Low-back biomechanics and static stability during isometric pushing.

Pushing and pulling tasks are increasingly prevalent in industrial workplaces. Few studies have investigated low-back biomechanical risk factors associated with pushing, and we are aware of none that has quantified spinal stability during pushing exertions. Data recorded from 11 healthy participants performing isometric pushing exertions demonstrated that trunk posture, vector force direction of the applied load, and trunk moment were influenced (p < .01) by exertion level, elevation of the handle for the pushing task, and foot position. A biomechanical model was used to analyze the posture and hand force data gathered from the pushing exertions. Model results indicate that pushing exertions provide significantly (p < .01) less stability than lifting when antagonistic cocontraction is ignored. However, stability can be augmented by recruitment of muscle cocontraction. Results suggest that cocontraction may be recruited to compensate for the fact that equilibrium mechanics provide little intrinsic trunk stiffness and stability during pushing exertions. If one maintains stability by means of cocontraction, additional spinal load is thereby created, increasing the risk of overload injury. Thus it is important to consider muscle cocontraction when evaluating the biomechanics of pushing exertions. Potential applications of this research include improved assessment of biomechanical risk factors for the design of industrial pushing tasks.

RCT Entities:   Population Interventions Outcomes