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European Journal of Applied Physiology Jul 2022To counteract the detrimental health effect of sitting all day long, it has been suggested to regularly break sitting time by standing. However, while the difference in...
To counteract the detrimental health effect of sitting all day long, it has been suggested to regularly break sitting time by standing. However, while the difference in energy expenditure, neuromuscular and/or cardiovascular demand of various postures from lying, sitting, and standing is well documented, little is known regarding the dynamic changes occurring during the sit-to-stand transition itself. The aim of the present study was then to describe the cardiometabolic and neuromuscular responses from sitting to standing and specifically during the time-course of this transition. Twelve healthy young participants were asked to perform standardized raises from sitting posture, while cardiometabolic (cardiorespiratory and hemodynamic variables) and neuromuscular (calf muscles' myoelectrical activity, spinal and supraspinal excitabilities) parameters were monitored. As a result, while there was a rapid adaptation for all the systems after rising, the neuromuscular system displayed the faster adaptation (~ 10 s), then hemodynamic (~ 10 to 20 s) and finally the metabolic variables (~ 30 to 40 s). Oxygen uptake, energy expenditure, ventilation, and heart rate were significantly higher and stroke volume significantly lower during standing period compared to sitting one. In calf muscles, spinal excitability (H-reflexes), was lowered by the sit-to-stand condition, while supraspinal drive (V-wave) was similar, indicating different cortico-spinal balance from sitting to standing. Although very heterogenous among participants in terms of magnitude, the present results showed a rapid adaptation for all the systems after rising and the health benefit, notably in terms of energy expenditure, appears rather modest, even if non negligeable.
Topics: Cardiovascular Diseases; Energy Metabolism; Humans; Muscle, Skeletal; Posture; Standing Position; Workplace
PubMed: 35474143
DOI: 10.1007/s00421-022-04954-y -
PeerJ 2023Musculoskeletal disorders (MSDs), especially in the lumbar spine, are a leading concern in occupational health. Work activities associated with excessive exposure are a... (Review)
Review
BACKGROUND
Musculoskeletal disorders (MSDs), especially in the lumbar spine, are a leading concern in occupational health. Work activities associated with excessive exposure are a source of risk for MSDs. The optimal design of workplaces requires changes in both sitting and standing postures. In order to secure such a design scientifically proved quantitative data are needed that would allow for the assessment of differences in spine load due to body posture and/or exerted force. Intradiscal pressure (IP) measurement in the lumbar spine is the most direct method of estimating spinal loads. Hence, this study aims at the quantitative evaluation of differences in lumbar spine load due to body posture and exerted forces, based on IP reported in publications obtained from a comprehensive review of the available literature.
METHODOLOGY
In order to collect data from studies measuring IP in the lumbar spine, three databases were searched. Studies with IP for living adults, measured in various sitting and standing postures, where one of these was standing upright, were included in the analysis. For data to be comparable between studies, the IP for each position was referenced to upright standing. Where different studies presented IP for the same postures, those relative IPs (rIP) were merged. Then, an analysis of the respective outcomes was conducted to find the possible relationship of IPs dependent on a specific posture.
RESULTS
A preliminary analysis of the reviewed papers returned nine items fulfilling the inclusion and exclusion criteria. After merging relative IPs from different studies, rIP for 27 sitting and 26 standing postures was yielded. Some of the data were useful for deriving mathematical equations expressing rIP as a function of back flexion angle and exerted force in the form of a second degree polynomial equation for the standing and sitting positions. The equations showed that for the standing posture, the increase in IP with increasing back flexion angle is steeper when applying an external force than when maintaining body position only. In a sitting position with the back flexed at 20°, adding 10 kg to each hand increases the IP by about 50%. According to the equations developed, for back flexion angles less than 20°, the IP is greater in sitting than in standing. When the angle is greater than 20°, the IP in the sitting position is less than in the standing position at the same angle of back flexion.
CONCLUSIONS
Analysis of the data from the reviewed papers showed that: sitting without support increases IP by about 30% in relation to upright standing; a polynomial of the second degree defines changes in IP as a function of back flexion for for both postures. There are differences in the pattern of changes in IP with a back flexion angle between sitting and standing postures, as back flexion in standing increases IP more than in sitting.
Topics: Adult; Humans; Sitting Position; Standing Position; Posture; Lumbar Vertebrae; Lumbosacral Region; Musculoskeletal Diseases
PubMed: 37872945
DOI: 10.7717/peerj.16176 -
International Journal of Environmental... Feb 2023The changes in lumbar lordosis angle (LL) and sacral slope angle (SS) related to upper limb elevation and thoracic kyphosis angle (TK) in baseball players with...
