Work-related musculoskeletal disorders (MSD) of the neck or cervical spine result in longer sick leaves, substantial levels of human suffering, and high costs for society. Epidemiological studies clearly indicate strong associations between MSD of the neck and the work activities requiring forceful arm exertions and heavy lifting. However, most of the existing studies that evaluate the neck or cervical spine disorders focus mainly on exertions demanding sustained neck postures of repetitive arm exertions. The purpose of this study is to conduct a systematic review of existing epidemiological and experimental studies that evaluates neck or cervical spine disorders and identify the gaps in the literature for future research.
Sudden loading is a major risk factor for work-related lower back injuries among occupations involving manual material handling (MMH). The current study explored the effects of external weight configuration on trunk biomechanics and trunk rotational stiffness in the sagittal plane during sudden loading. Fifteen asymptomatic volunteers experienced sudden loadings using the same magnitude of weight (9 kg) with two different configurations (medially- or laterally-distributed) at three levels of height (low, middle and high). Results of this study showed that the medially distributed weight resulted in a significantly higher peak L5/S1 joint compression force (2861 N vs. 2694 N) and trunk rotational stiffness (2413 Nm/rad vs. 1785 Nm/rad) compared to the laterally distributed weight. It was concluded that when experiencing sudden loading, a more laterally distributed weight could increase the load's resistance to physical perturbations and alleviate spinal loading during sudden loading events. Practitioner summary: Increased trunk rotational stiffness and peak L5/S1 joint compression force were observed when undergoing a sudden load release of a medially distributed load compared to a laterally distributed load revealing a less stable hand load condition due to the reduced moment of inertia. The laterally distributed load could increase the load's resistance to physical perturbations and mitigate spinal loading during sudden loading events.
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