Evidence map›Paper›PMID 39932988›Full record

ArticlePloS one2025

The impact of different standing positions on gluteus medius activation and lumbar lordosis in LBP-developers during prolonged standing.

Saeedeh Abbasi, Hooman Minoonejad, Hamed Abbasi, Seyed Hamed Mousavi

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Saeedeh AbbasiDepartment of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.ORCID 0009-0000-8722-5760
Hooman MinoonejadDepartment of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.ORCID 0000-0002-5983-8102
Hamed AbbasiDepartment of Sport Injuries and Corrective Exercises, Sport Sciences Research Institute, Tehran, Iran.ORCID 0000-0001-8899-7439
Seyed Hamed MousaviDepartment of Sports Injury and Biomechanics, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.ORCID 0000-0003-2906-2101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low back pain (LBP) development has been associated with increased hip muscle co-activation and lumbar lordosis during standing in previously asymptomatic individuals. It is commonly advised to use footrests to relieve LBP. The impact of adjusting arm position on lumbar biomechanics can also be impressive. This study aimed to compare the effects of normalized footrest height and changing arm position on Gluteus medius (GMed) muscle activity, lumbar lordosis, and pain intensity. Twenty-four female pain developers (PDs) were recruited, identified by a > 10 mm increase on the visual analog scale (VAS) during prolonged standing. Electromyography (EMG) recorded GMed activity, and photogrammetry measured lumbar lordosis at time points over one hour-standing. The first group (A) used the footrest intermittently, while the second group (B) additionally changed their arm positions. These variables were analyzed using repeated measures (between/within) ANOVA. No significant interaction was observed between the groups in right and left GMed co-contraction index (CCI) (p =  0.14). However, both groups exhibited a significant decrease in CCI during prolonged standing (time *  condition: p =  0.003). Additionally, Group B consistently demonstrated lower overall levels of co-contraction across time (p =  0.01). An approximate 6-degree reduction in lumbar lordosis was observed after prolonged standing with both interventions (group A and group B; p =  0.008 and p =  0.01, respectively), although no significant differences in lumbar lordosis were detected between the groups. Lumbar discomfort increased over time; however, the interventions significantly alleviated this discomfort after the intervention time point. Notably, group B reported lower pain intensity compared to group A (p =  0.007). Applying these interventions in the workplace could be beneficial to reduce discomfort for individuals who stand for long periods of time. Further research is needed to optimize these strategies and assess long-term benefits.

Indexed as

LordosisLow Back PainLumbar VertebraeMuscle, SkeletalStanding PositionAdultBiomechanical PhenomenaElectromyographyFemaleHumansLumbosacral RegionPain MeasurementPostureYoung Adult

Identifiers

PMID39932988
PMCPMC11813126

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.