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Gonçalves SF, do Vale AF, La Scala Teixeira CV, de Oliveira JS, Vitória JR, Carneiro JA, Campos MH. Eight-Week Pilates or Whole-Body High-Intensity Interval Training Program Improves Spinal Range of Motion During the Gait Cycle in Sedentary Women: A Preliminary Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2025; 22:162. [PMID: 40003388 PMCID: PMC11855655 DOI: 10.3390/ijerph22020162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2024] [Revised: 01/12/2025] [Accepted: 01/23/2025] [Indexed: 02/27/2025]
Abstract
This study aimed to compare the effects of Pilates (PIL) and whole-body high-intensity interval training (WBHIIT) on the spinal curvature of sedentary women. After being invited, 26 sedentary women aged between 20 and 54 voluntarily agreed to participate in the study. The sample was obtained through convenience sampling, and the participants chose either PIL or WBHIIT, which resulted in 13 participants in each group. Spinal posture was assessed pre- and post-intervention through videogrammetry during standing and walking. Markers were placed on the back, and the volunteers were instructed to remain in a standing position on a stationary treadmill for ten seconds. Subsequently, the treadmill was activated at a speed of 5 km/h. After one minute of walking, a complete gait cycle was recorded for analysis. The results showed no significant changes in spinal angles in static position between groups. However, in the walking position, there was a large-magnitude increase in the spinal range of motion (ROM) post-intervention (PIL Lumbar d = 1.8; PIL Thoracic d = 2.9; WBHIIT Lumbar d = 1.0; WBHIIT Thoracic d = 3.5) within groups in the sagittal plane. The adaptations promoted by these interventions in spinal ROM are important for reducing the risks of spinal stiffness and pain due to sedentary behaviour.
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Affiliation(s)
- Sabrina Fernandes Gonçalves
- Human Movement Assessment Laboratory, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil; (J.S.d.O.); (J.R.V.); (J.A.C.)
| | - Arthur Ferreira do Vale
- Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil;
| | | | - Joyce Sousa de Oliveira
- Human Movement Assessment Laboratory, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil; (J.S.d.O.); (J.R.V.); (J.A.C.)
| | - Jordana Rodrigues Vitória
- Human Movement Assessment Laboratory, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil; (J.S.d.O.); (J.R.V.); (J.A.C.)
| | - Juliana Alves Carneiro
- Human Movement Assessment Laboratory, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil; (J.S.d.O.); (J.R.V.); (J.A.C.)
| | - Mário Hebling Campos
- Human Movement Assessment Laboratory, Faculty of Physical Education and Dance, Federal University of Goiás, Goiânia 74690-900, GO, Brazil; (J.S.d.O.); (J.R.V.); (J.A.C.)
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2
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Chaumel J, Lauder GV. A hydrodynamic antenna: novel lateral line system in the tail of myliobatid stingrays. Proc Biol Sci 2025; 292:20242192. [PMID: 39837527 PMCID: PMC11750402 DOI: 10.1098/rspb.2024.2192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Revised: 10/23/2024] [Accepted: 11/25/2024] [Indexed: 01/23/2025] Open
Abstract
Eagle rays, cownose rays and manta rays (order Myliobatiformes) have a slender tail that can be longer than the animal's body length, but its function and structure are unknown. Using histology, immunohistochemistry and three-dimensional imaging with micro-computed tomography scans, we describe the anatomy and function of the tail in Rhinoptera bonasus, the cownose ray. The tail is an extension of the vertebral column with unique morphological specializations. Along the tail behind the barb, vertebral centra are absent and neural and haemal arches fuse to form a solid mineralized structure that we describe for the first time and term caudal synarcual, which imparts passive stiffness to the tail, reducing bending. Two lateral line canals connected to an extensive tubule network extend along both sides of the tail. Tubules branch from the lateral line canal toward the dorsal and ventral tail surfaces, opening to the surrounding water via pores. A continuous neuromast is located within each lateral line canal, maintaining an uninterrupted structure along the entire tail. The complex lateral line mechanosensory system in the tail of R. bonasus supports the hypothesis that the tail functions like a hydrodynamic sensory antenna and may play an important role in their behavioural and functional ecology.
