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Ep20: Nuancing the Controversies of Spine Flexion: Discussing the Evidence with Dr. Tyson Beach (Part 2)

Ep20: Nuancing the Controversies of Spine Flexion: Discussing the Evidence with Dr. Tyson Beach (Part 2)

Episode 20 Published 2 years, 2 months ago
Description

Dr. Tyson Beach is currently a teaching professor at the University of Waterloo, teaching courses on the biomechanics and assessment of human movement, exercise prescription, and low-back disorders. His previous research focused on quantitative motion analyses, prevention of work-related musculoskeletal disorders, and advancing fundamental knowledge of spinal mechanics, control, and injury causation. He also collaborates with other knowledge producers (researchers) and users (practitioners) to design, implement, and evaluate physical activity and exercise programs for workers and athletes.

This episode is a continuation of the discussion from the last episode. We continued to discuss important factors to consider when reading the literature relating to lifting and spine flexion. In this episode, we went more in-depth in spine biomechanics during lifting in different contexts.

Relevant articles (Part 2)

  1. Frost, D. M., et al. (2015). Exercise-based performance enhancement and injury prevention for firefighters: contrasting the fitness-and movement-related adaptations to two training methodologies. J. Strength Cond. Res., 29(9), 2441-2459.
  2. https://uwaterloo.ca/centre-of-research-expertise-for-the-prevention-of-musculoskeletal-disorders/resources/position-papers/improving-workplace-manual-handling-training-programs
  3. Mawston, G.,et al. (2021). Flexed lumbar spine postures are associated with greater strength and efficiency than lordotic postures during a maximal lift in pain-free individuals. Gait & Posture, 86, 245-250.
  4. Marras, W. S., et al. (1995). Biomechanical risk factors for occupationally related low back disorders. Ergonomics, 38(2), 377-410.
  5. Marras, W. S.,et al. (1993). The role of dynamic three-dimensional trunk motion in occupationally-related low back disorders. Spine, 18(5), 617-628.
  6. Dolan, P., et al. (1994). Passive tissues help the back muscles to generate extensor moments during lifting. J Biomech, 27(8), 1077-1085.
  7. Dolan, P., & Adams, M. A. (1993). The relationship between EMG activity and extensor moment generation in the erector spinae muscles during bending and lifting activities. Journal of biomechanics, 26(4-5), 513-522.
  8. Kalkhoven, J. T., et al. (2021). Training load and injury: causal pathways and future directions. Sports Med, 51, 1137-1150.
  9. Adams MA. Biomechanics of back pain. Acupunct Med. 2004 Dec;22(4):178-88. doi: 10.1136/aim.22.4.178. PMID: 15628775.

Discussion flow
(00:01:37) How movement-focused training facilitates the transfer of movement behaviour from training to work
(00:05:51) Why typical occupational training does not work to change injury reporting
(00:11:18) There is no universal safe way to lift for all people
(00:15:05) Arguments for the irrelevance

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