DOI QR코드

DOI QR Code

Kinematic Analysis of Thoraco-Lumbar Spine in Bad Postures During Daily Life

일상 생활 중의 나쁜 자세에 따른 흉·요추 관절의 기구학 해석

  • Han, Ah-Reum (Dept. of Mechanical Engineering, Kyung Hee Univ.) ;
  • Jeong, Ji-In (Dept. of Mechanical Engineering, Kyung Hee Univ.) ;
  • Feng, Jun (Dept. of Mechanical Engineering, Kyung Hee Univ.) ;
  • Kim, Yoon-Hyuk (Dept. of Mechanical Engineering, Kyung Hee Univ.)
  • 한아름 (경희대학교 기계공학과) ;
  • 정지인 (경희대학교 기계공학과) ;
  • 풍균 (경희대학교 기계공학과) ;
  • 김윤혁 (경희대학교 기계공학과)
  • Received : 2012.05.17
  • Accepted : 2012.07.23
  • Published : 2012.11.01

Abstract

The spine is one of the most important skeletal joints, and it strongly affects the health of the musculoskeletal system. A normal spine has an S-shape, and it is very important to maintain this shape. Recently, spinal diseases such as low back pain have increased rapidly, especially among the elderly. Some of these diseases are caused by congenital spinal disorders and sporting and accident injuries as well as by bad postures. Improper spinal postures could generate excessive disc pressure, which is related to degeneration and pain. Therefore, in this study, we investigated the three-dimensional kinematic parameters of the thoraco-lumbar joint in several bad postures using a motion capture analysis technique. Different bad postures created a significant amount of flexion/extension, side bending, and axial rotation angle compared with neutral postures. Further study is necessary to investigate the disc pressure and ligament force due to the increase in joint rotation from the bad postures.

척추는 인간의 근골격계 건강에 큰 영향을 미치는 신체 부위 중 하나이다. 최근에 고령화 사회에 진입하게 되면서 요통과 같은 척추 질환이 급속하게 증가하고 있다. 이러한 척추 질환의 요인에는 선천적인 척추 장애나 스포츠 및 교통사고의 부상뿐만 아니라 일상생활에서 반복적으로 취하는 나쁜 자세도 포함된다. 잘못된 척추 자세는 척추 디스크에 압력을 주어 퇴행성 변화를 가져옴으로써 척추를 변형시키고 척추질환을 일으킨다. 따라서 본 연구에서는 여러 나쁜 자세를 취했을 때 흉추와 요추 관절의 3 차원 관절 각도를 분석하였다. 그 결과로부터 일상생활에서의 나쁜 자세가 굽힘/신전, 측면 굽힘, 축 회전 방향으로 척추 관절에 각도 변형을 일으키고 정상범위에서 벗어날 수 있음을 알 수 있었다. 향후 연구로써 척추관절의 각도변화가 디스크와 인대 및 근육 등에 미치는 영향에 대한 연구가 필요하다 생각된다.