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Affiliation(s)
- Júlia Chaumel
- Department of Organismic and Evolutionary Biology, Harvard University, 26 Oxford Street, Cambridge, MA02138, USA
| | - George V. Lauder
- Department of Organismic and Evolutionary Biology, Harvard University, 26 Oxford Street, Cambridge, MA02138, USA
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3
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Akat Çömden E, Yenmiş M, Kytyr D, Ayaz D, Bayrakci Y. A study on the vertebral column of the dice snake Natrix tessellata (Serpentes, Natricidae) from Denizli (western Anatolia, Turkey). Anat Rec (Hoboken) 2024; 307:1930-1942. [PMID: 37746926 DOI: 10.1002/ar.25328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 08/17/2023] [Accepted: 08/21/2023] [Indexed: 09/26/2023]
Abstract
The vertebral anatomy of snakes has attracted the attention of researchers for decades and numerous studies have been made for extinct and extant species. The present study investigated the morphological variations in vertebral structure among different vertebral regions in the dice snake Natrix tessellata, and provides a detailed anatomical and microstructural description of the vertebral column. Vertebrae were analyzed and compared using x-ray imaging, scanning electron microscopy, micro-computed tomography, and histological techniques. The vertebral column of N. tessellata is divided into three regions: precloacal, cloacal, and caudal. Unlike in many other tetrapods and snakes, the atlas of N. tessellata does not form a complete ring. It has a flat and roughly trilobate shape with a prominent middle lobe. The axis has two hypapophyses. The anterior precloacal region of the vertebral column has longer and more paddle-shaped hypapophyses, distinguishing it from the posterior and mid-trunk vertebrae. The anterior cloacal vertebrae have a short hypapophysis rather than a hemal keel, and the lymphapophysis extends outward, curving slightly. The cotyle and condyle of the caudal vertebrae exhibited a closer resemblance to a rounded shape, while the pleurapophysis extended ventrolaterally and curved ventrally near its distal end. Paired hemapophyses were present at the posterior-most point of the centrum instead of a hypapophysis. In light of previous fossil findings, our anatomical comparison of the vertebral and transverse processes indicates that the extant Natrix has a more flexible and less rigid spine than its ancestors. Overall, the vertebral differences among snake anatomical regions or taxa are a testament to the remarkable diversity and adaptability of these fascinating reptiles.
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Affiliation(s)
- Esra Akat Çömden
- Science Faculty, Biology Department, Zoology Section, Ege University, Bornova, Izmir, Turkey
| | - Melodi Yenmiş
- Science Faculty, Biology Department, Zoology Section, Ege University, Bornova, Izmir, Turkey
| | - Daniel Kytyr
- Institute of Theoretical and Applied Mechanics, Czech Academy of Sciences, Prague 9, Czech Republic
| | - Dinçer Ayaz
- Science Faculty, Biology Department, Zoology Section, Ege University, Bornova, Izmir, Turkey
| | - Yusuf Bayrakci
- Science Faculty, Biology Department, Zoology Section, Ege University, Bornova, Izmir, Turkey
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Esteban JM, Martín-Serra A, Pérez-Ramos A, Rybczynski N, Jones K, Figueirido B. The influence of the land-to-sea macroevolutionary transition on vertebral column disparification in Pinnipedia. Proc Biol Sci 2024; 291:20232752. [PMID: 38593849 PMCID: PMC11003777 DOI: 10.1098/rspb.2023.2752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 03/11/2024] [Indexed: 04/11/2024] Open
Abstract
The repeated returns of vertebrates to the marine ecosystems since the Triassic serve as an evolutionary model to understand macroevolutionary change. Here we investigate the effects of the land-to-sea transition on disparity and constraint of the vertebral column in aquatic carnivorans (Carnivora; Pinnipedia) to assess how their functional diversity and evolutionary innovations influenced major radiations of crown pinnipeds. We use three-dimensional geometric morphometrics and multivariate analysis for high-dimensional data under a phylogenetic framework to quantify vertebral size and shape in living and extinct pinnipeds. Our analysis demonstrates an important shift in vertebral column evolution by 10-12 million years ago, from an unconstrained to a constrained evolutionary scenario, a point of time that coincides with the major radiation of crown pinnipeds. Moreover, we also demonstrate that the axial skeleton of phocids and otariids followed a different path of morphological evolution that was probably driven by their specialized locomotor strategies. Despite this, we found a significant effect of habitat preference (coastal versus pelagic) on vertebral morphology of crown taxa regardless of the family they belong. In summary, our analysis provides insights into how the land-to-sea transition influenced the complex evolutionary history of pinniped vertebral morphology.
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Affiliation(s)
- Juan Miguel Esteban
- Departamento de Ecología y Geología, Facultad de Ciencias, Universidad de Málaga, Campus Universitario de Teatinos s/n, 29071, Málaga, Spain
| | - Alberto Martín-Serra
- Departamento de Ecología y Geología, Facultad de Ciencias, Universidad de Málaga, Campus Universitario de Teatinos s/n, 29071, Málaga, Spain
| | - Alejandro Pérez-Ramos
- Departamento de Ecología y Geología, Facultad de Ciencias, Universidad de Málaga, Campus Universitario de Teatinos s/n, 29071, Málaga, Spain
| | - Natalia Rybczynski
- Department of Palaeobiology, Canadian Museum of Nature, Ottawa, ON, Canada K1P 6P4
- Department of Earth Sciences & Department of Biology, Carleton University, 1125 Colonel By Drive, Ottawa, ON, Canada K1S 5B6
| | - Katrina Jones
- Department of Earth and Environmental Sciences, University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, UK
| | - Borja Figueirido
- Departamento de Ecología y Geología, Facultad de Ciencias, Universidad de Málaga, Campus Universitario de Teatinos s/n, 29071, Málaga, Spain
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Houssaye A, Etienne C, Gallic Y, Rocchia F, Chaves-Jacob J. How can research on modern and fossil bones help us build more resistant columns? BIOINSPIRATION & BIOMIMETICS 2024; 19:036007. [PMID: 38452389 DOI: 10.1088/1748-3190/ad311f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 03/07/2024] [Indexed: 03/09/2024]
Abstract
Bone is an economical material. Indeed, as moving a heavy skeleton is energetically costly, the vertebrate skeleton is adapted to maximise resistance to the stresses imposed with a minimum amount of material, so that bone tissue is deposited where it is needed. Using bone as a source of inspiration should therefore reduce the manufacturing cost (both financial and ecological) and increase the strength (and lifespan) of bioinspired (BI) structures. This study proposes to investigate which adaptive features of the outer shape and inner structure of bone, related to compressive strength, could be used to build BI support structures. To do so, we explain the choice of the bones to be analysed and present the results of the biomechanical analyses (finite element analysis) carried out on virtual models built from the structures of the different bone models and of the mechanical tests carried out on 3D-printed versions of these models. The compressive strength of these direct bone BI columns was compared with each other, and with those of a conventional filled cylindrical column, and of a cylindrical column whose internal structure is BI from the radius of the white rhinoceros. The results of our comparative analyses highlight that the shape of long bones is less effective than a cylinder in resisting compression but underline the relevance in designing BI cylindrical columns with heterogeneous structures inspired by the radius of the white rhinoceros and the tibia of the Asian elephant, and raise the interest in studying the fossil record using the radius of the giant rhinocerotoidParaceratherium.
