Abstract
AbstractNumerous spine Finite Element (FE) models have been developed to assess spinal tolerances, spinal loadings and low back pain-related issues. However, justified simplifications, in terms of tissue decomposition and inclusion, for such a complex system may overlook crucial information. Thus, the purpose of this research was to develop and validate a comprehensive and representative spine FE model inclusive of an accurate representation of all major torso elements. A comprehensive model comprised of 273 tissues was developed via a novel FE meshing method to enhance computational feasibility. A comprehensive set of indirect validation tests were carried out to validate every aspect of the model. Under an increasing angular displacement of 24°–41°, the lumbar spine recorded an increasing moment from 5.5 to 9.3 Nm with an increase in IVD pressures from 0.41 to 0.66 MPa. Under forward flexion, vertical vertebral displacements simulated a 6% and 13% maximum discrepancy for intra-abdominal and intramuscular pressure results, all closely resembling previously documented in silico measured values. The developed state-of-the-art model includes most physiological tissues known to contribute to spinal loadings. Given the simulation’s accuracy, confirmed by its validation tests, the developed model may serve as a reliable spinal assessment tool.
Publisher
Springer Science and Business Media LLC
Reference75 articles.
1. Freburger, J. K. et al. The rising prevalence of chronic low back pain. Natl. Inst. Health 169, 251–258 (2015).
2. Gatchel, R. J. Low Back Pain: Recent Advances and Perspectives (Multidisciplinary Digital Publishing Institute, Basel, 2018).
3. Dipphysio, P. O. S. Acute low back pain: beyond drug therapies. Pain Manage. Today 1, 1–13 (2014).
4. O’Sullivan, P., Smith, A., Beales, D. & Straker, L. Understanding adolescent low back pain from a multidimensional perspective: implications for management. J. Orthop. Sport. Phys. Ther. 47, 741–751 (2017).
5. Hansen, L. et al. Anatomy and biomechanics of the back muscles in the lumbar spine with reference to biomechanical modeling. Spine 31, 1888–1899 (2006).
Cited by
35 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献