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Biomechanical comparison of isokinetic lifting and free lifting when applied to chronic low back pain rehabilitation

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Abstract

The study compares free and isokinetic lifing using a multivariate statistical analysis. Each of the 13 male subjects performed three free lifts and three isokinetic lifts using a CYBEX LIFTASK. The measurement variables were obtained from a 3D video system, two force lates and two strain-gauge transducers. Coupling of fuzzy space-time windowing and multiple correspondence analysis was used to show the links between the variables and the differences between the experimental situations. Isokinetic lifting had almost no points in common with free-lifting, but there was a similar range of extension for the different joints. Most free-lifting strategies could not be used in isokinetic lifting, as constraints between the subject and his environment were different. The main drawback of the isokinetic lifting was due to the necessity for individuals to reach the machine speed, yielding high transient efforts. The maximum vertical effort at the L5/S1 joint was about 1600, 1500 and 1400 N for low, medium and high speed, whereas it was lower than 1300 N, irrespective of the load, during free lifting. In the context of chronic low back pain rehabilitation, movement strategies used in free lifting could not be relearnt using an isokinetic machine. A better understanding of the common points and differences between isokinetic movement and free movement could help rehabilitation physicians to plan rehabilitation programmes, taking advantage of each kind of movement.

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References

  • Aleshinsky, S. Y. (1986a): ‘An energy source and fractions approach to the mechanical energy expenditure problem. I: Basic concepts, descriptions of the model, analysis of a one link system movement’,J. Biomech.,19, pp. 287–293

    Article  Google Scholar 

  • Aleshinsky, S. Y. (1986b): ‘An energy source and fractions approach to the mechanical energy expenditure problem. II: Movement of the multi-link chain model’,J. Biomech.,19, pp. 295–300

    Article  Google Scholar 

  • Aleshinsky, S. Y. (1986c): ‘An energy source and fractions approach to the mechanical energy expenditure problem. III: Mechanical energy expenditure reduction during one link movement’,J. Biomech.,19, pp. 301–306

    Article  Google Scholar 

  • Aleshinsky, S. Y. (1986d): ‘An energy source and fractions approach to the mechanical energy expenditure problem. IV Criticism of the concept of energy transfers within and between links’,J. Biomech.,19, pp. 307–309

    Article  Google Scholar 

  • Aleshinsky, S. Y. (1986e): ‘An energy source and fractions approach to the mechanical energy expenditure problem. V: The mechanical energy expenditure reduction during motion of the multi-link system’,J. Biomech.,19, pp. 311–315

    Article  Google Scholar 

  • Authier, M., Lortie, M., andGagnon, M. (1996): ‘Manual handling techniques: Comparing novices and experts’,Int. J. Industr. Ergonom.,17, pp. 419–429

    Article  Google Scholar 

  • Badler, N. I., Phillips, C. B., andWebber, B. L. (1993): ‘Simulating humans, computer graphics animation and control’ (Oxford University Press, New York, 1993)

    MATH  Google Scholar 

  • Benzecri, I. P. (1992): ‘Correspondence analysis handbook’ (Marcel Dekker, New York, 1992)

    MATH  Google Scholar 

  • Bouilland, S. (1997): ‘Etude biomécanique des levers de charge isocinétique et naturel—Application à la rééducation des lombalgiques chroniques’. PhD thesis 97-08, University of Valenciennes, France

    Google Scholar 

  • Bouisset, S., andMaton, B. (1996): ‘Muscles, posture et mouvement, bases et applications de la méthode electromyographique’ (Hermann, Paris, 1996)

    Google Scholar 

  • Burgess-Limerick, R., Abernathy, B., andNeal, R. (1993): ‘Relative phase quantifies interjoint coordination’,J. Biomech.,26, pp. 91–94

    Article  Google Scholar 

  • Burgess-Limerick, R., Abernathy, B., Neal, R., andKippers, V. (1995): ‘Self-selected manual lifting technique: functional consequence of the interjoint coordination’,Hum. Factors,37, pp. 395–411

