Publication:
Exploring Lumbar Spine Posture and Movement in Sitting: A Comparison Between Laboratory and Real-World Measures

dc.contributor.authorAbdullah Alshehri, Mansour
dc.contributor.authorRiddick, Ryan
dc.contributor.authorBesomi, Manuela
dc.contributor.authorHoorn, Wolbert van den
dc.contributor.authorKlyne, David M.
dc.contributor.authorHodges, Paul W.
dc.date.accessioned2026-08-05T21:52:49Z
dc.date.available2026-08-05T21:52:49Z
dc.date.issued2025
dc.description.abstractBackground/Objectives: Sitting is linked to health problems, including back pain. Sitting posture is commonly measured in the laboratory, but it remains unclear how this relates to real-world spine posture. Methods: A cross-sectional study of pain-free adults conducted measurements in “laboratory” and “real-world” settings. Wearable motion sensors recorded lumbar spine angular orientation to compare lumbar spine flexion angle during sitting postures in between settings. Gaussian mixture models defined participant-specific modes and overall probability distributions of real-world sitting posture. Measures included periods of real-world sedentary/activity behaviours and trunk postural control (laboratory). Results: Laboratory measures of lumbar angle were more flexed during questionnaire (30.0◦) than upright (19.8◦) sitting. The angle in unstable sitting was intermediate (27.1◦). Spine posture in unstable sitting correlated with real-world overall mean posture (r = 0.49–0.54) and most frequent mode (r = 0.47). Upright laboratory sitting posture correlated with real-world second most frequent mode (r = 0.54). Sitting less (r = 0.45) and walking more (r = 0.41) in the real world related to better balance performance and lumbar spine coordination. Conclusions: Spine posture in an unstable sitting laboratory task had the closest association with real-world sitting but does not replicate the diversity of spine postures adopted in real-world sitting. Wearable sensors are viable to study real-world postures.
dc.description.versionVersión publicada
dc.format.extent17 p.
dc.identifier.citationAlshehri, M. A., Riddick, R., Besomi, M., van den Hoorn, W., Klyne, D. M., & Hodges, P. W. (2025). Exploring Lumbar Spine Posture and Movement in Sitting: A Comparison Between Laboratory and Real-World Measures. Journal of Clinical Medicine, 14(21), 7518. https://doi.org/10.3390/jcm14217518
dc.identifier.doihttps://doi.org/10.3390/jcm14217518
dc.identifier.urihttps://hdl.handle.net/11447/10963
dc.language.isoen
dc.subjectLumbar spine
dc.subjectSpine posture
dc.subjectSpine alignment
dc.subjectPostural control
dc.subjectSitting
dc.subjectReal world
dc.titleExploring Lumbar Spine Posture and Movement in Sitting: A Comparison Between Laboratory and Real-World Measures
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceJournal of Clinical Medicine
dspace.entity.typePublication

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