Biomedical subjects

J H Trafimow

Publications and source records attributed to J H Trafimow.

8 recordsLinked to original sources

PubMed1998

Predicting back pain sufferers' intentions to exercise.

One important factor in reducing back pain is the performance of exercises prescribed by physicians during treatment. The present investigation was conducted to examine the correlates of an individual's intention to adhere to such prescriptions. On the bases of M. Fishbein's (1980) theory of reasoned action and I. Ajzen's (1988) theory of planned behavior, attitudes, subjective norms, and 2 types of perceived behavioral control were measured in a sample of American patients. Attitudes and subjective norms failed to predict intentions to exercise in accordance with the physician's orders, but each of the perceived behavioral control measures did moderately well as an independent predictor and quite well when combined in a multiple regression approach.

Exercise↗

PubMed1995

Variance in the measurement of sagittal lumbar spine range of motion among examiners, subjects, and instruments.

STUDY DESIGN: Repeated measurements were made of lumbar sagittal range of motion by 14 examiners using three different measurement instruments. OBJECTIVES: To determine the reliability of lumbar range of motion measurements among examiners, subjects, and instruments, and to determine whether variance is due to subject inconsistency, examiner inconsistency, differences between examiners, or differences between instruments. SUMMARY OF BACKGROUND DATA: Measurements of lumbar spine range of motion are widely used in research and clinical applications as well as in disability rating systems for patients with low back pain. METHODS: Fourteen examiners measured the sagittal range of motion. Using three instruments, 18 healthy subjects were measured twice in a randomized sequence with blinded readings when performing full flexion, and partial flexion to a defined midpoint. None of the examiners routinely used the particular instruments in their practices. RESULTS: The mean test-retest reliability was 4.9 degrees. The intraexaminer reliability did not differ significantly among the examiners. Furthermore, there was no systematic difference resulting from instruments or posture condition. However, there was a statistically significant variance among examiners--i.e., a poor interexaminer reliability. CONCLUSION: The most likely explanation for these findings is the variability among examiners in locating bony landmarks. The results indicate that range of motion measurements must be interpreted with caution in clinical, research, and disability applications. Test administrator training may improve results, but this could not be determined from this study.

Adolescent↗

PubMed1993

The effects of quadriceps fatigue on the technique of lifting.

A biomechanical analysis was performed of lifting before and after fatiguing the quadriceps muscles. The hypothesis tested was that when the quadriceps muscles were fatigued the lifter would change lifting technique from more of a squat (leg) lift to more of a stoop (back) lift to decrease the demand on the quadriceps muscles. The hypothesis was broadly supported, and three variables changed significantly with fatigue: trunk angular velocity, which increased, and knee moment integral and hip angles, which both decreased. These changes are all consistent with a change from more of a squat toward a stoop technique. The fact that the technique of lifting changes with quadriceps muscle fatigue underlines the importance of the physiologic condition of these muscles and suggests that rehabilitation of low-back-injured workers should include the quadriceps muscles. The amount of work performed should be controlled to avoid the development of local muscle fatigue and subsequent changes in performance.

Adult↗

PubMed1992

Influence of body segment dynamics on loads at the lumbar spine during lifting.

Flexion-extension moments acting at the L5/S1 level and hip joints were calculated using three different techniques; a pure static analysis, a static analysis including the inertial force of the load, and a dynamic analysis. Ten subjects participated in the study and were asked to lift a box weighing either 50 N or 150 N, using a freestyle technique. The lifts were performed at normal and fast speed. The intra-subject lifting techniques were consistent when lifting the same loads. The moments predicted by the dynamic analysis and the static analysis were the same when holding weights in static postures. When performing the lifts, differences in the peak moments occurred between static and dynamic analyses. These differences were influenced by external load and by lifting speed. Taking the effect of the inertia of load into account in the static analysis resulted in an increase in the moment magnitude, but the predicted moment was still much less than in the dynamic analysis which yielded the largest moment magnitudes. The difference between dynamic and static analysis was greatest when lifting 50 N at fast speed; an 87% increase in L5/S1 moment and a 95% increase in hip moment was observed when replacing the pure static with a dynamic analysis.

