{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:12:33Z","timestamp":1771488753941,"version":"3.50.1"},"reference-count":58,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Clinical Research Plan of SHDC","award":["SHDC2020CR2035B"],"award-info":[{"award-number":["SHDC2020CR2035B"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bioengineering"],"abstract":"<jats:p>Background: The lumbopelvic region plays a pivotal role in enabling various functional activities. This study quantified and compared the kinematic changes between healthy individuals and patients with recurrent low back pain (LBP) in both rested and fatigued states to gain insight into the kinematic adaptation and mechanisms underlying kinematic variations that occur in the presence of these factors. Methods: Participants were divided into two groups: the LBP (n = 23) and healthy control groups (n = 19). Dynamic lumbopelvic measurements were taken using a biplane radiography image system while the participants performed weight-bearing forward-backward bending before and after fatigue. All lumbopelvic kinematics were described as the three-dimensional motion of the vertebra relative to the pelvis and were measured at normalized time intervals from maximum extension to approximately 45\u00b0 of flexion. Results: Repetitive lifting- and lowering-induced fatigue significantly affected lumbopelvic kinematics in the anterior\/posterior translation (mm) and rotation around the z-axis in both healthy individuals and patients with LBP (p &lt; 0.05). In healthy individuals, significant differences occurred in approximately 13\u201383% of the forward-backward bending cycle (0\u2013100%), whereas, in patients with LBP, significant differences mainly occurred in 61\u201393% of the cycle (p &lt; 0.01). Conclusions: The lumbopelvic kinematic changes observed in both LBP patients and healthy individuals after fatigue may indicate protective compensation or vulnerability and could play a role in LBP dysfunction.<\/jats:p>","DOI":"10.3390\/bioengineering12030214","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T11:03:37Z","timestamp":1740049417000},"page":"214","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Different Spatial Characteristic Changes in Lumbopelvic Kinematics Before and After Fatigue: Comparison Between People with and Without Low Back Pain"],"prefix":"10.3390","volume":"12","author":[{"given":"Xin","family":"Xi","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"},{"name":"Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration, Ministry of Education, Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8573-9044","authenticated-orcid":false,"given":"Ling","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Exercise and Health, Shanghai University of Sport, 200th. Hengren Road, Yangpu District, Shanghai 200438, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haixin","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifei","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"},{"name":"Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration, Ministry of Education, Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, QingPu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201799, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1522-2987","authenticated-orcid":false,"given":"Tsung-Yuan","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai 200030, China"},{"name":"TaoImage Medical Technologies Corporation, Shanghai 201204, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"},{"name":"Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration, Ministry of Education, Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liming","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"},{"name":"Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration, Ministry of Education, Department of Spine Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200092, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Nicol, V., Verdaguer, C., Daste, C., Bisseriex, H., Lapeyre, E., Lefevre-Colau, M.M., Rannou, F., Roren, A., Facione, J., and Nguyen, C. (2023). Chronic Low Back Pain: A Narrative Review of Recent International Guidelines for Diagnosis and Conservative Treatment. J. Clin. Med., 12.","DOI":"10.3390\/jcm12041685"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e316","DOI":"10.1016\/S2665-9913(23)00098-X","article-title":"Global, regional, and national burden of low back pain, 1990\u20132020, its attributable risk factors, and projections to 2050: A systematic analysis of the Global Burden of Disease Study 2021","volume":"5","author":"Ferreira","year":"2023","journal-title":"Lancet Rheumatol."},{"key":"ref_3","first-page":"e45760","article-title":"Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability","volume":"15","author":"Alfalogy","year":"2023","journal-title":"Cureus"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1097\/BRS.0b013e3181aa6175","article-title":"Discriminating Healthy Controls and Two Clinical Subgroups of Nonspecific Chronic Low Back Pain Patients Using Trunk Muscle Activation and Lumbosacral Kinematics of Postures and Movements","volume":"34","author":"Dankaerts","year":"2009","journal-title":"Spine"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1123\/jsr.18.1.60","article-title":"Relationship between the hip and low back pain in athletes who participate in rotation-related sports","volume":"18","author":"Sahrmann","year":"2009","journal-title":"J. Sport Rehabil."