2018
DOI: 10.1177/0954411918799630
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Prediction of in vivo lower cervical spinal loading using musculoskeletal multi-body dynamics model during the head flexion/extension, lateral bending and axial rotation

Abstract: Cervical spine diseases lead to a heavy economic burden to the individuals and societies. Moreover, frequent post-operative complications mean a higher risk of neck pain and revision. At present, controversy still exists for the etiology of spinal diseases and their associated complications. Knowledge of in vivo cervical spinal loading pattern is proposed to be the key to answer these questions. However, direct acquisition of in vivo cervical spinal loading remains challenging. In this study, a previously deve… Show more

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Cited by 10 publications
(10 citation statements)
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“…This working posture, especially the neck flexion, causes a 1.6-fold increase in cervical disc compression and a four-fold increase in anteroposterior shear at a posture of 45° compared to the neutral position [ 36 ]. Thus, these increases in cervical disc compression and shear forces during flexion, lateral flexion, and rotational movements must also be taken into account [ 37 , 38 ]. In the present analysis, the ERPs show that in the neck area, in all DWCs, between 55–59% of the working time was spent in the maximum possible RULA score.…”
Section: Discussionmentioning
confidence: 99%
“…This working posture, especially the neck flexion, causes a 1.6-fold increase in cervical disc compression and a four-fold increase in anteroposterior shear at a posture of 45° compared to the neutral position [ 36 ]. Thus, these increases in cervical disc compression and shear forces during flexion, lateral flexion, and rotational movements must also be taken into account [ 37 , 38 ]. In the present analysis, the ERPs show that in the neck area, in all DWCs, between 55–59% of the working time was spent in the maximum possible RULA score.…”
Section: Discussionmentioning
confidence: 99%
“…It is well known that human joints (e.g., intervertebral disc) face multi-directional dynamic loading combined with coupling rotations [33]. The actual motion track can be either oval like (in vitro) or curvilinear typed (in vivo) [34].…”
Section: Worn Surface Analysismentioning
confidence: 99%
“…As an alternative, computational models combined with accurate anatomical data have been introduced to obtain valuable joint mechanics. The cervical spinal loading patterns during various head movements have been estimated by the musculoskeletal (MSK) model, based on the multi-body dynamics (MBD) method [17]. However, the obtained cervical spinal loading patterns, such as compressive forces (CFs), shear forces (SFs), and facet joint forces (FJFs), only represent the normal subject (NS) [17].…”
Section: Introductionmentioning
confidence: 99%