    Article  Google Scholar 

  • Buseck, M., Schipplein, O. D., Anderson, G. B. J., andAndriacchi, T. P. (1988): ‘Influence of dynamic factors and external loads on the moment at the lumbar spine in lifting’,Spine,13, pp. 918–921

    Article  Google Scholar 

  • Cloup, P., Angué, J. C., andLaassel, E. M. (1988): ‘A new system of gestual automatic 3-D analysis’. 12th Annual Meeting of American Society of Biomechanics, University of Ilinois, Champaign. Sept. 1988

  • De Looze, M. P., Kingma, I., Bussman, J. B. J., andToussaint, H. M. (1992): ‘Validation of a dynamic linked segment model to calculate joint moment in lifting’,Clin. Biomech.,7, pp. 161–169

    Article  Google Scholar 

  • De Looze, M. P., Toussaint, H. M., Van Dieèen, J. H., andKemper, H. C. G. (1993): ‘Joint moments and muscle activity in the lower extremities and lower back in lifting and lowering tasks’,J. Biomech.,26, pp. 1067–1076

    Article  Google Scholar 

  • De Looze, M. P., Kingma, I., Thunnissen, W., Van Wijk, M. J., andToussaint, H. M. (1994): ‘The evaluation of a practical biomechanical model estimating lumbar moments in occupational activities’,Ergonomics,37, pp. 1495–1502

    Google Scholar 

  • Estlander, A. M. andMellin, G. (1991): ‘Effects and follow-up of a multimodal treatment program including intensive physical training for low back pain patients’,Scand. J. Rehab. Med.,23, pp. 97–102

    Google Scholar 

  • Freivalds, A., Chaffin, D., Garg, A., andLee, K. (1984): ‘A dynamic biomechanical evaluation of lifting maximum acceptable loads’,J. Biomech.,17, pp. 251–262

    Article  Google Scholar 

  • Gagnon, M., andSmyth, G. (1991): ‘Muscular mechanical energy expenditure as a process for detecting potential risks in manual materials handling’,J. Biomech.,24, pp. 191–203

    Article  Google Scholar 

  • Gagnon, D., andGagnon, M. (1992): ‘The influence of dynamic factors on triaxial net muscular moments at the L5/S1 joint during asymetrical lifting and lowering’,J. Biomech.,25, pp. 891–901

    Article  MathSciNet  Google Scholar 

  • Gallagher, S., andHamrick, C. A. (1994): ‘Dynamic biomechanical modelling of symmetric and asymmetric lifting tasks in restricted postures’,Ergonomics,37, pp. 1289–1310

    Google Scholar 

  • Garg, A., andBeller, D. (1994): ‘A comparison of isokinetic lifting strength with static strength and maximum acceptable weight with special reference to speed of lifting’,Ergonomics, 37, pp. 1363–1374

    Google Scholar 

  • Hagen, K. B., Orhagen, O. S., andHarms-Rindahl, K. (1995): ‘Influence of weight and frequency on thigh and lower-trunk motion during repetitive lifting employing stoop and squat techniques’,Clin. Biomech.,10, pp. 122–127

    Article  Google Scholar 

  • Hazard, R., Reid, S., Fenwick, J., andReeves, V. (1988): ‘Isokinetic trunk and lifting strength measurements: Variability as an indicator of effort’,Spine,13, pp. 54–57

    Article  Google Scholar 

  • Kishino, N. D., Mayer, T. G., andGatchel, R. J. (1985): ‘Quantification of lumbar function: 4 Isometric and isokinetic lifting simulation in normal subjects and low back dysfunction patients’,Spine,10, pp. 921–927

    Article  Google Scholar 

  • Kromodihardjo, S., andMital, A. (1987): ‘Biomechanical analysis of manual lifting task’,J. Biomech. Eng.,109, pp. 132–138

    Article  Google Scholar 

  • Langrana, N. A., Lee, C. K., andMayott, C. W. (1984): ‘Quantitative assessment of back strength using isokinetic testing’,Spine,9, pp. 287–290

