Do different sitting postures affect spinal biomechanics of asymptomatic individuals?

Publication date: Available online 21 October 2018

Source: Gait & Posture

Author(s): Arnold YL Wong, Tommy PM Chan, Alex WM Chau, Hon Tung Cheung, Keith CK Kwan, Alan KH Lam, Peter YC Wong, Diana De Carvalho

Abstract

Background

Static sitting is thought to be related to low back pain. Of various common seated postures, slouched sitting has been suggested to cause viscoelastic creep. This, in turn, may compromise trunk muscle activity and proprioception, and heightening the risk of low back pain. To date, no research has evaluated immediate and short-term effects of brief exposures to different sitting postures on spinal biomechanics and trunk proprioception.

Research question

This study aimed to compare the impacts of 20 minutes of static slouched, upright and supported sitting with a backrest on trunk range of motion, muscle activity, and proprioception immediately after and 30 minutes after the sitting tasks.

Methods

Thirty-seven adults were randomly assigned to the three sitting posture groups. Surface electromyography of six trunk muscles during maximum voluntary contractions were measured at baseline for normalization. Pain intensity, lumbar range of motion, and proprioceptive postural control strategy were assessed at baseline, 20 minutes (immediately post-test) and at 50 minutes (recovery). Trunk muscle activity during sitting was continuously monitored by surface electromyography.

Results

While the slouched sitting group demonstrated the lowest bilateral obliquus internus/transversus abdominis activity as compared to other sitting postures (F = 4.87, p < 0.05), no significant temporal changes in pain intensity, lumbar range of motion nor proprioceptive strategy were noted in any of the groups.

Significance

Sitting for 20 minutes of duration appears to have no adverse effects on symptoms or spinal biomechanics regardless of the posture adopted. Future research should determine if there is a point at which does slouched sitting cause significant changes in pain/spinal biomechanics in people both with and without low back pain.

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