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Total 68 records

    Effects of Low Back Pain and Posterior Lumbar Surgery on Pattern of Muscle Activities, Trunk Strength and Spinal Stability

    , M.Sc. Thesis Sharif University of Technology Ghiasi, Mohammad Sadegh (Author) ; Farahmand, Farzam (Supervisor) ; Arjmand, Navid (Co-Advisor)
    Abstract
    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... 

    The Effect of Speed on Kinematic Variability and Dynamic Stability of Trunk in Subjects with and without Nonspecific Low back Pain during a Sagittal Repetitive Flexion Extension Movements

    , M.Sc. Thesis Sharif University of Technology Asgari, Morteza (Author) ; Parnianpour, Mohammad (Supervisor) ; Narimani, Rouya (Supervisor) ; Sanjari, Mohammad Ali (Co-Advisor)
    Abstract
    Low back pain is one the most prevalent disease and major economic issue facing modern countries. Epidemiological studies suggest that maximum trunk flexion, the angular velocity of trunk and the rate of repetitive movements (such as flexion-extension), are associated with low-back disorders. From biomechanical point of view, lack of stability during dynamic repetitive movements, increases the risk of injuries. On the other hand, some researchers suggest increasing motor variability could be an intrinsic factor to intervene muscuskeletal disorders during repetitive movements. Pace of repetitive occupational tasks could affect both, motor variability and dynamic stability. The goal of this... 

    Comparison of Stabilization Exercise and General Exercise on the Spinal Stability of Non-specific Low Back Pain Patients Using an EMG-based Biomechanical Model

    , M.Sc. Thesis Sharif University of Technology Ghezelbash, Farshid (Author) ; Arjmand, Navid (Supervisor) ; Parnianpour, Mohamad (Supervisor)
    Abstract
    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... 

    A Novel Algorithm to Diagnose Individuals with Low Back Pain and Cluster Analysis of Lumbar Movement Using Inertial Sensors

    , M.Sc. Thesis Sharif University of Technology Ashouri, Sajad (Author) ;
    Abstract
    Low back pain is the most prevalence musculoskeletal pain that people experience in their life. Some cases of low back pain are called non-specific. These are cases for which the reason of pain is not well defined. The aim of this study is to propose a simple approach to diagnose and cluster low back pain patients which helps clinicians to evaluate patients by an affordable and simple tool. In this study, data are collected in two steps using Inertial Sensors. Inertial Sensors consist of a 3-axis gyroscope and a 3-axis accelerometer which represent the kinematic parameters of lumbar movement. In the first step, we examine 24 healthy and 28 patients with low back pain and in the second, 84... 

    Evaluating the NIOSH Equation Performance to Estimate the Risk of Injury to Spine in Asymmetric Lifting

    , M.Sc. Thesis Sharif University of Technology Behjati Ashtiani, Mohammad (Author) ; 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 Kazemi, Hossein (Author) ; Arjmand, Navid (Supervisor) ; Parnianpour, Mohammad (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... 

    Effect of Obesity on Spinal Loads during Various Activities: A Combined in Vivo-Modeling Approach

    , M.Sc. Thesis Sharif University of Technology Akhavanfar, Mohammad Hossein (Author) ; 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... 

    Effect of Lumbar and Soleus Proprioception on Kinematic Variability and Dynamic Stability of the Trunk and Center of Pressure Parameter in Healthy Individuals and Low Back Pain Patients

    , M.Sc. Thesis Sharif University of Technology Shokouhyan, Mohammad Reza (Author) ; Parnianpour, Mohammad (Supervisor) ; Hoviattalab, Maryam (Supervisor)
    Abstract
    Low Back Pain is one of the most problems in health domain which has a high treatment costs, also has high recurrence rates. Postural stability has been introduced as a health characteristic for musculoskeletal systems. Body stability is maintained with sensory feedback data such as Eyes, Vestibular and proprioception data which are sent to brain. Prior investigations have shown that proprioception data have many disorders in lumbar area of Low Back Pain patient and this data are not sent to brain encounters so many problems for muscle activation and stability of body. Researches have been indicated that Low Back Pain patients rely on Ankle proprioception more than healthy people and less... 

