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    A novel approach to evaluate abdominal coactivities for optimal spinal stability and compression force in lifting

    , Article Computer Methods in Biomechanics and Biomedical Engineering ; Volume 12, Issue 6 , 2009 , Pages 735-745 ; 10255842 (ISSN) Ouaaid, Z. E ; Arjmand, N ; Shirazi Adl, A ; Parnianpour, M ; Sharif University of Technology
    Abstract
    A novel optimisation algorithm is developed to predict coactivity of abdominal muscles while accounting for both trunk stability via the lowest buckling load (Pcr) and tissue loading via the axial compression (Fc). A nonlinear multi-joint kinematics-driven model of the spine along with the response surface methodology are used to establish empirical expressions for Pcr and Fc as functions of abdominal muscle coactivities and external load magnitude during lifting in upright standing posture. A two-component objective function involving Fc and Pcr is defined. Due to opposite demands, abdominal coactivities that simultaneously maximise Pcr and minimise Fc cannot exist. Optimal solutions are... 

    Biomechanical effects of lumbar fusion surgery on adjacent segments using musculoskeletal models of the intact, degenerated and fused spine

    , Article Scientific Reports ; Volume 11, Issue 1 , 2021 ; 20452322 (ISSN) Ebrahimkhani, M ; Arjmand, N ; Shirazi Adl, A ; Sharif University of Technology
    Nature Research  2021
    Abstract
    Adjacent segment disorders are prevalent in patients following a spinal fusion surgery. Postoperative alterations in the adjacent segment biomechanics play a role in the etiology of these conditions. While experimental approaches fail to directly quantify spinal loads, previous modeling studies have numerous shortcomings when simulating the complex structures of the spine and the pre/postoperative mechanobiology of the patient. The biomechanical effects of the L4–L5 fusion surgery on muscle forces and adjacent segment kinetics (compression, shear, and moment) were investigated using a validated musculoskeletal model. The model was driven by in vivo kinematics for both preoperative (intact or... 

    Analysis of different material theories used in a FE model of a lumbar segment motion

    , Article Acta of Bioengineering and Biomechanics ; Volume 15, Issue 2 , 2013 , Pages 33-41 ; 1509409X (ISSN) Gohari, E ; Nikkhoo, M ; Haghpanahi, M ; Parnianpour, M ; Sharif University of Technology
    2013
    Abstract
    In this study, a nonlinear poroelastic model of intervertebral disc as an infrastructure was developed. Moreover, a new element was defined consisting a disc (Viscoelastic Euler Beam Element) and a vertebra (Rigid Link) as a unit element. Using the new element, three different viscoelastic finite element models were prepared for lumbar motion segment (L4/L5). Prolonged loading (short-term and long-term creep) and cyclic loading were applied to the models and the results were compared with results of in vivo tests. Simplification of the models by using the new element leads to reduction of the runtime of the models in dynamic analyses to few minutes without losing the accuracy in the results  

    Goal equivalent manifold analysis of task performance in non-specific LBP and healthy subjects during repetitive trunk movement; effect of load, velocity, symmetry

    , Article Human Movement Science ; Volume 51 , 2017 , Pages 72-81 ; 01679457 (ISSN) Chehrehrazi, M ; Sanjari, M. A ; Mokhtarinia, H. R ; Jamshidi, A. A ; Maroufi, N ; Parnianpour, M ; Sharif University of Technology
    Abstract
    Motor abundance allows reliability of motor performance despite its variability. The nature of this variability provides important information on the flexibility of control strategies. This feature of control may be affected by low back pain (LPB) and trunk flexion/extension conditions. Goal equivalent manifold (GEM) analysis was used to quantify the ability to exploit motor abundance during repeated trunk flexion/extension in healthy individuals and people with chronic non-specific LBP (CNSLBP). Kinematic data were collected from 22 healthy volunteers and 22 CNSLBP patients during metronomically timed, repeated trunk flexion/extension in three conditions of symmetry, velocity, and loading;... 

