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© Professor Alan Hedge, Cornell University, November, 2002




                 Ergonomic Seating?
The Perfect Chair?
The Perfect Work Posture?
Backs, Sitting & Ergonomic Chairs
 Up to 50% of MSDs
 Lifetime risk - 80% of people
 Maximum risk - 20-45 years old
 Risk factors:
   Frequent heavy lifting
   Poor posture
   Static sitting

We Need to Sit
 Energy – sitting requires 20% less energy than standing.
We Need to Sit
 Efficiency - if supported and reclined, intradiscal pressure
 is less than that for erect standing.

We Need to Sit
 Effectiveness - sitting increases postural stability for fine
 motor tasks.
Why Do We Sit?
 Equality – sitting reduces anthropometric variability.
Why Do We Sit?
 Equality – sitting reduces anthropometric variability.
We Need to Sit
 Equality – sitting reduces anthropometric variability.
Why an Ergonomic Chair?
 Economics        -the average office loses over $7300 per employee per year
 in poor productivity and medical and Workers' Compensation claims (The
 Bureau of Labor Statistics).
 Over 50% are low-back injuries. Poor chair design contributes to poor seated


                                       1
© Professor Alan Hedge, Cornell University, November, 2002


   posture which plays a major role in these injuries (e.g. Secretary Back
   Syndrome).

Musculoskeletal Discomfort
(Ong et al., in Work with Computers, 330-337, 1989)
   Survey of 672 full-time computer users:
   Complaints related to poor ergonomic furniture, including the chair.
Musculoskeletal Discomfort
(Ignatius et al., J. Human Ergology, 22:83-93, 1993)
   Survey of 170 women typists working at computers
   Mismatch between chair height and desk height and poor furniture design
   related to symptoms.
Ergonomic Survey of the Social Services
Administration, USA
(Lueder, 1997)
Ergonomic Chair Design?
   Who advertises their chair as “not an ergonomic design”?
   Can you choose the best chair solution from “off-the-shelf”
   ergonomic chairs?
How Should We Sit?
Risk = Posture X Exposure
ANSI/HFS 100-1988
Myths of Ergonomic Seating
1. Ergonomic seating always requires a single, ‘cubist’ (90° upright) postural orientation that is
   independent of the user’s task (Dainoff, 1994).
2. You can judge how ergonomic a chair is by briefly sitting in it.
3. Users should be able to adjust everything.
4. Users don’t need training on how to sit in a chair (Dainoff, 1994).
5. One chair design will provide the best fit for all users.

Proper Ergonomic Posture?
    Anthropometric reference diagram (90° angles) IS NOT a required
    ergonomic posture!
    Reclined postures often are preferred (Grandjean, 1988).
Lumbar Support
   In unsupported sitting or forward leaning the lumbar spine may be

                                                 2
© Professor Alan Hedge, Cornell University, November, 2002



  in kyphosis, which is indesirable.
  During supported sitting the lumbar spine should be maintained in
  lordosis by an adjustable lumbar support.
Seat Pan Design
  Proper sitting requires pelvic rotation that creates lumbar
  lordosis.
Ischial Tuberosities
   Sitting concentrates the forces on the ischial tuberosities (sit
   bones).

Seat Pan Design
        Posture and Lumbar Disc Pressure
                          (Nachemson, 1974)
  Lumbar disc pressure varies with back posture and the load in the hands.
  Lumbar disc pressure is lowest for a supported, reclined posture.

Back Muscle Pain
              Backrest angle and muscle activity
                 (Andersson and Ortengren, 1974)
  Lumbar, thoracic, and cervical muscle activity all decrease with
  increasing backrest inclination up to 110°.

Work Postures
(Park et al., 2000)
  Effects of work postures on muscle activity tested
Preferred Seat Angle
  Both lumbar disc pressure and back muscle activity are lowest with
  a supported recline angle of 110° - 130°.
Adjustable Back Support
(Coleman et al., Ergonomics 41: 401-19, 1998)
  Studied 123 office workers (43 men, 80 women) over a 5 week period: a high
  proportion of chair users make height adjustments to their lumbar back
  support.
  Adjustment frequency is higher for older workers than younger workers.



