Should we be more on the ball? The efficacy of accommodation training on lumbar spine posture, muscle activity, and perceived discomfort during stability ball sitting

Hum Factors. 2013 Dec;55(6):1064-76. doi: 10.1177/0018720813482326.

Abstract

Objective: The aim of this study was to evaluate the efficacy of a 9-day accommodation protocol on reducing perceived discomfort while sitting on a stability ball (SB); trunk muscle activity levels and lumbar spinal postures were also considered.

Background: Previous studies have compared SB sitting with office chair sitting with few observed differences in muscle activity or posture; however, greater discomfort during SB sitting has been reported. These findings may indicate an accommodation period is necessary to acclimate to SB sitting.

Method: For this study, 6 males and 6 females completed two separate, 2-hr sitting sessions on an SB. Half the participants completed a 9-day accommodation period between the visits, whereas the other half did not use an SB during the time. On both occasions, self-reported perceived discomfort ratings were collected along with erector spinae and abdominal muscle activity and lumbar spinal postures.

Results: Discomfort ratings were reduced in female participants following the accommodation; no effects on muscle activation or lumbar spine postures were observed.

Conclusion: Accommodation training may reduce perceived low-back discomfort in females.Trunk muscle activity and lumbar spine postures during seated office work on an SB did not differ between groups; however, greater sample power was required to conclusively address these variables.

Application: Regarding whether to use an SB in place of a standard office chair, this study indicates that females electing to use an SB can decrease discomfort by following an accommodation protocol; no evidence was found to indicate that SB chair use will improve trunk strength or posture, even following an accommodation period.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Female
  • Humans
  • Low Back Pain / prevention & control*
  • Lumbar Vertebrae
  • Male
  • Muscle, Skeletal / physiology*
  • Pain Perception / physiology*
  • Posture / physiology*
  • Resistance Training / methods*
  • Self Report
  • Young Adult