Physiotherapist perceptions of optimal sitting and standing posture

Korakakis, Vasileios; O’Sullivan, Kieran; O’Sullivan, Peter; Evagelinou, V.; Sotiralis, Yiannis; Sideris, A.; Sakellariou, Konstantinos; Karanasios, Stefanos; Giakas, Giannis

doi:10.1016/j.msksp.2018.11.004

Cited by 59 publications

(48 citation statements)

References 61 publications

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“…Qualitative assessments recommended sitting with a neutral shape of the spine, which generally is comfortable and relaxed without extreme muscle tone (80,81). Over 70% of physiotherapists considered the upright lordotic sitting posture as the optimal posture (82). Major stakeholders in the healthcare systems around the world commonly agree that prolonged sitting is associated with a higher prevalence of LBP (25,(83)(84)(85)(86)(87)(88).…”

Section: Discussionmentioning

confidence: 99%

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Esfahani

Dommerholt

Rezaeian

2021

Muscle Ligaments and Tendons J

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Background. Musculoskeletal dysfunction is one of the most important occupational health issues. Prolonged sitting may be a risk factor for low back pain (LBP) associated with reduced muscle endurance, although many people with a sedentary lifestyle and sitting-type job report no pain and discomfort in the lumbar region. In the present study, endurance of the core muscles in individuals with sedentary jobs with nonspecific chronic LBP were compared with those without LBP. Objective. The present study compared core muscle endurance in individuals with sedentary jobs with and without nonspecific chronic low back pain. Methods. A total of 50 sedentary staffs were selected and divided into LBP and control group. Trunk muscle endurance was measured in seconds using the McGill's trunk flexor endurance test, the Sorenson's trunk extensor endurance test, and the right and left trunk flexor endurance test (Side-bridge test). Differences between the two groups were analyzed using multivariate general linear models in 2 ways ANOVA. Results. There were no significant between-group differences in the raw endurance of the extensor, flexor, right/ left flexor muscles (P ≥ 0.05). However, there were significant betweengroup differences in some self-reported physical fitness subscales (P < 0.05), duration of sitting at home (P = 0.035), frequency of assuming a slump sitting position (P = 0.049), and sitting with leaning back to the backrest (P = 0.02) at work. We developed uni-and multivariate general linear models, which showed adjustments to these parameters and unmasked fundamental between-group differences in extensor muscle endurance. Conclusions. Our finding does not support the popular opinion that daily sitting-while-at-work for long durations is necessarily associated with LBP. Instead, sitting posture, lower physical fitness levels, and shorter duration of sitting activities at home may be associated with reduced extensor muscle endurance in nonspecific chronic low back pain.

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Section: Discussionmentioning

confidence: 99%

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Esfahani

Dommerholt

Rezaeian

2021

Muscle Ligaments and Tendons J

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“…This study is limited by the fact that the physiotherapist was an examiner. Physical therapists employ techniques to analyze the patient posture in detail [31]. To allow generalization of the results of the present study, different individuals need to serve as examiners, and we are currently conducting research for this generalization.…”

Section: Discussionmentioning

confidence: 99%

Coronal Spinal Postural Alignment Screening Tool using Markerless Digital Photography

Hida¹,

Hasegawa²,

Kamitani³

et al. 2021

Adv. sci. technol. eng. syst. j.

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Early detection and proper management of adult degenerative scoliosis (ADS) are important for health promotion. This study aims to develop an ADS screening tool from markerless digital photography and verify its reliability. The study included 17 participants. Outer canthus-horizontal angle (OHA) and trapezius-horizontal angle (THA) were calculated from the image of the upper body of the subject in a coronal plane using ImageJ. The Cobb angle was measured to investigate the correlation between OHA and THA. The intraclass correlation coefficient was analyzed to verify the reliability using the values of skilled and unskilled physiotherapists. The study results demonstrated an excellent correlation between THA and Cobb angle. THA also had an almost perfect intra-and interrater reliability. Because scoliosis is characterized by shoulder imbalance and THA is an index that reflects shoulder imbalance, the correlation with Cobb angle was excellent. THA is a scoliosis screening tool that can be used not only in hospitals but also in various places because even unskilled physiotherapists can measure highly reliable values.

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“…A recent systematic review and meta-analysis concluded that the magnitude of FHP was negatively correlated with neck pain intensity and disability [ 27 ]. The use of a lumbar roll while sitting during daily activities may be a promising approach for preventing symptom aggravation among patients with neck pain, although clinical assessments for optimal posture should be performed first [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Lumbar Roll Usage While Sitting Reduces the Forward Head Posture in Healthy Individuals: A Systematic Review with Meta-Analysis

Handa

Okada

Takasaki

2021

IJERPH

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This systematic review and meta-analysis investigated whether the use of a lumbar roll reduced forward head posture (FHP) while sitting among individuals with or without musculoskeletal disorders. EMBASE, MEDLINE, and the Cochrane Library were systematically searched from their inception to August 2020. The quality of evidence for variables used in the meta-analysis was determined using the GRADE system. Five studies satisfied the criteria for data analysis. All studies included individuals without any spinal symptoms. Data from five studies on neck angle showed a statistically significant (p = 0.02) overall effect (standardized mean difference (SMD) = 0.77), indicating a lesser neck flexion angle while sitting with a lumbar roll than without it. Data from two studies on head angle showed a statistically significant (p = 0.04) overall effect (SMD = 0.47), indicating a lesser head extension angle while sitting with a lumbar roll than without it. In each meta-analysis, the quality of evidence was very low in the GRADE system. The use of a lumbar roll while sitting reduced FHP among individuals without spinal symptoms.

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Physiotherapist perceptions of optimal sitting and standing posture

Cited by 59 publications

References 61 publications

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Core Muscles Endurance in Sedentary Individuals with and without Nonspecific Chronic Low Back: A Cross-Sectional Study

Coronal Spinal Postural Alignment Screening Tool using Markerless Digital Photography

Lumbar Roll Usage While Sitting Reduces the Forward Head Posture in Healthy Individuals: A Systematic Review with Meta-Analysis

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