重度肥胖对手动搬运负荷时腰椎生物力学应力的影响。
Severe obesity effect on low back biomechanical stress of manual load lifting.
作者信息
Singh Devender, Park Woojin, Hwang Dongwook, Levy Martin S
机构信息
Seton Spine and Scoliosis Center, Austin, TX, USA.
Department of Industrial Engineering, Seoul National University, Seoul, Korea.
出版信息
Work. 2015 Jun 5;51(2):337-48. doi: 10.3233/WOR-141945.
BACKGROUND
Little research is available on low back biomechanical stresses that obese and overweight workers experience from manual load lifting.
OBJECTIVE
The study objective was to quantitatively evaluate low back biomechanical stresses of severely obese (BMI≥35 kg/m2) workers during manual lifts of moderate load weights.
METHOD
Twenty severely obese and 20 normal weight participants performed infrequent lifting in 16 task conditions. In each task condition, NIOSH recommended load weights were computed for the origin and destination of lift and were employed as the load weights. Optical motion capture was performed to collect lifting posture data. For each participant and each lifting condition, L5/S1 disc compression forces were computed at the origin and destination of lift using a static low back biomechanical model.
RESULTS
The L5/S1 disc compression forces estimated for the severely obese participants ranged from 3000N to 8500N and many exceeded the 3400N NIOSH action limit by large margins. Group mean disc compression force was significantly larger for the severely obese than the normal weight group.
CONCLUSION
In light of previous research on spine, bone and obesity, the study results seem to suggest that severely obese individuals are likely at an increased risk of lifting-related low back pain compared with normal weight individuals.
背景
关于肥胖和超重工人在手动搬运重物时所经历的下背部生物力学应力的研究较少。
目的
本研究的目的是定量评估重度肥胖(BMI≥35 kg/m²)工人在搬运中等重量负荷时的下背部生物力学应力。
方法
20名重度肥胖参与者和20名正常体重参与者在16种任务条件下进行不频繁的搬运。在每种任务条件下,根据NIOSH建议计算搬运起点和终点的负荷重量,并将其用作负荷重量。采用光学动作捕捉技术收集搬运姿势数据。对于每位参与者和每种搬运条件,使用静态下背部生物力学模型计算L5/S1椎间盘压缩力在搬运起点和终点处的值。
结果
重度肥胖参与者的L5/S1椎间盘压缩力估计值在3000N至8500N之间,许多值大大超过了NIOSH设定的3400N行动限值。重度肥胖组的平均椎间盘压缩力显著高于正常体重组。
结论
鉴于先前关于脊柱、骨骼和肥胖的研究,研究结果似乎表明,与正常体重个体相比,重度肥胖个体患搬运相关下背痛的风险可能更高。