Manual Therapy
Volume 15, Issue 6 , Pages 557-561 , December 2010

Neutral lumbar spine sitting posture in pain-free subjects

  • Kieran O'Sullivan

      Affiliations

    • Physiotherapy Department, University of Limerick, Limerick, Ireland
    • Corresponding Author InformationCorresponding author. Physiotherapy Department, University of Limerick, Ireland. Tel.: +353 61 234119; fax: +353 61 234251.
    • ,
  • Patrick O'Dea

      Affiliations

    • Physiotherapy Department, University of Limerick, Limerick, Ireland
    • ,
  • Wim Dankaerts

      Affiliations

    • Musculoskeletal Unit, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Catholic University Leuven, Belgium
    • Department of Health Care, Rehabilitation and Health Care Research Center, University College Limburg, Hasselt, Belgium
    • ,
  • Peter O’Sullivan

      Affiliations

    • School of Physiotherapy, Curtin University of Technology, Perth WA6845, Australia
    • ,
  • Amanda Clifford

      Affiliations

    • Physiotherapy Department, University of Limerick, Limerick, Ireland
    • ,
  • Leonard O’Sullivan

      Affiliations

    • Department of Manufacturing and Operations Engineering, Physiotherapy Department, University of Limerick, Limerick, Ireland

Received 8 January 2010 ,Revised 4 May 2010 ,Accepted 14 June 2010.

