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Purpose: The research work aimed to perform the mathematical modelling-based assessment concerning the effect of the position of the pelvis in the sagittal plane on loads present in the musculoskeletal system in the standing position. Methods: The analysis of the effect of various positions of the pelvis was performed using the Free Posture Model in the AnyBody Modeling System software. Simulated positions involving various values of pelvis inclination ranged from the extreme pelvic retroposition (–7°) through normative values (0–23°) to the extreme pelvic anteversion (33°). Results: The lowest resultant reaction forces in the intervertebral joints recorded for an angle of inclination restricted within the range of 9–27° and segment L5–S1 amounted to less than 0.7 BW. A change in the pelvic inclination from the normative values towards retroposition or anteversion resulted in the increased muscular activity of the erector spinae, transverse abdominal muscles as well as internal and external oblique muscles. Regarding the lower limbs, changes in the activity were observed in the biceps femoris muscle, iliac muscle, gluteus minimus, gluteus medius and the gluteus maximus. Conclusion: The results obtained in the research-related tests confirmed that the pelvic inclination affects loads present in the musculoskeletal system. The abovenamed results will be used to develop therapeutic exercises aimed to reduce loads present in the musculoskeletal system. The aforesaid exercises will be used to teach participants how to properly position their pelvis and how to activate individual groups of muscles.
Czasopismo
Rocznik
Tom
Strony
33--42
Opis fizyczny
Bibliogr. 27 poz., il., wykr.
Twórcy
autor
- Department of Biomechatronics, Silesian University of Technology, ul. Roosevelta 40, 41-800 Zabrze, Poland
autor
- Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
- Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
- Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
autor
- Institute of Physiotherapy and Health Science, Academy of Physical Education in Katowice, Katowice, Poland
autor
- Department of Informatics and Medical Devices, Faculty of Biomedical Engineering Silesian University of Technology, Zabrze, Poland
Bibliografia
- [1] BASSANI T., CASAROLI G., GALBUSERA F., Dependence of lumbar loads on spinopelvic sagittal alignment: An evaluation based on musculoskeletal modeling, PLoS One, 2019, 14, e0207997.
- [2] BASSANI T., STUCOVITZ E., QIAN Z., BRIGUGLIO M., GALBUSERA F., Validation of the AnyBody full body musculoskeletal model in computing lumbar spine loads at L4L5 level, J. Biomech., 2017, 58, 89–96.
- [3] BEEN E., KALICHMAN L., Lumbar lordosis, Spine J., 2014, 14, 87–97.
- [4] BIBROWICZ K., OSIŃSKA M., Characteristics and evaluation of the relationship between pelvic inclination in the sagittal plane and the size of the anterior-posterior curvature of the spine in schoolchildren aged 13, 14 and 15 years, Issues Rehabil. Orthop. Neurophysiol. Sport Promot. – IRONS, 2012, 1, 66–74.
- [5] DAMSGAARD M., RASMUSSEN J., CHRISTENSEN S.T., SURMA E., DE ZEE M., Analysis of musculoskeletal systems in the AnyBody Modeling System, Simul. Model. Pract. Theory, 2006, 14, 1100–1111.
- [6] HAYDEN A.M., HAYES A.M., BRECHBUHLER J.L., ISRAEL H., PLACE H.M., The effect of pelvic motion on spinopelvic parameters, Spine J., 2018, 18, 173–178.
- [7] JOSZKO K., GZIK M., WOLAŃSKI W., GZIK-ZROSKA B., KAWLEWSKA E., Biomechanical evaluation of human lumbar spine in spondylolisthesis, J. Appl. Biomed., 2018, 16, 51–58.
- [8] JURKOJĆ J., MICHNIK R., JOLANTA P., Identification of muscle forces acting in lower limbs with the use of planar and spatial mathematical model, J. Vibroengineering, 2009, 11, 566–570.
- [9] KOSZELA K., KRUKOWSKA S., WOLDAŃSKA-OKOŃSKA M., Back pain as a lifestyle disease, Pediatr. i Med. Rodz., 2017, 13, 344–351.
- [10] LAIRD R.A., GILBERT J., KENT P., KEATING J.L., Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis, BMC Musculoskelet. Disord., 2014, 15, 229.
- [11] LEVINE D., WHITTLE M.W., The effects of pelvic movement on lumbar lordosis in the standing position, J. Orthop. Sports Phys. Ther., 1996, 24, 130–135.