    Article  Google Scholar 

  • Leskinen, T. P. J., Stalhammar, H. R., Kuorinka, I. A. A., andTroup, J. D. J. (1985): ‘Hip torque, lumbosacral compression and intra-abdominal pressure in lifting and lowering tasks’ inWinter, D. A., Norman, R. W., andWells, R. P. (Eds): ‘Biomechanics LX-B’ (International Series of Biomechanics Human Kinetics Publishers, Champaign, IL, 1985), pp. 55–59

    Google Scholar 

  • Loslever, P. (1995): ‘Considering imperfections using 3D imaging system in angle obtaining, angle distance computing and multivariate distance graphing’,Comput. Methods Programs Biomed.,47, pp. 197–204

    Article  Google Scholar 

  • Loslever, P., Lepoutre, F. X., Kebab, A., andSayarh, H. (1996): ‘Descriptive multidimensional statistical methods for analysing signals in a multifactorial biomedical database’,Med. Biol. Eng. Comput.,34, pp. 1–8

    Google Scholar 

  • Loslever, P., andBarbier, F. (1998): ‘Multivariate graphical presentation for gait rehabilitation study’,Gait Posture,7, pp. 39–44

    Article  Google Scholar 

  • Loslever, P., andBouilland, S. (1999): ‘Marriage of fuzzy sets and multiple correspondence analysis: Examples with subjective interval data and biomedical signals’,Fuzzy Sets Syst.,107, pp. 255–275

    Article  MathSciNet  MATH  Google Scholar 

  • Mandell, P. J., Weitz, E., Bernstein, J. I., andLipton, M. H. (1993): ‘Isokinetic trunk strength and lifting strength measures’,Spine,18, pp. 2491–2501

    Article  Google Scholar 

  • Mayer, T. G., Smith, S. S., Keeley, J., andMooney, V. (1985): ‘Quantification of lumbar function: 2 Sagittal plane trunk strength in chronic low-back pain patients’,Spine,10, pp. 765–772

    Article  Google Scholar 

  • Mayer, T., andBarnes, D. (1988a): ‘Progressive isoinertial lifting evaluation, Part 1: A standardized protocol and normative database’,Spine,13, pp. 993–997

    Article  Google Scholar 

  • Mayer, T., andBarnes, D. (1988b): ‘Progressive isoinertial lifting evaluation, Part 2: A comparison with isokinetic in disabled chronic low back pain industrial population’,Spine,13, pp. 998–1002

    Article  Google Scholar 

  • Mayer, T. G., andGatchel, R. J. (1989): ‘Functional restoration for chronic low back pain Part 1: Quantifying physical function’,Pain Manag.,2, pp. 67–73

    Google Scholar 

  • Mellin, G., Harkapaa, K., andVanharanta, H. (1993): ‘Outcome of a multimodal treatment including intensive physical training of patients with chronic low back pain’,Spine,18, pp. 825–829

    Google Scholar 

  • Mital, A., andFard, H. (1986): ‘Psychophysical and physiological responses to lifting symmetrical and assymetrical loads symmetrically and assymetrically’,Ergonomics,29, pp. 1263–1272

    Google Scholar 

  • Newton, M., andWaddell, G. (1993): ‘Trunk strength testing with iso-machines: Part 1: a review of scientific evidence’,Spine,18, pp. 801–811

    Google Scholar 

  • Newton, M., Thow, M., Somerville, D., Henderson, I., andWaddell, G. (1993): ‘Trunk strength testing with iso-machines: Part 2: Experimental evaluation of the Cybex II Back Testing System in normal subjects and patients with chronic low back pain’,Spine,18, pp. 812–824

    Google Scholar 

  • Nikravesh, P. E. (1988): ‘Computer-aided analysis of mechanical systems’ (Prentice-Hall, Inc., New York, 1988)

    Google Scholar 

  • Potvin, J. R., Norman, R. W., Eckenrath, M. E., McGill, S. M., andBennett, G. W. (1992): ‘Regression models for the prediction of dynamic L4/L5 compression forces during lifting’,Ergonomics,35, pp. 187–201