References 

  1. Adams MA, Hutton WC. The effect of posture on the lumbar spine. Journal of Bone and Joint Surgery British Volume. 1985;67(4):625–629
  2. Bettany-Saltikov J, Warren J, Jobson M. Ergonomically designed kneeling chairs are they worth it?: comparison of sagittal lumbar curvature in two different seating postures. Studies in Health Technology and Informatics. 2008;140:103–106
  3. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310
  4. Brumagne SPT, Cordo PP, Lysens RMDP, Verschueren SP, Swinnen SP. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25(8):989–994
  5. Caneiro J, O’Sullivan P, Burnett A, Barach A, O’Neil D, Tveit O, et al. The influence of different sitting postures on head/neck posture and muscle activity. Manual Therapy. 2010;1(15):54–60
  6. Christie H, Kumar S, Warren S. Postural aberrations in low back pain. Archives of Physical Medicine & Rehabilitation. 1995;76:218–224
  7. Claus A, Hides J, Moseley G, Hodges P. Is “ideal” sitting real?: measurement of spinal curves in four sitting postures. Manual Therapy. 2009;14:404–408
  8. Claus AP, Hides JA, Moseley GL, Hodges PW. Different ways to balance the spine: subtle changes in sagittal spinal curves affect regional muscle activity. Spine. 2009;34(6):E208–E214
  9. Dankaerts W, O’Sullivan P, Burnett A, Straker L. Altered patterns of superficial trunk muscle activation during sitting in nonspecific chronic low back pain patients: importance of subclassification. Spine. 2006;31(17):2017–2023
  10. Dankaerts W, O’Sullivan P, Burnett A, Straker L. The use of a mechanism-based classification system to evaluate and direct management of a patient with non-specific chronic low back pain and motor control impairment – a case report. Manual Therapy. 2007;12(2):181–191
  11. Dankaerts W, O’Sullivan P, Burnett A, Straker L, Davey P, Gupta R. Discriminating healthy controls and two clinical subgroups of nonspecific chronic low back pain patients using trunk muscle activation and lumbosacral kinematics of postures and movements: a statistical classification model. Spine. 2009;34(15):1610–1618
  12. Dankaerts W, O’Sullivan PB, Burnett A, Straker LM. Differences in sitting postures are associated with non-specific chronic low back pain disorders when sub-classified. Spine. 2006;31(6):698–704
  13. De Carvalho D, Soave D, Ross K, Callaghan J. Lumbar spine and pelvic posture between standing and sitting: a radiologic investigation including reliability and repeatability of the lumbar lordosis measure. Journal of Manipulative and Physiological Therapeutics. 2010;33(1):48–55
  14. Dolan KJ, Green A. Lumbar spine reposition sense: the effect of a ‘slouched’ posture. Manual Therapy. 2006;11(3):202–207
  15. Dunk N, Kedgley A, Jenkyn T, Callaghan J. Evidence of a pelvis-driven flexion pattern: are the joints of the lower lumbar spine fully flexed in seated postures?. Clinical Biomechanics. 2009;24(2):164–168
  16. Edmondston S, Chan H, Chi Wing Ngai G, Warren M, Williams J, Glennon S, et al. Postural neck pain: $n investigation of habitual sitting posture, perception of ‘good’ posture and cervicothoracic kinaesthesia. Manual Therapy. 2007;12(4):363–371
  17. Falla D, O’Leary S, Fagan A, Jull G. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Manual Therapy. 2007;12:139–143
  18. Fedorak CMD, Ashworth NMMF, Marshall JBM, Paull HDC. Reliability of the visual assessment of cervical and lumbar lordosis: how good are we?. Spine. 2003;28(16):1857–1859
  19. Gardner-Morse MG, Stokes IAF. The effects of abdominal muscle coactivation on lumbar spine stability. Spine. 1998;23(1):86–91
  20. Granata KP, Marras WS. Cost-Benefit of muscle cocontraction in protecting against spinal instability. Spine. 2000;25(11):1398–1404
  21. Hartvigsen J, Leboeuf-Yde C, Lings S, Corder EH. Is sitting-while-at-work associated with low back pain? A systematic, critical literature review. Scandinavian Journal of Public Health. 2000;28(3):230–239
  22. Hicks G, Fritz J, Delitto A, Mishock J. Interrater reliability of clinical examination measures for identification of lumbar segmental instability. Archives of Physical Medicine & Rehabilitation. 2003;84(12):1858–1864
  23. Johansson F. Interexaminer reliability of lumbar segmental mobility tests. Manual Therapy. 2006;11(4):331–336
  24. Kavcic N, Grenier S, McGill SM. Determining the stabilising role of individual torso muscles during rehabilitation exercises. Spine. 2004;29(11):1254–1265
  25. Kelsey J, Hardy R. Driving motor vehicles as risk factor for acute herniated lumbar intervertebral disc. American Journal of Epidemiology. 1975;102:63–73
  26. Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  27. Lengsfeld M, Franka A, van Deursen D, Griss P. Lumbar spine curvature during office chair sitting. Medical Engineering and Physics. 2000;22(9):665–669
  28. Li G, Haslegrave C. Seated work postures for manual, visual and combined tasks. Ergonomics. 1999;42(8):1060–1086
  29. Linton S, Boersma K, Jansson M, Overmeer T, Lindblom K, Vlaeyen J. A randomized controlled trial of exposure in vivo for patients with spinal pain reporting fear of work-related activities. European Journal of Pain. 2007;12(6):722–730
  30. Lis A, Black K, Korn H, Nordin M. Association between sitting and occupational LBP. European Spine Journal. 2007;16:283–298
  31. Luomajoki H, Kool J, de Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC Musculoskeletal Disorders. 2007;8:90
  32. Magnusson ML, Pope MH. A review of the biomechanics and epidemiology of working postures (it isn’t always vibration which is to blame). Journal of Sound and Vibration. 1998;215(4):965–976
  33. McCarthy C, Arnall F, Strimpakos N, Freemont A, Oldham J. The biopsychosocial classification of non-specific low back pain: a systematic review. Physical Therapy Reviews. 2004;9(1):17–20
  34. McGill SM, Grenier S, Kavcic N, Cholewicki J. Coordination of muscle activity to assure stability of the lumbar spine. Journal of Electromyography and Kinesiology. 2003;13:353–359
  35. Mitchell T, O’Sullivan P, Burnett AF, Straker L, Smith A. Regional differences in lumbar spinal posture and the influence of low back pain. BMC Musculoskeletal Disorders. 2008;9:152
  36. O’Sullivan K, Galleotti L, Dankaerts W, O’Sullivan P, O’Sullivan L. The reliability of a wireless monitor for measurement of lumbar spine posture. Edinburgh, UK; 2009.
  37. O’Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Manual Therapy. 2005;10(4):242–255
  38. O’Sullivan P, Burnett A, Floyd A, Gadsdon K, Logiudice J, Miller D, et al. Lumbar repositioning deficit in a specific low back pain population. Spine. 2003;28:1074–1079
  39. O’Sullivan PB, Dankaerts W, Burnett A, Farrell G, Jefford E, Naylor C, et al. Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine. 2006;31(19):E707–E712
  40. O’Sullivan PB, Dankaerts W, Burnett AF, Chen D, Booth R, Carlsen C, et al. Evaluation of the flexion relaxation phenomenon of the trunk muscles in sitting. Spine. 2006;31(17):2009–2016
  41. O’Sullivan PB, Grahamslaw KM, Kendell M, Lapenskie SC, Moller NE, Richards KV. The effect of different standing and sitting postures on trunk muscle activity in a pain-free population. Spine. 2002;27(11):1238–1244
  42. Poitras S, Blais R, Swaine B, Rossignol M. Management of work-related low back pain: a population-based survey of physical therapists. Physical Therapy. 2005;85(11):1168–1181
  43. Pope MH, Goh KL, Magnusson ML. Spine ergonomics. Annual Review of Biomedical Engineering. 2002;4:49–68
  44. Pynt J, Higgs J, Mackey M. Seeking the optimal posture of the seated lumbar spine. Physiotherapy Theory & Practice. 2001;17(1):5–21
  45. Pynt J, Mackey MG, Higgs J. Kyphosed seated postures: extending concepts of postural health beyond the office. Journal of Occupational Rehabilitation. 2008;18(1):35–45
  46. Reeve A, Dilley A. Effects of posture on the thickness of transversus abdominis in pain-free subjects. Manual Therapy. 2009;14(6):679–684
  47. Scannell JP, McGill SM. Lumbar posture – should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living. Physical Therapy. 2003;83(10):907–917
  48. Snijders C, Hermans P, Niesing R, Kleinrensink G, Pool-Goudzwaard A. Effects of slouching and muscle contraction on the strain of the iliolumbar ligament. Manual Therapy. 2008;13(4):325–333
  49. Szeto G, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Applied Ergonomics. 2002;33:75–84
  50. Van Dillen L, Maluf K, Sahrmann S. Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Manual Therapy. 2009;14(1):52–60
  51. Vergara M, Page A. Relationship between comfort and back posture and mobility in sitting-posture. Applied Ergonomics. 2002;33:1–8
  52. Williams MM, Hawley JA, McKenzie RA, Van Wijmen PM. A comparison of the effects of two sitting postures on back and referred pain. Spine. 1991;16:1185–1191
  53. Womersley L, May S. Sitting posture of subjects with postural backache. Journal of Manipulative and Physiological Therapeutics. 2006;29(3):213–218
  54. Woolf A, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization. 2003;

PII: S1356-689X(10)00108-6

doi: 10.1016/j.math.2010.06.005

Manual Therapy
Volume 15, Issue 6 , Pages 557-561 , December 2010

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