Forward Leaning Research Articles

The influence of forward leaning postures on passenger injury in urban rail train collision

The influence of forward leaning postures on passenger injury in urban rail train collision

Electromyographically controlled prosthetic wrist improves dexterity and reduces compensatory movements without added cognitive load

Wrist function is a top priority for transradial amputees. However, the combined functional, biomechanical, and cognitive impact of using a powered prosthetic wrist is unclear. Here, we quantify task performance, compensatory movements, and cognitive load while three transradial amputees performed a modified Clothespin Relocation Task using two myoelectric prostheses with and without the wrists. The two myoelectric prostheses include a commercial prosthesis with a built-in powered wrist, and a newly developed inexpensive prosthetic wrist for research purposes, called the “Utah wrist”, that can be adapted to work with various sockets and prostheses. For these three participants, task failure rate decreased significantly from 66% ± 12% without the wrist to 39% ± 9% with the Utah wrist. Compensatory forward leaning movements also decreased significantly, from 24.2° ± 2.5 without the wrist to 12.6° ± 1.0 with the Utah wrist, and from 23.6° ± 7.6 to 15.3° ± 7.2 with the commercial prosthesis with an integrated wrist. Compensatory leftward bending movements also significantly decreased, from 20.8° ± 8.6 to 12.3° ± 5.3, for the commercial with an integrated wrist. Importantly, simultaneous myoelectric control of either prosthetic wrist had no significant impact on cognitive load, as assessed by the NASA Task Load Index survey and a secondary detection response task. This work suggests that functional prosthetic wrists can improve dexterity and reduce compensation without significantly increasing cognitive effort. These results, and the introduction of a new inexpensive prosthetic wrist for research purposes, can aid future research and development and guide the prescription of upper-limb prostheses.

The Balance N1 Is Larger in Children With Anxiety and Associated With the Error-Related Negativity

BackgroundThe error-related negativity (ERN) is a brain response evoked by mistakes in cognitive tasks that is enhanced with anxiety and can predict the subsequent onset or exacerbation of anxiety in children and adolescents. A physical disturbance to standing balance evokes a brain response called the balance N1 that resembles the ERN in scalp topography and in response to a variety of moderating factors. We recently found that the balance N1 and ERN correlate in amplitude across small samples of adults. MethodsIn the current study, we tested the effect of anxiety on the balance N1 in children (ages 9–12 years) with and without diagnosed anxiety disorders (38 children with generalized anxiety, social anxiety, and/or obsessive-compulsive disorder and 50 children without these disorders). We measured the balance N1 in response to sudden release of support from a forward leaning posture, the ERN in response to mistakes on a Go/NoGo task, and anxiety symptoms using child- and parent-report forms of the Screen for Child Anxiety and Related Emotional Disorders. ResultsBoth the balance N1 and the ERN were larger in the anxious group. The balance N1 was also associated with both the ERN and parent report of child anxiety symptom severity across individuals. ConclusionsThe higher measurement reliability of the balance N1 than the ERN and greater experimental control over errors suggest that balance paradigms may provide a more powerful method for investigating individual differences in error-related brain activity related to anxiety.

Comparison of human injury differences in vehicle-riding/pushing bicycle accidents

To support regulations related to cyclists dismounting and pushing across motor vehicle lanes, this study first extracted posture parameters for riding/pushing through physical experiments, then simplified the posture parameters and extracted typical postures with distinguishability. Finally, simulated experiments were designed to compare the differences in human injury between riding and pushing in collision accidents. The physical experiment found that the bicycle controller’s (individuals who ride or push bicycles) forward leaning angle of the back (referred to as the ‘back angle’) when riding can be estimated by the ratio of saddle height to bicycle handlebar height, but the back angle when pushing is not affected by other parameters. Eight typical postures containing only lower limb posture parameters were then identified, and statistical analysis showed significant differences in over 80% of parameters among the postures. Through simulated experiments, the rider’s tolerable saddle height was identified. Even at this saddle height, the injury in riding state was still significantly higher than that in the pushing state, indicating that pushing the bicycle across the motor vehicle lane can reduce the injury to the bicycle controller. The research results not only support relevant regulations, but also provide typical postures for the bicycle controller in vehicle-bicycle collision experiments in the future, and have certain theoretical and practical value.

U.S. Tax Credits to Promote Practical Proactive Preventative Care for Parkinson's Disease.

