Posture is a frequent topic of discussion for patients, clinicians, the media, and society. A common belief is that back and/or neck pain is caused by sitting, standing or bending “incorrectly.”
Despite the absence of strong evidence to support these common beliefs, a large posture industry has flourished, with many interventions and products claiming to “correct” posture and prevent pain. Unfortunately, many health care professionals provide advice in line with this non–evidence-based perspective.
Common beliefs regarding posture and spinal health are explored based on research evidence and the outcomes are surprising. Below is a summary of the findings:
- There is no strong evidence that a single “correct” posture exists and avoiding “incorrect” postures will not prevent back pain
- There are natural variations in spinal curvatures and no single spinal curvature type is strongly associated with pain.
- Posture reflects beliefs, moods and body image. Some postures are adopted as a protective strategy and may reflect vulnerability.
- It is safe to adopt what feels comfortable. Exploring different postures and changing habitual postures may provide relief.
- The spine is robust and can be trusted when loaded in a variety of postures.
- Sitting is not dangerous, nor should it be avoided. However moving and being physically activity is important for overall health.
- Preferred lifting styles are influenced by naturally varying spinal curvatures. Advice to adopt a specific posture or brace the core is not evidence based.
J Orthop Sports Phys Ther 2019;49(8):562–564. doi:10.2519/jospt.2019.0610