More on Wearing Back Belts
The Valsalva Technique is a maneuver that people perform when they hold their breath and exert/squeeze/bear down. Upon study, this technique creates an increase in Intra-Abdominal Pressure (IAP), which causes an increase in lumbar compression. The prior theories stated that wearing a back belt would increase intra-abdominal pressure which would decrease compressive load. However, this theory has been proven false. As stated before, an increase in (IAP) pressure will increase lumbar compressive load.
The other theory was that the back belt will provide support to the lumbar extensor muscles. The muscle activity of the extensors and the abdominals has been measured while a back belt was worn, and no significant change in muscle activity was shown.
Also, when lifting and wearing a back belt, it was noted that blood pressure and heart rate rose significantly when compared to those lifting without a back belt. With this, you would hope for a cardiovascular screening prior to any employer handing an employee a back belt to wear.
Take home message: The benefits of wearing the back belt are not as apparent as we once thought. If a business requires its employees to wear these belts, their focus should be placed more on educating employees on overall fitness, body mechanics, lifting techniques and ergonomics so that they can rely on themselves for injury prevention rather than the back belt. Interestingly, it was found that when wearing a back belt, the amount of weight a person was willing to lift rose 19%. Does the back belt provide a false sense of security? Either way, if you are used to wearing one, it is not advisable to eliminate it completely, but to wean yourself from it.
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