Effects of Standing Aids on Lumbar Spine Posture and Muscle Activity in the Lumbar Spine and Hip during Prolonged Standing

Hyeon-jin Kim (김현진); Young-Eun Choi (최영은)

doi:10.13066/kspm.2019.14.2.21

Effects of Standing Aids on Lumbar Spine Posture and Muscle Activity in the Lumbar Spine and Hip during Prolonged Standing

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2019, 14(2), pp.21-28
DOI : 10.13066/kspm.2019.14.2.21
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : January 23, 2019
Accepted : March 6, 2019
Published : May 31, 2019

Hyeon-jin Kim ¹, Young-Eun Choi ¹

¹가야대학교

Accredited

ABSTRACT

PURPOSE: This study was conducted to compare different standing postures with the use of standing aids for lumbar spine posture and muscle activity, and to identify the most desirable standing posture. METHODS: The lumbopelvic angle was assessed based on static radiographic measurement on the sagittal plane. Lumbar lordosis, lumbosacral lordosis, and the intervertebral joint angle at L1/L5 and L5/S1 were measured using radiography in three standing postures (standing on level ground, standing with one foot on a platform, and standing on a sloped surface). In addition, muscle activity was measured using surface electromyography to examine the co-contraction of the lumbar and hip muscles. RESULTS: Lumbar lordosis, lumbosacral lordosis, and L5/S1 intervertebral joint flexion occurred with one foot on the platform. No significant differences were found between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. CONCLUSION: This study demonstrated that standing with a foot on a platform induced lumbar lordosis, but that there was no significant difference between standing on a sloped surface and standing on level ground. However, muscle co-contraction was reduced with the use of standing aids. Based on the motor control pattern as a predictor of LBP, the use of standing aids would help workers during prolonged standing.

KEYWORDS

Lordosis, Standing aid, Muscle co-contraction

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* References for papers published after 2023 are currently being built.

[journal] Airaksinen O / 2006 / Chapter 4. European guidelines for the management of chronic nonspecific low back pain / Eur Spine J (Suppl 2) : S192~S300

[other] Korean Ministry of Employment and Labor / 2017 / Industrial accident

[journal] Kent P / 2004 / Do primary-care clinicians think that nonspecific low back pain is one condition? / Spine 29(9) : 1022~1031

[journal] Nelson-Wong E / 2010 / Is muscle co-activation a predisposing factor for low back pain development during standing? A multifactorial approach for early identification of at-risk individuals / J Electromyogr Kinesiol 20(2) : 256~263

[journal] Marshall PW / 2011 / Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing / Hum Mov Sci 30(1) : 63~73

[journal] Tissot F / 2009 / Studying the relationship between low back pain and working postures among those who stand and those who sit most of the working day / Ergonomics 52(11) : 1402~1418

[journal] Nelson-Wong E / 2008 / Gluteus medius muscle activation patterns as a predictor of low back pain during standing / Clin Biomech 23(5) : 545~553

[journal] Winter DA / 1993 / Medial-lateral and anterior-posterior motor responses associated with centre of pressure changes in quiet standing / Neurosci Res Commun 12(3) : 141~148

[confproc] Nelson-Wong E / 2008 / Gender differences in postural control strategies during prolonged standing / North American Conference on Biomechanics (NACOB)

[journal] Konz SA / 2003 / An ergonomics approach to standing aids / Occup Ergon 3(3) : 165~172

[journal] Dolan P / 1988 / Commonly adopted postures and their effect on the lumbar spine / Spine 13(2) : 197~201

[journal] Gallagher KM / 2016 / Standing on a declining surface reduces transient prolonged standing induced low back pain development / Appl. Ergon 56 : 76~83

[journal] Gallagher KM / 2013 / Possible mechanisms for the reduction of low back pain associated with standing on a sloped surface / Gait Posture 27(3) : 313~318

[journal] Nelson-Wong E / 2010 / The impact of a sloped surface on low back pain during prolonged standing work : a biomechanical analysis / Appl Ergon 41(6) : 787~795

[journal] Chmielewski TL / 2005 / Perturbation training improves knee kinematics and reduces muscle co-contraction after complete unilateral anterior cruciate ligament rupture / Phys Ther 85(8) : 740~749

[journal] Keegan JJ / 1953 / Alterations of the lumbar curve related to posture and seating / J Bone Joint Surg Am 35-A(3) : 589~603

[journal] Mitchell T / 2008 / Regional differences in lumbar spinal posture and the influence of low back pain / BMC Musculoskelet Disord 9 : 152~

[journal] Winkelstein BA / 2004 / Mechanical thresholds for initiation and persistence of pain following nerve root injury : mechanical and chemical contributions at injury / J Biomech Eng 126(2) : 258~263

[journal] Scannell JP / 2003 / Lumbar posture--should it, and can it, be modified? A study of passive tissue stiffness and lumbar position during activities of daily living / Phys Ther 83(10) : 907~917

[journal] Carlsöö S / 1961 / The static muscle load in different work positions : An electromyographic study / Ergonomics 4(3) : 193~211

[journal] 김충유 / 2013 / Analysis of Electromyographic Activities of Erect Spinae at Different Height of Table during Ultrasound Therapy Work / 대한물리의학회지 / 대한물리의학회 8(3) : 289~294

[journal] Nadler SF / 2001 / Relationship between hip muscle imbalance and occurrence of low back pain in collegiate athletes : a prospective study / Am J Phys Med Rehabil 80(8) : 572~577

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Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Effects of Standing Aids on Lumbar Spine Posture and Muscle Activity in the Lumbar Spine and Hip during Prolonged Standing

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* References for papers published after 2023 are currently being built.

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Effects of Standing Aids on Lumbar Spine Posture and Muscle Activity in the Lumbar Spine and Hip during Prolonged Standing

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* References for papers published after 2023 are currently being built.