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1007\/s00586-006-0122-z","article-title":"Movement coordination of the lumbar spine and hip during a picking up activity in low back pain subjects","volume":"16","author":"Shum","year":"2007","journal-title":"Eur. Spine J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"E1070","DOI":"10.1097\/BRS.0b013e3182015f7c","article-title":"Influence of low back pain status on pelvis-trunk coordination during walking and running","volume":"36","author":"Seay","year":"2011","journal-title":"Spine"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.gaitpost.2015.08.010","article-title":"Lumbar spine kinematics during walking in people with and people without low back pain","volume":"42","author":"Gombatto","year":"2015","journal-title":"Gait Posture"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3109\/03091902.2016.1154616","article-title":"Three-dimensional kinematics of the lumbar spine during gait using marker-based systems: A systematic review","volume":"40","author":"Needham","year":"2016","journal-title":"J. Med. Eng. Technol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1080\/02640414.2024.2308441","article-title":"The application of the Lyapunov Exponent to analyse human performance: A systematic review","volume":"41","author":"Winter","year":"2023","journal-title":"J. Sports Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e0207","DOI":"10.15275\/rusomj.2020.0207","article-title":"Lower back pain at workplace: Prevalence and risk factors","volume":"9","author":"Goncharenko","year":"2020","journal-title":"Russ. Open Med. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104","DOI":"10.26603\/001c.30023","article-title":"Lifting Techniques: Why Are We Not Using Evidence To Optimize Movement?","volume":"17","author":"Washmuth","year":"2022","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.jbiomech.2018.02.016","article-title":"Trunk and lower limb coordination during lifting in people with and without chronic low back pain","volume":"71","author":"Pranata","year":"2018","journal-title":"J. Biomech."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00586-017-5217-1","article-title":"Non-specific chronic low back pain: Differences in spinal kinematics in subgroups during functional tasks","volume":"27","author":"Hemming","year":"2018","journal-title":"Eur. Spine J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.humov.2017.06.007","article-title":"Local dynamic stability of the spine and its coordinated lower joints during repetitive Lifting: Effects of fatigue and chronic low back pain","volume":"54","author":"Asgari","year":"2017","journal-title":"Hum. Mov. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.humov.2018.02.008","article-title":"What factors can affect lumbopelvic flexion-extension motion in the sagittal plane?: A literature review","volume":"58","author":"Zawadka","year":"2018","journal-title":"Hum. Mov. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"E271","DOI":"10.1097\/01.brs.0000216445.28943.d1","article-title":"Stability of Dynamic Trunk Movement","volume":"31","author":"Granata","year":"2006","journal-title":"Spine"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Jubany, J., Danneels, L., and Angulo-Barroso, R. (2017). The influence of fatigue and chronic low back pain on muscle recruitment patterns following an unexpected external perturbation. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1523-3"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1080\/00140139.2015.1005173","article-title":"The influence of lumbar extensor muscle fatigue on lumbar\u2013pelvic coordination during weightlifting","volume":"58","author":"Hu","year":"2015","journal-title":"Ergonomics"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1810","DOI":"10.1097\/01.BRS.0000087500.70575.45","article-title":"Muscle fatigue and fatigue-related biomechanical changes during a cyclic lifting task","volume":"28","author":"Bonato","year":"2003","journal-title":"Spine"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jelekin.2012.09.003","article-title":"Altered trunk muscle coordination during rapid trunk flexion in people in remission of recurrent low back pain","volume":"23","author":"Hodges","year":"2013","journal-title":"J. Electromyogr. Kinesiol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ritzmann, R., Freyler, K., Werkhausen, A., and Gollhofer, A. (2016). Changes in Balance Strategy and Neuromuscular Control during a Fatiguing Balance Task-A Study in Perturbed Unilateral Stance. Front. Hum. Neurosci., 10.","DOI":"10.3389\/fnhum.2016.00289"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/BRS.0000000000001898","article-title":"Impact of Fatigue on Maintenance of Upright Posture: Dynamic Assessment of Sagittal Spinal Deformity Parameters After Walking 10 