    Google Scholar 

  • Porterfield, J. A., Mostardi, R. A., andKing, S. (1987): ‘Simulated lift testing using computerized isokinetic’,Spine,12, pp. 683–687

    Article  Google Scholar 

  • Rissanen, A., andAlaranta, H. (1996): ‘Isokinetic and nondynamometric tests in low back pain patients related to pain and disability index’,Spine,19, pp. 1963–1967

    Article  Google Scholar 

  • Schipplein, O., Reinsel, T., Andersson, G., andLavender, S. (1995): ‘The influence of initial horizontal weight placement on the loads at the lumbar spine while lifting’,Spine,20, pp. 1895–1898

    Article  Google Scholar 

  • Scholz, J. P. (1993): ‘The effect of load scaling on the coordination of manual squat lifting’,Hum. Movement Sci.,12, pp. 427–459

    Article  Google Scholar 

  • Smith, S. S., Mayer, T. G., Gatchel, R. J., andBecker, T. J. (1985): ‘Quantification of lumbar function: 1 Isometric and multispeed isokinetic trunk strength measures in sagittal and axial planes in normal subjects’,Spine,10, pp. 757–764

    Article  Google Scholar 

  • Snook, S. H., andCiriello, V. M. (1991): ‘The design of manual handling task: revised tables of maximum acceptable weights and forces’,Ergonomics,34, pp. 1197–1213

    Google Scholar 

  • Sullivan, M. S. (1989): ‘Back support mechanisms during manual lifting’,Phys. Therapy,69, (1)

    Google Scholar 

  • Teasell, R. W., andHarth, M. (1996): ‘Functional restoration returning patients with chronic low back pain to work, revolution or fad?’,Spine,21, pp. 844–847

    Article  Google Scholar 

  • Toussaint, H. M., Van Baar, C. E., Van Langen, P. P., De Looze, M. P., andVan Dieèn, J. H. (1992): ‘Coordination of the leg muscles in backlift and leglift’,J. Biomech.,25, pp. 1279–1589

    Article  Google Scholar 

  • Welbergen, E., Kemper, H. C. G., Knibbe, J. J., Toussaint, H. M., andClysen, L. (1991): ‘Efficiency and effectiveness of stoop and squat lifting at different frequencies’,Ergonomics,34, pp. 613–624

    Google Scholar 

  • Woltring, H. J. (1986): ‘A FORTRAN package for generalized, cross-validatory spline smoothing and differentiation’,Adv. Eng. Softw.,8, pp. 104–113

    Article  Google Scholar 

  • Zadeh, L. A. (1965): ‘Information and control’,Fuzzy Sets,8, pp. 338–353

    MATH  MathSciNet  Google Scholar 

  • Zatsiorsky, V., andSeluyanov, V. M. (1990a): ‘In vivo body segment inertial parameters determination using a gamma scanner method’ inBerme, N., andCappozzo, A. (Eds): ‘Biomechanics of human movement: Applications in rehabilitation, sports and ergonomics’ (Bertec Corporation, Worthington, Ohio, USA, 1990), pp. 196–202

    Google Scholar 

  • Zatsiorsky, V., andSeluyanov, V. M. (1990b): ‘Methods of determining mass-inertial characteristics of human body segments’ inChernyi, G. G., andRegirer, S. A. (Eds): ‘Contemporary problems of biomechanics’ (CRC Press, Boca Raton, MA, 1990), pp. 272–291

    Google Scholar 

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Authors and Affiliations

  1. Hopital Calvé, Fondation Franco-Américaine, Berck sur Mer, France

    S. Bouilland

  2. Laboratoire d'Automatique et de Mécanique Industrielle et Humaine, Université de Valenciennes, Valenciennes, France

    P. Loslever & F. X. Lepoutre

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  1. S. Bouilland
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  2. P. Loslever
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Correspondence to P. Loslever.

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Bouilland, S., Loslever, P. & Lepoutre, F.X. Biomechanical comparison of isokinetic lifting and free lifting when applied to chronic low back pain rehabilitation. Med Bio Eng Comput 40, 183–192 (2002). https://doi.org/10.1007/BF02348123

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