    Design and Manufacturing of Wearable System for Assessment Risk Factor in Symmetric Lifting Task

    , M.Sc. Thesis Sharif University of Technology Keshavarz Moghadam, Hossein (Author) ; Firoozbakhsh, Keikhosro (Supervisor) ; Narimani, Roya (Supervisor)
    Abstract
    Low back disorders (LBD) is one of the most musculo-skeletal disorders in industrial environments in which it can impose to the society.Therefore, it is very important to reaserch the causes of LBDs, prevention methods and evaluation risk factor in lifting tasks in order to avoid the prevalence of LBDs in society. There is no doubt heavy lifting has a significant role in emerging of LBDs. Hence, many safety risk assessment tools have been made by researchers.Using assessment tools, we need to know the input parameters corrospending to the assessment tools. Input parameters in assessment tools have been measured in a way of traditional method or by expensive equipment in laboratories. On... 

    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 Asadi, Fatemeh (Author) ; 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... 

    Investigation and Management of the Risk of Musculoskeletal Injury in Workers of Irankhodro Assembly Line by Using Qualitative and Quantitative Tools in Occupational Biomechanics

    , M.Sc. Thesis Sharif University of Technology Lajevardi, Ali (Author) ; Arjmand, Navid (Supervisor)
    Abstract
    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... 

    Short Time Effect of Auxetic Shoe on Kinematics and Kinetics of Vertebral Column During Drop Vertical Jump

    , M.Sc. Thesis Sharif University of Technology Rahmani Dahaghani, Mostafa (Author) ; Nourani, Amir (Supervisor) ; Arjmand, Navid (Supervisor)
    Abstract
    Investigating the influence of shoes on variables of human biomechanics is of a high importance. The purpose of this study was to examine the effect of auxetic Nike Free RN shoe on kinematics and kinetics of human body. It was asked from 11 healthy male to perform drop vertical jump in three conditions: with auxetic Nike Free RN, with conventional shoe and barefoot. 3D Cartesian positions of the markers, which were stuck to the subjects’ bodies, were recoeded using Vicon camera system. Ground reaction force and its center of pressure of each foot captured using two force plates. Moreover, activation of rectus abdominis, longissimus, iliocostalis lomburom and multifidus were recorded using... 

    The effect of chronic low back pain on trunk accuracy in a multidirectional isometric tracking task

    , Article Spine ; Vol. 39, Issue. 26 , 2014 , pp. E1608-E1615 ; ISSN: 1362-2436 Hadizadeh, M ; Mousavi, S. J ; Sedaghatnejad, E ; Talebian, S ; Parnianpour, M ; Sharif University of Technology
    Abstract
    Study Design. A cross-sectional study to quantify trunk motor control during multidirectional isometric tracking tasks.Objective. To investigate the effect of chronic low back pain (LBP) on trunk neuromuscular performance while participants performed isometric exertions of trunk muscles to track targets in different angles with various magnitudes.Summary of Background Data. Tracking tasks especially in multidirectional activities are among the common research methods to quantify human motor control in different conditions. However, little information is available on trunk motor control during these tasks. There is no study investigating trunk accuracy during multidirectional isometric... 

    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... 

    Investigation of low back pain using system modeling

    , Article Advanced Science Letters ; Volume 19, Issue 5 , 2013 , Pages 1260-1264 ; 19366612 (ISSN) Khan, M. F ; Malik, A. S ; Xia, L ; Wang, J. L ; Nikkhoo, M ; Parnianpour, M ; Khan, M. I ; Sharif University of Technology
    2013
    Abstract
    This paper focuses on characterization of intervertebral disc behavior upon fatigue stress. It consists in in-vitro experiments to measure intervertebral disc deformation with regard to forces applied to produce fatigues test. In this paper, a system modeling based non-invasive method to assess back pain is proposed which may be used for designing of prediction model to predict the failure of intervertebral disc (IVD) experiencing fatigue loading. An artificial compression fracture was simulated in the lower level of vertebra followed by a poly(methyl methacrylate) (PMMA) bone cement injection. Fatigue loading was applied on the specimens and the load was incrementally increased form 650 N... 

    Fatigue loaded intervertebral disc analysis for low back pain using nonlinear black-box model

    , Article IFMBE Proceedings ; Volume 39 , 2013 , Pages 513-517 ; 16800737 (ISSN) ; 9783642293047 (ISBN) Khan, M. F ; Malik, A. S ; Xia, L ; Nikkhoo, M ; Wang, J. L ; Parnianpour, M ; Humayun, J ; Sharif University of Technology
    2013
    Abstract
    This paper presents recent developments on effects of rest and fatigue loading on properties of healthy vertebra discs. A comparison of different approaches used in literature to study the properties of intervertebral disc is presented. The major achievements in this area so far are discussed in the context of their advantages and disadvantages. The past approaches are based on bio-mechanical models which mostly used statistical techniques for the analysis and estimation of fatigue loaded Intervertebral Disc (IVD). However, those modeling techniques were not flexible enough for analysis of customized tests. In this paper, we applied System Identification (SI) based NLARX modeling technique... 

