國家衛生研究院 NHRI:Item 3990099045/12583
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/12583


    Title: The roles of lumbar load thresholds in cumulative lifting exposure to predict disk protrusion in an Asian population
    Authors: Hung, IY;Shih, TT;Chen, BB;Liou, SH;Ho, IK;Guo, YL
    Contributors: National Institute of Environmental Health Sciences
    Abstract: BACKGROUND: The purpose of this study was to determine whether a specific threshold per lifting movement, the accumulation above which best predicts lumbar disk protrusion, exists or the total lifting load should be considered. METHODS: This was a retrospective study. Subjects with various lifting exposures were recruited. Disk protrusion was assessed by magnetic resonance imaging. The cumulative lifting load was defined as the sum of the time-weighed lumbar load for each job and was calculated using a biomechanical software system. The effectiveness of accumulation above different thresholds in predicting disk protrusion were compared using four statistical methods. RESULTS: A total of 252 men and 301 women were included in the final analysis. For the men, 3000 Newtons for each lifting task was the optimal threshold for predicting L4-S1 disk protrusion, whereas for the women, 2800 Newtons was optimal. CONCLUSIONS: Our findings suggested that for cumulative lifting exposure, including the total lifting load without defining a minimal exposure limit might not be the optimal method for predicting disk protrusion. The NIOSH 3400 Newton recommended limits do not appear to be the optimal thresholds for preventing disk protrusion. Different lifting thresholds might be needed for men and women in the workplace for their safety.
    Date: 2020-03-16
    Relation: BMC Musculoskeletal Disorders. 2020 Mar 16;21:Article number 169.
    Link to: http://dx.doi.org/10.1186/s12891-020-3167-y
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1471-2474&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000521125200001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85081983285
    Appears in Collections:[Yue-Liang Guo] Periodical Articles
    [Saou-Hsing Liou] Periodical Articles

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