Background: In an attempt to reduce heavy lifting exposures, the manual materials handling burden has shifted towards pushing and pulling. Pushing and pulling may pose a biomechanical risk due to excessive loads placed onto the lumbar spine, particularly in anterior/posterior (A/P) shear (Knapik and Marras 2009). The only risk limits available in the scientific literature for pushing and pulling were psychophysically-determined, relying on the assumption that subjective perception of an individual’s maximum acceptable external forces corresponds to biomechanical tolerance (Snook and Ciriello 1991). However, individuals are unlikely able to sense biomechanical loading on critical tissues in the spine due to the lack of nociceptors in the intervertebral disc (Adams et al. 1996). As such, the objective of this study was to create a set of biomechanically-determined risk limits for occupational pushing and pulling that are protective of the low back.
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