Association of Exposures to Seated Postures With Immediate Increases in Back Pain: A Systematic Review of Studies With Objectively Measured Sitting Time.

De Carvalho, DE; de Luca, K; Funabashi, M; Breen, A; Wong, AYL; Johansson, MS; Ferreira, ML; Swab, M; Neil Kawchuk, G; Adams, J; Hartvigsen, J

Association of Exposures to Seated Postures With Immediate Increases in Back Pain: A Systematic Review of Studies With Objectively Measured Sitting Time.

De Carvalho, DE de Luca, K Funabashi, M Breen, A Wong, AYL Johansson, MS Ferreira, ML Swab, M Neil Kawchuk, G Adams, J

Hartvigsen, J

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Journal of manipulative and physiological therapeutics, 2020, 43, (1), pp. 1-12
Issue Date:: 2020-01

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Field	Value	Language
dc.contributor.author	De Carvalho, DE
dc.contributor.author	de Luca, K
dc.contributor.author	Funabashi, M
dc.contributor.author	Breen, A
dc.contributor.author	Wong, AYL
dc.contributor.author	Johansson, MS
dc.contributor.author	Ferreira, ML
dc.contributor.author	Swab, M
dc.contributor.author	Neil Kawchuk, G
dc.contributor.author	Adams, J https://orcid.org/0000-0002-9901-5717
dc.contributor.author	Hartvigsen, J
dc.date.accessioned	2020-07-30T01:20:51Z
dc.date.available	2019-10-30
dc.date.available	2020-07-30T01:20:51Z
dc.date.issued	2020-01
dc.identifier.citation	Journal of manipulative and physiological therapeutics, 2020, 43, (1), pp. 1-12
dc.identifier.issn	0161-4754
dc.identifier.issn	1532-6586
dc.identifier.uri	http://hdl.handle.net/10453/141919
dc.description.abstract	OBJECTIVE:The purpose of this study was to conduct a systematic review of studies to determine whether sitting time measured objectively (by laboratory controlled time trial, direct observation, or wearable sensor) is associated with the immediate increase in low back pain (LBP) (determined by pain scale rating) in people >18 years of age. METHODS:Four databases (PubMed, EMBASE, SPORTDiscus, and Cumulative Index to Nursing and Allied Health Literature) were searched from inception to September 1, 2018. Randomized controlled trials and cohort and cross-sectional studies, where objectively measured sitting time was temporally matched with a measure of LBP in adults, were included. Studies without a control session conducted on a separate day were excluded. Screening, full-text review, data extraction, and risk of bias assessment (Quality In Prognosis Studies) of included papers were performed independently by 2 reviewers, with a third available to resolve disagreements. RESULTS:In total, 609 articles were identified, 361 titles/abstracts were screened,75 full-text articles were assessed for eligibility, and 10 met the inclusion criteria. All but 1 reported sitting time to be associated with an immediate increase in LBP. Six of these reported clinically relevant pain levels (n = 330). Half of the included studies were rated as having a low risk of bias and the remaining were rated as having a moderate risk of bias. CONCLUSION:Prolonged sitting increases immediate reporting of LBP in adults; however, no conclusion between sitting and clinical episodes of LBP can be made. Based upon these findings, we recommend that future prospective studies should match objectively measured sitting with temporally related pain measurements to determine whether prolonged sitting can trigger a clinical episode of LBP.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Journal of manipulative and physiological therapeutics
dc.relation.isbasedon	10.1016/j.jmpt.2019.10.001
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1103 Clinical Sciences, 1104 Complementary and Alternative Medicine
dc.subject.classification	Orthopedics
dc.title	Association of Exposures to Seated Postures With Immediate Increases in Back Pain: A Systematic Review of Studies With Objectively Measured Sitting Time.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1104 Complementary and Alternative Medicine
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-07-30T01:20:46Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	43
utslib.citation.issue	1

Abstract:

OBJECTIVE:The purpose of this study was to conduct a systematic review of studies to determine whether sitting time measured objectively (by laboratory controlled time trial, direct observation, or wearable sensor) is associated with the immediate increase in low back pain (LBP) (determined by pain scale rating) in people >18 years of age. METHODS:Four databases (PubMed, EMBASE, SPORTDiscus, and Cumulative Index to Nursing and Allied Health Literature) were searched from inception to September 1, 2018. Randomized controlled trials and cohort and cross-sectional studies, where objectively measured sitting time was temporally matched with a measure of LBP in adults, were included. Studies without a control session conducted on a separate day were excluded. Screening, full-text review, data extraction, and risk of bias assessment (Quality In Prognosis Studies) of included papers were performed independently by 2 reviewers, with a third available to resolve disagreements. RESULTS:In total, 609 articles were identified, 361 titles/abstracts were screened,75 full-text articles were assessed for eligibility, and 10 met the inclusion criteria. All but 1 reported sitting time to be associated with an immediate increase in LBP. Six of these reported clinically relevant pain levels (n = 330). Half of the included studies were rated as having a low risk of bias and the remaining were rated as having a moderate risk of bias. CONCLUSION:Prolonged sitting increases immediate reporting of LBP in adults; however, no conclusion between sitting and clinical episodes of LBP can be made. Based upon these findings, we recommend that future prospective studies should match objectively measured sitting with temporally related pain measurements to determine whether prolonged sitting can trigger a clinical episode of LBP.

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http://hdl.handle.net/10453/141919