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Spine mechanical response to static axial compression load: An MRI study in vivo.

机译:脊柱对静态轴向压缩载荷的机械反应:体内MRI研究。

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摘要

Low back pain syndrome (LBPS), is one of the most prevalent medical problems in western societies. The estimated incidence rate is as high as 75--80% of all adults. Biomechanical factors influence the pathogenesis of LBPS, yet little is known about the mechanical function of the spine (lumbar or otherwise) in vivo.; A compression device made of non-metallic materials was constructed and calibrated to apply specified loads on the spine. Torso musculature was relatively inactive during pilot loading experiments, and the total spine compression force was estimated to be equal to the external force.; Subjects' lumbar spines shortened 3.9 +/- 1.2 mm during ten minutes of compression (1.0 x bodyweight). Segment compression, bending, and lumber rotation contributed to shortening, but bending was the dominant influence in five of eight subjects. Lumbar rotation dominated the shortening in two subjects and shared equal influence with compression in one subject. Those three subjects had distinctly different shaped spines compared to the other five (and compared to each other). Pure compression was insubstantial in most cases, but five individual segments compressed more than 1.0 mm. Changes opposite to the passive direction in all three components of shortening suggested the presence of an active component(s) in the overall response.; Flexion and posterior translation of the disc at the lumbosacral joint, and posterior sacral translation described the most common response pattern of the lumbosacral joint. Still, only four subjects underwent that exact aggregate response pattern. There were changes opposite to each of those trends, and the subjects did not group according the initial spine shape as they did with regard to the shortening mechanism. Posterior sacral rotation and lumbosacral flexion represented changes requiring muscle activity. Gluteal muscles were probably recruited to control spine posture and help support the load, but their activity was not measured. Thus, the spine did not act as a passive continuum beam, but rather as a driven mechanical system.; The present results characterize deformation response patterns of the lumbar spine during loading, and they serve as a reference point for further investigation at different scales (e.g. the thoracolumbar spine or the intervertebral disc).
机译:下腰痛综合征(LBPS)是西方社会最普遍的医学问题之一。估计的发病率高达所有成年人的75--80%。生物力学因素影响LBPS的发病机理,但对于体内脊柱(腰椎或其他)的机械功能知之甚少。构造并校准了由非金属材料制成的压缩装置,以在脊柱上施加指定的载荷。飞行员负荷实验中躯干肌肉相对不活跃,估计总脊柱压缩力等于外力。在压缩十分钟(1.0倍体重)期间,受试者的腰椎缩短了3.9 +/- 1.2毫米。段压缩,弯曲和木材旋转有助于缩短,但弯曲是八位受试者中五位的主要影响因素。腰椎旋转在两个受试者中占主导地位,在一个受试者中与压缩具有同等的影响。与其他五个对象(以及相互比较)相比,这三个对象的脊椎形状明显不同。在大多数情况下,纯压缩是不充分的,但是五个单独的段压缩超过1.0毫米。在缩短的所有三个组成部分中,与被动方向相反的变化表明,总体响应中存在一个或多个主动组件。腰s关节椎间盘的屈曲和后平移以及s后平移描述了腰s关节的最常见反应模式。尽管如此,只有四个受试者经历了确切的总体反应模式。每个趋势都有相反的变化,并且受试者没有像他们在缩短机制上那样按照初始脊柱形状分组。后旋转和腰ac弯曲代表需要肌肉活动的变化。可能吸收了臀肌来控制脊柱姿势并帮助支撑负荷,但并未测量其活动。因此,脊柱不充当被动连续光束,而是充当被驱动的机械系统。本研究结果表征了腰椎在负荷过程中的变形反应模式,它们可作为进一步研究不同尺度(例如胸腰椎或椎间盘)的参考点。

著录项

  • 作者

    Wisleder, Deric.;

  • 作者单位

    The Pennsylvania State University.;

  • 授予单位 The Pennsylvania State University.;
  • 学科 Biophysics Medical.; Health Sciences Rehabilitation and Therapy.; Applied Mechanics.; Biology Anatomy.
  • 学位 Ph.D.
  • 年度 1999
  • 页码 167 p.
  • 总页数 167
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 生物物理学 ; 康复医学 ; 应用力学 ; 生物形态学 ;
  • 关键词

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