- [12] MCGREGOR A.H., HUKINS D.W.L., Lower limb involvement in spinal function and low back pain, J. Back Musculoskelet. Rehabil., 2009, 22, 219–222.
- [13] MURRIE V.L., DIXON A.K., HOLLINGWORTH W., WILSON H., DOYLE T.A.C., Lumbar lordosis: Study of patients with and without low back pain, Clin. Anat., 2003, 16, 144–147.
- [14] NOWAKOWSKA K., GZIK M., MICHNIK R., MYŚLIWIEC A., JURKOJĆ J., SUCHOŃ S. et al., The Loads Acting on Lumbar Spine During Sitting Down and Standing Up, [in:] M. Gzik, E.Tkacz, Z. Paszenda, E. Piętka (Eds.), Innovations in Biomedical Engineering. Advances in Intelligent Systems and Computing, Springer, Cham, 2017, 169–176.
- [15] NOWAKOWSKA K., MICHNIK R., MYŚLIWIEC A., CHRZAN M., Impact of strengthening of the erector spinae muscle on the values of loads of the muskuloskeletal system in the lumbar spine section, Engineering Mechanics, 2017, 23rd International Conference May 15–18, 2017, Svratka, Czech Republic, Book of full tests, Ed. Vladimir Fuis, 718–721.
- [16] NOWAKOWSKA K., MICHNIK R., MYŚLIWIEC A., ZADOŃ H., Identification of loads occurring in the lumbar spine section during the action of lifting objects, Engineering Mechanics, 2018, 24th International Conference, May 14–17, 2018, Svratka, Czech Republic, 2018, 617–620.
- [17] PRIES E., DREISCHARF M., BASHKUEV M., PUTZIER M., SCHMIDT H., The effects of age and gender on the lumbopelvic rhythm in the sagittal plane in 309 subjects, J. Biomech., 2015, 48, 3080–3087.
- [18] RACIBORSKI F., GASIK R., KTAK A., Disorders of the spine. A major health and social problem, Reumatologia, 2016, 54, 196–200.
- [19] SEARLE A., SPINK M., HO A., CHUTER V., Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials, Clin. Rehabil., 2015, 29, 1155–1167.
- [20] SHUM G.L.K., CROSBIE J., LEE R.Y.W., Effect of Low Back Pain on the Kinematics and Joint Coordination of the Lumbar Spine and Hip During Sit-to-stand and Stand-to-sit, Spine (Phila. Pa. 1976), 2005, 30, 1998–2004.
- [21] SZKODA-POLISZUK K., ŻAK M., PEZOWICZ C., Finite element analysis of the influence of three-joint spinal complex on the change of the intervertebral disc bulge and height, Int. J. Numer. Method. Biomed. Eng., 2018, 34 (9), e3107.
- [22] WALKER M.L., ROTHSTEIN J.M., FINUCANE S.D., LAMB R.L., Relationships between lumbar lordosis, pelvic tilt, and abdominal muscle performance, Phys. Ther., 1987, 67, 512–516.
- [23] WONG K.W.N., LUK K.D.K., LEONG J.C.Y., WONG S.F., WONG K.K.Y., Continuous Dynamic Spinal Motion Analysis, Spine (Phila. Pa. 1976), 2006, 31, 414–419.
- [24] ZADOŃ H., MICHNIK R., NOWAKOWSKA K., MYŚLIWIEC A., Assessment of Loads Exerted on the Lumbar Segment of the Vertebral Column in Everyday-Life Activities – Application of Methods of Mathematical Modelling, [in:] E. Pietka, P. Badura, J. Kawa, W. Wieclawek (Eds.), Information Technology in Biomedicine. ITIB 2019. Advances in Intelligent Systems and Computing, Springer, Cham, 2019, 554–565.
- [25] DE ZEE M., HANSEN L., WONG C., RASMUSSEN J., SIMONSEN E.B., A generic detailed rigid-body lumbar spine model, J. Biomech., 2007, 40, 1219–1227.
- [26] ZUK M., SYCZEWSKA M., PEZOWICZ C., Influence of uncertainty in selected musculoskeletal model parameters on muscle forces estimated in inverse dynamics-based static optimization and hybrid approach, J. Biomech. Eng., 2018, 140.
- [27] Dane statystyczne dot. absencji chorobowych w roku 2018 opublikowane przez ZUS (Statistical data about sickness absence published by the National Social Insurance Office (ZUS)), Information Note, (2018) (in Polish).
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Bibliografia
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bwmeta1.element.baztech-203a7336-0ebb-463f-8e3d-a989b5674a3c