2021
DOI: 10.1007/s10237-021-01465-1
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Embodiment of intra-abdominal pressure in a flexible multibody model of the trunk and the spinal unloading effects during static lifting tasks

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Cited by 23 publications
(25 citation statements)
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“…The increase of IAP during forward flexion and lifting tasks has shown to stabilise and unload the lumbar spine (Stokes et al 2010;Hodges et al 2005). In a recent study, Guo and colleagues demonstrated the IAPinduced spinal unloading effect during abdominal breathing in a flexed posture using a detailed generic spine model by considering a biomechanical representation of the abdominal cavity in combination with flexible multibody (MB) modelling of core muscles (Guo et al 2021). The influence of IAP is not modelled in our model so far and should be considered in future work.…”
Section: Critical Review Of the Developed Models With Respect To Exis...mentioning
confidence: 99%
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“…The increase of IAP during forward flexion and lifting tasks has shown to stabilise and unload the lumbar spine (Stokes et al 2010;Hodges et al 2005). In a recent study, Guo and colleagues demonstrated the IAPinduced spinal unloading effect during abdominal breathing in a flexed posture using a detailed generic spine model by considering a biomechanical representation of the abdominal cavity in combination with flexible multibody (MB) modelling of core muscles (Guo et al 2021). The influence of IAP is not modelled in our model so far and should be considered in future work.…”
Section: Critical Review Of the Developed Models With Respect To Exis...mentioning
confidence: 99%
“…In recent years, an increasing number of musculoskeletal multibody (MB) spine models have been developed focusing on the detailed modelling of the lumbar (Christophy et al 2012;Rupp et al 2015;Mörl et al 2020), thoracolumbar (Bruno et al 2015 anatomy and musculature, and the simulation of sophisticated activities, such as various lifting (Beaucage-Gauvreau et al 2019;Molinaro et al 2020) or sporting tasks (Raabe and Chaudhari 2016;Cazzola et al 2017;Silvestros et al 2019Silvestros et al , 2022. In a recent study by Guo et al (2021), a full spine model was introduced demonstrating the sensitivity of spinal loading predictions to intra-abdominal pressure (IAP). These models assume generic geometries, some of which were scaled in their height or dimensions to fit a specific subject or group of the population -a start level of individualisation.…”
Section: Introductionmentioning
confidence: 99%
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“…Spinal stability can be improved by intra-abdominal pressure (IAP) [10][11][12]. IAP can also reduce spinal loading [13]. Activation of the transversus abdominis muscle has been associated with IAP [14].…”
Section: Introductionmentioning
confidence: 99%
“…This means that the abdominal muscles work as in dynamic exercises, while the spine is loaded as in static exercises and maintains its neutral posture. The IAP can relieve the spine longitudinally to a considerable extent [13], so we assume that, despite the activity of the trunk extensor muscles, the pressure on the intervertebral discs is tolerable. The neutral posture of the spine distributes the load evenly among the vertebrae and intervertebral discs, reducing the risk of high local pressure [2] and injury [6].…”
Section: Introductionmentioning
confidence: 99%