Workplace interventions to improve sitting posture: a systematic review.

Evaluate the effectiveness of workplace interventions to improve sitting posture of workers that spend long periods of time seated at a visual display terminal. A systematic review of randomised controlled trials, non-randomised controlled trials and single-group intervention trials featuring workplace interventions with pre- and follow-up measurements of sitting posture was conducted (registered in PROSPERO, CRD#42015027648). Nine databases were searched for studies available between January 2005 and February 2016. 2519 articles were screened with 12 studies meeting the inclusion criteria. The included studies featured various ergonomic workplace interventions and comprised 4 randomised controlled trial (n = 457), 2 non-randomised controlled trials (n = 416) and 6 single-group intervention trials (n = 328). Due to clinical and methodological heterogeneity, pooling of data was not completed and a narrative summary of findings was developed using the Grading of Recommendations Assessment Development and Evaluation (GRADE) framework. The evidence for four review outcomes was assessed with medium to large positive improvements obtained for the majority of studies investigating changes to gross sitting posture, whereas mixed findings were obtained for more specific local segment assessments of sitting posture. The overall evidence quality for all review outcomes were identified as either 'low' or 'very low'. There is evidence which is limited in quality to indicate that ergonomic workplace interventions can improve gross sitting posture. More high quality research across a range of intervention types is required with longer follow-up durations and more advanced methods to assess sitting posture with greater frequency and less bias

Rehabil Nurs

PurposeProlonged standing at work has been shown to be associated with a number of potentially serious health outcomes, such as lower back and leg pain, cardiovascular problems, fatigue, discomfort, and pregnancy related health outcomes. Recent studies have been conducted examining the relationship between these health outcomes and the amount of time spent standing while on the job. The purpose of this article was to provide a review of the health risks and interventions for workers and employers that are involved in occupations requiring prolonged standing. A brief review of recommendations by governmental and professional organizations for hours of prolonged standing is also included.FindingsBased on our review of the literature, there seems to be ample evidence showing that prolonged standing at work leads to adverse health outcomes. Review of the literature also supports the conclusion that certain interventions are effective in reducing the hazards associated with prolonged standing. Suggested interventions include the use of floor mats, sit-stand workstations/chairs, shoes, shoe inserts and hosiery or stockings. Studies could be improved by using more precise definitions of prolonged standing (e.g., duration, movement restrictions, and type of work), better measurement of the health outcomes and more rigorous study protocols.Conclusion and Clinical RelevanceUse of interventions and following suggested guidelines on hours of standing from governmental and professional organizations should reduce the health risks from prolonged standing.CC999999/Intramural CDC HHS/United States2015-10-02T00:00:00Z25041875PMC459192

Rehabil Nurs

PurposeProlonged standing at work has been shown to be associated with a number of potentially serious health outcomes, such as lower back and leg pain, cardiovascular problems, fatigue, discomfort, and pregnancy related health outcomes. Recent studies have been conducted examining the relationship between these health outcomes and the amount of time spent standing while on the job. The purpose of this article was to provide a review of the health risks and interventions for workers and employers that are involved in occupations requiring prolonged standing. A brief review of recommendations by governmental and professional organizations for hours of prolonged standing is also included.FindingsBased on our review of the literature, there seems to be ample evidence showing that prolonged standing at work leads to adverse health outcomes. Review of the literature also supports the conclusion that certain interventions are effective in reducing the hazards associated with prolonged standing. Suggested interventions include the use of floor mats, sit-stand workstations/chairs, shoes, shoe inserts and hosiery or stockings. Studies could be improved by using more precise definitions of prolonged standing (e.g., duration, movement restrictions, and type of work), better measurement of the health outcomes and more rigorous study protocols.Conclusion and Clinical RelevanceUse of interventions and following suggested guidelines on hours of standing from governmental and professional organizations should reduce the health risks from prolonged standing.CC999999/Intramural CDC HHS/United States2015-10-02T00:00:00Z25041875PMC459192

