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Assessing low-back loading during lifting using personalized electromyography-driven trunk models and NIOSH-based

Mohamed Irfan Refai1, Tiwana Varrecchia2, Giorgia Chini2

  • 1Department of Biomechanical Engineering, University of Twente, Enschede, Netherlands.

Frontiers in Bioengineering and Biotechnology
|February 24, 2025
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Summary

New biomechanical models accurately assess workplace lifting risks, revealing higher spinal loads than current guidelines suggest. Personalized models may improve injury prevention for physically demanding jobs.

Keywords:
NIOSHelectromyographyliftingmusculoskeletal modellingworkplace musculoskeletal disorder

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Area of Science:

  • Occupational Biomechanics
  • Ergonomics
  • Musculoskeletal Modeling

Background:

  • Workplace injuries from physically demanding tasks, like lifting, are a significant concern.
  • Current ergonomic assessments, such as the Revised NIOSH Lifting Equation (RNLE), estimate low-back loading risks.
  • Advances in musculoskeletal modeling allow for personalized, physiologically valid estimations of biomechanical loads.

Purpose of the Study:

  • To compare the risk assessment capabilities of the Revised NIOSH Lifting Equation (RNLE) and personalized musculoskeletal models (pEMS).
  • To evaluate low-back loading during various lifting tasks using both RNLE and pEMS.
  • To determine if lumbosacral compressive loads are a superior indicator of risk.

Main Methods:

  • Seven healthy participants performed lifting tasks at different risk levels.
  • Risk and low-back loading were assessed using both the RNLE and pEMS.
  • pEMS utilized surface electromyography and joint angle data to estimate lumbosacral joint loads.

Main Results:

  • pEMS-estimated biomechanical loads aligned with RNLE-defined risk levels.
  • However, pEMS indicated higher compressive and shear loads at the lumbosacral joint than RNLE limits.
  • Lumbosacral compressive loads demonstrated potential as a more precise risk demarcation parameter.

Conclusions:

  • Personalized musculoskeletal models provide detailed biomechanical insights into lifting tasks.
  • Current ergonomic guidelines may underestimate the actual low-back loading experienced during demanding tasks.
  • Further research with diverse populations and wearable sensors is recommended for personalized workplace risk assessment and musculoskeletal health monitoring.