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Affiliation(s)
- A Houssaye
- Département Adaptations du Vivant, UMR 7179 CNRS/Muséum National d'Histoire Naturelle, 57 rue Cuvier CP-55, 75005 Paris, France
| | - C Etienne
- Département Adaptations du Vivant, UMR 7179 CNRS/Muséum National d'Histoire Naturelle, 57 rue Cuvier CP-55, 75005 Paris, France
| | - Y Gallic
- Département Adaptations du Vivant, UMR 7179 CNRS/Muséum National d'Histoire Naturelle, 57 rue Cuvier CP-55, 75005 Paris, France
| | - F Rocchia
- Aix Marseille Université, CNRS, ISM, Inst Mouvement Sci, UMR, 7287 Marseille, France
| | - J Chaves-Jacob
- Aix Marseille Université, CNRS, ISM, Inst Mouvement Sci, UMR, 7287 Marseille, France
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Harish A. Protein structures unravel the signatures and patterns of deep time evolution. QRB DISCOVERY 2024; 5:e3. [PMID: 38616890 PMCID: PMC11016368 DOI: 10.1017/qrd.2024.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 11/13/2023] [Accepted: 12/12/2023] [Indexed: 04/16/2024] Open
Abstract
The formulation and testing of hypotheses using 'big biology data' often lie at the interface of computational biology and structural biology. The Protein Data Bank (PDB), which was established about 50 years ago, catalogs three-dimensional (3D) shapes of organic macromolecules and showcases a structural view of biology. The comparative analysis of the structures of homologs, particularly of proteins, from different species has significantly improved the in-depth analyses of molecular and cell biological questions. In addition, computational tools that were developed to analyze the 'protein universe' are providing the means for efficient resolution of longstanding debates in cell and molecular evolution. In celebrating the golden jubilee of the PDB, much has been written about the transformative impact of PDB on a broad range of fields of scientific inquiry and how structural biology transformed the study of the fundamental processes of life. Yet, the transforming influence of PDB on one field of inquiry of fundamental interest-the reconstruction of the distant biological past-has gone almost unnoticed. Here, I discuss the recent advances to highlight how insights and tools of structural biology are bearing on the data required for the empirical resolution of vigorously debated and apparently contradicting hypotheses in evolutionary biology. Specifically, I show that evolutionary characters defined by protein structure are superior compared to conventional sequence characters for reliable, data-driven resolution of competing hypotheses about the origins of the major clades of life and evolutionary relationship among those clades. Since the better quality data unequivocally support two primary domains of life, it is imperative that the primary classification of life be revised accordingly.
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Matsumoto O, Tanaka H, Kawasetsu T, Hosoda K. High-speed running quadruped robot with a multi-joint spine adopting a 1DoF closed-loop linkage. Front Robot AI 2023; 10:1148816. [PMID: 37051260 PMCID: PMC10084478 DOI: 10.3389/frobt.2023.1148816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 02/28/2023] [Indexed: 03/29/2023] Open
Abstract
Improving the mobility of robots is an important goal for many real-world applications and implementing an animal-like spine structure in a quadruped robot is a promising approach to achieving high-speed running. This paper proposes a feline-like multi-joint spine adopting a one-degree-of-freedom closed-loop linkage for a quadruped robot to realize high-speed running. We theoretically prove that the proposed spine structure can realize 1.5 times the horizontal range of foot motion compared to a spine structure with a single joint. Experimental results demonstrate that a robot with the proposed spine structure achieves 1.4 times the horizontal range of motion and 1.9 times the speed of a robot with a single-joint spine structure.