    Subject-specific loads on the lumbar spine in detailed finite element models scaled geometrically and kinematic-driven by radiography images

    , Article International Journal for Numerical Methods in Biomedical Engineering ; Volume 35, Issue 4 , 2019 ; 20407939 (ISSN) Dehghan Hamani, I ; Arjmand, N ; Shirazi Adl, A ; Sharif University of Technology
    Wiley-Blackwell  2019
    Abstract
    Traditional load-control musculoskeletal and finite element (FE) models of the spine fail to accurately predict in vivo intervertebral joint loads due mainly to the simplifications and assumptions when estimating redundant trunk muscle forces. An alternative powerful protocol that bypasses the calculation of muscle forces is to drive the detailed FE models by image-based in vivo displacements. Development of subject-specific models, however, both involves the risk of extensive radiation exposures while imaging in supine and upright postures and is time consuming in terms of the reconstruction of the vertebrae, discs, ligaments, and facets geometries. This study therefore aimed to introduce a... 

    Subject-specific regression equations to estimate lower spinal loads during symmetric and asymmetric static lifting

    , Article Journal of Biomechanics ; Volume 102 , 2020 Ghezelbash, F ; Shirazi Adl, A ; El Ouaaid, Z ; Plamondon, A ; Arjmand, N ; Sharif University of Technology
    Elsevier Ltd  2020
    Abstract
    Workplace safety assessment, personalized treatment design and back pain prevention programs require accurate subject-specific estimation of spinal loads. Since no noninvasive method can directly estimate spinal loads, easy-to-use regression equations that are constructed based on the results of complex musculoskeletal models appear as viable alternatives. Thus, we aim to develop subject-specific regression equations of L4-L5 and L5-S1 shear and compression forces during various symmetric/asymmetric tasks using a nonlinear personalized finite element musculoskeletal trunk model. Kinematics and electromyography (EMG) activities of 19 young healthy subjects were collected during 64 different... 

    Spinal segment ranges of motion, movement coordination, and three-dimensional kinematics during occupational activities in normal-weight and obese individuals

    , Article Journal of Biomechanics ; Volume 123 , 2021 ; 00219290 (ISSN) Ghasemi, M ; Arjmand, N ; Sharif University of Technology
    Elsevier Ltd  2021
    Abstract
    Measurements of spinal segment ranges of motion (RoMs), movement coordination, and three-dimensional kinematics during occupational activities have implications in occupational/clinical biomechanics. Due to the large amount of adipose tissues, obese individuals may have different RoMs, lumbopelvic coordination, and kinematics than normal-weight ones. We aimed to measure/compare trunk, lumbar, and pelvis primary RoMs in all anatomical planes/directions, lumbopelvic ratios (lumbar to pelvis rotations at different trunk angles) in all anatomical planes/directions and three-dimensional spine kinematics during twelve symmetric/asymmetric statics load-handling activities in healthy normal-weight... 

    A novel coupled musculoskeletal finite element model of the spine – Critical evaluation of trunk models in some tasks

    , Article Journal of Biomechanics ; Volume 119 , 2021 ; 00219290 (ISSN) Rajaee, M. A ; Arjmand, N ; Shirazi Adl, A ; Sharif University of Technology
    Elsevier Ltd  2021
    Abstract
    Spine musculoskeletal (MS) models make simplifying assumptions on the intervertebral joint degrees-of-freedom (rotational and/or translational), representation (spherical or beam-like joints), and properties (linear or nonlinear). They also generally neglect the realistic structure of the joints with disc nuclei/annuli, facets, and ligaments. We aim to develop a novel MS model where trunk muscles are incorporated into a detailed finite element (FE) model of the ligamentous T12-S1 spine thus constructing a gold standard coupled MS-FE model. Model predictions are compared under some tasks with those of our earlier spherical joints, beam joints, and hybrid (uncoupled) MS-FE models. The coupled... 

