biomechanics of lifting graduate biomechanics. biomechanics of lifting topics lifting and back...
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Biomechanics of Lifting
Graduate Biomechanics
Biomechanics of LiftingTopics
• Lifting and Back Injury
• Biomechanics of Joint Torque and Shear
• Standards for Evaluating Lifting Tasks
• Biomechanical Factors Determining Joint Stress
• NIOSH and Evaluation of Lifting Risk
Lifting Varied Forms and Purposes
Component of ADL’s
Occupational Task
Training for Strength Enhancement
Competitive Sport
Lifting - Forms of
Lifting Up
Lifting Down
Pushing
Pulling
Supporting
Rising to Stand
Sitting
Bending
Lifting
Injury
Why so much interest in lifting ??
Lifting Workplace Injury
Incidence of Lifting-related Injury• 2% of workers yearly
• 21% of all workplace injuries
• 33% of workplace health care cost
Lifting-Related Injury
Economic Impact
*** Billions ***
Common Sites for Lifting Related Injury
Incidence Rates: (i.e. frequency of injury)
#1 Low Back
#2 Wrist and Hand
#3 Upper Back
#4 Shoulder
#5 Knee
#6 Elbow
Low Back Pain
• Second leading cause of physician visits• Third ranking cause of surgery (250,000 + yearly)• Fifth ranking cause of hospitalization• 15% of adults experience episode each year
Lifting-related Injury is the Leading Cause of Low Back Pain !
LiftingRoles of the Clinician
** Treatment **
What Can be Done ?
** Prevention **
Lifting Injury Prevention
** Many Issues **
Potential Areas Influencing Risk
• The Lifter
• The Load
• The Task
• The Conditions
The LifterFactors Influencing Risk
• Anthropometrics
• Strength
• Endurance
• Range of Motion
• Technique
• Sensory
• Health Status
The LoadFactors Influencing Risk
• Weight
• Size and Shape
• Load Distribution
• Grip Coupling
The TaskFactors Influencing Risk
• Complexity
• Workplace Geometry
• Frequency
• Duration
ConditionsFactors Influencing Risk
• The Workplace Environment
Lifting Technique- Common Elements
What do all forms of Lifting Have in Common ??
Imposed Loads
Motion - Inertia
Joint Torques
Joint Compression
Joint Shear
Biomechanics of Joint MotionThe Biomechanical Model
External Torque
The External Torque and intended direction of motion determine the Internal Torque
Inte
rnal
Tor
que
If External Torque > Internal Torque… Trunk FlexionIf Internal Torque > External Torque… Trunk Extension
If External Torque = Internal Torque… Equilibrium
Biomechanics of Joint MotionThe Biomechanical Model
Load - magnitude Position of Load Upper Body Mass Position of Upper Body Inertia
External Torque
The External Torque is Determined by:
Biomechanics of Joint MotionThe Biomechanical Model
The External Torque is Determined by:
COG
Axis
Line of Gravity
Moment Arm
Torque = (Total Load) * (cosine of Slope * Moment Arm)
Total Load = Mass of HAT + External Load
Biomechanics of Joint MotionThe Biomechanical Model
The External Torque is Determined by:
COG
Axis
Line of Gravity
Moment Arm
Torque = (Total Load) * (cosine of Slope * Moment Arm)
Body Mass = 150 # HAT = 60 % of BM Load = 50 # Trunk Angle = 60 deg Moment Arm = 1.2’
Biomechanics of Joint TorqueExternal Torque
Body Mass = 150#Load = 50#HAT = 60% of Body MassCOG Distance = 1.2’Trunk Slope = 60 deg
Torque = (Total Load) * (cosine of Slope * Moment Arm)
Torque = (90# + 50# ) * (.5 * 1.2’ )
External Torque = 84 ft/lbs
External Torque
Biomechanics of Joint TorqueExternal Torque
External Torque = 84 ft/lbs
External Torque
How Much Internal Torque is Needed to produce Equilibrium ??
84 ft/lbs
Biomechanics of Joint TorqueExternal Torque
External Torque
How Much Internal Torque is Needed to produce Equilibrium ??
84 ft-lbs
How hard do the extensor muscle have to work to produce the needed internal torque ????
Muscle Moment Arm = .15’
Internal Torque
Biomechanics of Joint TorqueExternal Torque
External Torque
How Much Internal Torque is Needed to produce Equilibrium ??
84 ft-lbs
Internal Torque = MMA * Muscle Force
84 ft-lbs = .15’ * Muscle Force
Muscle Force = 84 ft-lbs / .15’
Muscle Force = 560 lbs
Muscle Moment Arm = .15’
Internal Torque
Biomechanics of Joint Torque Joint Compression
Body Mass = 150#Load = 50#HAT = 60% of Body MassMoment Arm = 1.2’Trunk Slope = 60 degMuscle Moment Arm= .15’
Joint Compression = HAT + Load + Muscle ContractionJoint Compression = 90# + 50# + 560#
Joint Compression = 700#
Joint Compression
How about Joint Compression ??
Biomechanics of Joint Torque Joint Compression
Additional Factors
Motion – speed of lift
Rotation – Transverse Plane
Lifting Technique
COG
What can be done to decrease low back stress ?(1) Lighten the Load
Lifting Technique
COG
What can be done to decrease low back stress ?(1) Lighten the Load
(2) Change the position of the Load
Lifting Technique
COG
What can be done to decrease low back stress ?(1) Lighten the Load
(2) Change the position of the Load
(3) Change the position of the Body
Lifting Technique
TorqueTorque
Bad Good
COG
COG
NIOSH
National Institute for Occupational Safety and Health
* Work Practices Guide to Manual Lifting, 1981
NIOSHWhat do they do ??
• Define risk associated with lifting
• Define “safe” lifting conditions
• Publish lifting guidelines and standards for the workplace
• Inspect workplace for safe lifting conditions
• Impose penalties for hazardous lifting conditions
NIOSH - Hazardous Lifting Dependent on:
• Weight of Object
• Location of Object COM at beginning of lift
• Vertical travel distance of object
• Frequency of Lift (lifts per minute)
• Duration of lifting
NIOSH StandardsAction Limit and Maximum Permissable Limit
AL:Tolerated by 99% of males and
75% of females
L5/S1 compression below 3400N
Energy cost below 3.5 kcals/min
**If any exceeded - some risk of injury
MPL:Tolerated by 25% of males and 1%
of females
L5/S1 compression above 6500N
Energy cost above 5 kcals/min
**If exceeded severe risk of injury
NIOSH Standards
Below AL - Stress tolerated by most workers
Above AL and below MPL - Risk of injury such that task re-design or change in worker may be necessary
Above MPL - Unacceptable risk...Must re-design task