Adult↗

PubMed1991

Rotation of load during the prelift period.

Lifting is a major source of back injuries because of the mechanical effects on the spinal structures. A number of methods are known by which a lifter can reduce the load on the spine during lifting. This study explores an additional method: rotation of the load before it is actually lifted off the ground. The hypothesis tested is that when a lifter lifts a box, he or she rotates it before it leaves the floor. By the use of an optoelectronic system to study weight box rotation, it was established that rotation occurs in every lift before the actual lift occurs. Rotation time increased with increasing load, indicating that the rotation technique is more important when load reduction is most critical.

Adult↗

PubMed1990

Relationship between moments at the L5/S1 level, hip and knee joint when lifting.

A study was performed to determine the influence of load magnitude on the self selected technique of lifting. Specifically, it was hypothesized that with heavier weights a tendency would occur to lift more with the back and less with the legs. Flexion-extension moments at the L5/S1 level, hip and knee joints were calculated for subjects when lifting boxes weighing from 50 to 250 N. Lifts were performed using a freestyle technique at normal speed. The moment profiles (moment plotted vs time) were analyzed kinematically and as a function of the weight lifted. The kinematics of the lift changed as the weight increased. The moment at the L5/S1 level increased with increasing weight, however, the corresponding knee moment decreased. Thus, an inverse relationship was found between the moment at the L5/S1 level and the knee joint moment. An increase in weight lifted was also associated with an increase in the angular velocity at the knee while lifting. Apparently with heavier weights there is a tendency to extend the knees earlier during the lift than with lighter weights, confirming our hypothesis. This explains the reduced knee moment. Our findings lead to the hypothesis that quadriceps muscle strength limits the subjects' ability to lift with their knees flexed.

Adult↗

PubMed1990

Discs degenerate before facets.

The purpose of this study was to determine the relationship between facet joint osteoarthritis and disc degeneration in subjects in whom both MRI and CT scans had been obtained. The MRI scans were used to determine disc degeneration, the CT scans to determine facet joint osteoarthritis. It was hypothesized that disc degeneration would sometimes occur without the presence of facet joint osteoarthritis, but that facet joint osteoarthritis would only occur in the presence of disc degeneration. Sixty-eight sets of scans were included and 330 discs and 390 facet joints were evaluated. There were 144 degenerated discs and 41 levels with facet osteoarthritis. Disc degeneration without facet osteoarthritis was found at 108 levels, while all but one of 41 levels with facet degeneration also had disc degeneration. That one exception occurred in a patient with advanced Paget's disease. Disc degeneration and facet osteoarthritis both were found to increase with increasing age. There was no difference between women and men. Degeneration at the L4-5 and L5-S1 levels was significantly more prevalent than at the L3-4 levels, while degeneration at the L3-4 level was significantly more common than at the L1-2 and L2-3 levels. We conclude that disc degeneration occurs before facet joint osteoarthritis, which may be secondary to mechanical changes in the loading of the facet joints.

Adolescent↗

PubMedDate not supplied

Trunk muscle geometry and centroid location when twisting.

The trunk muscles of the lumbar region were studied using magnetic resonance imaging (MRI) in five male volunteers placed in neutral and in two twisted postures. Using a CAD digitizing system, the positions of trunk muscle centroids and the cross-sectional areas of these muscles were measured from the transverse scans at 1 cm intervals from L2 to S1. Muscle lines of action were created by connecting the muscle centroids from the successive sections. Changes in cross-sectional areas and displacements of centroids in a three-dimensional coordinate system and the local two-dimensional coordinate system were estimated at each disc level. In the three-dimensional coordinate system, all muscle centroids were displaced when twisting. Thus, the locations and orientations of all muscle lines of action changed. In the local two-dimensional coordinate system, only the muscle centroids of four abdominal muscles were displaced. Most of these displacements occurred in the first 25 degrees of twisting. Higher up in the lumbar spine, the displacement was greater. The changes in moment arms were sometimes as great as twofold. Only the abdominal oblique muscles (AOM) changed their cross-sectional area significantly; the area of the right AOM ipsilateral to the side of twisting increased, while that of the left AOM was decreased.

Abdominal Muscles↗