Weight knowledge and weight magnitude: impact on lumbosacral loading

Several factors can impact lumbosacral loads during lifting, including weight knowledge and weight magnitude. However, interaction between them has never been tested. This study investigated the interaction effect of these variables on lumbosacral forces and moments. Participants performed symmetrical lifts using three different weights. Weight knowledge involved known and unknown weight conditions. A biologically assisted dynamic model was used to calculate spinal loading parameters. Weight impacted all variables, while knowledge impacted only compression, by a moderate amount (5%), and spinal moments. Lifting a lightweight resulted in a difference of 16% and 7.2% between knowledge conditions for compression and anterior-posterior shear forces, respectively, compared with a negligible difference of < 1% when lifting a heavy weight. Increased spinal loading with light unknown weight can be attributed to increased muscular co-contraction. Weight knowledge is important to consider at low weight levels as it can increase tissue loading to values equivalent to lifting a heavier weight.