for the 25% In people who develop back pain, it can become chronic, disabling and bothersome. Can affect a person’s ability to participate in activities Daily life, physical activity and work. Activities such as sitting, standing, bending, and lifting often exacerbate back pain.
There is a popular belief that “good” posture is important to protect the spine from damage, as well as to prevent and treat back pain. Good posture is usually defined as sitting ‘upright’, standing ‘tall and aligned’, squatting and ‘straight back’.
Conversely, “slack” and “slouching” sitting, standing and lifting with a “rounded back” or bent posture are often warned. This view is widely held by people With and without back painas well as doctors in both Occupational health and primary care Settings.
Surprisingly, there is a lack of evidence of a strong association between “good” posture and back pain. Perceptions of a “good” situation arise from a combination of social desirability and unfounded assumptions.
Systematic reviews found (studies looking at a number of studies in one area) Comfortable interventions For workers, tips for manual workers on Best lifting positionIt did not reduce work-related back pain.
sitting and standing
Our group has conducted several studies to explore the relationship between spinal posture and back pain. We investigated whether “slack” or “non-neutral” sitting positions (eg, slouching or slouching back), in a large group of adolescents, were commitment toor expect Back pain in the future. We found little support for this view.
Globally accepted occupational health practices regarding ‘good’ or safe back postures during lift are also lacking in evidence. Our systematic review found no evidence to raise round position It was associated or foreshadowed by back pain.
our Recent lab study It found that people without back pain, and who worked in manual labor for more than five years, were more likely to lift with a more bent and rotated back position.
In comparison, manual workers with back pain tend to adopt more squatting with straight back.
In other words, people with back pain tend to have this Follow ‘good’ posture adviceHowever, people who don’t lift the “good” way don’t experience more back pain.
In a small study, when people with back pain recovered, they did less protection I generally steer clear of “good” attitude advice.
If not the situation – what?
There is no evidence for a single “good posture” to prevent or reduce back pain. People’s spines come in all shapes and sizes, so the situation is very individual. Movement is important for a healthy back, so you know They differ and take different positions It is likely to be more comfortable than strict adherence to a specific “good” posture.
While back pain can be severe and excruciating, for most people (90%), back pain is not associated with recognizable pain. Tissue damage or pathology. Back pain can be a sprain associated with embarrassing, sudden, heavy or unusual loads on our body. Backbut it can also happen, like severe headaches, where there is no injury.
Importantly, people are more likely to have back pain when their health is compromised, as if a person:
Back pain is more likely to persist if a person:
What can people do about back pain?
In a small group (between 1% and 5%), Back ache They can be caused by pathology, including fracture, malignancy, infection, or nerve compression (the latter is associated with leg pain and loss of muscle tone and sensation). In these cases, seek medical attention.
For 90% of people with back pain, it is associated with sensitization of the structures of the back, but is not associated with identifiable tissue damage.
In this case, an excessive focus on maintaining a “good” posture can distract from other factors known to be important to spinal health.
Move and relax your back
Engage in the regular physical activity you prefer
Building confidence and staying fit and strong for daily routines
Maintain healthy sleep habits and body weight
Your general care Physical and mental health
Sometimes this requires some support and training with a skilled physician.
So if you are sitting or standing, find comfortable, relaxed positions and change them. If you lift, the current directory He suggests it’s OK to lift naturally – even with the back straight. But make sure you are fit and strong enough for the task, and take care of your general health.
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