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一项关于不同办公椅对脊柱角度影响的初步研究。

A pilot investigation into the effects of different office chairs on spinal angles.

机构信息

School of Healthcare Studies, Cardiff University, Heath Park, Cardiff, CF14 4XN, UK.

出版信息

Eur Spine J. 2012 May;21 Suppl 2(Suppl 2):S165-70. doi: 10.1007/s00586-012-2189-z. Epub 2012 Feb 17.

Abstract

PURPOSE

To investigate the effects of four office chairs on the postural angles of the lumbopelvic and cervical regions.

RESEARCH QUESTION

Which chair(s) produce an "ideal" spinal posture?

METHODS

An experimental same subject design was used involving healthy subjects (n = 14) who conducted a typing task whilst sitting on four different office chairs; two "dynamic" chairs (Vari-Kneeler and Swopper), and two static chairs (Saddle and Standard Office with back removed). Data collection was via digital photogrammetry, measuring pelvic and lumbar angles, neck angle and head tilt which were then analysed within MatLab. A repeated measures ANOVA with Bonferroni corrections for multiple comparisons was conducted.

RESULTS

Statistically significant differences were identified for posterior pelvic tilt and lumbar lordosis between the Vari-Kneeler and Swopper chairs (p = 0.006, p = 0.001) and the Vari-Kneeler and Standard Office chairs (p = 0.000, 0.000); and also for neck angle and head tilt between the Vari-Kneeler and Swopper chairs (p = 0.000, p = 0.000), the Vari-Kneeler and Saddle chairs (p = 0.002, p = 0.001), the Standard Office and Swopper chairs (p = 0.000, p = 0.000), and the Standard Office and Saddle chairs (p = 0.005, p = 0.001). This study confirms a within region association between posterior pelvic tilt and lumbar lordosis, and between neck angle and head tilt. It was noted that an ideal lumbopelvic position does not always result in a corresponding ideal cervical position resulting in a spinal alignment mismatch.

CONCLUSION

In this study, the most appropriate posture for the lumbopelvic region was produced by the Saddle chair and for the cervical region by both the Saddle and Swopper chairs. No chair consistently produced an ideal posture across all regions, although the Saddle chair created the best posture of those chairs studied. Chair selection should be based on individual need.

摘要

目的

研究四种办公椅对腰骶部和颈部姿势角度的影响。

研究问题

哪种椅子(或组合)能产生“理想”的脊柱姿势?

方法

采用实验性同体设计,纳入健康受试者(n=14),让他们在四种不同的办公椅上进行打字任务;两种“动态”椅(Vari-Kneeler 和 Swopper)和两种静态椅(Saddle 和去掉椅背的标准办公椅)。数据采集采用数字摄影测量法,测量骨盆和腰椎角度、颈部角度和头部倾斜度,然后在 MatLab 中进行分析。采用重复测量方差分析和多重比较的 Bonferroni 校正。

结果

Vari-Kneeler 和 Swopper 椅之间(p=0.006,p=0.001)以及 Vari-Kneeler 和标准办公椅之间(p=0.000,p=0.000)的后倾骨盆倾斜度和腰椎前凸差异有统计学意义;Vari-Kneeler 和 Swopper 椅之间(p=0.000,p=0.000)、Vari-Kneeler 和 Saddle 椅之间(p=0.002,p=0.001)、标准办公椅和 Swopper 椅之间(p=0.000,p=0.000)以及标准办公椅和 Saddle 椅之间(p=0.005,p=0.001)的颈部角度和头部倾斜度也有差异。本研究证实了后倾骨盆倾斜度和腰椎前凸度以及颈部角度和头部倾斜度之间存在区域内的关联。值得注意的是,腰骶部的理想姿势并不总是会导致相应的理想颈椎姿势,从而导致脊柱排列不匹配。

结论

在这项研究中,Saddle 椅最适合腰骶部姿势,而 Saddle 和 Swopper 椅最适合颈部姿势。没有一种椅子能在所有区域都始终保持理想的姿势,尽管 Saddle 椅在研究的椅子中创造了最佳的姿势。椅子的选择应基于个人需求。

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