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8
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Gautreau E, Bonnet X, Sandoval J, Fosseries G, Herrel A, Arsicault M, Zeghloul S, Laribi MA. A Biomimetic Method to Replicate the Natural Fluid Movements of Swimming Snakes to Design Aquatic Robots. Biomimetics (Basel) 2022; 7:223. [PMID: 36546923 PMCID: PMC9775164 DOI: 10.3390/biomimetics7040223] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 11/26/2022] [Accepted: 11/30/2022] [Indexed: 12/12/2022] Open
Abstract
Replicating animal movements with robots provides powerful research tools because key parameters can be manipulated at will. Facing the lack of standard methods and the high complexity of biological systems, an incremental bioinspired approach is required. We followed this method to design a snake robot capable of reproducing the natural swimming gait of snakes, i.e., the lateral undulations of the whole body. Our goal was to shift away from the classical broken line design of poly-articulated snake robots to mimic the far more complex fluid movements of snakes. First, we examined the musculoskeletal systems of different snake species to extract key information, such as the flexibility or stiffness of the body. Second, we gathered the swimming kinematics of living snakes. Third, we developed a toolbox to implement the data that are relevant to technical solutions. We eventually built a prototype of an artificial body (not yet fitted with motors) that successfully reproduced the natural fluid lateral undulations of snakes when they swim. This basis is an essential step for designing realistic autonomous snake robots.
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Affiliation(s)
- Elie Gautreau
- Department of GMSC, Pprime Institute, University of Poitiers, CNRS, ISAE-ENSMA, UPR 3346 Poitiers, France
| | - Xavier Bonnet
- CEBC Center of Biological Studies of Chizé, CNRS & University of La Rochelle, Villiers-en-Bois, UMR 7372 Deux-Sèvres, France
| | - Juan Sandoval
- Department of GMSC, Pprime Institute, University of Poitiers, CNRS, ISAE-ENSMA, UPR 3346 Poitiers, France
| | - Guillaume Fosseries
- CEBC Center of Biological Studies of Chizé, CNRS & University of La Rochelle, Villiers-en-Bois, UMR 7372 Deux-Sèvres, France
| | - Anthony Herrel
- MNHN National Museum of Natural History, CNRS, UMR 7179 Paris, France
| | - Marc Arsicault
- Department of GMSC, Pprime Institute, University of Poitiers, CNRS, ISAE-ENSMA, UPR 3346 Poitiers, France
| | - Saïd Zeghloul
- Department of GMSC, Pprime Institute, University of Poitiers, CNRS, ISAE-ENSMA, UPR 3346 Poitiers, France
| | - Med Amine Laribi
- Department of GMSC, Pprime Institute, University of Poitiers, CNRS, ISAE-ENSMA, UPR 3346 Poitiers, France
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9
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Analysis of Kinematic Characteristics of Saanen Goat Spine under Multi-Slope. Biomimetics (Basel) 2022; 7:biomimetics7040181. [PMID: 36412709 PMCID: PMC9680311 DOI: 10.3390/biomimetics7040181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/24/2022] [Accepted: 10/25/2022] [Indexed: 12/14/2022] Open
Abstract
In order to improve the slope movement stability and flexibility of quadruped robot, a theoretical design method of a flexible spine of a robot that was based on bionics was proposed. The kinematic characteristics of the spine were analyzed under different slopes with a Saanen goat as the research object. A Qualisys track manager (QTM) gait analysis system was used to obtain the trunk movement of goats under multiple slopes, and linear time normalization (LTN) was used to calibrate and match typical gait cycles to characterize the goat locomotion gait under slopes. Firstly, the spatial angle changes of cervical thoracic vertebrae, thoracolumbar vertebrae, and lumbar vertebrae were compared and analyzed under 0°, 5°, 10°, and 15° slopes, and it was found that the rigid and flexible coupling structure between the thoraco-lumbar vertebrae played an obvious role when moving on the slope. Moreover, with the increase in slope, the movement of the spine changed to the coupling movement of thoraco-lumbar coordination movement and a flexible swing of lumbar vertebrae. Then, the Gaussian mixture model (GMM) clustering algorithm was used to analyze the changes of the thoraco-lumbar vertebrae and lumbar vertebrae in different directions. Combined with anatomical knowledge, it was found that the motion of the thoraco-lumbar vertebrae and lumbar vertebrae in the goat was mainly manifested as a left-right swing in the coronal plane. Finally, on the basis of the analysis of the maximin and variation range of the thoraco-lumbar vertebrae and lumbar vertebrae in the coronal plane, it was found that the coupling motion of the thoraco-lumbar cooperative motion and flexible swing of the lumbar vertebrae at the slope of 10° had the most significant effect on the motion stability. SSE, R2, adjusted-R2, and RMSE were used as evaluation indexes, and the general equations of the spatial fitting curve of the goat spine were obtained by curve fitting of Matlab software. Finally, Origin software was used to obtain the optimal fitting spatial equations under eight movements of the goat spine with SSE and adjusted-R2 as indexes. The research will provide an idea for the bionic spine design with variable stiffness and multi-direction flexible bending, as well as a theoretical reference for the torso design of a bionic quadruped robot.
