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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Implementing an accelerometer-based pelvis segment for low back kinetic analyses during dynamic movement tasks.

Jackie D Zehr1, Jessa M Davidson2, Jack P Callaghan2

  • 1Human Performance Lab, University of Calgary, Calgary, Alberta, Canada.

Journal of Biomechanics
|March 27, 2024
PubMed
Summary
This summary is machine-generated.

An accelerometer-based pelvis system accurately calculates low back (L5S1) kinetics, including reaction moments and forces. This method, with a novel thigh-angle correction, is feasible for assessing injury risk.

Keywords:
CompressionKineticsLow back momentsReaction forcesShear

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Area of Science:

  • Biomechanics
  • Kinesiology
  • Ergonomics

Background:

  • Accelerometer-based pelvis tracking is used for kinematics but its low back kinetic accuracy is unknown.
  • Assessing low back joint reaction moments and contact forces is crucial for injury risk evaluation.

Purpose of the Study:

  • To compare L5S1 joint reaction moments and contact forces derived from an accelerometer-based pelvis versus an optically tracked pelvis.
  • To introduce and validate an approach for correcting global pelvis position using thigh angle.

Main Methods:

  • One participant performed four dynamic tasks (forward bend, squat, sit-to-stand-to-sit, forward lunge).
  • A bottom-up inverse dynamics approach was used.
  • Root mean square error (RMSE) and coefficient of determination (R² ) quantified differences between optical and accelerometer methods.

Main Results:

  • L5S1 reaction flexion-extension moments showed RMSE from 1.32-2.20 Nm (R² ≥ 0.98).
  • Net shear and compression forces had RMSEs of 2.13-10.45 N and 0.63-4.96 N.
  • L5S1 joint contact forces had RMSEs of 13.45-19.51 N (shear) and 31.18-55.97 N (compression) (R² ≥ 0.85).

Conclusions:

  • The accelerometer-based pelvis, with thigh-angle correction, is feasible for computing low back kinetics.
  • The calculated errors in joint contact forces are <5% of NIOSH limits, unlikely to affect injury risk interpretation.