                                        3
© Professor Alan Hedge, Cornell University, November, 2002



Chair Support
 Buttocks and back need support.
Keegan’s Normal Posture
 Abdominal angle is ~135 °.
Keegan’s Normal Posture
Keegan’s Normal Posture
 Abdominal angle is ~135 °.
Balan’s Chair: Normal Posture
 Research findings don’t support claims that this design will
 decrease low back pain (Lander et al., Spine 12: 269-72,
 1987).
Mandal’s Forwards-tilting Posture
 A proper spinal posture can be maintained by forwards sitting if the
 person has a seat pan that tilts and they use an angled
 worksurface.
Lots of balls?
 Sitting on balls can put the body in Keegan's normal posture, but
 isn't a solution for extended use.
Saddle chairs
 Work by Keegan and Mandal forms the basis for saddle chairs.
Sitting in Context
 Whether or not a chair design is ergonomic can depend on the task.

Neutral Posture
 Neutral posture in microgravity is similar to the seated postures
 shown (Congleton, 1999).
Neutral Posture in Microgravity
 Neutral posture in microgravity can be seen for a sleeping
 astronaut.
 Is this really the posture we should adopt in gravity?
Posture and Lumbar Disc Pressure
(Wilke et al., 1999)

                                      4
© Professor Alan Hedge, Cornell University, November, 2002



 Lumbar intradiscal pressure can be recorded at L4-L5 during
 different standing, sitting and lifting postures.
Posture and Lumbar Disc Pressure
(Wilke et al., 1999)
 Intradiscal pressure during reclined, supported sitting is 50% less
 than that for erect standing.
                Dynamic vs. Static Sitting
            (van Dieën et al. Ergonomics, June, 2001)
 Tested 3 chairs:
    Fixed Angle – FA (95º)
    Dynamic Angle – DA
    Dynamic Angle – DB
 Subjects worked for 3 hours on CAD, Word processing and reading
 tasks.
 Spinal elongation measured.
 Neck posture measured.
 Back EMG measured.
                Dynamic vs. Static Sitting
               (van Dieën et al. Ergonomics, June, 2001)
 Spinal elongation significantly greater for dynamic chairs.
 Neck posture unaffected by dynamic sitting.
 Back EMG depends on the task.
 Dynamic office chairs should NOT be locked.


Dynamic vs. Static Sitting
(van Deursen et al., 1999)
 After 1 hour, there is spinal shrinkage with static sitting, but spinal
 expansion with dynamic sitting where the seat pan swivels.
Preferred Seat Angle
 Both lumbar disc pressure, back muscle activity, and comfort
 ratings are lowest with a supported recline angle in the range of
 110° - 130°.
Lumbar Support
 During supported sitting the lumbar spine should be maintained in
 lordosis by a contoured chair back lumbar support.


                                        5
© Professor Alan Hedge, Cornell University, November, 2002



Reclined Sitting
   Reclined sitting preserves Keegan’s normal posture but opens the
   popliteal arch and ankle angles, as well as allowing the back to
   recline against a contoured support.
Neutral Sitting Posture
  Neutral sitting posture for 5th and 95th percentiles
  (Congleton, 1999).


Chair Backrests
(Veraga & Page, 2000, Applied Ergonomics, 31, 247)
  Tested effects of 6 different chair backrest designs on back
  support.
  Backrest design significantly affects measured dorsal (shoulder
  blade) and lumbar contact time.

                Effects of a Chair Headrest
                   (Monroe et al., 2001, Proc. HFES, 1,1082-6)
  Studied effects of a reclined posture with headrest on typing.
  Found significantly less muscle activity with this posture for the:
     Neck (>35% reduction)
     Back (> 64% reduction)
  No difference in typing accuracy.

Popliteal Arch
  Compression at the popliteal arch (back of the knee) can
  impair leg circulation and cause nerve compression.


Popliteal Angle
  The popliteal arch (back of the knee) should not be in
  contact with the chair seat pan.
  The popliteal angle should be > 90°.
Seat Height
  Seat height should be adjustable and set to allow feet to be placed


                                          6
© Professor Alan Hedge, Cornell University, November, 2002



 on a stable surface.

 When seat height cannot be suitably adjusted, use a footrest.

Crossing Legs
 Poor posture
Headrests and Neck Posture
 Sitting head height for 5th and 95th percentiles.
 Adjustable height headrests are necessary for a properly supported
 neck posture.
Adjustment Features for an Ergonomic Chair
  Seat height
  Back rest height
  Swivel - ability to turn while seated
  Back tilt adjustment
  Adjustable arms
  Seat tilt adjustment
  Ability to lean back
  Ability to “track” posture changes
  Carpet casters/hard floor casters
  Intuitive, easy-to-use controls

Ergonomic Chair Controls
 Ensure that chair controls don’t require awkward adjustments.
 “The key is…to design adjustability controls that are easy to understand and
 easy to use (Helander et al., 1995)
 Controls with long levers most preferred.
 Controls are operable while sitting.