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10
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Wang J, Sun H, Jia W, Zhang F, Qian Z, Cui X, Ren L, Ren L. In Vivo Analysis of the Dynamic Motion Stability Characteristics of Geese’s Neck. Biomimetics (Basel) 2022; 7:biomimetics7040160. [PMID: 36278717 PMCID: PMC9590001 DOI: 10.3390/biomimetics7040160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/08/2022] [Accepted: 10/10/2022] [Indexed: 11/16/2022] Open
Abstract
The goose’s neck is an excellent stabilizing organ with its graceful neck curves and flexible movements. However, the stabilizing mechanism of the goose’s neck remains unclear. This study adopts a dynamic in vivo experimental method to obtain continuous and accurate stable motion characteristics of the goose’s cervical vertebra. Firstly, the results showed that when the body of a goose was separately moved back and forth along the Y direction (front and back) and Z direction (up and down), the goose’s neck can significantly stabilize the head. Then, because of the limitation of the X-ray imaging area, the three-dimensional intervertebral rotational displacements for vertebrae C4–C8 were obtained, and the role that these five segments play in the stabilization of the bird’s neck was analyzed. This study reveals that the largest range of the adjacent vertebral rotational movement is around the X-axis, the second is around the Y-axis, and the smallest is around the Z-axis. This kinematic feature is accord with the kinematic feature of the saddle joint, which allows the flexion/around X-axis and lateral bending/around Y-axis, and prevents axial rotation/around Z-axis.
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Affiliation(s)
- Jiajia Wang
- College of Agricultural Equipment Engineering, Henan University of Science and Technology, Luoyang 471003, China
- Key Laboratory of Bionic Engineering (Ministry of Education), Jilin University, Changchun 130022, China
| | - Haoxuan Sun
- College of Agricultural Equipment Engineering, Henan University of Science and Technology, Luoyang 471003, China
| | - Wenfeng Jia
- College of Agricultural Equipment Engineering, Henan University of Science and Technology, Luoyang 471003, China
| | - Fu Zhang
- College of Agricultural Equipment Engineering, Henan University of Science and Technology, Luoyang 471003, China
- Correspondence: (F.Z.); (Z.Q.)
| | - Zhihui Qian
- Key Laboratory of Bionic Engineering (Ministry of Education), Jilin University, Changchun 130022, China
- Correspondence: (F.Z.); (Z.Q.)
| | - Xiahua Cui
- College of Agricultural Equipment Engineering, Henan University of Science and Technology, Luoyang 471003, China
| | - Lei Ren
- Key Laboratory of Bionic Engineering (Ministry of Education), Jilin University, Changchun 130022, China
| | - Luquan Ren
- Key Laboratory of Bionic Engineering (Ministry of Education), Jilin University, Changchun 130022, China
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11
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Yu H, Tang D, Wu H, Li C, Lu Y, He F, Zhang X, Yang Y, Shi W, Hu W, Zeng Z, Dai W, Ou M, Dai Y. Integrated single-cell analyses decode the developmental landscape of the human fetal spine. iScience 2022; 25:104679. [PMID: 35832888 PMCID: PMC9272381 DOI: 10.1016/j.isci.2022.104679] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 05/18/2022] [Accepted: 06/23/2022] [Indexed: 11/30/2022] Open
Abstract
The spine has essential roles in supporting body weight, and passaging the neural elements between the body and the brain. In this study, we used integrated single-cell RNA sequencing and single-cell transposase-accessible chromatin sequencing analyses to reveal the cellular heterogeneity, lineage, and transcriptional regulatory network of the developing human spine. We found that EPYC + HAPLN1+ fibroblasts with stem cell characteristics could differentiate into chondrocytes by highly expressing the chondrogenic markers SOX9 and MATN4. Neurons could originate from neuroendocrine cells, and MEIS2 may be an essential transcription factor that promotes spinal neural progenitor cells to selectively differentiate into neurons during early gestation. Furthermore, the interaction of NRP2_SEMA3C and CD74_APP between macrophages and neurons may be essential for spinal cord development. Our integrated map provides a blueprint for understanding human spine development in the early and midgestational stages at single-cell resolution and offers a tool for investigating related diseases. scRNA-seq and scATAC-seq analyses reveal the developmental landscape of the fetal spine Chondrocytes may originate from EPYC + HAPLN1+ fibroblasts with stem cell characteristics Neurons may originate from neuroendocrine cells with regulation by MEIS2
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Affiliation(s)
- Haiyan Yu
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China.,Department of Pharmacy, Shenzhen Pingshan District People's Hospital, Pingshan General Hospital of Southern Medical University, Shenzhen, Guangdong 518118, P.R. China
| | - Donge Tang
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Hongwei Wu
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Chunhong Li
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Yongping Lu
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China.,Institute of Nephrology and Blood Purification, the First Affiliated Hospital of Jinan University, Jinan University, Guangzhou 510632, China
| | - Fang He
- Singleron Biotechnologies, Yaogu Avenue 11, Nanjing, Jiangsu, China
| | - Xiaogang Zhang
- Singleron Biotechnologies, Yaogu Avenue 11, Nanjing, Jiangsu, China
| | - Yane Yang
- Shenzhen Far East Women & Children Hospital, Shenzhen 518000, Guangdong, China
| | - Wei Shi
- Department of Obstetrics and Gynecology, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Wenlong Hu
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Zhipeng Zeng
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
| | - Weier Dai
- College of Natural Science, University of Texas at Austin, Austin, TX 78721, USA
| | - Minglin Ou
- Central Laboratory, The Second Affiliated Hospital of Guilin Medical University, No. 212, Renmin Road, Lingui District, Guilin 541000, China
| | - Yong Dai
- Clinical Medical Research Center, The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen People's Hospital, Shenzhen, Guangdong 518020, P.R. China
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12
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Michaud F, Lugrís U, Cuadrado J. Determination of the 3D Human Spine Posture from Wearable Inertial Sensors and a Multibody Model of the Spine. SENSORS (BASEL, SWITZERLAND) 2022; 22:s22134796. [PMID: 35808293 PMCID: PMC9269490 DOI: 10.3390/s22134796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 06/17/2022] [Accepted: 06/23/2022] [Indexed: 05/16/2023]
Abstract
Determination of spine posture is of great interest for the effective prevention, evaluation, treatment and evolution monitoring of spinal disorders. Limitations of traditional imaging systems, including cost, radiation exposure (for X-ray based systems), projection volume issues and subject positioning requirements, etc., make non-invasive motion assessment tools effective alternatives for clinical and non-clinical use. In this work, a procedure was developed to obtain a subject-specific multibody model of the spine using either inertial or optical sensors and, based on this multibody model, to estimate the locations and orientations of the 17 vertebrae constituting the thoracolumbar spine. The number and calibration of the sensors, angular offsets, scaling difficulties and gender differences were addressed to achieve an accurate 3D-representation of the spine. The approach was validated by comparing the estimated positions of the sensors on 14 healthy subjects with those provided by an optical motion capture system. A mean position error of lower than 12 mm was obtained, thus showing that the proposed method can offer an effective non-invasive tool for the assessment of spine posture.
