Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 504-509 , April 2006

Effect of Different Sitting Postures on Lung Capacity, Expiratory Flow, and Lumbar Lordosis

Presented in part to the Rehabilitation Engineering and Assistive Technology Society of North America, June 19–22, 2004, Orlando, FL.

  • Fang Lin, DSc

      Affiliations

    • Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL
    • Department of Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL
    • Sensory Motor Performance Program, Chicago, IL
  • ,
  • Sriranjani Parthasarathy, BS

      Affiliations

    • Sensory Motor Performance Program, Chicago, IL
  • ,
  • Susan J. Taylor, OT/L

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL
  • ,
  • Deborah Pucci, MPT

      Affiliations

    • Rehabilitation Institute of Chicago, Chicago, IL
  • ,
  • Ronald W. Hendrix, MD

      Affiliations

    • Department of Radiology, Northwestern University, Chicago, IL
  • ,
  • Mohsen Makhsous, PhD

      Affiliations

    • Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL
    • Department of Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL
    • Sensory Motor Performance Program, Chicago, IL
    • Corresponding Author InformationReprint requests to Mohsen Makhsous, PhD, 645 N Michigan Ave, Ste 1100, Chicago, IL 60611

References 

  1. Chen CF , Lien IN , Wu MC . Respiratory function in patients with spinal cord injuries (effects of posture) . Paraplegia . 1990;28:81–86
  2. Dyson-Hudson TA , Kirshblum SC . Shoulder pain in chronic spinal cord injury. Part I: Epidemiology, etiology, and pathomechanics . J Spinal Cord Med . 2004;27:4–17
  3. Gironda RJ , Clark ME , Neugaard B , Nelson A . Upper limb pain in a national sample of veterans with paraplegia . J Spinal Cord Med . 2004;27:120–127
  4. Rodgers MM , McQuade KJ , Rasch EK , Keyser RE , Finley MA . Upper-limb fatigue-related joint power shifts in experienced wheelchair users and nonwheelchair users . J Rehabil Res Dev . 2003;40:27–37
  5. McKinley WO , Jackson AB , Cardenas DD , DeVivo MJ . Long-term medical complications after traumatic spinal cord injury (a regional model systems analysis) . Arch Phys Med Rehabil . 1999;80:1402–1410
  6. Hobson DA , Tooms RE . Seated lumbar/pelvic alignment. A comparison between spinal cord-injured and noninjured groups . Spine . 1992;17:293–298
  7. Brienza DM , Karg PE , Geyer MJ , Kelsey S , Trefler E . The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair users . Arch Phys Med Rehabil . 2001;82:529–533
  8. Pinchovsky-Devin GD , Kaminski MV . Correlation of pressure sores and nutritional status . J Am Geriatr Soc . 1986;34:435–440
  9. Velez-Campos L , Mahoney P . DRG’s and pressure sores . J Enterostomy Ther . 1987;14:243–247
  10. Staas WE , Cioschi HM . Pressure sores—a multifaceted approach to prevention and treatment . West J Med . 1991;154:539–544
  11. Lindan O , Greenway RM , Piazza JM . Pressure distribution on the surface of the human body. 1. Evaluation in lying and sitting positions using a “bed of spring and nails.” . Arch Phys Med Rehabil . 1965;46:378–385
  12. Thorfinn J , Sjöberg F , Lidman D . Sitting pressure and perfusion of buttock skin in paraplegic and tetraplegic patients, and in healthy subjects (a comparative study) . Scand J Plast Reconstr Surg Hand Surg . 2002;36:279–283
  13. Jackson AB , Grooms TE . Incidence of respiratory complications following spinal cord injury . Arch Phys Med Rehabil . 1994;75:270–275
  14. Baydur A , Adkins RH , Milic-Emili J . Lung mechanics in individuals with spinal cord injury (effects of injury level and posture) . J Appl Physiol . 2001;90:405–411
  15. Appel M , Childs A , Healey E , Markowitz S , Wong S , Mead J . Effect of posture on vital capacity . J Appl Physiol . 1986;61:1882–1884
  16. Lalloo UG , Becklake MR , Goldsmith CM . Effect of standing versus sitting position on spirometric indices in healthy subjects . Respiration . 1991;58:122–125
  17. Makhsous M , Lin AF , Hendrix RW , Hepler M , Zhang LQ . Sitting with adjustable ischial and back supports (biomechanical changes) . Spine . 2003;28:1113–1121
  18. Makhsous M , Patel JC , Lin F , Hendrix RW , Zhang LQ . Sitting pressure in a wheelchair with adjustable ischial and back supports . Proceedings of the RESNA 26th International Conference on Technology and Disability (Research, Design, Practice and Policy) . 2003; June 19-23; Atlanta (GA)
  19. Cobb JR . Outline for the study of scoliosis . In:  Thomson JE ,  Blount WP editor. American Academy of Orthopaedic Surgeons (instructional course lectures) . Vol 5: Ann Arbor: JW Edwards; 1948;p. 261–275
  20. Eid N , Yandell B , Howell L , Eddy M , Sheikh S . Can peak expiratory flow predict airflow obstruction in children with asthma? . Pediatrics . 2000;105:354–358
  21. Druz WS , Sharp JT . Activity of respiratory muscles in upright and recumbent humans . J Appl Physiol . 1981;51:1552–1561
  22. Morgan MD , Silver JR . The respiratory system of the spinal cord injuries . In:  Bloch RF ,  BasaBaum M editor. Management of spinal cord injuries . Baltimore: Williams & Wilkins; 1986;p. 78–116
  23. Hellsing E . Changes in the pharyngeal airway in relation to extension of the head . Eur J Othod . 1989;11:359–365
  24. Andersson GJ , Murphy RW , Ortengren R , Nachemson AL . The influence of backrest inclination and lumbar support on lumbar lordosis . Spine . 1979;4:52–58
  25. Itoi E . Roentgenographic analysis of posture in spinal osteoporotics . Spine . 1991;16:750–756
  26. Stagnara P , De Mauroy JC , Dran G , et al.   Reciprocal angulation of vertebral bodies in a sagittal plane (approach to references for the evaluation of kyphosis and lordosis) . Spine . 1982;7:335–342
  27. Kimura S , Steinbach GC , Watenpaugh DE , Hargens AR . Lumbar spine disc height and curvature responses to an axial load generated by a compression device compatible with magnetic resonance imaging . Spine . 2001;26:2596–2600
  28. Lord MJ , Small JM , Dinsay JM , Watkins RG . Lumbar lordosis. Effects of sitting and standing . Spine . 1997;22:2571–2574
  29. Hollinshead WH , Rosse C . Textbook of anatomy . 4th ed.. Philadelphia: Harper & Row; 1985;

 Supported by the Paralyzed Veterans Association (grant no. 2321-01), the National Institutes of Health (grant no. R24 Rehab Network), and the Falk Medical Trust.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(05)01472-3

doi: 10.1016/j.apmr.2005.11.031

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 4 , Pages 504-509 , April 2006