Comparison of the spine kinematics by defining lumbar as single and multi-segmental in completing critical daily task

Authors

  • W. A. A Saad Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia. Phone: +601111016089
  • Mohd Azuwan Mat Dzahir Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia
  • Yamamoto Shinichirou Department of Bio-Science Engineering, Shibaura Institute of Technology, 307 Fukasaku, Minuma-ku, Saitama City, Saitama 337-8570, Japan
  • Mohamed Hussein Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia
  • Maziah Mohamad Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia
  • Shaharil Mad Saad Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia
  • Mohd Azwarie Mat Dzahir Department of Applied Mechanics and Design, Faculty of Mechanical Engineering, Universiti Teknologi Malaysia
  • Aizreena Azaman Department of Biotechnology and Medical Engineering, Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia, 81310 Johor Bahru, MALAYSIA

DOI:

https://doi.org/10.15282/jmes.14.4.2020.24.0598

Keywords:

sit-to-stand, stand-to-flexion, multi-segmental, lumbar, daily task

Abstract

The change of the spinal curvature in completing a variety of daily tasks is essential to independent living. There is still a lack of studies highlighting the lumbar segmental contribution during sit-to-stand (STS) and stand-to-flexion (STF) using non-invasive study. The purpose of this study is to compare the spine kinematics by defining lumbar as a single and multi-segmental during continuous daily motion in healthy Asian adults using a non-invasive approach. During STS, most subjects implemented kyphotic lumbar curve during the early stage of motion which revealed poor posture implementation and significant differences in the lumbar kinematics which were only noticeable at specific phases between both approaches. A significant difference in multi-segmental behaviour was observed only at the end of the motion. All three segments displayed different time responses during the transition from kyphotic to lordotic curve. Passive/delayed behavior within the lower lumbar segment was observed between 0-50% of motion completion. During STF, statistically significant differences were found between assuming lumbar as a single and multi-segment in all phases. This in vitro study identified characteristic motion patterns in the lumbar spine during daily motions. The results provided a clear description of the healthy spinal condition of adults and may serve to identify specific multi-segmental contribution.

References

J. H. Carr and A. M. Gentile, “The effect of arm movement on the biomechanics of standing up,” Human Movement Science, vol. 13, no. 2, pp. 175-193, 1994.

R. B. Shepherd and A. Gentile, “Sit-to-stand: functional relationship between upper body and lower limb segments,” Human Movement Science, vol. 13, no. 6, pp. 817-840, 1994.

A. Rohlmann, T. Consmuller, M. Dreischarf, M. Bashkuev, A. Disch, E. Pries, G. N. Duda, and H. Schmidt, “Measurement of the number of lumbar spinal movements in the sagittal plane in a 24-hour period,” (in eng), European Spine Journal, vol. 23, no. 11, pp. 2375-84, 2014.

M. Rathore, D. Sharma, M. B. Sinha, A. Siddiqui, and S. Trivedi, “A focused review–thoracolumbar spine: anatomy, biomechanics and clinical significance,” Indian Journal of Clinical Anatomy and Physiology Vol, vol. 1, no. 1, pp. 2014.

T. Zander, M. Bashkuev, and H. Schmidt, “Are there characteristic motion patterns in the lumbar spine during flexion?,” (in eng), Journal of Biomechanics, vol. 70, pp. 77-81, 2018.

M. Dreischarf, E. Pries, M. Bashkuev, M. Putzier, and H. Schmidt, “Differences between clinical “snap-shot” and “real-life” assessments of lumbar spine alignment and motion – What is the “real” lumbar lordosis of a human being?,” Journal of Biomechanics, vol. 49, no. 5, pp. 638-644, 2016.

M. A. Leroux, K. Zabjek, G. Simard, J. Badeaux, C. Coillard, and C. H. Rivard, “A noninvasive anthropometric technique for measuring kyphosis and lordosis: an application for idiopathic scoliosis,” Spine, vol. 25, no. 13, pp. 1689-1694, 2000.

Y. Chen and Y. Lee, “A non-invasive protocol for the determination of lumbosacral vertebral angle,” Clinical Biomechanics, vol. 12, no. 3, pp. 185-189, 1997.

A. Lundberg, “On the use of bone and skin markers in kinematics research,” Human Movement Science, vol. 15, no. 3, pp. 411-422, 1996.

M. Dreischarf, A. Shirazi-Adl, N. Arjmand, A. Rohlmann, and H. Schmidt, “Estimation of loads on human lumbar spine: A review of in vivo and computational model studies,” (in eng), Journal of Biomechanics, vol. 49, no. 6, pp. 833-45, 2016.

M. M. Panjabi, T. R. Oxland, I. Yamamoto, and J. J. Crisco, “Mechanical behavior of the human lumbar and lumbosacral spine as shown by three-dimensional load-displacement curves,” (in eng), Journal of Bone & Joint Surgery, vol. 76, no. 3, pp. 413-24, 1994.