Ergonomic Chair Controls?
101 Rotations!
    Watch out for chair controls that require awkward
    adjustments.
Ergonomic Chair Control Adjustments
(Helander et al., 1995)

   24 different types of chair controls on 26 different chairs investigated in 3 experiments (20
   Ss).


                                               7
© Professor Alan Hedge, Cornell University, November, 2002


   Controls with long levers most preferred.
   The more the controls, the more the adjustments and the longer the adjustment time.

Benefits of Chair Arm Rests
 Improved     wrist deviation?
 Improved     shoulder abduction?
 Improved     forearm support?
 Improved     typing comfort?
Cornell Chair Arm Study
(Barrero, Hedge & Muss, 1999)
 24Ss study
 Men/women
 5/50/95th %iles
 4 chair arm designs
 Keyboard on flat keyboard tray
Cornell Chair Arm Study
(Barrero, Hedge & Muss, 1999)
 No significant differences between chair arm designs in wrist posture during
 typing at a keyboard on a flat tray.
 No differences in upper body posture.
 Wrist posture is outside of a neutral zone of wrist movement.

Chair Armrests
 Look at user's arm positions on a chair arm rest when the
 chair is adjusted for sitting comfort.
Discourage Poor Seated Posture
Neutral Working Posture
Ergonomic Chair Designs
(BSR/HFES100, 2002; ISO 9241-5 , 1998; CSA-Z412.00, 2000, &
BIFMA, 2001)
 "The purpose of good seating is to provide stable body support in a dynamic
 posture which is comfortable over a period of time, physiologically satisfactory,
 and appropriate to the task or activity which is to be performed."
               Ergonomic Chair Requirements
                   (BSR/HFES 100, 2002)
 Adjustable Seat Height
    11.4 cm in range 38-56 cm


                                            8
© Professor Alan Hedge, Cornell University, November, 2002



Seat Pan Angle Recline and/or decline
   <= 6° total
Seat Pan-Backrest Angle
   >=90°
Seat Pan-Backrest Recline
   0-15°
   recommended range = 0-30° (if >30° a head rest is needed)


          Ergonomic Chair Recommendations
                           (BSR/HFES 100, 2002)
Seat Pan Depth
   <=43cm
Seat Pan Width
   >=45cm
Backrest Height and Width (top of backrest)
   >= 45 cm above compressed seat height (CSH)
Backrest Lumbar Support
   15-25 cm above CSH
Backrest width
   >=36cm
Armrest height
   17-27cm (fixed)
   18-27cm above CSH (adjustable)
Armrest span
   46cm
Chair casters
   Appropriate for type of flooring at workstation




