Journal of Biomechanics
Volume 43, Issue 3 , Pages 433-441 , 10 February 2010

Finite element analysis of weightbath hydrotraction treatment of degenerated lumbar spine segments in elastic phase

  • M. Kurutz

      Affiliations

    • Department of Structural Mechanics, Budapest University of Technology and Economics, H-1521 Budapest, Hungary
    • Corresponding Author InformationCorresponding author. Tel.: +3614631434; fax: +3614631099.
  • ,
  • L. Oroszváry

      Affiliations

    • Knorr Bremse Hungaria Kft, 1201 Budapest Helsinki út 86, Hungary

,Accepted 5 October 2009.

References 

  1. Acaroglu ER, Iatridis JC, Setton LA, Foster RJ, Mow VC, Weidenbaum M. Degeneration and aging affect the tensile behaviour of human lumbar anulus fibrosus. Spine. 1995;20(24):2690–2701
  2. Adams MA, Dolan P. Spine biomechanics. Journal of Biomechanics. 2005;38(10):1972–1983
  3. Adams, M.A., Bogduk, N., Burton, K., Dolan, P., 2002. The Biomechanics of Back Pain, Churchill Livingstone, Edinburgh, London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto, p. 238.
  4. Adams MA, McNally DS, Dolan P. Stress distributions inside intervertebral discs. The effects of age and degeneration. Journal of Bone and Joint Surgery. British Volume. 1996;78(6):965–972
  5. Andersson GB, Schultz AB, Nachemson AL. Intervertebral disc pressures during traction. Scandinavian Journal of Rehabilitation and Medine Supplement. 1983;9:88–91
  6. Antosik T, Awrejcewicz J. Numerical and experimental analysis of biomechanics of three lumbar vertebrae. Journal of Theoretical and Applied Mechanics. 1999;3:37
  7. Bader, D.L., Bouten, C., 2000. Biomechanics of soft tissues. In: Dvir, Z. (Ed.), Clinical Biomechanics, Churchill Livingstone, New York, Edinburgh, London, Philadelphia, pp. 35–64.
  8. Bender, T., 2003. Weightbath hydrotherapy has been applied for 50 years. 〈http://www1.zalamedia.hu/khely/040318/gy.html#oldal%20eleje〉 (in Hungarian).
  9. Bender T, Karagülle Z, Bálint GP, Gutenbrunner C, Bálint PV, Sukenik S. Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatology International. 2005;25(3):220–224
  10. Bene, É., 1988. Das Gewichtbad, Zeitschrift für Physikalische Medizin, Balneologie, Medizinische Klimatologie, 17, 1988, 67–71.
  11. Bene É, Kurutz M. Weight-bath and its biomechanics. Orvosi Hetilap. 1993;134(21):1123–1129(in Hungarian)
  12. Cassinelli EH, Kang JD. Current understanding of lumbar disc degeneration. Operative Techniques in Orthopaedics. 2000;10(4):254–262
  13. Cheung JTM, Zhang M, Chow DHK. Biomechanical responses of the intervertebral joints to static and vibrational loading: a finite element study. Clinical Biomechanics. 2003;18:790–799
  14. Denoziere, G., 2004. Numerical modeling of ligamentous lumbar motion segment. Master thesis, Georgia Institute of Technology, p. 148.
  15. Domonkos J, Szabó Zs. Weightbath therapy in the medical bath in Szeged. Rheumatology, Balneology, Allergy. 1963;47:23–30(in Hungarian)
  16. Ebara S, Iatridis JC, Setton LA, Foster RJ, Mow VC, Weidenbaum M. Tensile properties of nondegenerate human lumbar anulus fibrosus. Spine. 1996;21(4):452–461
  17. Fagan MJ, Julian S, Siddall DJ, Mohsen AM. Patient specific spine models. Part 1: finite element analysis of the lumbar intervertebral disc—a material sensitivity study. Proceedings of the Institution of Mechanical Engineers. 2002;Part H: 216(5):299–314
  18. Goel VK, Monroe BT, Gilbertson LG, Brinckmann P. Interlaminar shear stresses and laminae separation in the disc. Finite element analysis of the L3-L4 motion segment subjected to axial compressive loads. Spine. 1995;20(6):689–698
  19. Heuer F, Schmidt H, Wilke HJ. The relation between intervertebral disc bulging and annular fiber associated strains for simple and complex loading. Journal of Biomechanics. 2008;41:1086–1094
  20. Heuer F, Schmidt H, Wilke HJ. Stepwise reduction of functional spinal structures increase disc bulge and surface strains. Journal of Biomechanics. 2008;41:1953–1960
  21. Iatridis JC, Wedenbaum M, Setton LA, Mow VC. Is the nucleus pulposus a solid or a fluid? Mechanical behaviours of the nucleus pulposus of the human intervertebral disc. Spine. 1996;21(10):1174–1184
  22. Iatridis JC, Setton LA, Foster RJ, Rawlins BA, Weidenbaum M, Mow VC. Degeneration affects the anisotropic and nonlinear behaviours of human anulus fibrosus in compression. Journal of Biomechanics. 1998;31(6):535–544
  23. Kurutz M. Age-sensitivity of time-related in vivo deformability of human lumbar motion segments and discs in pure centric tension. Journal of Biomechanics. 2006;39(1):147–157