Minutes","volume":"42","author":"Bae","year":"2017","journal-title":"Spine"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.jelekin.2018.11.001","article-title":"Differential effects of muscle fatigue on dynamic spine stability: Implications for injury risk","volume":"43","author":"Larson","year":"2018","journal-title":"J. Electromyogr. Kinesiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1113\/jphysiol.2007.139477","article-title":"Muscle fatigue: What, why and how it influences muscle function","volume":"586","author":"Enoka","year":"2008","journal-title":"J. Physiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2294","DOI":"10.1249\/MSS.0000000000000923","article-title":"Neural Contributions to Muscle Fatigue: From the Brain to the Muscle and Back Again","volume":"48","author":"Taylor","year":"2016","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.2519\/jospt.2006.36.1.19","article-title":"Lumbopelvic Kinematics and Trunk Muscle Activity During Sitting on Stable and Unstable Surfaces","volume":"36","author":"Dankaerts","year":"2006","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jbiomech.2018.10.009","article-title":"Effects of lumbo-pelvic rhythm on trunk muscle forces and disc loads during forward flexion: A combined musculoskeletal and finite element simulation study","volume":"82","author":"Liu","year":"2019","journal-title":"J. Biomech."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/00140139.2022.2061052","article-title":"Detecting subject-specific fatigue-related changes in lifting kinematics using a machine learning approach","volume":"66","author":"Hawley","year":"2023","journal-title":"Ergonomics"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3233\/BMR-200308","article-title":"Patients with low back pain use stiffening strategy to compensate for movement control during active prone hip rotation: A cross-sectional study","volume":"35","author":"Wattananon","year":"2022","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.jshs.2022.02.001","article-title":"Do people with low back pain walk differently? A systematic review and meta-analysis","volume":"11","author":"Smith","year":"2022","journal-title":"J. Sport Health Sci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.gaitpost.2019.10.032","article-title":"Local dynamic stability during long-fatiguing walks in people with multiple sclerosis","volume":"76","author":"Arpan","year":"2020","journal-title":"Gait Posture"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.clinbiomech.2008.09.008","article-title":"Differences in lumbopelvic motion between people with and people without low back pain during two lower limb movement tests","volume":"24","author":"Scholtes","year":"2009","journal-title":"Clin. Biomech."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/00140130120716","article-title":"Theories of musculoskeletal injury causation","volume":"44","author":"Kumar","year":"2001","journal-title":"Ergonomics"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Tsang, S.M.H., Szeto, G.P.Y., Li, L.M.K., Wong, D.C.M., Yip, M.M.P., and Lee, R.Y.W. (2017). The effects of bending speed on the lumbo-pelvic kinematics and movement pattern during forward bending in people with and without low back pain. BMC Musculoskelet. Disord., 18.","DOI":"10.1186\/s12891-017-1515-3"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"World Medical Association (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310, 2191\u20132194.","DOI":"10.1001\/jama.2013.281053"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.gaitpost.2018.10.031","article-title":"Spinal segments do not move together predictably during daily activities","volume":"67","author":"Papi","year":"2019","journal-title":"Gait Posture"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"von Arx, M., Liechti, M., Connolly, L., Bangerter, C., Meier, M.L., and Schmid, S. (2021). From Stoop to Squat: A Comprehensive Analysis of Lumbar Loading Among Different Lifting Styles. Front. Bioeng. Biotechnol., 9.","DOI":"10.3389\/fbioe.2021.769117"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/S0021-9290(01)00222-6","article-title":"ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion\u2014Part I: Ankle, hip, and spine","volume":"35","author":"Wu","year":"2002","journal-title":"J. Biomech."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Xi, X., Ling, Z., Wang, C., Gu, C., Zhan, X., Yu, H., Lu, S., Tsai, T.Y., Yu, Y., and Cheng, L. (2022). Lumbar segment-dependent soft tissue artifacts of skin markers during in vivo weight-bearing forward-Backward bending. Front. Bioeng. Biotechnol., 10.","DOI":"10.3389\/fbioe.2022.960063"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/0268-0033(95)91394-T","article-title":"Position and orientation in space of bones during movement: Anatomical frame definition and determination","volume":"10","author":"Cappozzo","year":"1995","journal-title":"Clin. Biomech."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"E355","DOI":"10.1097\/BRS.0b013e3181715295","article-title":"Measurement of Vertebral Kinematics Using Noninvasive Image Matching Method\u2013Validation and Application","volume":"33","author":"Wang","year":"2008","journal-title":"Spine"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.jbiomech.2016.12.039","article-title":"Timing and magnitude of lumbar spine contribution to trunk forward bending and backward return in patients with acute low back pain","volume":"53","author":"Shojaei","year":"2017","journal-title":"J. Biomech."