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13
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Postnatal ontogeny of the spine of the Emperor Penguin Aptenodytes forsteri (Aves, Sphenisciformes) and modularity of the neck. Polar Biol 2022. [DOI: 10.1007/s00300-021-02986-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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14
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Williams SA, Prang TC, Meyer MR, Nalley TK, Van Der Merwe R, Yelverton C, García-Martínez D, Russo GA, Ostrofsky KR, Spear J, Eyre J, Grabowski M, Nalla S, Bastir M, Schmid P, Churchill SE, Berger LR. New fossils of Australopithecus sediba reveal a nearly complete lower back. eLife 2021; 10:70447. [PMID: 34812141 PMCID: PMC8610421 DOI: 10.7554/elife.70447] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 10/19/2021] [Indexed: 01/16/2023] Open
Abstract
Adaptations of the lower back to bipedalism are frequently discussed but infrequently demonstrated in early fossil hominins. Newly discovered lumbar vertebrae contribute to a near-complete lower back of Malapa Hominin 2 (MH2), offering additional insights into posture and locomotion in Australopithecus sediba. We show that MH2 possessed a lower back consistent with lumbar lordosis and other adaptations to bipedalism, including an increase in the width of intervertebral articular facets from the upper to lower lumbar column (‘pyramidal configuration’). These results contrast with some recent work on lordosis in fossil hominins, where MH2 was argued to demonstrate no appreciable lordosis (‘hypolordosis’) similar to Neandertals. Our three-dimensional geometric morphometric (3D GM) analyses show that MH2’s nearly complete middle lumbar vertebra is human-like in overall shape but its vertebral body is somewhat intermediate in shape between modern humans and great apes. Additionally, it bears long, cranially and ventrally oriented costal (transverse) processes, implying powerful trunk musculature. We interpret this combination of features to indicate that A. sediba used its lower back in both bipedal and arboreal positional behaviors, as previously suggested based on multiple lines of evidence from other parts of the skeleton and reconstructed paleobiology of A. sediba. One of the defining features of humans is our ability to walk comfortably on two legs. To achieve this, our skeletons have evolved certain physical characteristics. For example, the lower part of the human spine has a forward curve that supports an upright posture; whereas the lower backs of chimpanzees and other apes – which walk around on four limbs and spend much of their time in trees – lack this curvature. Studying the fossilized back bones of ancient human remains can help us to understand how we evolved these features, and whether our ancestors moved in a similar way. Australopithecus sediba was a close-relative of modern humans that lived about two million years ago. In 2008, fossils from an adult female were discovered at a cave site in South Africa called Malapa. However, the fossils of the lower back region were incomplete, so it was unclear whether the female – referred to as Malapa Hominin 2 (MH2) – had a forward-curving spine and other adaptations needed to walk on two legs. Here, Williams et al. report the discovery of new A. sediba fossils from Malapa. The new fossils are mainly bones from the lower back, and they fit together with the previously discovered MH2 fossils, providing a nearly complete lower spine. Analysis of the fossils suggested that MH2 would have had an upright posture and comfortably walked on two legs, and the curvature of their lower back was similar to modern females. However, other aspects of the bones’ shape suggest that as well as walking, A. sediba probably spent a significant amount of time climbing in trees. The findings of Williams et al. provide new insights in to our evolutionary history, and ultimately, our place in the natural world around us. Our lower back is prone to injury and pain associated with posture, pregnancy and exercise (or lack thereof). Therefore, understanding how the lower back evolved may help us to learn how to prevent injuries and maintain a healthy back.