A. Rozumalski, M. H. Schwartz, R. Wervey, A. Swanson, D. C. Dykes, and T. Novacheck, “The in vivo three-dimensional motion of the human lumbar spine during gait,” Gait & Posture, vol. 28, no. 3, pp. 378-384, 2008.

E. Papi, A. M. J. Bull, and A. H. McGregor, “Spinal segments do not move together predictably during daily activities,” Gait & Posture, vol. 67, pp. 277-283, 2019.

D. Viggiani, K. M. Gallagher, M. Sehl, and J. P. Callaghan, “The distribution of lumbar intervertebral angles in upright standing and extension is related to low back pain developed during standing,” Clinical Biomechanics, vol. 49, pp. 85-90, 2017.

J. Drzał-Grabiec, A. Truszczyńska, A. Tarnowski, and M. Płaszewski, “Comparison of Parameters Characterizing Lumbar Lordosis in Radiograph and Photogrammetric Examination of Adults,” Journal of Manipulative & Physiological Therapeutics, vol. 38, no. 3, pp. 225-231, 2015.

Y.-L. Chen, “Vertebral centroid measurement of lumbar lordosis compared with the Cobb technique,” Spine, vol. 24, no. 17, pp. 1786, 1999.

K. V. Chernukha, R. H. Daffner, and D. H. Reigel, “Lumbar lordosis measurement: a new method versus Cobb technique,” Spine, vol. 23, no. 1, pp. 74-79, 1998.

D. W. Polly Jr, F. X. Kilkelly, K. A. McHale, L. M. Asplund, M. Mulligan, and A. S. Chang, “Measurement of lumbar lordosis: evaluation of intraobserver, interobserver, and technique variability,” Spine, vol. 21, no. 13, pp. 1530-1535, 1996.

R. Bartalesi, F. Lorussi, D. De Rossi, M. Tesconi, and A. Tognetti, “Wearable monitoring of lumbar spine curvature by inertial and e-textile sensory fusion,” in Engineering in Medicine and Biology Society (EMBC), 2010 Annual International Conference of the IEEE, 2010, pp. 6373-6376: IEEE.

C. Mattmann, O. Amft, H. Harms, G. Troster, and F. Clemens, “Recognizing upper body postures using textile strain sensors,” in Wearable Computers, 2007 11th IEEE International Symposium on, 2007, pp. 29-36: IEEE.

N. Campbell-Kyureghyan, M. Jorgensen, D. Burr, and W. Marras, “The prediction of lumbar spine geometry: method development and validation,” Clinical Biomechanics, vol. 20, no. 5, pp. 455-464, 2005.

K. Walicka-Cupryś, J. Drzał-Grabiec, and M. Mrozkowiak, “Comparison of spine curvature parameters in the sagittal plane measured by the photogrammetric method and the inclinometer method,” pp. 2013.

M. Kluszczyński, J. Wąsik, D. Ortenburger, D. Zarzycki, and P. Siwik, “Prognostic value of measuring the angles of lumbar lordosis and thoracic kyphosis with the Saunders inclinometer in patients with low back pain,” Polish Annals of Medicine, vol. 24, no. 1, pp. 31-35, 2017.

A. S. Finestone, G. Marcus, Y. Anekstein, Y. Mirovsky, and G. Agar, “Assessing kyphosis with SpineScan: another attempt to reduce our dependence on radiography,” The Spine Journal, vol. 13, no. 8, pp. 926-931, 2013.

A. S. Van Blommestein, S. MaCrae, J. Lewis, and M. Morrissey, “Reliability of measuring thoracic kyphosis angle, lumbar lordosis angle and straight leg raise with an inclinometer,” Open Spine Journal, pp. 2012.

M. J. Ernst, R. J. Crawford, S. Schelldorfer, A.-K. Rausch-Osthoff, M. Barbero, J. Kool, and C. M. Bauer, “Extension and flexion in the upper cervical spine in neck pain patients,” Manual Therapy, vol. 20, no. 4, pp. 547-552, 2015.

M. A. Perrott, T. Pizzari, J. Cook, and J. A. McClelland, “Comparison of lower limb and trunk kinematics between markerless and marker-based motion capture systems,” Gait & Posture, vol. 52, pp. 57-61, 2017.

Y.-L. Chen, “Predicting the vertebral inclination of the lumbar spine,” Ergonomics, vol. 43, no. 6, pp. 744-751, 2000.

Y.-H. Lee and Y.-L. Chen, “Regressionally determined vertebral inclination angles of the lumbar spine in static lifts,” Clinical Biomechanics, vol. 15, no. 9, pp. 672-677, 2000.

M. Descarreaux, J.-S. Blouin, and N. Teasdale, “A non-invasive technique for measurement of cervical vertebral angle: report of a preliminary study,” European Spine Journal, journal article vol. 12, no. 3, pp. 314-319, 2003.

E. Baaklini, M. Angst, F. Schellenberg, M. Hitz, S. Schmid, A. Tal, W. R. Taylor, and S. Lorenzetti, “High-heeled walking decreases lumbar lordosis,” Gait & Posture, vol. 55, pp. 12-14, 2017.