Persons with Parkinson's disease (PD) and society at large can profit from a strategic investment into a forward leaning, practical, preventative, and proactive multidisciplinary care policy. The American healthcare system is not easily bent to accommodate this type of care, and thus a tax benefit is an attractive option. An individual federal income tax benefit of $6200 each year for every person residing in the US with a diagnosis of PD, could among other offerings provide monthly access to a licensed clinical social worker and access to mental health services. The implementation of more coordinated care has the potential reduce the burden of depression, anxiety, and demoralization. Personal training would also be covered and directed by physical and occupational therapists. The combination of home-based and telemedicine services would have the added benefit of improving access. The tax benefit would also provide access to a dietician. This type of care strategy could be designed to proactively identify early signs of aspiration and urinary tract infections to 'head off' significant morbidity. A $6200/year individual tax benefit for those diagnosed with PD will thus translate into more fall prevention, more care in the home setting, less hospitalizations, less depression, less anxiety, less demoralization, better diets, and less persons placed in nursing facilities. Additionally, this tax benefit will provide the potential for billions of dollars in savings to the healthcare system. A tax benefit for PD is a practical preventative and proactive strategy which can serve to advantage both this generation and the next.

Accurate and Efficient Sitting Posture Recognition and Human‐Machine Interaction Device Based on Fabric Pressure Sensor Array and Neural Network

AbstractThis article presents a novel approach to interact with users through posture recognition, leveraging its advantages of convenience and real‐time feedback to enhance user engagement and personalized experiences. In contrast to traditional methods that rely on camera‐based posture detection, this study proposes a deep learning‐based framework for posture recognition by classifying the distribution of body pressure under different sitting positions. The system integrates a large‐area, highly flexible fabric pressure sensor array into the chair, which collects data on posture‐specific pressure patterns for training and identification purposes. A deep learning algorithm, specifically the LeNet architecture, is employed to classify 49 different sitting positions based on angular variations, including body tilt to the left or right, standard posture, and forward or backward leaning. The proposed approach achieves an impressive accuracy rate of 99.86%. Furthermore, the application of this posture recognition system in VR devices enables intelligent chair control for VR games. This research provides strong support for future advancements in chair design and human‐computer interaction technologies, enhancing ergonomic designs in various domains such as automotive seats, office chairs, and medical seating, while simultaneously improving user comfort and well‐being.

Regional recruitment and differential behavior of motor units during postural control in older adults.

Aging is associated with neuromuscular system changes that may have implications for the recruitment and firing behaviors of motor units (MUs). In previous studies, we observed that young adults recruit subpopulations of triceps surae MUs during tasks that involved leaning in five directions: common units that were active during different leaning directions and unique units that were active in only one leaning direction. Furthermore, the MU subpopulation firing behaviors [average firing rate (AFR), coefficient of variation (CoVISI), and intermittent firing] modulated with leaning direction. The purpose of this study was to examine whether older adults exhibited this regional recruitment of MUs and firing behaviors. Seventeen older adults (aged 74.8 ± 5.3 yr) stood on a force platform and maintained their center of pressure leaning in five directions. High-density surface electromyography recordings from the triceps surae were decomposed into single MU action potentials. A MU tracking analysis identified groups of MUs as being common or unique across the leaning directions. Although leaning in different directions did not affect the AFR and CoVISI of common units (P > 0.05), the unique units responded to the leaning directions by increasing AFR and CoVISI, albeit modestly (F = 18.51, P < 0.001). The unique units increased their intermittency with forward leaning (F = 9.22, P = 0.003). The mediolateral barycenter positions of MU activity in both subpopulations were found in similar locations for all leaning directions (P > 0.05). These neuromuscular changes may contribute to the reduced balance performance seen in older adults.NEW & NOTEWORTHY In this study, we observed differences in motor unit recruitment and firing behaviors of distinct subpopulations of motor units in the older adult triceps surae muscle from those observed in the young adult. Our results suggest that the older adult central nervous system may partially lose the ability to regionally recruit and differentially control motor units. This finding may be an underlying cause of balance difficulties in older adults during directionally challenging leaning tasks.