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Affiliation(s)
- Scott A Williams
- Center for the Study of Human Origins, Department of Anthropology, New York University, New York, United States.,New York Consortium in Evolutionary Primatology, New York, United States.,Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa
| | - Thomas Cody Prang
- Department of Anthropology, Texas A&M University, College Station, United States
| | - Marc R Meyer
- Department of Anthropology, Chaffey College, Rancho Cucamonga, United States
| | - Thierra K Nalley
- Western University of Health Sciences, College of Osteopathic Medicine of the Pacific, Department of Medical Anatomical Sciences, Pomona, United States
| | - Renier Van Der Merwe
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa
| | - Christopher Yelverton
- Evolutionary Studies Institute, University of the Witwatersrand, Johannesburg, South Africa.,Department of Chiropractic, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
| | - Daniel García-Martínez
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Centro Nacional de Investigación sobre la Evolución Humana (CENIEH), Burgos, Spain.,Departamento de Biodiversidad, Ecología y Evolución, Universidad Complutense de Madrid (UCM), Madrid, Spain
| | - Gabrielle A Russo
- Department of Anthropology, Stony Brook University, Stony Brook, United States
| | - Kelly R Ostrofsky
- Department of Anatomy, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, United States
| | - Jeffrey Spear
- Center for the Study of Human Origins, Department of Anthropology, New York University, New York, United States.,New York Consortium in Evolutionary Primatology, New York, United States
| | - Jennifer Eyre
- Center for the Study of Human Origins, Department of Anthropology, New York University, New York, United States.,Department of Anthropology, Bryn Mawr College, Bryn Mawr, United States
| | - Mark Grabowski
- Research Centre in Evolutionary Anthropology and Palaeoecology, Liverpool John Moores University, Liverpool, United Kingdom
| | - Shahed Nalla
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Department of Human Anatomy and Physiology, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
| | - Markus Bastir
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Departamento de Paleobiología, Museo Nacional de Ciencias Naturales (CSIC), Madrid, Spain
| | - Peter Schmid
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Anthropological Institute and Museum, University of Zurich, Zurich, Switzerland
| | - Steven E Churchill
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa.,Department of Evolutionary Anthropology, Duke University, Durham, United States
| | - Lee R Berger
- Centre for the Exploration of the Deep Human Journey, University of the Witwatersrand, Johannesburg, South Africa
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15
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Abstract
The axial skeleton of all vertebrates is composed of individual units known as vertebrae. Each vertebra has individual anatomical attributes, yet they can be classified in five different groups, namely cervical, thoracic, lumbar, sacral and caudal, according to shared characteristics and their association with specific body areas. Variations in vertebral number, size, morphological features and their distribution amongst the different regions of the vertebral column are a major source of the anatomical diversity observed among vertebrates. In this review I will discuss the impact of those variations on the anatomy of different vertebrate species and provide insights into the genetic origin of some remarkable morphological traits that often serve to classify phylogenetic branches or individual species, like the long trunks of snakes or the long necks of giraffes.
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16
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Developing an Adaptive 3D Vertebrae Model of Scoliosis Patients for Customize Garment Design. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11073171] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Scoliosis is one of the most frequently occurring morphological problems in people. People with such an abnormal curve of the spine face a huge problem, not only from the medical point of view but also from that of garment design and production processes. The current paper brings a novel designing technique to develop an adaptive 3D model of the complicated anatomical shape of the human vertebrae using 3D digitization technologies. Even though it is not as accurate as scanning approaches, it is accurate enough for several applications, including visualization and constructing statistical shape models. Thus, the adaptive model will further integrate with the full skeleton and then to the body shapes of scoliosis patients, not only for an easy garment design process but also to produce comfortable and high-performance garments. The model has also the benefit of adjusting for each tissue to all kinds of spine parameters, such as the height and the angles of the bones and disks (especially the three characteristic planes: sagittal, coronal, and transverse). Thus, the full adaptive skeleton model and later its garment design system, considering the current adaptive vertebrae model for fitted, comfortable and well-performing scoliosis patients garment products, could be developed.
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17
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Davis Rabosky AR, Moore TY, Sánchez-Paredes CM, Westeen EP, Larson JG, Sealey BA, Balinski BA. Convergence and divergence in anti-predator displays: a novel approach to quantitative behavioural comparison in snakes. Biol J Linn Soc Lond 2021. [DOI: 10.1093/biolinnean/blaa222] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Abstract
Animals in nature use many strategies to evade or deter their predators. Within venomous snake mimicry, stereotyped anti-predator behaviours are hypothesized to be effective warning signals under strong selection for independent convergence across species. However, no studies have systematically quantified snake anti-predator displays across taxonomically broad clades to examine how these behaviours evolve within a comparative methods framework. Here we describe a new high-throughput approach for collecting and quantifying anti-predator displays in snakes that demonstrates both low observer bias and infinite extension. Then, we show this method’s utility by comparing 20 species spanning six taxonomic families from Peru. We found that a simple experimental set-up varying simulated predator cues was successful in eliciting displays across species and that high-speed videography captured a great diversity of anti-predator responses. Although display components show complicated patterns of covariance, we found support for behavioural convergence in anti-predator displays among elapid coral snakes and their distantly related mimics. Our approach provides new analytical opportunities for both behaviour and kinematics, especially macroevolutionary analyses across clades with similar difficulty in observing or comparing trait diversity.
