{"id":"https://openalex.org/W2128734639","doi":"https://doi.org/10.1177/0018720813496814","title":"Cumulative Spine Loading and Clinically Meaningful Declines in Low-Back Function","display_name":"Cumulative Spine Loading and Clinically Meaningful Declines in Low-Back Function","publication_year":2013,"publication_date":"2013-07-23","ids":{"openalex":"https://openalex.org/W2128734639","doi":"https://doi.org/10.1177/0018720813496814","mag":"2128734639","pmid":"https://pubmed.ncbi.nlm.nih.gov/24669541"},"language":"en","primary_location":{"id":"doi:10.1177/0018720813496814","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0018720813496814","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110349329","display_name":"William S. Marras","orcid":null},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William S. Marras","raw_affiliation_strings":["The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076647677","display_name":"Sue A. Ferguson","orcid":"https://orcid.org/0000-0003-1193-2869"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sue A. Ferguson","raw_affiliation_strings":["The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010940442","display_name":"Steven A. Lavender","orcid":"https://orcid.org/0000-0003-3762-1073"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven A. Lavender","raw_affiliation_strings":["The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034103130","display_name":"Riley E. Splittstoesser","orcid":null},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Riley E. Splittstoesser","raw_affiliation_strings":["The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102994203","display_name":"Gang Yang","orcid":"https://orcid.org/0000-0003-0896-6355"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gang Yang","raw_affiliation_strings":["The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I52357470"],"apc_list":null,"apc_paid":null,"fwci":3.8237,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.92566608,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"56","issue":"1","first_page":"29","last_page":"43"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8974000215530396,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8974000215530396,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.08709999918937683,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12138","display_name":"Occupational Health and Performance","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/poison-control","display_name":"Poison control","score":0.5112700462341309},{"id":"https://openalex.org/keywords/physical-medicine-and-rehabilitation","display_name":"Physical medicine and rehabilitation","score":0.5031585097312927},{"id":"https://openalex.org/keywords/injury-prevention","display_name":"Injury prevention","score":0.4260198175907135},{"id":"https://openalex.org/keywords/human-factors-and-ergonomics","display_name":"Human factors and ergonomics","score":0.42100846767425537},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.41517969965934753},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.3854476511478424},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3398362100124359},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"Physical therapy","score":0.32295310497283936},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.28973090648651123}],"concepts":[{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.5112700462341309},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5031585097312927},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.4260198175907135},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.42100846767425537},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.41517969965934753},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3854476511478424},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3398362100124359},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.32295310497283936},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.28973090648651123}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000886","descriptor_name":"Anthropometry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000886","descriptor_name":"Anthropometry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000886","descriptor_name":"Anthropometry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009784","descriptor_name":"Occupational Diseases","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D009784","descriptor_name":"Occupational Diseases","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D009784","descriptor_name":"Occupational Diseases","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D009790","descriptor_name":"Occupations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009790","descriptor_name":"Occupations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009790","descriptor_name":"Occupations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012146","descriptor_name":"Rest","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012146","descriptor_name":"Rest","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012146","descriptor_name":"Rest","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013131","descriptor_name":"Spine","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013131","descriptor_name":"Spine","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013131","descriptor_name":"Spine","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/0018720813496814","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0018720813496814","pdf_url":null,"source":{"id":"https://openalex.org/S83386566","display_name":"Human