Rollator usage lets young individuals switch movement strategies in sit-to-stand and stand-to-sit tasks

The transitions between sitting and standing have a high physical and coordination demand, frequently causing falls in older individuals. Rollators, or four-wheeled walkers, are often prescribed to reduce lower-limb load and to improve balance but have been found a fall risk. This study investigated how rollator support affects sit-to-stand and stand-to-sit movements. Twenty young participants stood up and sat down under three handle support conditions (unassisted, light touch, and full support). As increasing task demands may affect coordination, a challenging floor condition (balance pads) was included. Full-body kinematics and ground reaction forces were recorded, reduced in dimensionality by principal component analyses, and clustered by k-means into movement strategies. Rollator support caused the participants to switch strategies, especially when their balance was challenged, but did not lead to support-specific strategies, i.e., clusters that only comprise light touch or full support trials. Three strategies for sit-to-stand were found: forward leaning, hybrid, and vertical rise; two in the challenging condition (exaggerated forward and forward leaning). For stand-to-sit, three strategies were found: backward lowering, hybrid, and vertical lowering; two in the challenging condition (exaggerated forward and forward leaning). Hence, young individuals adjust their strategy selection to different conditions. Future studies may apply this methodology to older individuals to recommend safe strategies and ultimately reduce falls.

Hip and knee kinematics, center of pressure position, and ground reaction force are associated with Achilles tendon force during jump landing.

Jump-landing exercises are often performed during the rehabilitation of Achilles tendon (AT) injuries. However, the factors that affect the AT force (ATF) during landing are unclear. This study aimed to determine the kinematics and ground reaction force (GRF) variables associated with the peak ATF during a drop vertical jump (DVJ). The landing phase of DVJ was evaluated in 101 healthy participants (46 males, age: 21.2 ± 1.4 years old) using a three-dimensional motion analysis system with two force plates. ATF was estimated from the ankle flexion angle and moment. Univariate and multivariate regression analyses were performed with the peak ATF as the dependent variable. The vertical GRF (VGRF), center of pressure (COP), forward trunk leaning, hip/knee/ankle joint angles at peak ATF, and sex were used as independent variables. In the univariate regression analysis, larger VGRF (β = 0.813), more anterior COP position (β = 0.214), smaller knee flexion (β = -0.251) and adduction (β = -0.252), smaller hip flexion (β = -0.407), smaller forward trunk lean (β = -0.492), and male sex (β = -0.282) were significantly associated with a larger peak ATF. Multivariate analysis revealed that larger VGRF (β = 1.018), more anterior COP position (β = 0.320), a larger knee (β = 0.442), and smaller hip flexion (β = -0.205) were associated with the larger peak ATF. The VGRF, COP position, and knee and hip flexion were independently associated with ATF. Modifying these factors may be useful in managing tendon loading during jump-landing exercises.

Viscoelasticity in trapezius myofascial pain syndrome: quantitative assessment using Real-Time Shear-Wave Elastography

Objective To investigate the differences in the viscoelastic properties between normal trapezius muscles and those in patients with trapezius myofascial pain syndrome (MPS) using real-time shear-wave elastography (SWE). Materials and Methods This study included 31 patients with trapezius MPS and 31 volunteers. Sixty-one trapezius muscles (41 and 20 on the affected and non-affected side, respectively) of patients with MPS and 62 normal trapezius muscles in volunteers were assessed. Conventional ultrasonic parameters, including skeletal muscle thickness, resistance index (RI), and mean shear wave velocity (SWVmean) of trapezius muscles, were obtained in the seated position with the shoulders and neck relaxed. The daily neck leaning time (unit:hours) of all participants was obtained using a questionnaire. Results Ultrasound showed no statistically significant differences in thickness or RI of the trapezius muscles of the affected and non-affected sides in MPS patients versus normal trapezius muscles (p = 0.976 and 0.106, respectively). In contrast, the SWVmean of trapezius muscles in patients with MPS was significantly higher than that of normal trapezius muscles in both the affected and non-affected sides (4.41 ± 1.02 m/s vs. 3.35 ± 0.79 m/s, p < 0.001; 4.05 ± 0.63 m/s vs. 3.35 ± 0.79 m/s, p = 0.002). There was no significant difference between the SWVmean of the trapezius muscles on the affected and non-affected sides in patients with MPS (4.41 ± 1.02 m/s vs. 4.05 ± 0.63 m/s, p = 0.225). Correlation analysis showed that daily neck forward time was positively correlated with the SWVmean of the trapezius muscles on the affected and non-affected sides in patients with MPS (r = 0.635, p < 0.001; r = 0.576, p = 0.008). Conclusion SWE can quantitatively evaluate stiffness of trapezius muscles in patients with trapezius MPS. The stiffness of both affected and non-affected trapezius muscles increased in patients with trapezius MPS, and the degree of increase positively correlated with the time of cervical forward leaning.