    A comprehensive approach for the validation of lumbar spine finite element models investigating post-fusion adjacent segment effects

    , Article Journal of Biomechanics ; Volume 121 , 2021 ; 00219290 (ISSN) Azadi, A ; Arjmand, N ; Sharif University of Technology
    Elsevier Ltd  2021
    Abstract
    Spinal fusion surgery is usually followed by accelerated degenerative changes in the unfused segments above and below the treated segment(s), i.e., adjacent segment disease (ASD). While a number of risk factors for ASD have been suggested, its exact pathogenesis remains to be identified. Finite element (FE) models are indispensable tools to investigate mechanical effects of fusion surgeries on post-fusion changes in the adjacent segment kinematics and kinetics. Existing modeling studies validate only their intact FE model against in vitro data and subsequently simulate post-fusion in vivo conditions. The present study provides a novel approach for the comprehensive validation of a lumbar... 

    Effect of body weight on spinal loads in various activities: A personalized biomechanical modeling approach

    , Article Journal of Biomechanics ; Volume 48, Issue 2 , 2015 , Pages 276-282 ; 00219290 (ISSN) Hajihosseinali, M ; Arjmand, N ; Shirazi Adl, A ; Sharif University of Technology
    Elsevier Ltd  2015
    Abstract
    Epidemiological studies are divided over the causative role of body weight (BW) in low back pain. Biomechanical modeling is a valuable approach to examine the effect of changes in BW on spinal loads and risk of back pain. Changes in BW have not been properly simulated by previous models as associated alterations in model inputs on the musculature and moment arm of gravity loads have been neglected. A detailed, multi-joint, scalable model of the thoracolumbar spine is used to study the effect of BW (varying at five levels, i.e., 51, 68, 85, 102, and 119kg) on the L5-S1 spinal loads during various static symmetric activities while scaling moment arms and physiological cross-sectional areas of... 

    Comparative evaluation of six quantitative lifting tools to estimate spine loads during static activities

    , Article Applied Ergonomics ; Volume 48 , 2015 , Pages 22-32 ; 00036870 (ISSN) Rajaee, M. A ; Arjmand, N ; Shirazi Adl, A ; Plamondon, A ; Schmidt, H ; Sharif University of Technology
    Elsevier Ltd  2015
    Abstract
    Different lifting analysis tools are commonly used to assess spinal loads and risk of injury. Distinct musculoskeletal models with various degrees of accuracy are employed in these tools affecting thus their relative accuracy in practical applications. The present study aims to compare predictions of six tools (HCBCF, LSBM, 3DSSPP, AnyBody, simple polynomial, and regression models) for the L4-L5 and L5-S1 compression and shear loads in twenty-six static activities with and without hand load. Significantly different spinal loads but relatively similar patterns for the compression (R2>0.87) were computed. Regression models and AnyBody predicted intradiscal pressures in closer agreement with... 

    How does the central nervous system address the kinetic redundancy in the lumbar spine? Three-dimensional isometric exertions with 18 Hill-model-based muscle fascicles at the L4-L5 level

    , Article Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine ; Volume 224, Issue 3 , 2010 , Pages 487-501 ; 09544119 (ISSN) Rashedi, E ; Khalaf, K ; Nassajian, M. R ; Nasseroleslami, B ; Parnianpour, M ; Sharif University of Technology
    2010
    Abstract
    The human motor system is organized for execution of various motor tasks in a different and flexible manner. The kinetic redundancy in the human musculoskeletal system is a significant property by which the central nervous system achieves many complementary goals. An equilibrium-based biomechanical model of isometric three-dimensional exertions of trunk muscles has been developed. Following the definition and role of the uncontrolled manifold, the kinetic redundancy concept is explored in mathematical terms. The null space of the kinetically redundant system when a certain joint moment and/or stiffness are needed is derived and discussed. The aforementioned concepts have been illustrated,... 

