Twisted trunk postures during tractor driving are associated with low-back
pain. The purposes of this study were to quantify the muscle activity as a
function of twisting angle, to quantify the range of motion (ROM) during ac
tive trunk rotation and to determine whether there were any differences bet
ween tractor drivers and office workers and between twisting direction for
these variables. The subjects performed exertions in a seated position, twi
sting from the neutral position to the end of the ROM. The results showed t
hat external oblique and erector spinae had significantly different activat
ion patterns depending on twisting direction. For the contralateral externa
l oblique and the ipsilateral erector spinae, the muscle effort required to
twist the trunk was low up to about 20 degrees twisting angle, then the mu
scle effort needed to twist the trunk increased progressively. No significa
nt differences due to occupation or twisting direction were found. The resu
lt implies that work in twisted trunk postures might be a risk factor for l
ow-back pain. (C) 2001 Elsevier Science Ltd. All rights reserved.