Effect of lumbar fasciae on the stability of the lower lumbar spine

被引:10
作者
Choi, Hae Won [1 ]
Kim, Young Eun [1 ]
机构
[1] Dankook Univ, Dept Mech Engn, Yongin, South Korea
基金
新加坡国家研究基金会;
关键词
Lumbar fascia; stability of the spine; finite element analysis; magnitude of fascial tension; sagittal plane motion; THORACOLUMBAR FASCIA; ILIOLUMBAR LIGAMENT; INTRAABDOMINAL PRESSURE; LUMBOSACRAL JUNCTION; MUSCLES; ANATOMY; BIOMECHANICS; EXTENSION; POSTURE;
D O I
10.1080/10255842.2017.1370459
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
The biomechanical effect of tensioning the lumbar fasciae (LF) on the stability of the spine during sagittal plane motion was analysed using a validated finite element model of the normal lumbosacral spine (L4-S1). To apply the tension in the LF along the direction of the fibres, a local coordinate was allocated using dummy rigid beam elements that originated from the spinous process. Up to 10Nm of flexion and 7.5 Nm of extension moment was applied with and without 20N of lateral tension in the LF. A follower load of 400N was additionally applied along the curvature of the spine. To identify how the magnitude of LF tension related to the stability of the spine, the tensioning on the fasciae was increased up to 40N with an interval of 10N under 7.5 Nm of flexion/extension moment. A fascial tension of 20 N produced a 59% decrease in angular motion at 2.5 Nm of flexion moment while there was a 12.3% decrease at 10 Nm in the L5-S1 segment. Its decrement was 53 and 9.6% at 2.5 Nm and 10 Nm, respectively, in the L4-L5 segment. Anterior translation was reduced by 12.1 and 39.0% at the L4-L5 and L5-S1 segments under 10 Nm of flexion moment, respectively. The flexion stiffness shows an almost linear increment with the increase in fascial tension. The results of this study showed that the effect of the LF on the stability of the spine is significant.
引用
收藏
页码:1431 / 1437
页数:7
相关论文
共 23 条
[1]   Does the iliolumbar ligament prevent anterior displacement of the fifth lumbar vertebra with defects of the pars? [J].
Aihara, T ;
Takahashi, K ;
Yamagata, M ;
Moriya, H ;
Shimada, Y .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2000, 82B (06) :846-850
[2]   Anatomy and Biomechanics of Gluteus Maximus and the Thoracolumbar Fascia at the Sacroiliac Joint [J].
Barker, P. J. ;
Hapuarachchi, K. S. ;
Ross, J. A. ;
Sambaiew, E. ;
Ranger, T. A. ;
Briggs, C. A. .
CLINICAL ANATOMY, 2014, 27 (02) :234-240
[3]   Effects of tensioning the lumbar fasciae on segmental stiffness during flexion and extension - Young investigator award winner [J].
Barker, PJ ;
Guggenheimer, KT ;
Grkovic, I ;
Briggs, CA ;
Jones, DC ;
Thomas, CDL ;
Hodges, PW .
SPINE, 2006, 31 (04) :397-405
[4]   Tensile transmission across the lumbar fasciae in unembalmed cadavers - Effects of tension to various muscular attachments [J].
Barker, PJ ;
Briggs, CA ;
Bogeski, G .
SPINE, 2004, 29 (02) :129-138
[5]  
Bergmark A, 1989, Acta Orthop Scand Suppl, V230, P1
[6]   THE APPLIED ANATOMY OF THE THORACOLUMBAR FASCIA [J].
BOGDUK, N ;
MACINTOSH, JE .
SPINE, 1984, 9 (02) :164-170
[7]   LUMBAR PARASPINAL COMPARTMENT SYNDROME - A CASE-REPORT WITH PHYSIOLOGICAL AND ANATOMIC STUDIES [J].
CARR, D ;
GILBERTSON, L ;
FRYMOYER, J ;
KRAG, M ;
POPE, M .
SPINE, 1985, 10 (09) :816-820
[8]   Effects of the Level of Mono-Segmental Dynamic Stabilization on the Whole Lumbar Spine [J].
Choi, Hae Won ;
Kim, Young Eun ;
Chae, Soo-Won .
INTERNATIONAL JOURNAL OF PRECISION ENGINEERING AND MANUFACTURING, 2016, 17 (05) :603-611
[9]   Stabilizing function of trunk flexor-extensor muscles around a neutral spine posture [J].
Cholewicki, J ;
Panjabi, MM ;
Khachatryan, A .
SPINE, 1997, 22 (19) :2207-2212
[10]   OBSERVATIONS ON INTRAABDOMINAL PRESSURE AND PATTERNS OF ABDOMINAL INTRA-MUSCULAR ACTIVITY IN MAN [J].
CRESSWELL, AG ;
GRUNDSTROM, H ;
THORSTENSSON, A .
ACTA PHYSIOLOGICA SCANDINAVICA, 1992, 144 (04) :409-418