Sharif Digital Repository

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... 

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,... 

Biomechanical models are indispensable tools in predictions of muscle forces and joint loads towards design of prevention and treatment programs. In most of these models intervertebral joints are modeled as hinge joints thus neglecting the existing translational degrees of freedom (DOFs). This simplification can alter the results of the model as changes in model kinematics affect the prediction of the joint and muscle forces. The current study aims to evaluate the likely effect of this simplification on the predictions of the musculoskeletal model of AnyBody Modeling System (AMS) for muscle forces and spinal loads. Clinical application of this study is in assessing the limitation of... 

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... 

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... 

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,... 

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... 

Biomechanical models require body posture to evaluate the risk of musculoskeletal injuries during daily/occupational activities like manual material handling (MMH). The procedure to measure body posture via motion-analysis techniques is complex, time-consuming, and limited to equipped laboratories. This study aims to develop an easy-to-use yet accurate model that predict human whole-body static posture (3D body coordinates and anatomical joint angles) during different MMH activities. Twenty healthy male right-handed individuals with body mass index between 18 and 26 performed 204 symmetric and asymmetric MMH activities. Each person reached (i.e., without any load in hands) the destinations... 

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... 

According to epidemiological studies, low back pain is the most prevalent musculoskeletal disease thus indicating the important role of biomechanical engineers to manage risk of injury. Different quantitative (i.e., biomechanical models) and qualitative (empirical) assessment tools are used to evaluate risk of musculoskeletal injuries. The present study uses various quantitative and qualitative risk assessment tools to investigate the risk of injury among workers in Iran Khodro Automaker company (IKCO) assembly hall No. 3 (Pars Peugeot car assembly). Moreover, different engineering and administrative interventions are suggested to manage risk of musculoskeletal injuries when needed. The... 

Manual material handling (MMH) activities are identified as risk factors for occupational low back pain (LBP). Task-related variables including load and posture characteristics are required as input into these models and tools for estimation of trunk external moment. Biomechanical modeling studies that aim to mathematically estimate low back loads currently need an inevitable parallel time-consuming in vivo study in an equipped laboratory to measure trunk posture under physical activities. Inertial sensors as a portable, accurate, almost inexpensive, and small device could be very helpful in order to capture the kinematic data of movement in human activities. My master thesis aims to... 

Low back pain is one of the musculoskeletal diseases which is an important issue for general health of society in both quality of life and costs. Most of the clinical instructions employ exercise as a clinical treatment in order to cure chronic low back pain. General and core stability exercises are of common prevalence, however, there are disputes about the effectiveness of these exercises in the literature. The aim of this study is to answer the question whether stabilizer exercise can significantly alter the stability of vertebral column in comparison with general exercises. Hence, experiments have been designed and conducted. The participants have been divided to two group. Within six... 

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... 

80% of people in all over the world, experience Low Back Pain (LBP) once in their lives. LBP leads to dysfunction of spine. About 25% of LBP relates to the intervertebral disks which in the critical cases, a Posterior Lumbar Surgery (PLS) on the one or more lumbar disks should be done. Due to the some procedure such as retracting, cutting or denervation of muscles, PLS can hurt trunk muscles and spine. Thus, investigation of LBP and postoperative complications of PLS can help us in recognition of causes of LBP and PLS complications and modification of PLS approaches. The objective of this research was investigation of effects of LBP and PLS on the biomechanical function of spine. Pattern of... 

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... 

Passive finite element (FE) models of the spine are commonly used to simulate intact and various pre- and postoperative pathological conditions. Being devoid of muscles, these traditional passive FE models are driven by simplistic loading scenarios, e.g., a constant moment and compressive follower load (FL) that do not properly mimic the complex in vivo loading condition of the spine under muscle exertions. The present works therefore aims to develop novel passive FE models that are driven by more realistic yet simple loading scenarios, i.e., in vivo measured vertebral rotations and pathological-condition dependent FLs (estimated based on detailed musculoskeletal finite element (MS-FE) spine... 

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... 

One of the most common spinal surgeries involves spinal fusion or vertebral fixation, which is used to treat various conditions such as intervertebral disc disease, scoliosis (lateral deviation of the spinal column), fractures, infections, or the presence of tumors in the spinal column. In this surgical procedure, the use of pedicle screws and titanium rods prevents motion and friction between two vertebrae. Screws may enter the vertebrae in the wrong position and angle, causing bone weakening, rupture of nerve roots or blood vessels, weakness or lack of sensation in some parts of the body, spinal cord injury, and in severe cases, paralysis of the patient. For this reason, fusion surgery is... 

Low back pain (LBP), the leading cause of disability worldwide, remains one of the most common and challenging occupational musculoskeletal disorders. The effective assessment of LBP injury risk, and the design of appropriate treatment modalities and rehabilitation protocols, require accurate estimation of the mechanical spinal loads during different activities. This study aimed to: 1) develop a novel 2D beam-column finite element control-based model of the lumbar spine and compare its predictions for muscle forces and spinal loads to those resulting from a geometrically-matched equilibrium-based model; 2) test, using the foregoing control-based finite element model, the validity of the... 

In the present study, the thermal behavior of human teeth during laser radiation has been discussed. The high laser power, as well as its low emission, can allow deviations from the Fourier heat transfer model. To overcome this problem, the non- Fourier heat transfer method, dual phase lagged (DPL), has been used. Wisdom considered in this study to evaluate the thermal behavior of tooth. Using the finite volume method, the DPL equations are solved and the thermal response of the teeth is obtained during laser irradiation. The effect of delay times, which are the parameters of the DPL model and depart from the Fourier model, is fully demonstrated on the temperature behavior of the tooth, and...