    A stability-based model of a growing spine with adolescent idiopathic scoliosis: A combination of musculoskeletal and finite element approaches

    , Article Medical Engineering and Physics ; Volume 64 , 2019 , Pages 46-55 ; 13504533 (ISSN) Kamal, Z ; Rouhi, G ; Arjmand, N ; Adeeb, S ; Sharif University of Technology
    Elsevier Ltd  2019
    Abstract
    Using a combined musculoskeletal and finite element (FE) approach, this study aimed to evaluate stability-based muscle forces in a spine with adolescent idiopathic scoliosis (AIS) as compared to a normal spine; and subsequently, determine the effects of stress distribution on the growth plates (GPs) of the growing spine. For this purpose a nonlinear 3D FE model of one normal and one scoliotic thoracolumbar spine, consisting of GPs attached to rigid L1 to L4 vertebrae, were developed using computed tomography images coupled with a growth modulation using the Stokes’ model. Corresponding well with recent in-vivo and in-vitro studies, results of the models predicted intradiscal pressures at the... 

    Search for critical loading condition of the spine-A meta analysis of a nonlinear viscoelastic finite element model

    , Article Computer Methods in Biomechanics and Biomedical Engineering ; Volume 8, Issue 5 , 2005 , Pages 323-330 ; 10255842 (ISSN) Wang, J. L ; Shirazi Adl, A ; Parnianpour, M ; Sharif University of Technology
    2005
    Abstract
    The relative vulnerability of spinal motion segments to different loading combinations remains unknown. The meta-analysis described here using the results of a validated L2-L3 nonlinear viscoelastic finite element model was designed to investigate the critical loading and its effect on the internal mechanics of the human lumbar spine. A Box-Behnken experimental design was used to design the magnitude of seven independent variables associated with loads, rotations and velocity of motion. Subsequently, an optimization method was used to find the primary and secondary variables that influence spine mechanical output related to facet forces, disc pressure, ligament forces, annulus matrix... 

    Lumbopelvic rhythm during forward and backward sagittal trunk rotations: Combined in vivo measurement with inertial tracking device and biomechanical modeling

    , Article Clinical Biomechanics ; Vol. 29, issue. 1 , 2014 , pp. 7-13 ; ISSN: 02680033 Tafazzol, A ; Arjmand, N ; Shirazi-Adl, A ; Parnianpour, M ; Sharif University of Technology
    Abstract
    Background The ratio of total lumbar rotation over pelvic rotation (lumbopelvic rhythm) during trunk sagittal movement is essential to evaluate spinal loads and discriminate between low back pain and asymptomatic population. Methods Angular rotations of the pelvis and lumbar spine as well as their sagittal rhythm during forward flexion and backward extension in upright standing of eight asymptomatic males are measured using an inertial tracking device. The effect of variations in the lumbopelvic ratio during trunk flexion on spinal loads is quantified using a detailed musculoskeletal model. Findings The mean of peak voluntary flexion rotations of the thorax, pelvis, and lumbar was 121 (SD... 

    Control of lumbar spine flexion-extension movement by PD controller and feedback linearization method

    , Article ICCAS 2010 - International Conference on Control, Automation and Systems, 27 October 2010 through 30 October 2010 ; 2010 , Pages 2024-2029 ; 9781424474530 (ISBN) Abedi, M ; Vossughi, G. R ; Parnianpour, M ; Sharif University of Technology
    Abstract
    The role of motor control in development of low back pain is subject of many researches both in theoretical and experimental fields. In this work flexion-extension movement of lumbar spine have been controlled by three different methods, including feedback linearization (FBL), PD control and their combinations. The model involves 7 links: 1 link for pelvis, 5 links for lumbar vertebrae and 1 link for trunk. Torque actuators have been used on each joint to make them follow desired trajectory. In linear control method, equations of motion have been linearized with respect to upright position and then control signals have been applied in the direction of eigenvectors. Robustness of each method... 