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Affiliation(s)
- Alison R Davis Rabosky
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
| | - Talia Y Moore
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
- Department of Mechanical Engineering and Robotics Institute, University of Michigan, Ann Arbor, Michigan, USA
| | - Ciara M Sánchez-Paredes
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
- Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Peru
- Department of Environment and Geography, University of York, Heslington, York, UK
| | - Erin P Westeen
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
- Department of Environmental Science, Policy, and Management and Museum of Vertebrate Zoology, University of California, Berkeley, California, USA
| | - Joanna G Larson
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
- Department of Biological Sciences, University of Notre Dame, Notre Dame, Indiana, USA
| | - Briana A Sealey
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
- Department of Integrative Biology, University of Texas at Austin, Austin, Texas, USA
| | - Bailey A Balinski
- Department of Ecology and Evolutionary Biology and Museum of Zoology (UMMZ), University of Michigan, Ann Arbor, Michigan, USA
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18
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Rana M, Biswas JK, Roy S, Ghosh N, Bhattacharya S, Karmakar SK, Roychowdhury A. Measurement of strain in the rod for lumbar pedicle screw fixation: An experimental and finite element study. Biomed Phys Eng Express 2020; 6. [PMID: 35042203 DOI: 10.1088/2057-1976/abc607] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 10/29/2020] [Indexed: 02/05/2023]
Abstract
Spinal fusion with pedicle-screw-rod is being used widely for treating spinal deformities diseases. Several biomechanical studies on screw rod based implant failure through screw pullout, bending, screw breakage have been performed. But few studies are available regarding the effect of strain for breakage of rod. So, the purpose of the present study is to observe strain at the rod connected with the pedicle screw for different loading condition. The strain in stainless steel (SS) connecting rods for pedicle screw fixation were measured using strain gauge. In order to investigate the bio-mechanical response of lumbar spine with reference to strain in the rod, a simple experimental setup was developed using a specimen of L1-S spine segment. SS rods were used for pedicle screw implant on prototyped lumbar Spine. Prior to testing with pedicle screw, the lumbar spine specimen was also compared with FE results. The strain measured using strain gauges at L3-L4 level on SS rod were within a range of 85 to 310 microstrain under 6, 8, 10 Nm flexion and extension, and for L4-L5 level, these values were within a range of 95 to 440 microstrain. It was found that FE result was higher than the strain gauge result and the error varied between 10.5% to 33% with average error of 22.8%. However similar stain behavior was observed by the FE analysis. The proposed method, as well as the qualitative data, might be helpful for the researchers to understand biomechanical behavior of pedicle-screw implanted spine.
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Affiliation(s)
- Masud Rana
- Department of Aerospace Engineering & Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, West Bengal, 711103, India
| | - Jayanta Kumar Biswas
- Department of Aerospace Engineering & Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, West Bengal, 711103, India.,Department of Mechanical Engineering, JIS College of Engineering, Kalyani, West Bengal, 741235, India
| | - Sandipan Roy
- Department of Mechanical Engineering, SRM Institute of Science and Technology, Kattankulathur, Chennai 603203, India
| | - Niloy Ghosh
- Department of Aerospace Engineering & Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, West Bengal, 711103, India
| | - Shambo Bhattacharya
- Department of Mechanical Engineering, Indian Institute of Technology, Delhi, 110016, India
| | - Santanu Kumar Karmakar
- Department of Mechanical Engineering, Indian Institute of Engineering Science and Technology, Shibpur, West Bengal, 711103, India
| | - Amit Roychowdhury
- Department of Aerospace Engineering & Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, West Bengal, 711103, India
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19
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Beliefs and attitudes about low back pain in Argentina: A cross-sectional survey using social media. Musculoskelet Sci Pract 2020; 49:102183. [PMID: 32861356 DOI: 10.1016/j.msksp.2020.102183] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 05/07/2020] [Accepted: 05/10/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND low back pain (LBP) is highly prevalent, very disabling and carries an enormous economic burden. The multifactorial nature of LBP often does not allow identification of a single pathoanatomic driver of pain. Unhelpful beliefs are associated with elevated levels of pain and may have a negative impact on the recovery of an episode of LBP. Beliefs about the back and back pain have not been evaluated in the Argentine general population. OBJECTIVE to assess the beliefs about the back and back pain of the Argentine population. The secondary objective was to compare the beliefs between respondents with and without LBP and between those who had and had not seen a health care professional (HCP). STUDY DESIGN cross-sectional study. METHOD we included Argentinians aged 18 years or more with or without LBP. The Argentine version of Back Pain Attitudes Questionnaire (Back-PAQ) was used to assess back beliefs. RESULTS one thousand and ninety-two participants responded the survey. Current LBP was reported by 42.3% (95% CI 39.3-45.2) of respondents and the life-time prevalence was 88.4% (95% CI 82.6-94.5). The mean Back-PAQ score was 111.7 (95% CI 111-112.5). Significant differences were found when comparing means scores of the current pain group with past and never LBP groups (p < 0.001). There were no difference in mean scores between respondents who were and were not exposed to a HCP. CONCLUSION Survey respondents sampled from the Argentine population had in general negative beliefs about back pain. Respondents with current pain had more unhelpful beliefs than pain free respondents in relation to the prognosis and recovery of an episode of LBP. Small differences were found in the beliefs of respondents who had received care for LBP from a HCP and those who did not seek care.
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