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Evidence summaries

Biomechanical Studies of Lifting Technique

The squat lifting technique may not bring clear advantage by reducing spine stress forces. Level of evidence: "C"

A systematic review 1 including 27 studies was abstracted in DARE. Spinal compression as indicated by intra-discal pressure and spinal shrinkage does not appear significantly different between the squat lifting technique (with the back as erect as possible) and the stoop lifting technique. Net moments and compression forces based on model estimates were found to be equal or somewhat higher in the squat lifting. Only when the load could be lifted from a position in between the feet did squat lifting cause lower net moments. Shear forces and bending moments acting on the spine appeared lower in squat lifting.

Comment: The quality of evidence is downgraded by indirectness (no clinical outcomes) and limitations in review methodology.

    References

    • van Dieën JH, Hoozemans MJ, Toussaint HM. Stoop or squat: a review of biomechanical studies on lifting technique. Clin Biomech (Bristol, Avon) 1999 Dec;14(10):685-96. [PubMed][DARE]

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