                                             9

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Ergo chair

  • 1. © Professor Alan Hedge, Cornell University, November, 2002 Ergonomic Seating? The Perfect Chair? The Perfect Work Posture? Backs, Sitting & Ergonomic Chairs Up to 50% of MSDs Lifetime risk - 80% of people Maximum risk - 20-45 years old Risk factors: Frequent heavy lifting Poor posture Static sitting We Need to Sit Energy – sitting requires 20% less energy than standing. We Need to Sit Efficiency - if supported and reclined, intradiscal pressure is less than that for erect standing. We Need to Sit Effectiveness - sitting increases postural stability for fine motor tasks. Why Do We Sit? Equality – sitting reduces anthropometric variability. Why Do We Sit? Equality – sitting reduces anthropometric variability. We Need to Sit Equality – sitting reduces anthropometric variability. Why an Ergonomic Chair? Economics -the average office loses over $7300 per employee per year in poor productivity and medical and Workers' Compensation claims (The Bureau of Labor Statistics). Over 50% are low-back injuries. Poor chair design contributes to poor seated 1
  • 2. © Professor Alan Hedge, Cornell University, November, 2002 posture which plays a major role in these injuries (e.g. Secretary Back Syndrome). Musculoskeletal Discomfort (Ong et al., in Work with Computers, 330-337, 1989) Survey of 672 full-time computer users: Complaints related to poor ergonomic furniture, including the chair. Musculoskeletal Discomfort (Ignatius et al., J. Human Ergology, 22:83-93, 1993) Survey of 170 women typists working at computers Mismatch between chair height and desk height and poor furniture design related to symptoms. Ergonomic Survey of the Social Services Administration, USA (Lueder, 1997) Ergonomic Chair Design? Who advertises their chair as “not an ergonomic design”? Can you choose the best chair solution from “off-the-shelf” ergonomic chairs? How Should We Sit? Risk = Posture X Exposure ANSI/HFS 100-1988 Myths of Ergonomic Seating 1. Ergonomic seating always requires a single, ‘cubist’ (90° upright) postural orientation that is independent of the user’s task (Dainoff, 1994). 2. You can judge how ergonomic a chair is by briefly sitting in it. 3. Users should be able to adjust everything. 4. Users don’t need training on how to sit in a chair (Dainoff, 1994). 5. One chair design will provide the best fit for all users. Proper Ergonomic Posture? Anthropometric reference diagram (90° angles) IS NOT a required ergonomic posture! Reclined postures often are preferred (Grandjean, 1988). Lumbar Support In unsupported sitting or forward leaning the lumbar spine may be 2
  • 3. © Professor Alan Hedge, Cornell University, November, 2002 in kyphosis, which is indesirable. During supported sitting the lumbar spine should be maintained in lordosis by an adjustable lumbar support. Seat Pan Design Proper sitting requires pelvic rotation that creates lumbar lordosis. Ischial Tuberosities Sitting concentrates the forces on the ischial tuberosities (sit bones). Seat Pan Design Posture and Lumbar Disc Pressure (Nachemson, 1974) Lumbar disc pressure varies with back posture and the load in the hands. Lumbar disc pressure is lowest for a supported, reclined posture. Back Muscle Pain Backrest angle and muscle activity (Andersson and Ortengren, 1974) Lumbar, thoracic, and cervical muscle activity all decrease with increasing backrest inclination up to 110°. Work Postures (Park et al., 2000) Effects of work postures on muscle activity tested Preferred Seat Angle Both lumbar disc pressure and back muscle activity are lowest with a supported recline angle of 110° - 130°. Adjustable Back Support (Coleman et al., Ergonomics 41: 401-19, 1998) Studied 123 office workers (43 men, 80 women) over a 5 week period: a high proportion of chair users make height adjustments to their lumbar back support. Adjustment frequency is higher for older workers than younger workers. 3
  • 4. © Professor Alan Hedge, Cornell University, November, 2002 Chair Support Buttocks and back need support. Keegan’s Normal Posture Abdominal angle is ~135 °. Keegan’s Normal Posture Keegan’s Normal Posture Abdominal angle is ~135 °. Balan’s Chair: Normal Posture Research findings don’t support claims that this design will decrease low back pain (Lander et al., Spine 12: 269-72, 1987). Mandal’s Forwards-tilting Posture A proper spinal posture can be maintained by forwards sitting if the person has a seat pan that tilts and they use an angled worksurface. Lots of balls? Sitting on balls can put the body in Keegan's normal posture, but isn't a solution for extended use. Saddle chairs Work by Keegan and Mandal forms the basis for saddle chairs. Sitting in Context Whether or not a chair design is ergonomic can depend on the task. Neutral Posture Neutral posture in microgravity is similar to the seated postures shown (Congleton, 1999). Neutral Posture in Microgravity Neutral posture in microgravity can be seen for a sleeping astronaut. Is this really the posture we should adopt in gravity? Posture and Lumbar Disc Pressure (Wilke et al., 1999) 4
