The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity

Background: Spinal load and muscle activity in occupation settings is an area of increasing concern. Regarding technological advancements, in diverse occupations the spinal loads have increased through constrained seated postures. Back belts are consequently used in prophylactic and conservative man...

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Main Authors: Hamidreza Mokhtarinia, Javad Ghamary, Azam Maleki-Ghahfarokhi, Morteza Asgari, Charles Philip Gabel, Mohamad Parnianpour
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2019-05-01
Series:Health Promotion Perspectives
Subjects:
Online Access:https://hpp.tbzmed.ac.ir/PDF/hpp-27464
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author Hamidreza Mokhtarinia
Javad Ghamary
Azam Maleki-Ghahfarokhi
Morteza Asgari
Charles Philip Gabel
Mohamad Parnianpour
author_facet Hamidreza Mokhtarinia
Javad Ghamary
Azam Maleki-Ghahfarokhi
Morteza Asgari
Charles Philip Gabel
Mohamad Parnianpour
author_sort Hamidreza Mokhtarinia
collection DOAJ
description Background: Spinal load and muscle activity in occupation settings is an area of increasing concern. Regarding technological advancements, in diverse occupations the spinal loads have increased through constrained seated postures. Back belts are consequently used in prophylactic and conservative management of occupational low back pain (LBP) in two distinct settings, prevention in industry, and treatment in LBP management. Industrial sites utilize belts for LBPprophylaxis on a large scale with their design and user experience (UE) influencing both the effectiveness and the workers’ compliance. This pilot study aims at determining the effectiveness of the new Tehran Back Belt (TBB) and assesses both UE and biomechanical effect (BE) on paraspinal muscle activity in healthy subjects. Methods: A pretest-posttest study. Stage-1, design and fabrication of the TBB. Stage-2, the UE of the designed belt evaluated in healthy volunteers (n=30) via a checklist. The BE was determined from the level of lumbar extensor and trunk flexor muscle activity gauged during two test conditions of sitting posture (with and without belt) over 35-minute periods. Results: Most subjects (>90%) reported high ‘ease of use’ and ‘comfort’ while wearing the TBB.The BE statistical analysis showed significantly reduced EMG activity levels for the longissimus(P = 0.012, η2=0.24), rectus abdominis (P=0.024, η2=0.18) and internal oblique (P=0.001,η2=0.44) muscles in belt-use conditions. Conclusion: Decreased muscle activity while using the TBB is potentially advantageous for workers as spinal muscle activity is significantly reduced. Further investigations for longer duration effects and during real work office-based activities are warranted.
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spelling doaj.art-53d2ba06de41408e9a6a9932f28e7ae32022-12-21T19:18:31ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972019-05-019211512210.15171/hpp.2019.16hpp-27464The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activityHamidreza Mokhtarinia0Javad Ghamary1Azam Maleki-Ghahfarokhi2Morteza Asgari3Charles Philip Gabel4Mohamad Parnianpour5Department of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Ergonomics, University of Social Welfare and Rehabilitation Sciences, Tehran, IranStudent Research Committee, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Mechanical, Aerospace and Biomedical Engineering, University of Tennessee, Knoxville, USAIndependent Researcher, Coolum Beach, Qld, AustraliaDepartment of Mechanical Engineering, Sharif University of Technology, Tehran, IranBackground: Spinal load and muscle activity in occupation settings is an area of increasing concern. Regarding technological advancements, in diverse occupations the spinal loads have increased through constrained seated postures. Back belts are consequently used in prophylactic and conservative management of occupational low back pain (LBP) in two distinct settings, prevention in industry, and treatment in LBP management. Industrial sites utilize belts for LBPprophylaxis on a large scale with their design and user experience (UE) influencing both the effectiveness and the workers’ compliance. This pilot study aims at determining the effectiveness of the new Tehran Back Belt (TBB) and assesses both UE and biomechanical effect (BE) on paraspinal muscle activity in healthy subjects. Methods: A pretest-posttest study. Stage-1, design and fabrication of the TBB. Stage-2, the UE of the designed belt evaluated in healthy volunteers (n=30) via a checklist. The BE was determined from the level of lumbar extensor and trunk flexor muscle activity gauged during two test conditions of sitting posture (with and without belt) over 35-minute periods. Results: Most subjects (>90%) reported high ‘ease of use’ and ‘comfort’ while wearing the TBB.The BE statistical analysis showed significantly reduced EMG activity levels for the longissimus(P = 0.012, η2=0.24), rectus abdominis (P=0.024, η2=0.18) and internal oblique (P=0.001,η2=0.44) muscles in belt-use conditions. Conclusion: Decreased muscle activity while using the TBB is potentially advantageous for workers as spinal muscle activity is significantly reduced. Further investigations for longer duration effects and during real work office-based activities are warranted.https://hpp.tbzmed.ac.ir/PDF/hpp-27464Back beltPara-spinal muscle activitySitting postureUser experience
spellingShingle Hamidreza Mokhtarinia
Javad Ghamary
Azam Maleki-Ghahfarokhi
Morteza Asgari
Charles Philip Gabel
Mohamad Parnianpour
The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
Health Promotion Perspectives
Back belt
Para-spinal muscle activity
Sitting posture
User experience
title The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
title_full The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
title_fullStr The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
title_full_unstemmed The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
title_short The new "Tehran Back Belt": Design then testing during a simulated sitting task improved biomechanical spine muscle activity
title_sort new tehran back belt design then testing during a simulated sitting task improved biomechanical spine muscle activity
topic Back belt
Para-spinal muscle activity
Sitting posture
User experience
url https://hpp.tbzmed.ac.ir/PDF/hpp-27464
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