The changes in lumbar lordosis angle (LL) and sacral slope angle (SS) related to upper limb elevation and thoracic kyphosis angle (TK) in baseball players with spondylolysis remain unclear. Herein, we investigated baseball players with spondylolysis and those without low back pain, comparing LL and SS with upper limb elevation within and between groups and TK between groups. Baseball players with spondylolysis were enrolled as subjects, and baseball players without low back pain were enrolled as controls (n = 8 each). X-rays were obtained in the standing position and with maximal elevation position of the upper limb (elevation position). LL and SS were measured in the standing and elevated positions, and TK was measured in the standing position. LL was significantly larger in individuals with spondylolysis than controls. The SS of the control group was significantly larger in the elevated position than in the standing position, while the SS of the spondylolysis group was not significantly different between positions. SS was significantly larger in the spondylolysis group than in the control group, only in the standing position. Physical therapy for spondylolysis should focus on hyperlordosis alignment in the standing and maximal elevation positions of both upper limbs, sacral hyper-slope alignment in the standing position, and decreased sacral slope motion.
Topics: Humans; Standing Position; Low Back Pain; Baseball; Lordosis; Kyphosis; Spondylolysis; Lumbar Vertebrae
PubMed: 36833924
DOI: 10.3390/ijerph20043231 -
Journal of Physiological Anthropology Mar 2022The lumbar multifidus (LMF) muscle, which is involved in the mechanical stability of the lumbar spine, reportedly undergoes atrophy in patients with low back pain....
BACKGROUND
The lumbar multifidus (LMF) muscle, which is involved in the mechanical stability of the lumbar spine, reportedly undergoes atrophy in patients with low back pain. Preventing or mitigating low back pain requires strengthening the LMF muscle; however, methods for triggering selective and significant contraction of this muscle have not been fully studied. This study aims to clarify how, in the hands-and-knees or standing position, the position of the arm and leg on one side affects the activity of the lumbar erector spinae (LES) and LMF muscles.
METHODS
We recruited nine adult men with no prior history of low back pain. Measurements were taken in four different postures under varying conditions (that is, one arm and one leg were lifted in either the hands-and-knees or standing position,) as follows: (1) shoulder joint flexion and hip joint extension in the hands-and-knees position; (2) 90° shoulder joint abduction and hip joint abduction in the hands-and-knees position; (3) shoulder joint flexion and hip joint extension in the standing position; and (4) 90° shoulder joint abduction and hip joint abduction in the standing position. The 90° shoulder joint abduction involved simultaneous horizontal abduction, while the hip joint abduction involved simultaneous extension. Muscle activity of the LES and LMF in each posture was measured using a surface electromyograph.
RESULTS
Muscle activity of the LMF was significantly higher in 90° shoulder joint abduction and hip joint abduction than in shoulder joint flexion and hip joint extension in both the hands-and-knees and standing positions. The LES muscle showed no significant differences in activity between each posture.
CONCLUSIONS
The results suggest that unilateral 90° shoulder joint abduction and contralateral hip joint abduction in the hands-and-knees and standing positions may produce selective and significant contraction of the LMF muscle.
Topics: Adult; Electromyography; Humans; Leg; Lumbosacral Region; Male; Muscle Contraction; Muscle, Skeletal; Muscles; Paraspinal Muscles; Standing Position
PubMed: 35255996
DOI: 10.1186/s40101-022-00279-z -
Perceptual and Motor Skills Dec 2022While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly...
While investigators have often compared ankle proprioception between groups with and without chronic ankle instability (CAI), findings have been inconsistent. Possibly this is because ankle proprioceptive impairment in this population is task-specific. Thus, we aimed to compare ankle inversion proprioception in individuals with and without CAI in two task conditions: (i) when standing (not challenging) and (ii) when on a step-down landing (minimally-challenging). Ankle inversion proprioception was measured in both conditions for 38 recreational sport player volunteers with CAI ( = 19) and without CAI ( = 19). We used the Active Movement Extent Discrimination Apparatus (AMEDA) for the standing condition and the Ankle Inversion Discrimination Apparatus-Landing (AIDAL) for step-down landing. From analysis of variance (ANOVA) tests, CAI and non-CAI participants performed equally well on the AMEDA when standing; but the CAI group performed significantly worse than the non-CAI group on the AIDAL step-down landing task ( = 0.03). Within the non-CAI group, the AIDAL proprioceptive scores, as area under the receiver operating characteristics curve (AUC), were significantly higher than their AMEDA AUC scores ( = 0.03), while there was no significant difference between AIDAL and AMEDA AUC scores in the CAI group. Cumberland Ankle Instability Tool CAIT scores were significantly correlated with AIDAL scores (Spearman's rho = 0.391, = 0.015), but not with the AMEDA scores; and there was no significant correlation between the AIDAL and AMEDA scores. Thus an ankle inversion proprioceptive deficit was evident for persons with CAI on the step-down AIDAL, and in a dose-response way, but not evident on the standing AMEDA, suggesting that ankle proprioceptive impairment is task-specific. Selected proprioceptive tests must present some minimal degree of challenge to the ankle joint in a functional task in order to differentiate CAI from non-CAI participants.
