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Sitting up 'bad for backs?'


A group of Scottish and Canadian medical researchers used a new form of "positional" MRI to measure spinal angles and disk height in twenty-two "healthy" volunteers to determine the best sitting posture for the back. The volunteers scanned in three different positions: 1) slouching forward, 2) sitting upright at 90 degrees, and 3) reclining backward at 135 degrees. The researchers looked at all the data and concluded that disk movement and disk height were most favorable at the 135 degree sitting angle. The research group presented their findings at the annual meeting of the Radiological Society of North America. The lead researcher, Dr. Waseem Bashir of the Department of Radiology Imaging at the University of Alberta Hospital, Canada, said "We were not created to sit down for long hours, but somehow modern life requires the vast majority of the global population to work in a seated position. This made our search for the optimal sitting position all the more important."


Science Daily Link on this research

BBC News Link on this research

COMMENTS:

I agree that we were not created to sit for uninterrupted periods of time and that finding the optimal sitting position is important. That's about all I agree with concerning this study. Unfortunately I do not have a copy of the entire study, but I think enough can be ascertained from the news releases to make a few constructive comments:

1. Reclining backward at a 135 degree seat angle obviously distributes the weight of the upper body over a larger area (more body weight into the backrest) and thus is less stressful on the lower spine. The same would apply to a 140, 145, or 150 degree angle. In fact, it would be far better for your spine to simply lie down flat at 180 degrees and not sit up at all.

ChairOneThirtyFive240.jpg

2. Reclining backward at a 135 degree seat angle may be "the best biomechanical sitting position" for the back as claimed by the research, but it isn't for the neck. A person sitting at a 135 degree seat angle must counter-recline their head and neck forward at a 45 degree angle to look straight ahead as one is required to do when working in a seated position. Dr. Bashir said "Sitting in a sound anatomic position is essential, since the strain put on the spine and its associated ligaments over time can lead to pain, deformity and chronic illness." I think pain, deformity and chronic illness is exactly what you'll get in your upper back and neck if you sit reclining backward at a 135 degree seat angle.

ChairNinetyDegree240.jpg

3. The thoracic spine (ribcage) must be upright for the head and neck to properly positioned over the body. This is accomplished by supporting the normal lumbar arch (lordosis) in the lower back and placing your weight into your seatback. Apparently the researchers did not perform a positional MRI on volunteers seated in this supported manner. Sitting upright at 90 degrees with a proper lumbar support and your weight into the seatback is the optimal sitting position for the whole spine, including the back and neck. Nevertheless, a person must get up and move about periodically because the body requires motion (circulation, digestion, respiration) for good health.

4. Radiologists (the researchers in this study) are specialists. Specialists tend to focus on specific parts and sometimes forget to consider the holistic viewpoint. Here the back is the focus of study and the recommendations made to help the back will result in harm to the neck. Let's try to remember that people (presumably even the study volunteers) have backs and necks, and all those parts are affected by sitting position. Good posture will always incorporate neutral alignment of the head, ribcage, pelvis and lower extremity, from front to back and from side to side. That is elementary.

5. The only reasonable way to achieve a 135 degree angle between the thighs and the trunk is to sit straight from the waist up, but in a chair that allows the pelvis to tilt slightly forward at the top. In this position, the lower back arch is maintained, and the thighs can angle downward - as a person would sit up correctly from the waist down on a barstool or riding a horse.

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