Wenn Gretchen fragt – Verursacht Sitzen Rückenschmerzen?

Sie scheint simpel und ist doch bis heute nicht eindeutig zu beantworten: die Gretchenfrage, ob Sitzen zu Rückenschmerzen führt. Ja, sagen die einen mit Bezug auf Rückenschule und Erfahrungswerte. Nein, sagen die anderen, da wissenschaftliche Beweise dafür fehlen. Ein Blick auf den aktuellen Stand der Wissenschaft.

Publication History

Article published online:
15 February 2021

• Literaturverzeichnis

• 1 O’Sullivan K, O’Sullivan P, O’Sullivan L. et al What do physiotherapists consider to be the best sitting spinal posture?. Man Ther 2012; 17: 432-437 DOI: 10.1016/j.math.2012.04.007.
• 2 Gupta N, Stordal Christiansen C, Hallman DM. et al Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study. PLoS One 2015; 10: e0121159 DOI: 10.1371/journal.pone.0121159.
• 3 Brakenridge CL, Chong YY, Winkler EAH. et al Evaluating short-term musculoskeletal pain change in desk-based workers receiving a workplace sitting-reduction intervention. Int J Environ Res Public Health 2018; 15: 1975 DOI: 10.3390/ijerph15091975.
• 4 Lis AML, Black KM, Korn H. et al Association between sitting and occupational LBP. Eur Spine J 2007; 16: 283-298 DOI: 10.1007/s00586-006-0143-7.
• 5 Roffey DM, Wai EK, Bishop P. et al Causal assessment of occupational sitting and low back pain: results of a systematic review. Spine J 2010; 10: 252-261 DOI: 10.1016/j.spinee.2009.12.005.
• 6 Mannig A. Klinisches Muster der klinisch lumbalen Instabilität, Systematischer Review. manuelletherapie 2009; 13: 190-198 DOI: 10.1055/s-0028-1109940.
• 7 Ringheim I, Indahl A, Roeleveld K. Reduced muscle activity variability in lumbar extensor muscles during sustained sitting in individuals with chronic low back pain. LoS One 2019; 14: e0213778 DOI: 10.1371/journal.pone.0213778.
• 8 Dieterich A. Gefühlt steif heißt nicht objektiv steif, Myth-Busters: die verspannte Nackenmuskulatur. physiopraxis. 2020: 7-8 20–24 DOI: 10.1055/a-1174-2575
• 9 Dieterich A, Yavuz UŞ, Nordez A. et al Neck muscle stiffness measured with shear wave elastography in women with chronic non-specific neck pain. J Orthop Sports Phys Ther 2020; 50: 179-188 DOI: 10.2519/jospt.2020.8821.
• 10 Laube W, Müller K. Muskeltonus als biophysikalische und neurophysiologische Zustandsgröße – Passiver Muskeltonus. manuelletherapie 2002; 1: 21-30
• 11 Caneiro JP, O’Sullivan P, Burnett A. et al The influence of different sitting postures on head/neck posture and muscle activity. ManTher 2010; 15: 54-60 DOI: 10.1016/j.math.2009.06.002.
• 12 Nachemson A, Elfström G. Intravital dynamic pressure measurements in lumbar discs. A study of common movements, maneuvers and exercises. Scand J Rehabil Med Suppl 1970; 1: 1-40
• 13 Zachrisson-Forssell M. The swedish back school. Physiotherapy 1980; 66: 112-114
• 14 Zachrisson-Forssell M. The back school. Spine (Phila Pa 1976) 1981; 6: 104-106 DOI: 10.1097/00007632-198101000-00022.
• 15 Wilke HJ, Neef P, Caimi M. et al New in vivo measurements of pressures in the intervertebral disc in daily life. Spine (Phila Pa 1976) 1999; 24: 755-762 DOI: 10.1097/00007632-199904150-00005.
• 16 Zusman M. Belief reinforcement: one reason why costs for low back pain have not decreased. J MultidiscipHealthc 2013; 6: 197-204 DOI: 10.2147/JMDH.S44117.
• 17 Sharma L, Song J, Felson DT. et al The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA 2001; 286: 188-195 DOI: 10.1001/jama.286.2.188.
• 18 Cerejo R, Duntop D, Cahue S. et al The influence of alignment on risk of knee osteoarthritis progression according to baseline stage of disease. Arthritis Rheum 2002; 46: 2632-2636 DOI: 10.1002/art.10530.
• 19 Brouwer GM, Tol AWV, Bergink AP. et al Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis Rheum 2007; 56: 1204-1211 DOI: 10.1002/art.22515.
• 20 Hunter DJ, Niu J, Felson DT. et al Knee alignment does not predict incident osteoarthritis: The Framingham osteoarthritis study. Arthritis Rheum 2007; 56: 1212-1218 DOI: 10.1002/art.22508.
• 21 Patzler S.. Valgisierende kniegelenksnahe Umstellungsosteotomie - radiologische und klinische Ergebnisse, Medizinische Fakultät der Universität München. München: Ludwig-Maximilians-Universität zu München; 2020
• 22 Falla D, O’Leary S, Fagan AE. et al Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Man Ther 2007; 12: 139-143 DOI: 10.1016/j.math.2006.06.003.
• 23 Cheung Lau HM, Wing Chiu TT, Lam T-H. Clinical measurement of craniovertebral angle by electronic head posture instrument: A test of reliability and validity. Man Ther 2009; 14: 363-368 DOI: 10.1016/j.math.2008.05.004.
• 24 Beltsios M, Savvidou O, Mitsiokapa EA. et al Sagittal alignment of the cervical spine after neck injury. Eur J Orthop Surg Traumatol 2013; 23 (Suppl. 01) S47-51 DOI: 10.1007/s00590-012-0966-3.
• 25 Falla D, Jull G, Russell T. et al Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 2007; 87: 408-417 DOI: 10.2522/ptj.20060009.
• 26 Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord 1992; 5: 390-396 discussion 397 DOI: 10.1097/00002517-199212000-00002.
• 27 O’Sullivan K, McCarthy R, White A. et al Can we reduce the effort of maintaining a neutral sitting posture? A pilot study. Man Ther 2012; 17: 566-571 DOI: 10.1016/j.math.2012.05.016.
• 28 Brinjikji W, Luetmer PH, Comstock B. et al Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol 2015; 36: 811-816 DOI: 10.3174/ajnr.A4173.