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    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    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... 

    Trunk dynamic stability assessment for individuals with and without nonspecific low back pain during repetitive movement

    , Article Human Factors ; 2020 Asgari, M ; Mokhtarinia, H. R ; Sanjari, M. A ; Kahrizi, S ; Philip, G. C ; Parnianpour, M ; Khalaf, K ; Sharif University of Technology
    SAGE Publications Inc  2020
    Abstract
    Objective: This study aimed to employ nonlinear dynamic approaches to assess trunk dynamic stability with speed, symmetry, and load during repetitive flexion-extension (FE) movements for individuals with and without nonspecific low back pain (NSLBP). Background: Repetitive trunk FE movement is a typical work-related LBP risk factor contingent on speed, symmetry, and load. Improper settings/adjustments of these control parameters could undermine the dynamic stability of the trunk, hence leading to low back injuries. The underlying stability mechanisms and associated control impairments during such dynamic movements remain elusive. Method: Thirty-eight male volunteers (19 healthy, 19 NSLBP)... 

    Trunk dynamic stability assessment for individuals with and without nonspecific low back pain during repetitive movement

    , Article Human Factors ; Volume 64, Issue 2 , 2022 , Pages 291-304 ; 00187208 (ISSN) Asgari, M ; Mokhtarinia, H. R ; Sanjari, M. A ; Kahrizi, S ; Philip, G. C ; Parnianpour, M ; Khalaf, K ; Sharif University of Technology
    SAGE Publications Inc  2022
    Abstract
    Objective: This study aimed to employ nonlinear dynamic approaches to assess trunk dynamic stability with speed, symmetry, and load during repetitive flexion-extension (FE) movements for individuals with and without nonspecific low back pain (NSLBP). Background: Repetitive trunk FE movement is a typical work-related LBP risk factor contingent on speed, symmetry, and load. Improper settings/adjustments of these control parameters could undermine the dynamic stability of the trunk, hence leading to low back injuries. The underlying stability mechanisms and associated control impairments during such dynamic movements remain elusive. Method: Thirty-eight male volunteers (19 healthy, 19 NSLBP)... 

    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... 

    Trunk biomechanics during maximum isometric axial torque exertions in upright standing

    , Article Clinical Biomechanics ; Volume 23, Issue 8 , 2008 , Pages 969-978 ; 02680033 (ISSN) Arjmand, N ; Shirazi Adl, A ; Parnianpour, M ; Sharif University of Technology
    2008
    Abstract
    Background: Activities involving axial trunk rotations/moments are common and are considered as risk factors for low back disorders. Previous biomechanical models have failed to accurately estimate the trunk maximal axial torque exertion. Moreover, the trunk stability under maximal torque exertions has not been investigated. Methods: A nonlinear thoracolumbar finite element model along with the Kinematics-driven approach is used to study biomechanics of maximal axial torque generation during upright standing posture. Detailed anatomy of trunk muscles with six distinct fascicles for each abdominal oblique muscle on each side is considered. While simulating an in vivo study of maximal axial... 

    The validity and inter-rater reliability of a video-based posture-matching tool to estimate cumulative loads on the lower back

    , Article Journal of Biomedical Physics and Engineering ; Volume 12, Issue 4 , 2022 , Pages 417-430 ; 22517200 (ISSN) Ghaneh Ezabadi, S ; Abdoli Eramaki, M ; Arjmand, N ; Abouhossein, A ; Zakerian, S. A ; Sharif University of Technology
    Shriaz University of Medical Sciences  2022
    Abstract
    Background: Low back pain (LBP) is known as one of the most common workrelated musculoskeletal disorders. Spinal cumulative loads (CLs) during manual material handling (MMH) tasks are the main risk factors for LBP. However, there is no valid and reliable quantitative lifting analysis tool available for quantifying CLs among Iranian workers performing MMH tasks. Objective: This study aimed to investigate the validity and inter-rater reliability of a posture-matching load assessment tool (PLAT) for estimating the L5-S1 static cumulative compression (CC) and shear (CS) loads based on predictive regression equations. Material and Methods: This experimental study was conducted among six... 

    The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: Translation and validation studies of the Iranian versions

    , Article Spine ; Volume 31, Issue 14 , 2006 , Pages E454-E459 ; 03622436 (ISSN) Mousavi, S.J ; Parnianpour, M ; Mehdian, H ; Montazeri, A ; Mobini, B ; Sharif University of Technology
    2006
    Abstract
    STUDY DESIGN. Cross-cultural translation and psychometric testing were performed. OBJECTIVES. To cross-culturally translate the Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire (RDQ), and Quebec Back Pain Disability Scale (QDS) into Persian, and then investigate the psychometric properties of the Persian versions produced. SUMMARY OF BACKGROUND DATA. To the authors' knowledge, there is no validated instrument to measure functional status in Persian-speaking patients with low back pain (LBP) in Iran. To our knowledge, the widely used back-specific measures, the ODI, RDQ, and QDS, have not been translated and validated for Persian-speaking patients with LBP. METHODS. The... 

    The effects of postural difficulty conditions on variability of joint kinematic patterns during sit to stand task in normals and patients with non-specific chronic low back pain

    , Article 2011 1st Middle East Conference on Biomedical Engineering, MECBME 2011, 21 February 2011 through 24 February 2011, Sharjah ; 2011 , Pages 300-303 ; 9781424470006 (ISBN) Tajali, S ; Negahban, H ; Yazdi, M. J. S ; Salehi, R ; Mehravar, M ; Parnianpour, M ; Sharif University of Technology
    2011
    Abstract
    Sit to stand (STS) is one of the most important activities of daily living that is shown to be affected in low back pain (LBP) patients. It requires a fundamental coordination action among all segments (DOFs) of the body in order to control important performance variables such as body's center of mass (CM) within base of support (BOS). In this study, possible differences in joint coordination and variability patterns between chronic LBP and healthy control subjects were investigated during STS task. Eleven adults with nonspecific chronic LBP and 12 healthy controls were recruited in the study. The participants performed the task in 3 exerimental conditions including: rigid surface, open eyes...