O'Sullivan Kieran, O'Sullivan Peter, O'Sullivan Leonard, Dankaerts Wim
University of Limerick, HS2-025, Health Sciences Building, Limerick, Ireland.
Man Ther. 2012 Oct;17(5):432-7. doi: 10.1016/j.math.2012.04.007. Epub 2012 May 17.
While sitting is a common aggravating factor in low back pain (LBP), the best sitting posture remains unclear. This study investigated the perceptions of 295 physiotherapists in four different European countries on sitting posture. Physiotherapists selected their perceived best sitting posture from a sample of nine options that ranged from slumped to upright sitting, as well as completing the back beliefs questionnaire (BBQ). 85% of physiotherapists selected one of two postures as best, with one posture being selected significantly more frequently than the remainder (p < 0.05). Interestingly, these two most frequently selected postures were very different from each other. Those who selected the more upright sitting posture had more negative LBP beliefs on the BBQ (p < 0.05). The choice of best sitting posture also varied between countries (p < 0.05). Overall, disagreement remains on what constitutes a neutral spine posture, and what is the best sitting posture. Qualitative comments indicated that sitting postures which matched the natural shape of the spine, and appeared comfortable and/or relaxed without excessive muscle tone were often deemed advantageous. Further research on the perceptions of people with LBP on sitting posture are indicated.
虽然久坐是下腰痛（LBP）常见的加重因素，但最佳坐姿仍不明确。本研究调查了四个不同欧洲国家的295名物理治疗师对坐姿的看法。物理治疗师从九个选项（从 slumped 坐姿到直立坐姿）中选择他们认为最佳的坐姿，并完成背部信念问卷（BBQ）。85%的物理治疗师选择了两种姿势中的一种作为最佳姿势，其中一种姿势的选择频率明显高于其他姿势（p < 0.05）。有趣的是，这两种最常被选择的姿势彼此非常不同。选择更直立坐姿的人在BBQ上对LBP的信念更消极（p < 0.05）。最佳坐姿的选择在不同国家之间也有所不同（p < 0.05）。总体而言，对于什么构成中立脊柱姿势以及什么是最佳坐姿仍存在分歧。定性评论表明，与脊柱自然形状相匹配、看起来舒适和/或放松且没有过度肌张力的坐姿通常被认为是有利的。表明需要对LBP患者对坐姿的看法进行进一步研究。
