Sitting and standing postures are corrected by adjustable furniture with lowered muscle tension in high-school students

This study compared the effect of 24 months of adjustable school desks and chairs usage (the intervention) and traditional non-adjustable usage (the control condition) on sitting and standing postures, muscle strength, classroom muscle tension, pain and learning in 15 (8 female and 7 male) high-school students and 15 anthropometrically and gender matched control students from neighbouring schools. It was assessed whether any responses took place after growth cessation. In comparison with controls, the intervention group of students' sitting postures standing kyphosis, scoliosis and lordosis became significantly better, both before and after growth cessation. Trunk muscle strength increased in the intervention students whose muscle tension during classes fell significantly in the trapezius and lumbar muscles, whereas in control students' lumbar tension increased. Headache and low-back pain correlated with neck–shoulder pain and trapezius muscle tension. Intervention students reported that they experienced benefits from the adjustable tables and chairs. They also received significantly better overall marks than the controls at the end of high school. It is concluded that the adjustable school desks and chairs promoted better sitting and standing postures, increased muscle strength, alleviated pain and appeared to be associated with better overall academic marks.

[1]  T. Widhe,et al.  Spine: posture, mobility and pain. A longitudinal study from childhood to adolescence , 2001, European Spine Journal.

[2]  E N Corlett,et al.  Background to sitting at work: research-based requirements for the design of work seats , 2006, Ergonomics.

[3]  G Knight,et al.  Children's behaviour and the design of school furniture. , 1999, Ergonomics.

[4]  Arja Rimpelä,et al.  Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys , 2002, BMJ : British Medical Journal.

[5]  G. Kristjánsdóttir,et al.  Risk factors of back pain frequency in schoolchildren: a search for explanations to a public health problem , 2002, Acta paediatrica.

[6]  A. C. Mandal Investigation of the lumbar flexion of the seated man , 1991 .

[7]  A Rimpelä,et al.  Neck or shoulder pain and low back pain in Finnish adolescents , 2000, Scandinavian journal of public health.

[8]  B. Troussier,et al.  Comparative study of two different kinds of school furniture among children , 1999 .

[9]  J. Salminen,et al.  Spinal Mobility and Trunk Muscle Strength in 15‐Year-Old Schoolchildren With and Without Low‐Back Pain , 1992, Spine.

[10]  T Bendix,et al.  Posture of the trunk when sitting on forward inclining seats. , 1983, Scandinavian journal of rehabilitation medicine.

[11]  V. Lucente,et al.  Abnormal spinal curvature and its relationship to pelvic organ prolapse. , 2000, American journal of obstetrics and gynecology.

[12]  M. Gouvali,et al.  Match between school furniture dimensions and children's anthropometry. , 2006, Applied ergonomics.

[13]  D. Harrison,et al.  Sitting biomechanics part I: review of the literature. , 1999, Journal of manipulative and physiological therapeutics.

[14]  S J Legg,et al.  Back pain in school children--where to from here? , 2006, Applied ergonomics.

[15]  Karsten Froberg,et al.  Back Pain Reporting Pattern in a Danish Population-Based Sample of Children and Adolescents , 2001, Spine.

[16]  F. Balagué,et al.  Non-specific low back pain in children and adolescents: risk factors , 1999, European Spine Journal.

[17]  O Hänninen,et al.  Fully rectified, integrated, band (FRIB-) EMG analysis in quantifying muscle activity. Development of a new field equipment. , 1984, Acta physiologica Scandinavica. Supplementum.

[18]  J. Salminen,et al.  THE ADOLESCENT BACK , 1984, Acta paediatrica Scandinavica. Supplement.

[19]  U. Kujala,et al.  The Prevalence of Low Back Pain Among Children and Adolescents: A Nationwide, Cohort‐Based Questionnaire Survey in Finland , 1997, Spine.

[20]  P. Åstrand,et al.  A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work. , 1954, Journal of applied physiology.

[21]  K Baskin,et al.  Neck-shoulder loading in wordprocessor use , 1989, International archives of occupational and environmental health.