Keywords

Acknowledgement

Supported by : 기초기술연구회

References

  1. Vergara, M., Page, A. and Sancho, J.L., 2006, "Analysis of Lumber Flexion in Sitting Posture: Location of Lumber Vertebrae with Relation to Easily Identifiable Skin Marks," International Journal of Industrial Ergonomics, Vol. 36, No. 11, pp. 937-942. https://doi.org/10.1016/j.ergon.2006.07.006
  2. Kim, K.T. and Lee, J.H., 2009, "Sagittal Imbalance," Journal of Korean Spine Surgery, Vol. 16, No. 2, pp. 142-151 https://doi.org/10.4184/jkss.2009.16.2.142
  3. Jay, K.J., Omaha and Nebraska, 1953, "Alterations of the Lumbar Curve Related to Posture and Seating," The Journal of Bone and Joint Surgery, Vol. 35, No. 3, pp. 589-603. https://doi.org/10.2106/00004623-195335030-00007
  4. Kang, C.W., Yoo, Y.M. and Park, C.G., 2008, "Performance Improvement of Attitude Estimation Using Modified Euler Angle Based Kalman Filter," Journal of Institute of Control, Robotics and Systems, Vol. 14, No. 9, pp. 1-5. https://doi.org/10.5302/J.ICROS.2008.14.1.001
  5. Sondergaard, K.H.E., Olesen, C.G., Songergaard, E.K., de Zee, M. and Madeleine, P., 2010, "The Variability and Complexity of Sitting Postural Control are Associated with Discomfort," Journal of Biomechanics, Vol. 43, No. 10, pp. 1997-2001. https://doi.org/10.1016/j.jbiomech.2010.03.009
  6. Claus, A.P., Hides, J.A., Lorimer Moseley G., and Hodges, P.W., 2009, "Is 'Ideal' Sitting Posture Real? Measurement of Spinal Curves in Four Sitting Postures," Manual Therapy, Vol. 14, No. 4, pp. 404-408 https://doi.org/10.1016/j.math.2008.06.001
  7. Diana, E., De Carvalho, DC, Soave, D., Kim, R. and Callaghan, J.P., 2010, "Lumbar Spine and Pelvic Posture Between Standing and Sitting:_A Radiologic Investigation Including Reliability and Repeatability of the Lumbar Lordosis Measure," Journal of Manipulative and Physiological Therapeutics, Vol. 33, No. 1, pp. 48-55. https://doi.org/10.1016/j.jmpt.2009.11.008
  8. Preuss, R.A. and Popovic, M.R., 2009, "Three- Dimensional Spine Kinematics During Multidirectional, Target-Directed Trunk Movement in Sitting," Journal of Electromyography and Kinesiology, Vol. 20, No. 5, pp. 823-832.
  9. Dunne, L.E., Walsh, P., Sonja, H., Barry, S. and Brian, C., 2008, "Wearable Monitoring of Seated Spinal Posture," Ieee Transactions on Biomedical Circuits And Systems, Vol. 2, No. 2, pp. 97-105. https://doi.org/10.1109/TBCAS.2008.927246
  10. Joao, P.C., Peter, O., Angus, B., Baracha, A., David, O., Orjan, T. and Karolina, O., 2010, "The Influence of Different Sitting Postures on Head/Neck Posture and Muscle Activity," Manual Therapy, Vol. 15, No.1, pp. 54-60. https://doi.org/10.1016/j.math.2009.06.002
  11. Burnett, A.F., Barrett, C.J., Marshall, R.N., Elliott, B.C. and Day, R.E., 1998, "Three-Dimensional Measurement of Lumbar Spine Kinematics for Fast Bowlers in Cricket," Clinical Biomechanics, Vol. 13, No. 8, pp. 574-583. https://doi.org/10.1016/S0268-0033(98)00026-6
  12. Paul, J.M. and Rolf, H. W., 2009, "Back Posture and Low Back Muscle Activity in Female Computer Workers: A Field Study," Clinical Biomechanics, Vol. 24, No. 2, pp. 169-175. https://doi.org/10.1016/j.clinbiomech.2008.11.001
  13. Black, Kathleen M., McClure, Polansky and Marcia, 1996, "The Influence of Different Sitting Positions on Cervical and Lumbar Posture," Spine, Vol. 21, No. 1, pp. 65-70. https://doi.org/10.1097/00007632-199601010-00015
  14. Hyolyun, R., Wontae, G. and Sangyeol, M., 2010, "Correlations Between and Absolute Rotation Angle, Anterior Weight Bearing, Range of Flexion and Extension Motion in Cervical Herniated Nucleus Pulposus," Journal of Physical Therapy Science, Vol. 22, No. 4, pp. 447-450. https://doi.org/10.1589/jpts.22.447
  15. Lippold, C., Danesh, G., Hoppe, G., Drerup, B. and Hackenberq, L., 2006, "Sagittal Spinal Posture in Relation to Craniofacial Morphology," Angle Orthodontist, Vol. 76, No. 4, pp. 625-631.