Abstract :
[en] Background: Low back pain is highly prevalent in the general population and is even reported as early as at
primary school. A poor sitting position has been suggested as an etiologic factor. This study analysed, in primary
schoolchildren, the influence of a triangular dynamic cushion that aims to help children maintain their physiological
lumbar lordosis and to induce movement to reduce the static effect of the sitting position.
Methods: Thirty 8-year-old children took part in this study. A 3D analysis combined with electromyography was
used to evaluate the biomechanics and the related muscle activation in two sitting positions (with and without a
triangular cushion on a horizontal stool) during a 15-minute working task. In addition, the force of the feet on
the ground was assessed with a force plate.
Findings: The cushion improved the trunk–thighs angle, lumbar lordosis, anterior pelvis tilt, and feet support on
the ground (p < 0.0001). In addition, sitting on the cushion appeared to be more dynamic (p < 0.05) and
induced a decrease of the lumbar paravertebral muscle activity (p < 0.01).
Interpretation: Sitting on a dynamic triangular cushion tends to favour the “ideal” siting position usually described
in the literature and to decrease the level of paravertebral muscle recruitment. Seeing that sitting position
is a risk factor to develop low back pain, the cushion could be a solution to prevent it.
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