A simple method for estimating the intervertebral disc compressive force based on the posture analysis of community-dwelling older adults

Abstract

The purpose of this study was to develop a simpler method to estimate the intervertebral disc compressive force in healthy older adults. We also examined the validity of a simpler estimation formula for patients with spinal diseases. [Participants and Methods] Fifty-two older adults participated in the study. The standing posture was measured using a three-dimensional motion capture system. The intervertebral disc compressive force was calculated using a previously reported method. Correlation analysis was used to detect the relationship between the measured parameters and the intervertebral disc compressive force. Multiple regression analysis was performed to obtain an equation for the intervertebral disc compressive force. Correlation analysis was used to determine the regression equation for the patients with spinal diseases. [Results] Multiple regression analysis showed that trunk flexion/extension angle and body mass were significantly associated with intervertebral disc compressive force. A correlation was found between the measured and predicted values in the healthy older adults, whereas both values were inconsistent in patients with spinal diseases. [Conclusion] The results of our study demonstrated that the trunk flexion/extension angle and body mass are indicators of intervertebral disc compressive force and can be used to assess low back mechanical stress in healthy older adults.

Biomechanical Analysis of the External Fixation in a Lumbar Fracture Model: A Finite Element Study

“…Azusa Nishizawa et al reported that the forward flexion and backward extension have the greatest influence on the intervertebral disc pressure when changing the body position (forward flexion, extension, left and right lateral flexion, and left and right rotation), and also the most frequent two directions involving activities of daily life [19]. Thus, we studied the forward flexion and extension movements considering their significance on disc pressure and daily life activities.…”