  • 5. © Professor Alan Hedge, Cornell University, November, 2002 Lumbar intradiscal pressure can be recorded at L4-L5 during different standing, sitting and lifting postures. Posture and Lumbar Disc Pressure (Wilke et al., 1999) Intradiscal pressure during reclined, supported sitting is 50% less than that for erect standing. Dynamic vs. Static Sitting (van Dieën et al. Ergonomics, June, 2001) Tested 3 chairs: Fixed Angle – FA (95º) Dynamic Angle – DA Dynamic Angle – DB Subjects worked for 3 hours on CAD, Word processing and reading tasks. Spinal elongation measured. Neck posture measured. Back EMG measured. Dynamic vs. Static Sitting (van Dieën et al. Ergonomics, June, 2001) Spinal elongation significantly greater for dynamic chairs. Neck posture unaffected by dynamic sitting. Back EMG depends on the task. Dynamic office chairs should NOT be locked. Dynamic vs. Static Sitting (van Deursen et al., 1999) After 1 hour, there is spinal shrinkage with static sitting, but spinal expansion with dynamic sitting where the seat pan swivels. Preferred Seat Angle Both lumbar disc pressure, back muscle activity, and comfort ratings are lowest with a supported recline angle in the range of 110° - 130°. Lumbar Support During supported sitting the lumbar spine should be maintained in lordosis by a contoured chair back lumbar support. 5
  • 6. © Professor Alan Hedge, Cornell University, November, 2002 Reclined Sitting Reclined sitting preserves Keegan’s normal posture but opens the popliteal arch and ankle angles, as well as allowing the back to recline against a contoured support. Neutral Sitting Posture Neutral sitting posture for 5th and 95th percentiles (Congleton, 1999). Chair Backrests (Veraga & Page, 2000, Applied Ergonomics, 31, 247) Tested effects of 6 different chair backrest designs on back support. Backrest design significantly affects measured dorsal (shoulder blade) and lumbar contact time. Effects of a Chair Headrest (Monroe et al., 2001, Proc. HFES, 1,1082-6) Studied effects of a reclined posture with headrest on typing. Found significantly less muscle activity with this posture for the: Neck (>35% reduction) Back (> 64% reduction) No difference in typing accuracy. Popliteal Arch Compression at the popliteal arch (back of the knee) can impair leg circulation and cause nerve compression. Popliteal Angle The popliteal arch (back of the knee) should not be in contact with the chair seat pan. The popliteal angle should be > 90°. Seat Height Seat height should be adjustable and set to allow feet to be placed 6
  • 7. © Professor Alan Hedge, Cornell University, November, 2002 on a stable surface. When seat height cannot be suitably adjusted, use a footrest. Crossing Legs Poor posture Headrests and Neck Posture Sitting head height for 5th and 95th percentiles. Adjustable height headrests are necessary for a properly supported neck posture. Adjustment Features for an Ergonomic Chair Seat height Back rest height Swivel - ability to turn while seated Back tilt adjustment Adjustable arms Seat tilt adjustment Ability to lean back Ability to “track” posture changes Carpet casters/hard floor casters Intuitive, easy-to-use controls Ergonomic Chair Controls Ensure that chair controls don’t require awkward adjustments. “The key is…to design adjustability controls that are easy to understand and easy to use (Helander et al., 1995) Controls with long levers most preferred. Controls are operable while sitting. Ergonomic Chair Controls? 101 Rotations! Watch out for chair controls that require awkward adjustments. Ergonomic Chair Control Adjustments (Helander et al., 1995) 24 different types of chair controls on 26 different chairs investigated in 3 experiments (20 Ss). 7
  • 8. © Professor Alan Hedge, Cornell University, November, 2002 Controls with long levers most preferred. The more the controls, the more the adjustments and the longer the adjustment time. Benefits of Chair Arm Rests Improved wrist deviation? Improved shoulder abduction? Improved forearm support? Improved typing comfort? Cornell Chair Arm Study (Barrero, Hedge & Muss, 1999) 24Ss study Men/women 5/50/95th %iles 4 chair arm designs Keyboard on flat keyboard tray Cornell Chair Arm Study (Barrero, Hedge & Muss, 1999) No significant differences between chair arm designs in wrist posture during typing at a keyboard on a flat tray. No differences in upper body posture. Wrist posture is outside of a neutral zone of wrist movement. Chair Armrests Look at user's arm positions on a chair arm rest when the chair is adjusted for sitting comfort. Discourage Poor Seated Posture Neutral Working Posture Ergonomic Chair Designs (BSR/HFES100, 2002; ISO 9241-5 , 1998; CSA-Z412.00, 2000, & BIFMA, 2001) "The purpose of good seating is to provide stable body support in a dynamic posture which is comfortable over a period of time, physiologically satisfactory, and appropriate to the task or activity which is to be performed." Ergonomic Chair Requirements (BSR/HFES 100, 2002) Adjustable Seat Height 11.4 cm in range 38-56 cm 8
  • 9. © Professor Alan Hedge, Cornell University, November, 2002 Seat Pan Angle Recline and/or decline <= 6° total Seat Pan-Backrest Angle >=90° Seat Pan-Backrest Recline 0-15° recommended range = 0-30° (if >30° a head rest is needed) Ergonomic Chair Recommendations (BSR/HFES 100, 2002) Seat Pan Depth <=43cm Seat Pan Width >=45cm Backrest Height and Width (top of backrest) >= 45 cm above compressed seat height (CSH) Backrest Lumbar Support 15-25 cm above CSH Backrest width >=36cm Armrest height 17-27cm (fixed) 18-27cm above CSH (adjustable) Armrest span 46cm Chair casters Appropriate for type of flooring at workstation 9