Factors The Journal of the Human Factors and Ergonomics Society","issn_l":"0018-7208","issn":["0018-7208","1547-8181"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human Factors: The Journal of the Human Factors and Ergonomics Society","raw_type":"journal-article"},{"id":"pmid:24669541","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24669541","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Human factors","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/8","score":0.6600000262260437,"display_name":"Decent work and economic growth"}],"awards":[{"id":"https://openalex.org/G4858100248","display_name":null,"funder_award_id":"1U01 OH07313-01","funder_id":"https://openalex.org/F4320337382","funder_display_name":"National Institute for Occupational Safety and Health"}],"funders":[{"id":"https://openalex.org/F4320324787","display_name":"Peking University","ror":"https://ror.org/02v51f717"},{"id":"https://openalex.org/F4320337382","display_name":"National Institute for Occupational Safety and Health","ror":"https://ror.org/0502a2655"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W33911032","https://openalex.org/W143623202","https://openalex.org/W1592040557","https://openalex.org/W1594031697","https://openalex.org/W1968357839","https://openalex.org/W1969611221","https://openalex.org/W1973363104","https://openalex.org/W1976661641","https://openalex.org/W1995825872","https://openalex.org/W1997169833","https://openalex.org/W1999722408","https://openalex.org/W2000430112","https://openalex.org/W2000659790","https://openalex.org/W2003443364","https://openalex.org/W2004546185","https://openalex.org/W2008811686","https://openalex.org/W2014385482","https://openalex.org/W2017384250","https://openalex.org/W2029488561","https://openalex.org/W2031243878","https://openalex.org/W2033326082","https://openalex.org/W2037086910","https://openalex.org/W2043972913","https://openalex.org/W2044030015","https://openalex.org/W2051741641","https://openalex.org/W2077948542","https://openalex.org/W2101481634","https://openalex.org/W2105910955","https://openalex.org/W2107369140","https://openalex.org/W2121639557","https://openalex.org/W2128431867","https://openalex.org/W2135911773","https://openalex.org/W2150781209","https://openalex.org/W2153159023","https://openalex.org/W2154377352","https://openalex.org/W2321427832","https://openalex.org/W2323837976","https://openalex.org/W2329347520","https://openalex.org/W2504741620","https://openalex.org/W3005699487","https://openalex.org/W3085162807","https://openalex.org/W4302413410"],"related_works":["https://openalex.org/W2031595675","https://openalex.org/W2893842429","https://openalex.org/W2260842574","https://openalex.org/W2237087163","https://openalex.org/W1990092381","https://openalex.org/W2029056082","https://openalex.org/W1484661188","https://openalex.org/W2084453079","https://openalex.org/W2257529021","https://openalex.org/W2244508426"],"abstract_inverted_index":{"OBJECTIVE:":[0],"The":[1],"objective":[2],"was":[3,83,125,154],"to":[4,179,190],"assess":[5,180],"the":[6,14,41,192],"role":[7],"of":[8,16,54,66,194],"cumulative":[9,56,91,139,142,181],"spine":[10,26,182],"loading":[11,27,183],"measures":[12,42,58,93],"in":[13,21,61,78,108,120,170,199],"development":[15],"a":[17,30,62,74,116,166,195],"clinically":[18,75,117,167,196],"meaningful":[19,76,118,168,197],"decline":[20,77,107,119,169,198],"low-back":[22,35,79,109,121,136,171,200],"function.":[23,110,172,201],"BACKGROUND:":[24],"Cumulative":[25,151],"has":[28],"been":[29,48],"suspected":[31],"risk":[32,45,72,114,164,184,193],"factor":[33],"for":[34,37,73,115,160,165],"pain":[36],"many":[38],"years,":[39],"yet":[40],"that":[43],"characterize":[44],"have":[46],"not":[47],"well":[49,127],"delineated.":[50],"METHODS:":[51],"A":[52],"total":[53],"56":[55],"exposure":[57,92],"were":[59,103],"collected":[60],"prospective":[63],"field":[64],"study":[65],"distribution":[67],"center":[68],"workers.":[69],"An":[70,112],"individual's":[71,113,163],"function":[80,122,137],"(true":[81,123],"cases)":[82,124],"explored":[84],"with":[85,105],"daily,":[86],"weekly,":[87],"and":[88,96,147,185],"job":[89,145],"tenure":[90],"using":[94,134],"univariate":[95],"multivariate":[97],"statistical":[98],"modeling":[99],"techniques.":[100],"True":[101],"noncases":[102,130],"individuals":[104],"no":[106],"RESULTS:":[111],"predicted":[126],"versus":[128],"true":[129],"(sensitivity/specificity":[131],"=":[132],"72%/73%)":[133],"initial":[135],"(p(n)),":[138],"rest":[140,152],"time,":[141],"load":[143],"exposure,":[144],"satisfaction,":[146],"worker":[148],"age.":[149],"CONCLUSIONS:":[150],"time":[153],"identified":[155],"as":[156],"an":[157,162],"important":[158],"component":[159],"predicting":[161],"APPLICATION:":[173],"This":[174],"information":[175],"can":[176],"be":[177],"used":[178],"may":[186],"help":[187],"establish":[188],"guidelines":[189],"minimize":[191]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":2}],"updated_date":"2026-06-26T08:34:08.712188","created_date":"2025-10-10T00:00:00"}