Topics: Humans; Ankle; Ankle Joint; Proprioception; Joint Instability; Standing Position
PubMed: 36113161
DOI: 10.1177/00315125221125608 -
International Journal of Environmental... Mar 2021Quantitative assessment is crucial for the evaluation of human postural balance. The force plate system is the key quantitative balance assessment method. The purpose of... (Review)
Review
Quantitative assessment is crucial for the evaluation of human postural balance. The force plate system is the key quantitative balance assessment method. The purpose of this study is to review the important concepts in balance assessment and analyze the experimental conditions, parameter variables, and application scope based on force plate technology. As there is a wide range of balance assessment tests and a variety of commercial force plate systems to choose from, there is room for further improvement of the test details and evaluation variables of the balance assessment. The recommendations presented in this article are the foundation and key part of the postural balance assessment; these recommendations focus on the type of force plate, the subject's foot posture, and the choice of assessment variables, which further enriches the content of posturography. In order to promote a more reasonable balance assessment method based on force plates, further methodological research and a stronger consensus are still needed.
Topics: Foot; Humans; Postural Balance; Posture; Standing Position
PubMed: 33800119
DOI: 10.3390/ijerph18052696 -
Journal of Strength and Conditioning... Aug 2021Scanlan, AT, Wen, N, Pyne, DB, Stojanović, E, Milanović, Z, Conte, D, Vaquera, A, and Dalbo, VJ. Power-related determinants of Modified Agility T-test performance in...
Scanlan, AT, Wen, N, Pyne, DB, Stojanović, E, Milanović, Z, Conte, D, Vaquera, A, and Dalbo, VJ. Power-related determinants of Modified Agility T-test performance in male adolescent basketball players. J Strength Cond Res 35(8): 2248-2254, 2021-Although the Modified Agility T-test (MAT) has been advocated for assessing change-of-direction performance in basketball, the power-related attributes emphasized during the test are unknown. Therefore, the aim of this study was to identify the power-related determinants of the MAT in basketball players. A cross-sectional, descriptive research design was used whereby national- and state-level male adolescent basketball players (n = 24; 17.3 ± 0.5 years) completed a battery of power-related performance tests. The tests administered included the MAT, isometric midthigh pull, 10-m sprint, countermovement jump, 1-step vertical jump, standing long jump, and repeated lateral bound. Associations between performance during the MAT and other tests were quantified, and performance in each test was compared between faster (>50th percentile) and slower (<50th percentile) players in the MAT. The MAT exhibited large correlations (p < 0.05) with standing long jump distance (r = -0.67, R2 = 45%), countermovement jump relative peak force (r = -0.63, R2 = 39%), isometric midthigh pull relative peak force (r = -0.55, R2 = 30%), and 10-m sprint time (r = 0.53, R2 = 28%). The faster group performed better (p < 0.05) during the standing long jump (mean difference; ±90% confidence limits: 0.16; ±0.12 m) and produced greater (p < 0.05) relative peak force during the isometric midthigh pull (2.5; ±2.3 N·kg-1) and countermovement jump (2.1; ±1.8 N·kg-1) than the slower group. The MAT complements other power-related tests used in basketball and stresses basketball-specific, power-related attributes in various movement planes. These data can inform training and testing approaches to optimize change-of-direction performance in basketball.
Topics: Adolescent; Athletic Performance; Basketball; Cross-Sectional Studies; Humans; Male; Movement; Standing Position
PubMed: 30893280
DOI: 10.1519/JSC.0000000000003131 -
Journal of Orthopaedic Surgery (Hong... 2023The interaction between knee osteoarthritis and spinal deformity and knee flexion (KF) remains unclear. We aimed to clarify the relationship between KF in the standing...