The Development of an assistive chair for elderly with sit to stand problems

A thesis submitted to the University of Bedfordshire in partial fulfilment of the requirements for the degree of Doctor of PhilosophyStanding up from a seated position, known as sit-to-stand (STS) movement, is one of the most frequently performed activities of daily living (ADLs). However, the aging generation are often encountered with STS issues owning to their declined motor functions and sensory capacity for postural control. The motivated is rooted from the contemporary market available STS assistive devices that are lack of genuine interaction with elderly users. Prior to the software implementation, the robot chair platform with integrated sensing footmat is developed with STS biomechanical concerns for the elderly. The work has its main emphasis on recognising the personalised behavioural patterns from the elderly users’ STS movements, namely the STS intentions and personalised STS feature prediction. The former is known as intention recognition while the latter is defined as assistance prediction, both achieved by innovative machine learning techniques. The proposed intention recognition performs well in multiple subjects scenarios with different postures involved thanks to its competence of handling these uncertainties. To the provision of providing the assistance needed by the elderly user, a time series prediction model is presented, aiming to configure the personalised ground reaction force (GRF) curve over time which suggests successful movement. This enables the computation of deficits between the predicted oncoming GRF curve and the personalised one. A multiple steps ahead prediction into the future is also implemented so that the completion time of actuation in reality is taken into account

Pupils’ working postures in primary school classrooms

Background and Purpose: Primary schoolchildren spend most of their time in classrooms seated in chairs in some manner, but sitting behavior and working postures of pupils are rarely observed as an important criterion in school furniture design. Yet, correctly designed workspace for school children is, among others, one of the most important key factors in regular development of all abilities of youths. This research focused primarily on the pupils’ behavior at work, their movements and frequent activities during usage of tables and chairs in primary school classrooms, with the aim to identify main working postures and define them as notable criteria when designing school furniture for the future. Materials and Methods: The research was conducted in one elementary school in Zagreb, Croatia, with 18 pupils from the 2nd to 8th grades. The method employed was video recording. Results: Forty-three characteristic postures and semi-postures, classified in four main groups were recorded. The results showed that there are major differences in the subjects’ behavior and in the habits of using the task chair and tablewith respect to age, gender, daytime, studied subjects, tasks and the teachers’ behavior. Conclusions: Design of school furniture must take into account the age and anthropometrics of the child as well as analysis of characteristic postures of the pupils as one of crucial design criteria, to be observed both in 3D and 2D system. New school furniture design has to encourage sitting dynamics and fits psychological, ergonomic, physical, social and cognitive aspects of their users

An experimental approach for the characterization of prolonged sitting postures using pressure sensitive mats

