Early static standing is associated with prolonged standing induced low back pain

Gallagher, Kaitlin M.; Callaghan, Jack P.

doi:10.1016/j.humov.2015.08.019

Cited by 61 publications

(36 citation statements)

References 32 publications

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“…Low back angle and pelvis movement were measured using 3 Space Fastrak (Polhemus Navigation Sciences Division, Vermont, VT, USA) with 10 s samples (at 25 Hz) (in line with Gallagher and Callaghan [46]. Fastrak is an electromagnetic device which generates a low frequency magnetic field and determines the position and orientation of sensors relative to the field source [47].…”

Section: Methodsmentioning

confidence: 99%

The Short Term Musculoskeletal and Cognitive Effects of Prolonged Sitting During Office Computer Work

Baker

Coenen

Howie

et al. 2018

IJERPH

135

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Office workers are exposed to high levels of sedentary time. In addition to cardio-vascular and metabolic health risks, this sedentary time may have musculoskeletal and/or cognitive impacts on office workers. Participants (n = 20) undertook two hours of laboratory-based sitting computer work to investigate changes in discomfort and cognitive function (sustained attention and problem solving), along with muscle fatigue, movement and mental state. Over time, discomfort increased in all body areas (total body IRR [95% confidence interval]: 1.43 [1.33–1.53]) reaching clinically meaningful levels in the low back and hip/thigh/buttock areas. Creative problem solving errors increased (β = 0.25 [0.03–1.47]) while sustained attention did not change. There was no change in erector spinae, trapezius, rectus femoris, biceps femoris and external oblique median frequency or amplitude; low back angle changed towards less lordosis, pelvis movement increased, and mental state deteriorated. There were no substantial correlations between discomfort and cognitive function. The observed changes suggest prolonged sitting may have consequences for musculoskeletal discomfort and cognitive function and breaks to interrupt prolonged sitting are recommended.

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Section: Methodsmentioning

confidence: 99%

The Short Term Musculoskeletal and Cognitive Effects of Prolonged Sitting During Office Computer Work

Baker

Coenen

Howie

et al. 2018

IJERPH

135

View full text Add to dashboard Cite

show abstract

“…Short bouts of static standing (0-5 min) were selected as a proxy for breaking up sustained periods of standing or other physical activities [22]. Long bouts of static standing (>10 min) were defined based on previous laboratory and field studies [23,24], and recommendations of breaking up a sedentary behavior [25]. Moderate bouts of static standing (>5-10 min) were then defined as the period between short and long bouts.…”

Section: Temporal Patterns Of Static Standingmentioning

confidence: 99%

Are accelerometer measures of temporal patterns of static standing associated with lower extremity pain among blue-collar workers?

et al. 2019

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“…Thirteen articles categorized participants into pain developers and non-pain developers, using the following thresholds to make this categorization: one article used >10/100 symptoms intensity [21], one article used a change of >8/100 [43] and two articles used a change >10/100 during the entire trial [19,41], seven articles used a change >10/100 from the baseline score [17,30,31,[35][36][37][38]40], one article used any change in symptoms during the standing trial [42] and one article used symptoms intensity >20/100 at any point and >10/100 overall [39]. The prevalence of pain developers reported in the included articles ranged from 28% [41] to 71% [35], with an average of 44%.…”

Section: Data Extractionmentioning

confidence: 99%

“…Evidence for a mechanism of (either too much or too little) variation in movement causing low back symptoms during standing showed a rather inconsistent picture with studies that did and did not find an association between factors like body sway, shifting of body weight and fidgeting with prolonged standing or the development of symptoms [16,17,[29][30][31][32]46].…”

Section: Mechanisms For Musculoskeletal Symptoms Due To Prolonged Stamentioning

confidence: 99%

Associations of prolonged standing with musculoskeletal symptoms—A systematic review of laboratory studies

et al. 2017

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While prolonged standing has shown to be detrimentally associated with musculoskeletal symptoms, exposure limits and underlying mechanisms are not well understood. We systematically reviewed evidence from laboratory studies on musculoskeletal symptom development during prolonged (≥20min) uninterrupted standing, quantified acute dose-response associations and described underlying mechanisms. Peer-reviewed articles were systematically searched for. Data from included articles were tabulated, and dose-response associations were statistically pooled. A linear interpolation of pooled dose-response associations was performed to estimate the duration of prolonged standing associated with musculoskeletal symptoms with a clinically relevant intensity of ≥9 (out of 100). We included 26 articles (from 25 studies with 591 participants), of which the majority examined associations of prolonged standing with low back and lower extremity symptoms. Evidence on other (e.g., upper limb) symptoms was limited and inconsistent. Pooled dose-response associations showed that clinically relevant levels of low back symptoms were reached after 71min of prolonged standing, with this shortened to 42min in those considered pain developers. Regarding standing-related low back symptoms, consistent evidence was found for postural mechanisms (i.e., trunk flexion and lumbar curvature), but not for mechanisms of muscle fatigue and/or variation in movement. Blood pooling was the most consistently reported mechanism for standing-related lower extremity symptoms. Evidence suggests a detrimental association of prolonged standing with low back and lower extremity symptoms. To avoid musculoskeletal symptoms (without having a-priori knowledge on whether someone will develop symptoms or not), dose-response evidence from this study suggests a recommendation to refrain from standing for prolonged periods >40min. Interventions should also focus on underlying pain mechanisms.

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Early static standing is associated with prolonged standing induced low back pain

Cited by 61 publications

References 32 publications

The Short Term Musculoskeletal and Cognitive Effects of Prolonged Sitting During Office Computer Work

The Short Term Musculoskeletal and Cognitive Effects of Prolonged Sitting During Office Computer Work

Are accelerometer measures of temporal patterns of static standing associated with lower extremity pain among blue-collar workers?

Associations of prolonged standing with musculoskeletal symptoms—A systematic review of laboratory studies

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