Authors:
Jessa M Buchman-Pearle, Kayla M Fewster, Brendan L Pinto, Jack P Callaghan
"There is an established association between low back pain development and time spent driving (Alperovitch-Najenson et al., 2010; Anderson, 1992; Bovenzi, 2010; Chen et al., 2005; Gyi & Porter, 1998; Mendelek et al., 2011; Okunribido et al., 2007; Plouvier et al., 2008; Porter & Gyi, 2002; Robb & Mansfield, 2007), likely in part due to prolonged exposure to sitting. Compared to standing, sitting leads to flexion of the lumbar spine, resulting in posterior pelvic rotation and loss of the lumbar lordosis (De Carvalho et al., 2010; Endo et al., 2012; Keegan, 1953). This increase in lumbar flexion is linked to increased intradiscal pressure (Adams & Hutton, 1985; Andersson et al., 1974; Wilke et al., 1999), posterior migration of the nucleus pulposus (Alexander et al., 2007), increased strain on passive tissues (Dunk & Callaghan, 2002; McGill & Brown, 1992), and altered erector muscle fiber orientation (Pinto et al., 2021). These biomechanical and physiological adaptations may be further exacerbated during prolonged sitting as progressive deformation of the seat and viscoelastic creep of soft tissues occur. Moreover, in driving, the inability to vary posture due to task constraints (i.e., maintain gaze on road, feet on pedals, hands on steering wheel, and wearing a seatbelt) coupled with vibration exposure may further increase the risk of developing low back pain (Bovenzi, 2010; Porter & Gyi, 2002; Wilder et al., 1982). As such, there is a need to modify automotive design to reduce potentially maladaptive changes to spinal health and discomfort associated with prolonged driving."