The adoption of prolonged sitting posture,which is a condition commonly encountered in several working tasks,is known to induce a wide range of negative effects,including discomfort,which has been recognized as an early predictor for musculoskeletal disorders (particularly low back pain).In this regard,the continuous monitoring of worker’s psychophysical state while sitting for long periods of time, may result useful in to preventing and managing potentially risky situations and to promote ergonomics and macroergonomics interventions,aimed to better organize work shifts and workplaces.The aim of this dissertation is to provide and test the reliability of a set of monitoring parameters,based on the use of quantitative information derived from body-seat contact pressure sensors.In particular, he study was focused on the assessment of trunk postural sway (the small oscillations resulting from the stabilization control system) and the number of In Chair Movements (ICM) or postural shifts performed while sitting, proven as a reliable tool for discomfort prediction. This thesis is articulated into four experimental campaigns.The first is a pilot study which aimed to define the most reliable algorithm and the set of parameters useful to assess the performed postural shifts or In chair Movements (ICM), which result useful to characterize postural strategies in the long term-monitoring. In this regard, a pilot study was conducted in which two different algorithms for the ICM computing were tested, based on different parameters and having different thresholds. The chosen algorithm was used, together with trunk sway parameters, to evaluate postural strategies in the other three experiments of this thesis. The second and the third studies evaluated sitting postural strategies among bus drivers during regular, long-term work shifts performed on urban and extra-urban routes. The results, in this case, showed that, all drivers reported a constant increase in perceived discomfort levels and a correspondent increase in trunk sway and overall number of ICM performed. This may indicate the adoption of specific strategies in order to cope with discomfort onset, a fatigue-induced alteration of postural features, or both simultaneously. However, it was interesting to observe differences in ICM vs trunk sway trend considering the single point-to-point route in the case of urban drivers. This difference between may indicate that these parameters refer to different aspects of sitting postural strategies: ICM may be more related to discomfort while sway may be more representative of task-induced fatigue. Trunk sway monitoring, as well as the count of ICM performed by bus drivers may thus be a useful tool in detecting postural behaviors potentially associated with deteriorating performance and onset of discomfort. Finally, the last experiment aimed to characterize modifications in sitting behavior, in terms of trunk sway and ICM among office workers during actual shifts. Surprisingly, results showed a decreasing trend in trunk sway parameters and ICM performed over time, with significant modifications in sitting posture in terms of trunk flexion-extension. Subjects were also stratified basing on their working behavior (staying seated or making short breaks during the trial) and significant differences were identified among these two groups in terms of postural sway and perceived discomfort. This may indicate that the adoption of specific working strategies can significantly influence sitting behavior and discomfort onset. In conclusion, the trunk sway monitoring and the ICM assessment in actual working environments may represent a useful tool to detect specific postural behaviors potentially associated with deteriorating performance and onset of discomfort, both among professional drivers and office workers.They might effectively support the evaluation of specific working strategies,as well as the set-up of macroergonomics interventions

The Productivity Consequences of Two Ergonomic Interventions

Pre- and post-intervention data on health outcomes, absenteeism, and productivity from a longitudinal, quasi-experimental design field study of office workers was used to evaluate the economic consequences of two ergonomic interventions. Researchers assigned individuals in the study to three groups: a group that received an ergonomically designed chair and office ergonomics training; a group that received office ergonomics training only; and a control group. The results show that while training alone has neither a statistically significant effect on health nor productivity, the chair-with-training intervention substantially reduced pain and improved productivity. Neither intervention affected sick leave hours.ergonomics, chair, pain, DeRango, Upjohn

The Effects of Sitting and Standing Hygiene on Posture in Dental Hygiene Students

Problem: The purpose of this pilot study was to assess biomechanical and postural impacts of sitting and standing independently during dental hygiene practice. Methods: A convenience sample of thirty-four second-year dental hygiene students with no history of musculoskeletal disorders were enrolled in this study. Participants were randomly assigned to instrument one quadrant of the mouth on buccal or lingual surfaces while seated or standing during two independent research sessions. Two images per session, for a total of four images per participant, were taken to assess biomechanical demands of each posture using the Rapid Upper Limb Assessment (RULA) tool. The images were independently scored by four calibrated researchers and then a mean score was utilized for data analyses. An end-user survey was also completed by participants at both sessions to gather participant perceptions of posture and pain. Results: Thirty-four female second year dental hygiene students completed the study and had useable images for data analyses. Results revealed statistically significant differences in mean RULA scores indicating better posture while seated (M = 3.91, SD = 0.77) when compared to standing (M = 4.50, SD = 1.00) (p=0.001). No participants had acceptable postures for either sitting or standing, as indicated by scores on the RULA. Overall, 79% of participants perceived their posture to be neutral, somewhat good, or very good when seated and 71% of participants perceived their posture to be neutral, somewhat poor, or very poor when standing. Conclusion: The results support the need for additional ergonomic training and education in the dental hygiene curriculum and future research on biomechanical and postural loads of each posture. A larger, more diverse sample of clinically practicing dental hygienists could provide more insight into the ergonomic benefits of sitting and standing postures and the associated musculoskeletal disorder (MSD) risks throughout the workday