M. Dreischarf, G. Bergmann, H.-J. Wilke, and A. Rohlmann, “Different arm positions and the shape of the thoracic spine can explain contradictory results in the literature about spinal loads for sitting and standing,” Spine, vol. 35, no. 22, pp. 2015-2021, 2010.

S. H. Zhou, I. D. McCarthy, A. H. McGregor, R. R. Coombs, and S. P. Hughes, “Geometrical dimensions of the lower lumbar vertebrae--analysis of data from digitised CT images,” (in eng), European Spine Journal, vol. 9, no. 3, pp. 242-8, 2000.

N. Tokgoz, M. Uçar, A. Billur Erdogan, K. Kiliç, and C. Ozcan, Are Spinal or Paraspinal Anatomic Markers Helpful for Vertebra Numbering and Diagnosing Lumbosacral. Transitional. Vertebrae? 2014, pp. 258-266.

L. N. McKinnis, Fundamentals of Musculoskeletal Imaging. F. A. Davis Company, 2013.

K. H. Kim, J. Y. Park, S. U. Kuh, D. K. Chin, K. S. Kim, and Y. E. Cho, “Changes in Spinal Canal Diameter and Vertebral Body Height with Age,” Yonsei Med J, vol. 54, no. 6, pp. 1498-1504, 2013.

U. Weber, C. W. Pfirrmann, R. O. Kissling, J. Hodler, and M. Zanetti, “Whole body MR imaging in ankylosing spondylitis: a descriptive pilot study in patients with suspected early and active confirmed ankylosing spondylitis,” BMC Musculoskeletal Disorders, journal article vol. 8, no. 1, pp. 20, 2007.

F. Sibella, M. Galli, M. Romei, A. Montesano, and M. Crivellini, “Biomechanical analysis of sit-to-stand movement in normal and obese subjects,” Clinical Biomechanics, vol. 18, no. 8, pp. 745-750, 2003.

K. P. Singer, S. J. Edmondston, R. E. Day, and W. H. Breidahl, “Computer-assisted curvature assessment and Cobb angle determination of the thoracic kyphosis. An in vivo and in vitro comparison,” (in eng), Spine (Phila Pa 1976), vol. 19, no. 12, pp. 1381-4, 1994.

P. Roussouly, S. Gollogly, E. Berthonnaud, and J. Dimnet, “Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position,” Spine, vol. 30, no. 3, pp. 346-353, 2005.

A. P. Claus, J. A. Hides, G. L. Moseley, and P. W. Hodges, “Is ‘ideal’ sitting posture real?: Measurement of spinal curves in four sitting postures,” Manual Therapy, vol. 14, no. 4, pp. 404-408, 2009.

C. J. Sorensen, B. J. Norton, J. P. Callaghan, C.-T. Hwang, and L. R. Van Dillen, “Is lumbar lordosis related to low back pain development during prolonged standing?,” Manual Therapy, vol. 20, no. 4, pp. 553-557, 2015.

B. J. Norton, S. A. Sahrmann, and L. R. Van Dillen, “Differences in measurements of lumbar curvature related to gender and low back pain,” Journal of Orthopaedic & Sports Physical Therapy, vol. 34, no. 9, pp. 524-534, 2004.

A. P. Claus, J. A. Hides, G. L. Moseley, and P. W. Hodges, “Thoracic and lumbar posture behaviour in sitting tasks and standing: Progressing the biomechanics from observations to measurements,” Applied Ergonomics, vol. 53, Part A, pp. 161-168, 2016.

Y.-L. Kuo, E. A. Tully, and M. P. Galea, “Video analysis of sagittal spinal posture in healthy young and older adults,” Journal of manipulative and physiological therapeutics, vol. 32, no. 3, pp. 210-215, 2009.

E. A. Tully, M. R. Fotoohabadi, and M. P. Galea, “Sagittal spine and lower limb movement during sit-to-stand in healthy young subjects,” Gait & Posture, vol. 22, no. 4, pp. 338-345, 2005.

M. J. Lord, J. M. Small, J. M. Dinsay, and R. G. Watkins, “Lumbar lordosis. Effects of sitting and standing,” (in Eng), Spine (Phila Pa 1976), vol. 22, no. 21, pp. 2571-4, 1997.

J. H. Carr, Neurological rehabilitation : optimizing motor performance / Janet H. Carr, Roberta B. Shepherd (no. Accessed from https://nla.gov.au/nla.cat-vn4979274). Edinburgh ; New York: Churchill Livingstone, 2010.

R. S. Alqhtani, M. D. Jones, P. S. Theobald, and J. M. Williams, “Correlation of lumbar-hip kinematics between trunk flexion and other functional tasks,” Journal of manipulative and physiological therapeutics, vol. 38, no. 6, pp. 442-447, 2015.

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Published

2020-12-25

How to Cite

[1]
W. A. A. Saad, “Comparison of the spine kinematics by defining lumbar as single and multi-segmental in completing critical daily task”, J. Mech. Eng. Sci., vol. 14, no. 4, pp. 7600–7608, Dec. 2020.