Faculty of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece; Aspetar, Orthopaedic and Sports Medicine Hospital, Doha, Qatar; Hellenic Orthopaedic Manipulative Therapy Diploma (HOMTD), Athens, Greece.
Aspetar, Orthopaedic and Sports Medicine Hospital, Doha, Qatar; Faculty of Education and Health Sciences, University of Limerick, School of Allied Health, Limerick, Ireland.
Musculoskelet Sci Pract. 2019 Feb;39:24-31. doi: 10.1016/j.msksp.2018.11.004. Epub 2018 Nov 17.
Assessment of, and advice about, spinal posture is common when people with spinal pain present to physiotherapists. Most descriptions regarding optimal spinal posture have been qualitative in nature.
To determine the beliefs of physiotherapists regarding optimal sitting and standing posture.
Online survey.
544 Greek physiotherapists selected an optimal sitting (choice of seven) and standing (choice of five) posture, while providing justification for their choice.
Education regarding optimal sitting and standing posture was considered "considerably" or "very" important by 93.9% of participants. Three different sitting postures, and two different standing postures, were selected as the optimal posture by 97.5% and 98.2% of physiotherapists respectively. While this reflects a lack of complete consensus on optimal posture, the most commonly selected postures were all some variation of upright lordotic sitting, in contrast slouched spinal curves (sitting) or forward head posture (sitting and standing) almost never being selected as optimal. Interestingly, participants used similar arguments (e.g. natural curves, muscle activation) to justify their selection regardless of the spinal configuration of each selected posture.
These results reinforce previous data suggesting that upright lordotic sitting postures are considered optimal, despite a lack of strong evidence that any specific posture is linked to better health outcomes. While postural re-education may play a role in the management of spinal pain for some patients, awareness of such widespread and stereotypical beliefs regarding optimal posture may be useful in clinical assessment and management.
当脊柱疼痛患者就诊于物理治疗师时，评估和建议脊柱姿势是常见的。大多数关于最佳脊柱姿势的描述都是定性的。
确定物理治疗师对最佳坐姿和站姿的信念。
在线调查。
544 名希腊物理治疗师选择了一种最佳坐姿（七种选择）和站姿（五种选择），并为他们的选择提供了理由。
93.9%的参与者认为有关最佳坐姿和站姿的教育“相当”或“非常”重要。三种不同的坐姿和两种不同的站姿分别被 97.5%和 98.2%的物理治疗师选为最佳姿势。虽然这反映了对最佳姿势缺乏完全共识，但最常选择的姿势都是某种程度的笔直前凸坐姿，而弯曲的脊柱曲线（坐姿）或头部前倾姿势（坐姿和站姿）几乎从未被选为最佳姿势。有趣的是，参与者使用了类似的论据（例如自然曲线、肌肉激活）来为他们的选择辩护，而不管每个选择的姿势的脊柱结构如何。
这些结果强化了先前的数据，表明笔直前凸的坐姿被认为是最佳的，尽管缺乏强有力的证据表明任何特定的姿势与更好的健康结果有关。虽然姿势再教育可能在某些患者的脊柱疼痛管理中发挥作用，但了解这种广泛存在的关于最佳姿势的刻板信念可能对临床评估和管理有用。
