LOWER BACK PAIN: LOWER BACK PAIN · • Bucket seats cause excessive hip and knee bending (fl...
Transcript of LOWER BACK PAIN: LOWER BACK PAIN · • Bucket seats cause excessive hip and knee bending (fl...
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LOW BACK PAIN:
AUTOMOBILE SEAT SET-UP,
ADJUSTMENTS, AND
MODIFICATIONS
WORK CITED1. Laslett M. Manual correction of an acute lumbar lateral shift:
maintenance of correction and rehabilitation: a case report with video. J Man Manip Ther. 2009;17(2):78-85. www.ncbi.nlm.nih.gov/pmc/articles/PMC2700497/.
2. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troy-anovich SJ. Sitting biomechanics part I: review of the literature. J Manipulative Physiol Ther. 1999;22(9): 594-609. www.sciencedirect.com/science/article/pii/S0161475499700205?via%3Dihub.
3. Porter JM, Gyi DE. Exploring the optimum posture for driver comfort. Int J Veh Design. 1998;19(3):255-266.
4. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troy-anovich SJ. Sitting biomechanics, part II: optimal car driver’s seat and optimal driver’s spinal model. J Manipulative Physiol Ther. 2000;23(1):37-47.
5. Yasukouchi A, Isayama T. The relationships between lumbar curves, pelvic tilt and joint mobilities in different sitting postures in young adult males. Appl Human Sci. 1995;14(1):15-21.
WORKS CONSULTEDPhysioMed. Correct sitting posture: driving. www.physiomed.co.uk/uploads/guide/file/21/Physiomed_Sitting_Guide_-_Driving_Digital.pdf. Accessed August 23, 2018. Gokhale Method Institute. How to Modify Your Car Seat For a Pain-Free Ride. https://gokhalemethod.com/blog/63012. Accessed August 23, 2018. “Driving Ergonomics.” Ergonomic Tips for Driving - Ergonomics Simplified, Ergonomics Simplified, www.ergonomicssimplified.com/tips/driving. Accessed August 23, 2018. Government of Canada, Canadian Centre for Occupational Health and Safety. Driving and Ergonomics. www.ccohs.ca/oshanswers/ergonomics/driving.html. Accessed September 4, 2017.
LATERAL SHIFT• Shifting spine/leaning torso to the left or right
leads to incorrect spine alignment
• Solution: place a folded towel or wedge under buttocks on side of shift1
• In the picture below: lean of torso to right side = place folded towel or wedge under right buttock
• Will help to return spine to correct position while driving 1
LOWER BACK PAIN: Automobile Seat Setup
Adjustments and Modifications
LATERAL SHIFT
• Shifting spine/leaning torso to the left or right leads to incorrect spine alignment
• Solution: place a folded towel or wedge under buttocks on side of shift1
• In the picture above: lean of torso to right side = place folded towel or wedge under right buttock
• Will help to return spine to correct position while driving 1
Works Cited 1. Laslett M. Manual correction of an acute lumbar
lateral shift: maintenance of correction and rehabilitation: a case report with video. J Man Manip Ther. 2009;17(2):78-85. www.ncbi.nlm.nih.gov/pmc/articles/PMC2700497/.
2. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting biomechanics part I: review of the literature. J Manipulative Physiol Ther. 1999;22(9): 594-609. www.sciencedirect.com/science/article/pii/S0161475499700205?via%3Dihub.
3. Porter JM, Gyi DE. Exploring the optimum posture for driver comfort. Int J Veh Design. 1998;19(3):255-266.
4. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting biomechanics, part II: optimal car driver's seat and optimal driver's spinal model. J Manipulative Physiol Ther. 2000;23(1):37-47.
5. Yasukouchi A, Isayama T. The relationships between lumbar curves, pelvic tilt and joint mobilities in different sitting postures in young adult males. Appl Human Sci. 1995;14(1):15-21.
Works Consulted PhysioMed. Correct sitting posture: driving. www.physiomed.co.uk/uploads/guide/file/21/Physiomed_Sitting_Guide_-_Driving_Digital.pdf. Accessed August 23, 2018. Gokhale Method Institute. How to Modify Your Car Seat For a Pain-Free Ride. https://gokhalemethod.com/blog/63012. Accessed August 23, 2018. “Driving Ergonomics.” Ergonomic Tips for Driving - Ergonomics Simplified, Ergonomics Simplified, www.ergonomicssimplified.com/tips/driving. Government of Canada, Canadian Centre for Occupational Health and Safety. Driving and Ergonomics. www.ccohs.ca/oshanswers/ergonomics/driving.html. Accessed September 4, 2017.
