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    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)... 

    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... 

    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... 

    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... 

    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... 

    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,... 

    A prototype system to measure the trunk angle in sagital plane

    , Article Proceedings of the 8th IASTED International Conference on Biomedical Engineering, Biomed 2011, 16 February 2011 through 18 February 2011, Innsbruck ; 2011 , Pages 300-304 ; 9780889868663 (ISBN) Mokhlespour, M. I ; Ramezanzadeh, M ; Narimani, R ; Soroush, A ; Sharif University of Technology
    2011
    Abstract
    The most prevalent musculoskeletal condition and one of the most disabilities are caused by low back pain. In the low back pain, a large variety of evaluation tools is presented to assess the results of the treatment; therefore, it is important to measure the trunk angle in order to determine the progress during patient's treatment. In this project, we developed a low cost prototype system for flexion-extension movement to measure the angle of the trunk in sagital plane. The system consists of clothing that is stretchable; a Rubbery Ruler sensor (RRs) attached on clothing, data acquisition system. Inertial Magnetic Unit (IMU) sensor installed on spine is used to calibrate the orientation for... 

    Stabilization exercises and their effect on fear-avoidance belief and disability in patients with recurrent nonspecific low back pain

    , Article Koomesh ; Volume 17, Issue 1 , 2015 , Pages 142-151 ; 16087046 (ISSN) Hedayati, R ; Kahrizi, S ; Parnianpour, M ; Bahrami, F ; Kazemnejad, A ; Mobini, B ; Sharif University of Technology
    Semnan University of Medical Sciences  2015
    Abstract
    Introduction: Therapeutic exercises are regarded as one of most important therapeutic interventions for patients with chronic low back pain. Stabilization exercises are among the most practical ones for these patients. Effects of these exercises on psychological factors associated with pain and consequential functional disabilities are still remained unknown. The purpose of this study was to assess the effect of stabilization exercises on fear of pain, movement and disability in patients with low back pain. Materials and Methods: Twenty one patients with recurrent non-specific low back pain (14 in experimental, 7 in control group) were participated in this study. The scores for fear of pain,... 

    Correlation between trunk-pelvis inter-segmental coordination parameters during walking and disability level in chronic low back pain patients

    , Article Journal of Biomedical Physics and Engineering ; Volume 8, Issue 2 , 2018 , Pages 193-202 ; 22517200 (ISSN) Ebrahimi, S ; Kamali, F ; Razeghi, M ; Haghpanah, A ; Sharif University of Technology
    Shiraz University of Medical Sciences  2018
    Abstract
    Background: Chronic low back pain (CLBP) disability has been particularly frustrating because its treatment has been a great therapeutic challenge. Disability has been suggested to depend on different factors that should be found and considered in the medical management. The inter-segmental coordination is often impaired in CLBP subjects; however, to the best of our knowledge, there is no evidence about the relationship between the existence of coordination problems and disability in CLBP patients. Objective: To evaluate the correlation between sagittal plane trunk-pelvis intersegmental coordination parameters during walking and disability level in CLBP patients. Methods: Kinematic data were... 

    The effect of lumbosacral orthosis on the thickness of deep trunk muscles using ultrasound imaging: a randomized controlled trial in patients with chronic low back pain

    , Article American Journal of Physical Medicine and Rehabilitation ; Volume 98, Issue 7 , 2019 , Pages 536-544 ; 08949115 (ISSN) Azadinia, F ; Takamjani, I. E ; Kamyab, M ; Kalbassi, G ; Sarrafzadeh, J ; Parnianpour, M ; Sharif University of Technology
    Lippincott Williams and Wilkins  2019
    Abstract
    Objective This study was conducted to evaluate the changes occurring in the thickness of deep trunk muscles, measured using ultrasound imaging, after 4 wks of lumbosacral orthosis use in conjunction with routine physical therapy. Design This parallel-group, randomized, controlled trial was conducted on 44 patients with nonspecific chronic low back pain, randomly allocated to the experimental and control groups. Both groups received eight sessions of physical therapy twice per week for 4 wks. The experimental group wore nonextensible lumbosacral orthosis, in addition to undergoing routine physical therapy. The thickness of the transversus abdominis, obliquus internus, and lumbar multifidus... 

    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)... 

    Test-retest reliability of postural stability measures during quiet standing in patients with a history of nonspecific low back pain

    , Article Biomedical Engineering - Applications, Basis and Communications ; Volume 22, Issue 3 , 2010 , Pages 255-262 ; 10162372 (ISSN) Mazaheri, M ; Salavati, M ; Negahban, H ; Parnianpour, M ; Sharif University of Technology
    2010
    Abstract
    As balance is the foundation for all voluntary motor skills, considerable research has been conducted to evaluate postural control in patients with low back pain (LBP). Although reliability is a population-specific property, to the authors' knowledge, there has been no study to determine the test-retest reliability of the center of pressure (COP) measures in the general population of LBP patients. As many as 11 patients with a history of nonspecific LBP randomly completed postural measurements with three levels of difficulty (rigid surface-eyes open, rigid surface-eyes closed, and foam surface-eyes closed) in two sessions. The COP data were used to calculate standard deviation of amplitude,... 

    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 effects of movement speed on kinematic variability and dynamic stability of the trunk in healthy individuals and low back pain patients

    , Article Clinical Biomechanics ; Volume 30, Issue 7 , Aug , 2015 , Pages 682-688 ; 02680033 (ISSN) Asgari, M ; Sanjari, M. A ; Mokhtarinia, H. R ; Moeini Sedeh, S ; Khalaf, K ; Parnianpour, M ; Sharif University of Technology
    Elsevier Ltd  2015
    Abstract
    Background: Comparison of the kinematic variability and dynamic stability of the trunk between healthy and low back pain patient groups can contribute to gaining valuable information about the movement patterns and neuromotor strategies involved in various movement tasks. Methods: Fourteen chronic low back pain patients with mild symptoms and twelve healthy male volunteers performed repeated trunk flexion-extension movements in the sagittal plane at three different speeds: 20 cycles/min, self-selected, and 40 cycles/min. Mean standard deviations, coefficient of variation and variance ratio as variability measures; maximum finite-time Lyapunov exponents and maximum Floquet multipliers as... 

    Comparisons of lumbar spine loads and kinematics in healthy and non-specific low back pain individuals during unstable lifting activities

    , Article Journal of Biomechanics ; Volume 144 , 2022 ; 00219290 (ISSN) Heidari, E ; Arjmand, N ; Kahrizi, S ; Sharif University of Technology
    Elsevier Ltd  2022
    Abstract
    Evaluation of spinal loads in patients with low back pain (LBP) is essential to prevent further lumbar disorders. Many studies have investigated the relationship between lifting task variables and lumbar spine loads during manual lifting activities. The nature of the external load (stable versus unstable loads) is an important variable that has received less attention. Therefore, the present study aimed to measure trunk kinematics and estimate compressive-shear loads on the lumbar spine under lifting a 120 N stable load and 120 ± 13.63 N sensual unstable load in 16 healthy and 16 non-specific LBP individuals during lifting activities. The maximal lumbar loads were estimated using a... 

    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... 

    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...