Sex differences concerning the effects of ankle muscle fatigue on static postural control and spinal proprioceptive input at the ankle.

The main aim of this study was to determine sex differences in postural control changes with ankle muscle fatigue during a standing forward leaning (FL) task under different vision conditions. The secondary aim was to examine sex differences in the effect of fatigue on soleus (SOL) H-reflex amplitude, a measure of motoneuron excitability with activation of Ia afferents. Fifteen healthy young adult males (mean age: 28.0 years) and 16 healthy young adult females (mean age: 26.1 years) were asked to perform four consecutive FL tasks [30 s; two with eyes open (EO) and two with eyes closed (EC)] before, and immediately following a fatiguing exercise consisting of alternating ankle plantarflexion (6 s) and dorsiflexion (2 s) maximal isometric contractions, and at 5 and 10 min of recovery. Center of pressure (COP) sway variables (mean position, standard deviation, ellipse area, average velocity, and frequency), an ankle co-contraction index, and a ratio of SOL H-reflex to the maximum amplitude of the compound muscle action potential (M-max) were obtained during the FL tasks. A rating of perceived fatigue (RPF) was also documented at the different time points. Time to task failure (reduction of 50% in maximal voluntary isometric contraction torque of ankle plantar flexors) and the increase in RPF value were not significantly different between males and females. Both sex groups showed similar and significant increases (p < 0.05) in mean COP sway velocity with no significant changes in co-contraction indices. No significant effects of fatigue and related interactions were found for SOL H/M-max ratio. The absence of a significant sex difference in postural control change (sway and co-contraction) with fatigue could be explained by similar perceived (RPF) and performance fatigability (exercise duration) between males and females in the present study. Fatigue did not lead to significant changes in SOL spinal motoneuron excitability with activation of Ia afferents.

Task-relevant social cues affect whole-body approach-avoidance behavior

Positively evaluated stimuli facilitate approach and negatively evaluated stimuli prompt avoidance responses, as typically measured by reaction time differences when moving a joystick toward the own body or away from it. In this study, we explore whether a whole-body response (forward and backward leaning can serve as a better indicator of approach-avoidance behavior; AA). Thirty-two subjects were presented with pictures of males and females with angry or happy facial expressions. Subjects had to perform approach or avoidance responses by leaning forward or backward, either based on the facial expression of the stimulus or the gender of the stimulus. Leaning responses were sensitive to angry faces for explicit decision cues. Here, angry facial expressions facilitated backward leaning but not when responding to the gender of the stimulus. We compare this to the established manual measure of AA and discuss our results with regard to response coding.

Lower Limb Biomechanics during the Golf Downswing in Individuals with and without a History of Knee Joint Injury.

Although prevention is better than treatment, after a knee injury occurs, the adjustment of the movement technique back to the posture before the injury and the restoration of accuracy is very important for professional and amateur players. This study aimed to compare the differences in lower limb mechanics during the golf downswing between those with and without a history of knee joint injury. A total of 20 professional golfers with single-digit handicaps were recruited for this study, 10 of whom had a knee injury history (KIH+), while another 10 players were without a knee injury history (KIH-). From the 3D analysis, selected kinematic and kinetic parameters during the downswing were analyzed using an independent samples t-test with a significance level of α = 0.05. During the downswing, individuals with KIH+ exhibited a smaller hip flexion angle, smaller ankle abduction angle, and larger ankle adduction/abduction range of motion (ROM). Moreover, there was no significant difference found in the knee joint moment. Athletes with a history of knee injury can adjust the motion angles of their hip and ankle joints (e.g., by avoiding excessive forward leaning of the trunk and maintaining stable foot posture without inward or outward rotation) to minimize the impact of changes in their movement patterns resulting from the injury.

Work of breathing and lung volume during forward leaning supported by the upper limbs

This study compared work of breathing (WOB) and the pressure time product (PTP) to verify whether WOB and PTP decrease in the forward-leaning posture compared with erect sitting. Seven healthy adults (two females and five males) adopted three sitting postures: upright, and two forward-leaning postures of 15° and 30°. The WOB was obtained using the modified Campbell diagram, and PTP was calculated as the time integral of the area between esophageal and chest wall pressure. End-expiratory lung volume and transpulmonary pressure were significantly increased in the 15° and 30° forward-leaning postures compared with erect sitting (p ≦ 0.05). End-inspiratory lung volume was significantly increased in the 30° forward-leaning posture compared to erect sitting (p ≦ 0.05). PTP and inspiratory resistive WOB were significantly lower in the 15° and 30° forward-leaning postures compared to erect sitting (p ≦ 0.05). Forward leaning increases lung volume, which may dilate the airways, decrease resistant WOB, and reduce respiratory muscle activity.