    Trunk coordination in healthy and chronic nonspecific low back pain subjects during repetitive flexion-extension tasks: Effects of movement asymmetry, velocity and load

    , Article Human Movement Science ; Volume 45 , 2016 , Pages 182-192 ; 01679457 (ISSN) Mokhtarinia, H. R ; Sanjari, M. A ; Chehrehrazi, M ; Kahrizi, S ; Parnianpour, M ; Sharif University of Technology
    Elsevier 
    Abstract
    Multiple joint interactions are critical to produce stable coordinated movements and can be influenced by low back pain and task conditions. Inter-segmental coordination pattern and variability were assessed in subjects with and without chronic nonspecific low back pain (CNSLBP). Kinematic data were collected from 22 CNSLBP and 22 healthy volunteers during repeated trunk flexion-extension in various conditions of symmetry, velocity, and loading; each at two levels. Sagittal plane angular data were time normalized and used to calculate continuous relative phase for each data point. Mean absolute relative phase (MARP) and deviation phase (DP) were derived to quantify lumbar-pelvis and... 

    Kinematic analysis of dynamic lumbar motion in patients with lumbar segmental instability using digital videofluoroscopy

    , Article European Spine Journal ; Volume 18, Issue 11 , 2009 , Pages 1677-1685 ; 09406719 (ISSN) Ahmadi, A ; Maroufi, N ; Behtash, H ; Zekavat, H ; Parnianpour, M ; Sharif University of Technology
    2009
    Abstract
    The study design is a prospective, case-control. The aim of this study was to develop a reliable measurement technique for the assessment of lumbar spine kinematics using digital video fluoroscopy in a group of patients with low back pain (LBP) and a control group. Lumbar segmental instability (LSI) is one subgroup of nonspecific LBP the diagnosis of which has not been clarified. The diagnosis of LSI has traditionally relied on the use of lateral functional (flexion-extension) radiographs but use of this method has proven unsatisfactory. Fifteen patients with chronic low back pain suspected to have LSI and 15 matched healthy subjects were recruited. Pulsed digital videofluoroscopy was used... 

    Simulation of movement in three-dimensional musculoskeletal human lumbar spine using directional encoding-based neurocontrollers

    , Article Journal of Biomechanical Engineering ; Vol. 136, issue. 9 , 2014 Nasseroleslami, B ; Vossoughi, G ; Boroushaki, M ; Parnianpour, M ; Sharif University of Technology
    Abstract
    Despite development of accurate musculoskeletal models for human lumbar spine, the methods for prediction of muscle activity patterns in movements lack proper association with corresponding sensorimotor integrations. This paper uses the directional information of the Jacobian of the musculoskeletal system to orchestrate adaptive critic-based fuzzy neural controller modules for controlling a complex nonlinear redundant musculoskeletal system. The proposed controller is used to control a 3D 3-degree of freedom (DOF) musculoskeletal model of trunk, actuated by 18 muscles. The controller is capable of learning to control from sensory information, without relying on pre-assumed model parameters.... 

    Dynamic responses of intervertebral disc during static creep and dynamic cyclic loading: A parametric Poroelastic finite element analysis

    , Article Biomedical Engineering - Applications, Basis and Communications ; Volume 25, Issue 1 , 2013 ; 10162372 (ISSN) Nikkhoo, M ; Haghpanahi, M ; Parnianpour, M ; Wang, J. L ; Sharif University of Technology
    2013
    Abstract
    Low back pain is a common reason for activity limitation in people younger than 45 years old, and was proved to be associated with heavy physical works, repetitive lifting, impact, stationary work postures and vibrations. The study of load transferring and the loading condition encountered in spinal column can be simulated by finite element models. The intervertebral disc is a structure composed of a porous material. Many physical models were developed to simulate this phenomenon. The confounding effects of poroelastic properties and loading conditions on disc mechanical responses are, nevertheless, not cleared yet. The objective of this study was to develop an axisymmetric poroelastic...