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.humov.2017.01.004","article-title":"Comparison of the trunk-pelvis and lower extremities sagittal plane inter-segmental coordination and variability during walking in persons with and without chronic low back pain","volume":"52","author":"Ebrahimi","year":"2017","journal-title":"Hum. Mov. Sci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jshs.2016.01.011","article-title":"A history of low back pain affects pelvis and trunk coordination during a sustained manual materials handling task","volume":"5","author":"Seay","year":"2016","journal-title":"J. Sport. Health Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.humov.2015.11.007","article-title":"Trunk coordination in healthy and chronic nonspecific low back pain subjects during repetitive flexion-extension tasks: Effects of movement asymmetry, velocity and load","volume":"45","author":"Mokhtarinia","year":"2016","journal-title":"Hum. Mov. Sci."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Kuligowski, T., and Sipko, T. (2021). Lumbopelvic Biomechanics in Patients with Lumbar Disc Herniation\u2014Prospective Cohort Study. Symmetry, 13.","DOI":"10.3390\/sym13040602"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.humov.2019.05.013","article-title":"Spatial and temporal characteristics of the spine muscles activation during walking in patients with lumbar instability due to degenerative lumbar disk disease: Evaluation in pre-surgical setting","volume":"66","author":"Miscusi","year":"2019","journal-title":"Hum. Mov. Sci."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"E1666","DOI":"10.1097\/BRS.0b013e31821847b3","article-title":"Psoas muscle architectural design, in vivo sarcomere length range, and passive tensile properties support its role as a lumbar spine stabilizer","volume":"36","author":"Regev","year":"2011","journal-title":"Spine"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Abbas, J., Slon, V., May, H., Peled, N., Hershkovitz, I., and Hamoud, K. (2016). Paraspinal muscles density: A marker for degenerative lumbar spinal stenosis?. BMC Musculoskelet. Disord., 17.","DOI":"10.1186\/s12891-016-1282-6"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Descarreaux, M., Lafond, D., Jeffrey-Gauthier, R., Centomo, H., and Cantin, V. (2008). Changes in the flexion relaxation response induced by lumbar muscle fatigue. BMC Musculoskelet. Disord., 9.","DOI":"10.1186\/1471-2474-9-10"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Du Rose, A. (2018). Have Studies that Measure Lumbar Kinematics and Muscle Activity Concurrently during Sagittal Bending Improved Understanding of Spinal Stability and Sub-System Interactions? A Systematic Review. Healthcare, 6.","DOI":"10.3390\/healthcare6030112"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/0268-0033(86)90147-6","article-title":"The biomechanics of the lumbar multifidus","volume":"1","author":"Macintosh","year":"1986","journal-title":"Clin. Biomech."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/0268-0033(92)90024-X","article-title":"Anatomy and biomechanics of psoas major","volume":"7","author":"Bogduk","year":"1992","journal-title":"Clin. Biomech."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1873","DOI":"10.1097\/BRS.0b013e3181aa6a55","article-title":"Creep and Fatigue Development in the Low Back in Static Flexion","volume":"34","author":"Shin","year":"2009","journal-title":"Spine"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Abboud, J., Nougarou, F., and Descarreaux, M. (2016). Muscle Activity Adaptations to Spinal Tissue Creep in the Presence of Muscle Fatigue. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0149076"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"2554","DOI":"10.1016\/j.jbiomech.2013.07.021","article-title":"Evidence for an exposure-response relationship between trunk flexion and impairments in trunk postural control","volume":"46","author":"Hendershot","year":"2013","journal-title":"J. Biomech."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.shaw.2015.08.001","article-title":"Internal Oblique and Transversus Abdominis Muscle Fatigue Induced by Slumped Sitting Posture after 1 Hour of Sitting in Office Workers","volume":"7","author":"Waongenngarm","year":"2016","journal-title":"Saf. Health Work"}],"container-title":["Bioengineering"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2306-5354\/12\/3\/214\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:38:49Z","timestamp":1760027929000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2306-5354\/12\/3\/214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,20]]},"references-count":58,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["bioengineering12030214"],"URL":"https:\/\/doi.org\/10.3390\/bioengineering12030214","relation":{},"ISSN":["2306-5354"],"issn-type":[{"value":"2306-5354","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,20]]}}}