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    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... 

    Effect of dual-tasking on postural control in subjects with nonspecific low back pain

    , Article Spine ; Volume 34, Issue 13 , 2009 , Pages 1415-1421 ; 03622436 (ISSN) Salavati, M ; Mazaheri, M ; Negahban, H ; Ebrahimi, I ; Jafari, A. H ; Kazemnejad, A ; Parnianpour, M ; Sharif University of Technology
    2009
    Abstract
    STUDY DESIGN. Three factors mixed-design with 1 between-subject and 2 within-subject factors. OBJECTIVE. To compare the main effects and interactions of postural and cognitive difficulty on quiet stance between subjects with and without nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA. The interference between postural control and cognitive tasks depends on factors such as sensorimotor/cognitive integrity. Changes in peripheral sensory and muscular systems as well as cognitive processes have been observed in LBP patients. It was hypothesized that the effect of cognitive task on postural performance might be different in subjects with nonspecific LBP as compared with healthy... 

    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... 

    Effects of lumbosacral orthosis on dynamical structure of center of pressure fluctuations in patients with non-specific chronic low back pain: A randomized controlled trial

    , Article Journal of Bodywork and Movement Therapies ; Volume 23, Issue 4 , 2019 , Pages 930-936 ; 13608592 (ISSN) Azadinia, F ; Ebrahimi Takamjani, I ; Kamyab, M ; Asgari, M ; Parnianpour, M ; Sharif University of Technology
    Churchill Livingstone  2019
    Abstract
    Background: A few clinical trials have examined the effect of treatment interventions on postural control in patients with chronic low back pain, all of which have exclusively evaluated postural stability using traditional linear measures of postural sway. However, postural control improvement cannot be determined by exclusively relying on linear measurements, because these parameters provide no information on underlying motor control mechanisms. Objective: This study aimed to compare the effect of using lumbosacral orthoses (LSO) together with routine physical therapy, compared to routine physical therapy alone on postural control, using nonlinear analysis techniques. Methods: Forty-four... 

    Immediate effects of lumbosacral orthosis on postural stability in patients with low back pain: A preliminary study

    , Article Archives of Bone and Joint Surgery ; Volume 7, Issue 4 , 2019 , Pages 360-366 ; 23454644 (ISSN) Azadinia, F ; Ebrahimi Takamjani, I ; Kamyab, M ; Asgari, M ; Parnianpour, M ; Sharif University of Technology
    Mashhad University of Medical Sciences  2019
    Abstract
    Background: Lumbosacral orthosis (LSO) is commonly used for the treatment of back pain. The clinical and mechanical effectiveness of this device has been repeatedly investigated in several studies; however, its sensorimotor effectiveness has been rarely considered. Regarding this, the aim of the current study was to investigate the effect of a non-extensible LSO on postural stability (as a construct of sensorimotor function) in patients with nonspecific chronic low back pain (LBP). Methods: This preliminary study was conducted on 17 patients with nonspecific chronic LBP using a single-group quasi-experimental design. Postural stability was measured while the participants were placed in a... 

    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... 

    Effect of whole-body vibration and sitting configurations on lumbar spinal loads of vehicle occupants

    , Article Computers in Biology and Medicine ; Volume 107 , 2019 , Pages 292-301 ; 00104825 (ISSN) Amiri, S ; Naserkhaki, S ; Parnianpour, M ; Sharif University of Technology
    Elsevier Ltd  2019
    Abstract
    Whole-body vibration (WBV) has been identified as one of the serious risk factors leading to spinal disorders, particularly in professional drivers. Although the influential factors in this area have been investigated epidemiologically, finite element (FE) modeling can efficiently help us better understand the problem. In this study, a modified HYBRID III dummy FE model which was enhanced by detailed viscoelastic discs in the lumbar region was utilized to simulate the effect of WBV on lumbar spine loads. Spinal responses to the vertical sinusoidal vibrations of a generic seat were obtained and spinal injury risk factors were calculated. Effects of variation of excitation frequencies, three... 

    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)... 

    The amount and temporal structure of center of pressure fluctuations during quiet standing in patients with chronic low back pain

    , Article Motor Control ; Volume 24, Issue 1 , 2020 , Pages 91-112 Azadinia, F ; Ebrahimi Takamjani, I ; Kamyab, M ; Asgari, M ; Parnianpour, M ; Sharif University of Technology
    Human Kinetics Publishers Inc  2020
    Abstract
    The characteristics of postural sway were assessed in quiet standing under three different postural task conditions in 14 patients with nonspecific chronic low back pain and 12 healthy subjects using linear and nonlinear center of pressure parameters. The linear parameters consisted of area, the mean total velocity, sway amplitude, the SD of velocity, and the phase plane portrait. The nonlinear parameters included the Lyapunov exponent, sample entropy, and the correlation dimension. The results showed that the amount of postural sway was higher in the patients with low back pain compared with the healthy subjects. Assessing the nonlinear parameters of the center of pressure showed a lower... 

    A practical sensor-based methodology for the quantitative assessment and classification of chronic non specific low back patients (NSLBP) in clinical settings

    , Article Sensors (Switzerland) ; Volume 20, Issue 10 , 2020 Davoudi, M ; Shokouhyan, S. M ; Abedi, M ; Meftahi, N ; Rahimi, A ; Rashedi, E ; Hoviattalab, M ; Narimani, R ; Parnianpour, M ; Khalaf, K ; Sharif University of Technology
    MDPI AG  2020
    Abstract
    The successful clinical application of patient-specific personalized medicine for the management of low back patients remains elusive. This study aimed to classify chronic nonspecific low back pain (NSLBP) patients using our previously developed and validated wearable inertial sensor (SHARIF-HMIS) for the assessment of trunk kinematic parameters. One hundred NSLBP patients consented to perform repetitive flexural movements in five different planes of motion (PLM): 0◦ in the sagittal plane, as well as 15◦ and 30◦ lateral rotation to the right and left, respectively. They were divided into three subgroups based on the STarT Back Screening Tool. The sensor was placed on the trunk of each... 