Predictive simulation of single-leg landing scenarios for ACL injury risk factors evaluation.

The Anterior Cruciate Ligament (ACL) rupture is a very common knee injury during sport activities. Landing after jump is one of the most prominent human body movements that can lead to such an injury. The landing-related ACL injury risk factors have been in the spotlight of research interest. Over the years, researchers and clinicians acquire knowledge about human movement during daily-life activities by organizing complex in vivo studies that feature high complexity, costs and technical and most importantly physical challenges. In an attempt to overcome these limitations, this paper introduces a computational modeling and simulation pipeline that aims to predict and identify key parameters of interest that are related to ACL injury during single-leg landings. We examined the following conditions: a) landing height, b) hip internal and external rotation, c) lumbar forward and backward leaning, d) lumbar medial and lateral bending, e) muscle forces permutations and f) effort goal weight. Identified on related research studies, we evaluated the following risk factors: vertical Ground Reaction Force (vGRF), knee joint Anterior force (AF), Medial force (MF), Compressive force (CF), Abduction moment (AbdM), Internal rotation moment (IRM), quadricep and hamstring muscle forces and Quadriceps/Hamstrings force ratio (Q/H force ratio). Our study clearly demonstrated that ACL injury is a rather complicated mechanism with many associated risk factors which are evidently correlated. Nevertheless, the results were mostly in agreement with other research studies regarding the ACL risk factors. The presented pipeline showcased promising potential of predictive simulations to evaluate different aspects of complicated phenomena, such as the ACL injury.

Evaluation of the physiological benefits of a passive back-support exoskeleton during lifting and working in forward leaning postures

Musculoskeletal disorders affecting the back are highly prevalent in fields of occupation involving repetitive lifting and working in forward leaning postures. Back-support exoskeletons are developed to relieve workers in physically demanding occupations. This study investigates the physiological effects of a lightweight exoskeleton which provides support through textile springs worn on the back. We hypothesized that wearing such a passive back-support exoskeleton reduces muscle activity of the back and hip muscles, while not influencing abdominal muscle activity and movement kinematics during typical occupational tasks.We collected electromyography data from the main back and hip muscles as well as whole body kinematics data via optical motion tracking during a set of relevant weight lifting tasks corresponding to typical work conditions. In our sample of 30 healthy volunteers, wearing the exoskeleton significantly reduced muscle activity, with reductions up to 25.59% during forward leaning and 20.52% during lifting in the main back and hip muscles (Erector Spinae at thoracic and lumbar level and Quadratus Lumborum). Simultaneously, no changes in knee and hip range of motion were observed. The stretch of the textile springs correlated with the body mass index and chest circumference of the wearer, and depended on posture, but not on the lifted load.The LiftSuit exoskeleton relieved back and hip muscles during typically straining occupational tasks, while biomechanical parameters were preserved. This suggests that passive lift-support exoskeletons can be safely used to relieve workers during lifting and forward leaning tasks.

Tree Felling with a Drill Cone

Motor-manual timber felling is one of the most dangerous operations in the forest and cannot be completely replaced by fully mechanized timber harvesting by a harvester when dealing with large and deciduous trees. Shifting the center of gravity of tree ready to be felled beyond its tipping line using conventional felling wedges is dangerous because the forest worker is directly behind the stem and under the tree crown until just before the tree falls. The worker can be hit by the trunk itself, but also by falling parts of the crown. In a preliminary study for the development of a new type of felling head, felling with a drill cone that can open the felling cut with the help of an applied torque was investigated. A drill cone does not require any special cutting technique, no counter forces to the tree, works without impulses, it is self-retaining and can be unscrewed again.In order to determine the torque required for felling the tree as a function of the tree parameters, the mathematical equation framework was established and practical experiments were used to determine the friction parameters and verify the calculations. The torque of the drill cone is used to bend the intact fibers of the hinge, shift the center of gravity of the tree in the direction of fall, and to overcome the friction of the drill cone on the felling cut. The effects of forward or backward leaning trees on the required torque can also be quantified. It has been shown that the efficiency of a drill cone is low, but this is compensated for by the high internal torque to lift ratio. The maximum measured input torque for felling trees with a felling diameter up to 55 centimeter was 100 Nm.