    Multijoint coordination during sit-to-stand task in people with non-specific chronic low back pain

    , Article Biomedical Engineering - Applications, Basis and Communications ; Volume 25, Issue 1 , 2013 ; 10162372 (ISSN) Tajali, S ; Negahban, H ; Shaterzadeh, M. J ; Mehravar, M ; Salehi, R ; Narimani, R ; Parnianpour, M ; Sharif University of Technology
    2013
    Abstract
    Sit-to-stand (STS) is an important functional task affected by low back pain (LBP). It requires fundamental coordination among all segments of the body to control important performance variables such as body's center of mass (CM) and head positions. This study was conducted to determine whether LBPs could coordinate their multiple joints to achieve the task stability to the same extent as healthy controls. About 11 non-specific chronic LBP and 12 healthy control subjects performed STS task at three postural difficulty levels: rigid surface - open eyes (RO), rigid surface - closed eyes (RC) and narrow surface - closed eyes (NC). Motion variability of seven body segments, CM and head positions... 

    Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review

    , Article Gait and Posture ; Volume 37, Issue 1 , 2013 , Pages 12-22 ; 09666362 (ISSN) Mazaheri, M ; Coenen, P ; Parnianpour, M ; Kiers, H ; van Dieen, J. H ; Sharif University of Technology
    2013
    Abstract
    A previous review concluded that postural sway is increased in patients with low back pain (LBP). However, more detailed analysis of the literature shows that postural deficit may be dependent on experimental conditions in which patients with LBP have been assessed. The research question to be answered in this review was: " Is there any difference in postural sway between subjects with and without LBP across several sensory manipulation conditions?" A literature search in Pubmed, Scopus, Embase and PsychInfo was performed followed by hand search and contact with authors. Studies investigating postural sway during bipedal stance without applying external forces in patients with specific and... 

    On low back pain: Identification of structural changes in system parameters for fatigue loaded intervertebral disc using PCA

    , Article ICIAS 2012 - 2012 4th International Conference on Intelligent and Advanced Systems: A Conference of World Engineering, Science and Technology Congress (ESTCON) - Conference Proceedings, 12 June 2012 through 14 June 2012 ; Volume 1 , June , 2012 , Pages 378-381 ; 9781457719677 (ISBN) Khan, M. F ; Malik, A. S ; Rozana, F ; Xia, L ; Nikkhoo, M ; Wang, J. L ; Parnianpour, M ; Sharif University of Technology
    2012
    Abstract
    This paper presents the background of low back problem caused by repetitive fatigue loading. We emphasize on mechanism of Intervertebral Disc (IVD) and conditions for which the disc does not recover its original status under repetitive work and cause low back pain. The objective of this study is to identify structural changes in system parameters for fatigue loaded intervertebral disc. Principal component analysis (PCA) is used for studying the behavioral change of spine against cyclic loading as a function of time. Percentage difference and similarity factor was calculated for the analysis. Specimens were applied with impulse testing to measure the stiffness and acceleration after fracture,... 

    Trunk muscles strength and endurance in chronic low back pain patients with and without clinical instability

    , Article Journal of Back and Musculoskeletal Rehabilitation ; Volume 25, Issue 2 , 2012 , Pages 123-129 ; 10538127 (ISSN) Davarian, S ; Maroufi, N ; Ebrahimi, I ; Farahmand, F ; Parnianpour, M ; Sharif University of Technology
    2012
    Abstract
    Objectives: Previous research has shown inconsistent findings regarding muscle endurance in chronic low back pain (CLBP). Questions also remain about muscle endurance in patients with clinical instability. The aim of this study was to investigate trunk muscles strength and endurance in CLBP patients with and without clinical instability. Methods: 32 CLBP patients (15 with and 17 without clinical instability) and 39 matched healthy subjects participated in this study. The standing extension test was performed to assess the strength and endurance of the lumbar extensors while recording their electromyographic activity. The patients' disability was evaluated using the Oswestry and Roland-Morris...