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Updated: Jul 13, 2025

Lower Limb Biomechanical Analysis of Healthy Participants
Published on: April 15, 2020
Quantifying how functional and structural personal factors influence biomechanical exposures in paramedic lifting
Daniel P Armstrong1, Tyson A C Beach1, Steven L Fischer1
1Department of Kinesiology, Faculty of Health Sciences, University of Waterloo, Waterloo, Canada.
Female paramedics, stronger individuals, and those with greater hip range of motion experience lower back forces during lifting. Improving strength and hip mobility may proactively reduce injury risk in this profession.
Area of Science:
- Occupational health
- Biomechanics
- Ergonomics
Background:
- Paramedic work involves physically demanding tasks, including lifting patients.
- Little is known about how personal factors influence lifting biomechanics and low back forces in paramedics.
Purpose of the Study:
- To investigate the association between structural (sex, stature, body mass) and functional (strength, flexibility) personal factors and peak low back forces during paramedic lifting tasks.
Main Methods:
- Seventy-two participants performed backboard and stretcher lifts.
- Peak low back forces (normalized to body mass) and kinematic coordination patterns were analyzed.
Main Results:
- Being female, stronger, shorter, having higher body mass, and greater lower body range of motion (ROM) were linked to lower normalized low back forces.
- Females and stronger individuals minimized compressive forces; those with greater hip ROM minimized shear forces.
Conclusions:
- Personal factors like sex, strength, and hip ROM significantly influence low back forces in paramedic lifting.
- Training interventions focused on improving strength and hip ROM could be a proactive ergonomic strategy to mitigate low back injuries.
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