tasks
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Objective: Stability is important to prevent falls during occupational and daily living activities. Control parameters such as speed, direction of motion and external load can affect stability pattern. The purpose of this study was to evaluate the effect of the mentioned control parameters on stability control pattern.
Methods: Kinematic data (rotation angles) to 19 healthy volunteers and 19 patients with low back pain associated with repeated trunk bending motion in eight different conditions of speed (high and slow), direction (symmetric and asymmetric planes) and external load (with and without load), was evaluated. Since the volunteers do during dynamic movements, they must also be...
Methods: Kinematic data (rotation angles) to 19 healthy volunteers and 19 patients with low back pain associated with repeated trunk bending motion in eight different conditions of speed (high and slow), direction (symmetric and asymmetric planes) and external load (with and without load), was evaluated. Since the volunteers do during dynamic movements, they must also be...
Accuracy of the Microsoft Kinect in Measurement of the Trunk Kinematics for the Analyze of Load in Musculoskeletal Models
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Low back pain is one of the most prevalent musculoskeletal injuries in occupational activities. In order to reduce or prevent it, it is necessary to estimate the mechanical loads of body joints. Direct measurement of spinal loads is invasive and costly. Therefore, musculoskeletal modeling is a convenient tool in estimation of joints and muscles loads that often uses kinematics information as input.Marker-based motion capture systems are one of the most common ways for the estimation of body kinematics. Unfortunately, they are time consuming and expensive. Thus being marker-free and low-cost, Microsoft Kinect is a suitable alternative. Recent studies often have investigated accuracy of...
Design and Assessment of Accuracy of a Patient-Specific Drill Guide Template for Thoracic Pedicle Screw Placement
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Fusion surgery or fixation of vertebrae in the spine is used to treat scoliosis, fractures, infections, tumors, spinal cord injuries, and disc herniation. In this type of surgery, two or more vertebrae are connected by special screws called pedicle screws to eliminate movement between the vertebrae. Given the serious risks of spinal fusion surgery, if the slightest mistake is made at the entry point or angle of the screw inside the vertebrae, the risk of spinal cord injury is very high, which is one of the complications of fusion surgery. Therefore, in order to increase the accuracy of screw placement, patient-specific template guides are used as drill guides in this operation. For this...
3D Spinal Kinematics During Load-Handling Activities, Range of Motions and Movement Coordination in Normal and Obese Individuals
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Today, obesity, as a major global health challenge, affects more than 30 percent of the world's population. To investigate the effect of obesity on spinal function, a common method is motion analysis (kinematic method). This method is based on the claim that the abnormal mechanical function of the spine is directly related to its abnormal motions.The aim of this study is to measure and compare the range of motions (RoMs) of different segments of the spine in all anatomical plates between obese and normal individuals, as well as to calculate and compare some motion rhythms between the lumbar spine and the pelvis in these two groups. Comparing the posture of the spine between obese and normal...
Biomechanical Evaluation of the Niosh Equation in Stoop Versus Squat Load-Handling Activities Using a Full-Body Musculoskeletal Model
, M.Sc. Thesis Sharif University of Technology ; Arjmand, Navid (Supervisor)
Abstract
Objective: To assess adequacy of the National Institute for Occupational Safety and Health (NIOSH) Lifting Equation (NLE) in controlling lumbar spine loads below their recommended action limits during load-handling activities in the stoop and squat using a detailed musculoskeletal model,that is, the AnyBody Modeling System.Background: The NIOSH committee employed simplistic biomechanical models for the calculation of the spine compressive loads with no estimates of the shear loads. In addition, NLE does not include the posture of the knee during manual material handling. It is therefore unknown whether the NLE would adequately control lumbar compression and shear loads below their...