title: The effect of dynamic sitting on the prevention and management of low back pain and low back discomfort: a systematic review.
abstract: Dynamic sitting has been proposed to reduce low back pain (LBP) and/or low back discomfort (LBD) while sitting. This is supported by studies suggesting that subjects with LBP assume more static, sustained postures while sitting. This systematic review investigated the effect of dynamic sitting on LBP among subjects with LBP and the development of LBD among pain-free subjects. Electronic databases were searched by two independent assessors. All prospective studies which compared the effect of a dynamic sitting condition on LBP or LBD to another sitting condition were eligible, with no minimum follow-up period applied. The quality of the included studies was assessed using the PEDro scale. Seven high-quality studies were eligible, including five crossover studies and two randomised controlled trials. The results suggest there is currently no evidence to support the use of dynamic sitting as a stand-alone approach in the management of LBP.
  This systematic review investigated the effect of dynamic sitting on LBP or LBD. Seven high-quality studies met the inclusion and exclusion criteria. Overall, the evidence suggests that dynamic sitting approaches are not effective as a stand-alone management approach for LBP.
authors.affiliation: Department of Clinical Therapies, University of Limerick, Limerick, Ireland. kieran.osullivan@ul.ie
authors.forename: Kieran
authors.initials: K
authors.lastname: O'Sullivan
authors.forename: Mary
authors.initials: M
authors.lastname: O'Keeffe
authors.forename: Leonard
authors.initials: L
authors.lastname: O'Sullivan
authors.forename: Peter
authors.initials: P
authors.lastname: O'Sullivan
authors.forename: Wim
authors.initials: W
authors.lastname: Dankaerts
mesh_terms: D006801:Humans; D017116:Low Back Pain / Q000517:prevention & control / Q000628:therapy*; D009068:Movement / Q000502:physiology*; D004856:Postural Balance / Q000502:physiology*; D011187:Posture / Q000502:physiology; D013131:Spine / Q000502:physiology*