The interaction between knee osteoarthritis and spinal deformity and knee flexion (KF) remains unclear. We aimed to clarify the relationship between KF in the standing position and the severity of spinal deformity and knee osteoarthritis. We analyzed older volunteers aged over years who participated in the musculoskeletal screening program. The participant's characteristics and standing radiographic parameters were assessed. After a preliminary analysis, a propensity score-matched model was established with adjustments for age, sex, and body mass index (BMI). Cases were divided into KF (knee angle [KA] ≥10°) and non-KF (KA <10°) groups. In a preliminary analysis of 252 cases (42 KF and 210 non-KF), there were significant differences in age and BMI between the KF and non-KF groups (all < 0.05). Using a one-to-one propensity score-matched analysis, 38 pairs of cases were selected. There were significantly higher values of C7 sagittal vertical axis, T1 pelvic angle, pelvic tilt, pelvic incidence minus lumbar lordosis, KA, ankle angle, and pelvic shift in the KF group than in the non-KF group (all < 0.05). In the KF group, 71.1% of the cases had severe spinal deformity (defined as marked deformity by the SRS-Schwab classification), and 31.6% had severe knee osteoarthritis (defined as a Kellgren Lawrence grade ≥3). Of the 31.6%, 7.9% were attributable to knee osteoarthritis alone, and 23.7% to both knee osteoarthritis and spinal deformity. This study clarified that compensatory changes due to spinopelvic malalignment, not due to knee osteoarthritis alone, mainly affected KF in the standing position.
Topics: Humans; Middle Aged; Aged; Standing Position; Osteoarthritis, Knee; Radiography; Lordosis; Pelvis
PubMed: 37039267
DOI: 10.1177/10225536231169575 -
Work (Reading, Mass.) 2023Prolonged sitting during work is common and has been shown to cause health issues. However, changing working postures has been reported to reduce musculoskeletal issues...
BACKGROUND
Prolonged sitting during work is common and has been shown to cause health issues. However, changing working postures has been reported to reduce musculoskeletal issues and impact other health issues; thus, there is a need for an office environment with multiple choices of working postures.
OBJECTIVE
The purpose of this study was to evaluate changes in body position, body loading, and blood perfusion while in a seated, standing, and new office seating position, termed the in-between position.
METHODS
Ground reaction forces, joint angles, pelvic tilt, openness angle (angle between the pelvis plane and thorax), and blood perfusion were evaluated for three positions. A motion capture system with markers was used to capture the position of anatomical landmarks. A six-axis force plate was used to collect the ground reaction forces, and a laser doppler perfusion monitor was used to obtain the blood perfusion.
RESULTS
Data showed that the in-between position articulated the hips, which provided a hip and lumbar position closer to a standing posture than a seated posture. The average vertical ground reaction force in the in-between position was larger than the seated position but significantly smaller than during standing (p < 0.0001). There were no significant differences in anterior/posterior ground reaction forces between the seated and the in-between positions (p = 0.4934). Lastly, blood perfusion increased during the dynamic transitions between positions indicating changes in blood flow.
CONCLUSION
The in-between position provides benefits of both standing (larger pelvic tilt and increased lumbar lordosis) and sitting (reduction in ground reaction forces).
Topics: Humans; Biomechanical Phenomena; Lumbar Vertebrae; Posture; Sitting Position; Standing Position
PubMed: 36847053
DOI: 10.3233/WOR-220078 -
Sensors (Basel, Switzerland) Feb 2022As the world's population ages, technology-based support for the elderly is becoming increasingly important. This study analyzes the relationship between natural...
As the world's population ages, technology-based support for the elderly is becoming increasingly important. This study analyzes the relationship between natural standing behavior measured in a living space of elderly people and the classes of standing aids, as well as the physical and cognitive abilities contributing to household fall injury prevention. In total, 24 elderly standing behaviors from chairs, sofas, and nursing beds recorded in an RGB-D elderly behavior library were analyzed. The differences in standing behavior were analyzed by focusing on intrinsic and common standing aid characteristics among various seat types, including armrests of chairs or sofas and nursing bed handrails. The standing behaviors were categorized into two types: behaviors while leaning the trunk forward without using an armrest as a standing aid and those without leaning the trunk forward by using an arrest or handrail as a standing aid. The standing behavior clusters were distributed in a two-dimensional map based on the seat type rather than the physical or cognitive abilities. Therefore, to reduce the risk of falling, it would be necessary to implement a seat type that the elderly can unconsciously and naturally use as a standing aid even with impaired physical and cognitive abilities.
Topics: Accidental Falls; Aged; Humans; Standing Position; Torso
PubMed: 35161923
DOI: 10.3390/s22031178