    Linear and non-linear dynamic methods toward investigating proprioception impairment in non-specific low back pain patients

    , Article Frontiers in Bioengineering and Biotechnology ; Volume 8 , 2020 Shokouhyan, S. M ; Davoudi, M ; Hoviattalab, M ; Abedi, M ; Bervis, S ; Parnianpour, M ; Brumagne, S ; Khalaf, K ; Sharif University of Technology
    Frontiers Media S.A  2020
    Abstract
    Central nervous system (CNS) uses vision, vestibular, and somatosensory information to maintain body stability. Research has shown that there is more lumbar proprioception error among low back pain (LBP) individuals as compared to healthy people. In this study, two groups of 20 healthy people and 20 non-specific low back pain (NSLBP) participants took part in this investigation. This investigation focused on somatosensory sensors and in order to alter proprioception, a vibrator (frequency of 70 Hz, amplitude of 0.5 mm) was placed on the soleus muscle area of each leg and two vibrators were placed bilaterally across the lower back muscles. Individuals, whose vision was occluded, were placed... 

    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... 

    Capability and recruitment patterns of trunk during isometric uniaxial and biaxial upright exertion

    , Article Clinical Biomechanics ; Volume 23, Issue 5 , 2008 , Pages 527-535 ; 02680033 (ISSN) Sheikhzadeh, A ; Parnianpour, M ; Nordin, M ; Sharif University of Technology
    2008
    Abstract
    Background: Work-related risk factors of low back disorders have been identified to be external moments, awkward postures, and asymmetrical dynamic lifting amongst others. The distinct role of asymmetry of load versus posture is hard to discern from the literature. Hence, the aim of this study is to measure isometric trunk exertions at upright standing posture at different exertion level and degree of asymmetry to further delineate the effects of exertion level and asymmetry on neuromuscular capability response. Methods: Fifteen healthy volunteers randomly performed trunk exertions at three levels (30%, 60%, and 100% of maximum voluntary exertion and five different angles (0°, 45°, 90°,... 

    Pregnancy related pelvic girdle pain and low back pain in an Iranian population

    , Article Spine ; Volume 32, Issue 3 , 2007 , Pages E100-E104 ; 03622436 (ISSN) Mousavi, S. J ; Parnianpour, M ; Vleeming, A ; Sharif University of Technology
    2007
    Abstract
    STUDY DESIGN. A cross-sectional study in pregnancy. OBJECTIVES. To differentiate between pregnancy related pelvic girdle pain (PGP) and low back pain (LBP) in Iranian women, and investigate the prevalence of each syndrome. SUMMARY OF BACKGROUND DATA. Most of the information about PGP and LBP has been obtained in Western countries. There are few studies to investigate pregnancy related lumbopelvic pain, and, especially, differentiate between PGP and LBP in non-Western countries, particularly in the Middle East. METHODS. This study included 325 pregnant women, ranging in age from 16 to 42 years. All pregnant women were interviewed using a questionnaire. Two trained physical therapists... 

    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... 

    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... 

    Biomechanical analysis of the pelvis angular excursion in sagittal plane in response to asymmetric leg loading tasks in females with and without nonspecific chronic low back pain

    , Article Journal of Biomedical Physics and Engineering ; Volume 11, Issue 3 , 2021 , Pages 367-376 ; 22517200 (ISSN) Meftahi, N ; Kamali, F ; Parni Anpour, M ; Davoudi, M ; Sharif University of Technology
    Shriaz University of Medical Sciences  2021
    Abstract
    Background: Controlling pelvic excursions is the focus of stabilization exercises such as legs loading tasks in rehabilitation of non-specific chronic low back pain (NSCLBP) patients. Progression of these exercises is based on the ability to perform tasks with minimal sagittal pelvic excursions. In spite of emphasis on minimizing pelvic motions, no previous studies have investigated kinematic analysis of the pelvic excursions during leg loading exercises in NSCLBP patients. Objective: This study aims to investigate the sagittal pelvis excursion during performing asymmetric leg loading tasks in individuals with and without NSCLBP. Material and Methods: In this cross-sectional study, kinematic... 

    How resiliency and hope can predict stress of covid-19 by mediating role of spiritual well-being based on machine learning

    , Article Musculoskeletal Science and Practice ; Volume 51 , 2021 ; 24688630 (ISSN) Noorollahzadeh, K ; Kahrizi, S ; Fesharaki, M. G ; Heidarian, M ; Neblett, R ; Behzadipour, S ; Sharif University of Technology
    Elsevier Ltd  2021
    Abstract
    Background: The Central Sensitization Inventory (CSI) is a patient-reported tool to assess symptoms associated with central sensitization (CS). It consists of two parts: Part A assesses 25 somatic and emotional CS-related health symptoms, and part B asks if one has previously been diagnosed with a list of 10 Central Sensitivity Syndromes and related conditions. Objectives: The aim of this study was to translate and cross-culturally adapt the CSI into Persian and to evaluate its psychometric properties. Design: Cross-sectional study. Method: After completing the Persian translation, the psychometric properties of the Persian CSI (CSI-Per) were evaluated in 256 patients with chronic pain and...