A method to quantify the reduction of back and hip muscle fatigue of lift-support exoskeletons.

Cumulative back muscle fatigue plays a role in the occurrence of low-back injuries in occupations that require repetitive lifting of heavy loads and working in forward leaning postures. Lift-support exoskeletons have the potential to reduce back and hip muscle activity, thereby delaying the onset of fatigue in these muscles. Therefore, exoskeletons are being considered a potentially important tool to further reduce workload-related injuries. However, today no standards have been established on how to benchmark the support level of lift-support exoskeletons. This work proposes an experimental protocol to quantify the support level of a lift-support exoskeletons on instant changes in muscle activity and fatigue development while maintaining a static forward leaning posture. It then applies the protocol to experimentally assess the effect of the support provided by a commercially available lift-support exoskeleton, the LiftSuit 2.0 (Auxivo AG, Schwerzenbach, Switzerland), on the user. In a sample of 14 participants, the amplitude of the muscle activity of the back muscles and hip muscles () was significantly reduced. Wearing the exoskeleton significantly reduced the amount of fatigue developed during the task (). Changes in muscle fatigue can be objectively recorded and correlated with relevant changes for exoskeleton users: the time a task can be performed and perceived low-back fatigue. Thus, including such measures of fatigue in standardized benchmarking procedures will help quantify the benefits of exoskeletons for occupational use.

Multimodal Differentiation for Allophone Pupils in First Language French Classroom

Language classroom interactions can be characterized as multimodal, since teachers may resort to a variety of resources provided by their body or by their immediate space in order to convey meaning, manage activities and assess pupils’ performances. Furthermore, teachers’ multimodal practices constitute an essential component for the differentiating process aiming to resolve especially linguistic problems some pupils may face. In this perspective, this study examines the implementation of multimodal differentiation by the same teacher in the case of allophone pupils following first language French courses alongside with native pupils of 3rd grade within the context of inclusion classroom in a middle school in France. More specifically, it was aimed to analyze a teacher’s adaptation of kinesic and proxemic behaviors within the differentiation process, such as the use of hand gestures, gaze and facial expressions as bodily resources but also the control of interpersonal distance with respect to allophone pupils. For this purpose, a micro-ethnographic research strategy was applied, and data was collected through video-recorded sessions of the teacher in inclusion classroom. Our qualitative analysis of the data revealed a differentiated use of prosodic, kinesic and proxemic elements by the teacher, such as the reduction of speech rate, the accentuation of words, the production of deictic and iconic hand gestures as well as facial expressions, the orientation of gaze, the forward leaning posture, the isolated seating arrangement, and the reduction of interpersonal distance. All these elements either follow or overlap each other, especially within the framework of teacher instructions during classroom activities.

Adverse Effects of Prolonged Sitting Behaviour on the General Health and Posture of Medical Students

Objectives: To determine the prevalence of musculoskeletal symptoms among Medical students and to correlate the musculoskeletal adverse effects with prolonged sitting and sitting posture.&#x0D; Study Design: Analytical cross-sectional study.&#x0D; Place and Duration of Study: Study was conducted online among Medical Students studying in various medical institutions across Pakistan, from Nov 2021 to Apr 2022.&#x0D; Methodology: Study included 144 Medical and Dental students, recruited through convenience sampling. Any participant currently suffering or recently recovered from a debilitating illness, physical disability, presently undergoing treatment for any chronic muscular or skeletal pain was not included in the study. A close-ended virtual questionnaire containing the Nordic Musculoskeletal Questionnaire (NMQ) was used. &#x0D; Results: Majority of respondents 100(69.4%) sat continuously for more than 2 hours while 44(30.6%) sat for less than 2 hours in a single seating. Results of the NMQ showed that most people had pain and discomfort in shoulder, upper back, lower back and hip. Pain in the lower back was the most common complaint 93(65%). Prolonged sitting (&gt;2hours) was significantly associated with Lower back pain (p=0.004) and hip pain (p=0.019)&#x0D; Conclusion: Prolonged sitting behaviour was associated with frequent complaints of lower back discomfort. Poor posture was demonstrated to cause pain in the shoulder and upper back regions. Active workstations, intermittent walks during breaks and usage of negative desks, as well as avoidance of forward leaning posture are suggested to improve working conditions.