Co-Contraction Recruitment and Spinal Load during Isometric Pushing Tasks

Abstract

Pushing and pulling tasks account for 20% of occupational low-back injury claims but few studies have investigated the neuromuscular control of the spine during these tasks. Primary torso muscle groups recruited during pushing tasks include the rectus abdominis and external obliques. However, theoretical analyses suggest that co-contraction of the paraspinal muscles is necessary to stabilize the spine during flexion exertions. A biomechanical model was implemented to estimate co-contraction and spinal load from measured surface EMG and trunk moment data recorded during trunk flexion and extension exertions. Results demonstrate that co-contraction during flexion exertions was approximately twice the value of co-contraction during extension. Co-contraction accounted for up to 47% of the total spinal load during flexion exertions and spinal load attributed to co-contraction was nearly 50% greater during flexion than during extension exertions despite similar levels of trunk moment. Results underscore the need to consider neuromuscular recruitment when evaluating biomechanical risks. Keywords: Spine; Co-contraction; Push; Manual Materials Handling; Biomechanics