If torso shifted to the RIGHT…
…place towel or wedge under RIGHT buttock
LOWER BACK PAIN: Automobile Seat Setup
Adjustments and Modifications
LATERAL SHIFT
• Shifting spine/leaning torso to the left or right leads to incorrect spine alignment
• Solution: place a folded towel or wedge under buttocks on side of shift1
• In the picture above: lean of torso to right side = place folded towel or wedge under right buttock
• Will help to return spine to correct position while driving 1
Works Cited 1. Laslett M. Manual correction of an acute lumbar
lateral shift: maintenance of correction and rehabilitation: a case report with video. J Man Manip Ther. 2009;17(2):78-85. www.ncbi.nlm.nih.gov/pmc/articles/PMC2700497/.
2. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting biomechanics part I: review of the literature. J Manipulative Physiol Ther. 1999;22(9): 594-609. www.sciencedirect.com/science/article/pii/S0161475499700205?via%3Dihub.
3. Porter JM, Gyi DE. Exploring the optimum posture for driver comfort. Int J Veh Design. 1998;19(3):255-266.
4. Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ. Sitting biomechanics, part II: optimal car driver's seat and optimal driver's spinal model. J Manipulative Physiol Ther. 2000;23(1):37-47.
5. Yasukouchi A, Isayama T. The relationships between lumbar curves, pelvic tilt and joint mobilities in different sitting postures in young adult males. Appl Human Sci. 1995;14(1):15-21.
Works Consulted PhysioMed. Correct sitting posture: driving. www.physiomed.co.uk/uploads/guide/file/21/Physiomed_Sitting_Guide_-_Driving_Digital.pdf. Accessed August 23, 2018. Gokhale Method Institute. How to Modify Your Car Seat For a Pain-Free Ride. https://gokhalemethod.com/blog/63012. Accessed August 23, 2018. “Driving Ergonomics.” Ergonomic Tips for Driving - Ergonomics Simplified, Ergonomics Simplified, www.ergonomicssimplified.com/tips/driving. Government of Canada, Canadian Centre for Occupational Health and Safety. Driving and Ergonomics. www.ccohs.ca/oshanswers/ergonomics/driving.html. Accessed September 4, 2017.
If torso shifted to the RIGHT…
…place towel or wedge under RIGHT buttock
If torso shifted to the RIGHT…
…place towel or wedge under RIGHT buttock
![Page 2: LOWER BACK PAIN: LOWER BACK PAIN · • Bucket seats cause excessive hip and knee bending (fl exion)3 • Tilt bottom seat up so the hips are at same height as the knees3 • Recline](https://reader034.fdocuments.net/reader034/viewer/2022050415/5f8b6907ec8b123c7d599cce/html5/thumbnails/2.jpg)
BUCKET SEATS VS. HIGHER SEATS
• Bucket seats cause excessive hip and knee bending (fl exion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
FOOT PEDAL USE• Adjust seat to push pedals without moving
back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
SEAT PAN• Old leather seats may “cave”
• Solution: add cushion tobring seat to horizontal; can also decrease vibration4
LUMBAR SUPPORTShort-Term Solution
• Towel roll can fi ll the arch of low back
• Do not place below belt line2,5
LUMBAR SUPPORTLong-Term Solution
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place
LUMBAR SUPPORT
Short-term Solution
• Towel roll can fill the arch of low back
• Do not place below belt line2,5
• Can purchase foam support that attaches to the back of the seat – this will stay in its proper place and will not change in size3
BUCKET SEATS VS. HIGHER
SEATS
• Bucket seats cause excessive hip and knee bending (flexion)3
• Tilt bottom seat up so the hips are at same height as the knees3
• Recline seat 10-20º4
• Bottom seat cushion should support entire thigh with even pressure3,4
SEAT PAN
• Old leather seats may “cave”
• Solution: add cushion to bring seat to horizontal; can also decrease vibration4
FOOT PEDAL USE
• Adjust seat to push pedals without moving back off seat5
• Knees slightly bent, heels on ground, left foot on footrest5
LUMBAR SUPPORT
Longer-term Solution
Belt Line
Too much hip & knee flexion
Knees and hips aligned
Elastic straps keep
support in place