  24. Kurutz M. In vivo age- and sex-related creep of human lumbar motion segments and discs in pure centric tension. Journal of Biomechanics. 2006;39(7):1180–1189
  25. Kurutz, M., Tornyos, Á., 2004. Numerical simulation and parameter identification of human lumbar spine segments in traction. In: Bojtár, I., (Ed.), Proceedings of the First Hungarian Conference on Biomechanics. Budapest, Hungary, June 10–11, 2004, 254–263, ISBN 963 420 799 5.
  26. Kurutz M, Bene É, Lovas A. In vivo deformability of human lumbar spine segments in pure centric tension, measured during traction bath therapy. Acta of Bioengineering and Biomechanics. 2003;5(1):67–92
  27. Langrana, N.A., Edwards, W.T., Sharma, M., 1996. Biomechanical analyses of loads on the lumbar spine. In: Wiesel, S.W., Weinstein, J.N., Herkowitz, H., Dvorak, J., Bell, G., (Eds.), Biomechanics, The Lumbar Spine. W.B. Saunders Company, vol. 1, pp. 163–181 (Chapter 4).
  28. Lavaste F, Skalli W, Robin S, Roy-Camille R, Mazel C. Three-dimensional geometrical and mechanical modelling of lumbar spine. Journal of Biomechanics. 1992;25(10):1153–1164
  29. Li H, Wang Z. Intervertebral disc biomechanical analysis using the finite element modelling based on medical images. Computerized Medical Imaging and Graphics. 2006;30:363–370
  30. Little JP, Adam CJ, Evans JH, Pettet GJ, Pearcy MJ. Nonlinear finite element analysis of annular lesions in the L4/5 intervertebral disc. Journal of Biomechanics. 2007;40:2744–2751
  31. Moll K. Die Behandlung der Discushernien mit den sogenannten “Gewichtsbadern”. Contemplative Rheumatologie. 1956;97:326–329
  32. Moll K. The role of traction therapy in the rehabilitation of discopathy. Rheumatology, Balneology, Allergy. 1963;3:174–177
  33. Nachemson AL. Disc pressure measurements. Spine. 1981;6(1):93–97
  34. Natarajan RN, Williams JR, Andersson GB. Recent advances in analytical modelling of lumbar disc degeneration. Spine. 2004;29:2733–2741
  35. Natarajan RN, Williams JR, Andersson GB. Modeling changes in intervertebral disc mechanics with degeneration. Journal of Bone and Joint Surgery. American Volume. 2006;88(4):36–40(Suppl. 2)
  36. Noailly J, Wilke HJ, Planell JA, Lacroix D. How does the geometry affect the internal biomechanics of a lumbar spine bi-segment finite element model? Consequences on the validation process. Journal of Biomechanics. 2007;40:2414–2425
  37. Oláh M, Molnár L, Dobai J, Oláh C, Fehér J, Bender T. The effects of weightbath traction hydrotherapy as a component of complex physical therapy in disorders of the cervical and lumbar spine: a controlled pilot study with follow-up. Rheumatology International. 2008;28(8):749–756
  38. Panjabi MM, Oxland T, Takata K, Goel V, Duranceau J, Krag M. Articular facets of the human spine, quantitative three dimensional anatomy. Spine. 1993;18:1298–1310
  39. Polikeit A, Nolte LP, Ferguson SJ. Simulated influence of osteoporosis and disc degeneration on the load transfer in a lumbar functional spinal unit. Journal of Biomechanics. 2004;37:1061–1069
  40. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. Journal of Neurosurgery. 1994;81(3):350–353
  41. Rohlmann A, Zander T, Schmidt H, Wilke HJ, Bergmenn G. Analysis of the influence of disc degeneration on the mechanical behaviour of a lumbar motion segment using the finite element method. Journal of Biomechanics. 2006;39:2484–2490
  42. Sato K, Kikuchi S, Yonezawa T. In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems. Spine. 1999;24(23):2468–2474
  43. Schmidt H, Heuer F, Simon U, Kettler A, Rohlmann A, Claes L, et al. Application of a new calibration method for a three-dimensional finite element model of a human lumbar annulus fibrosus. Clinical Biomechanics. 2006;21:337–344
  44. Shirazi-Adl A. On the fibre composite material models of the annulus—comparison of predicted stresses. Journal of Biomechanics. 1989;22:357–365
  45. Vegh, G., 2007. Cervical traction forces in weight-bath therapy. Conference of Hungarian Society of Balneology, Esztergom, Hungary, November 16–18, 2007 (In Hungarian).
  46. White AA, Panjabi MM. Clinical Biomechanics of the Spine. Philadelphia: Lippincott Williams and Wilkins; 1990;etc. p. 722
  47. Williams JR, Natarajan RN, Andersson GBJ. Inclusion of regional poroelastic material properties better predicts biomechanical behaviour of lumbar discs subjected to dynamic loading. Journal of Biomechanics. 2007;40:1981–1987
  48. Zander T, Rohlmann A, Bergmann G. Influence of ligament stiffness on the mechanical behaviour of a functional spinal unit. Journal of Biomechanics. 2004;37:1107–1111

PII: S0021-9290(09)00577-6

doi: 10.1016/j.jbiomech.2009.10.004

Journal of Biomechanics
Volume 43, Issue 3 , Pages 433-441 , 10 February 2010