Biomechanics & Ergonomics-Ii SHS.306.LEC-15: Saba Riaz

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BIOMECHANICS &

ERGONOMICS-II
SHS.306.LEC-15
SABA RIAZ

SEMESTER : FALL 2020


Engineering approaches to
standing, sitting and lying
REVIEW OF LAST LECTURE
• Standing posture and muscles involved?
• Proximal and distal crossed syndrome?
• COP?
• Inclination of foot and heel design?
• Biomechanics of pelvis?
Today’s Topic??
sitting
SITTING
Independent of the size of person
A good sitting posture is
characterized by minimal muscle work
which is achieved by arm rests, back
rest, seat and foot rest.
First law of seating is ability to
change posture regularly
Ergonomic Chair
ARM REST
Arm rest
• It unloads the shoulder girdle
• Weight of arms is 10% of body which is considerable
• Without armrest; arms are placed on table, crossed
before chest or laid on lap
• Driving wheels are placed at the level of lower arm
because of the weight of arms
Back rest
Back rest
• To proved stability for vertically erected trunk
• In prolonged sitting; prevention of lumber kyphosis
• Significance of lumber support can be seen through
Click-clack phenomenon.
• Absence of a back rest, like sitting in a crouch position
leads to C-form of the spine.
Click- clack phenomenon (lumbo-pelvic)
• When one sits at the edge of a straight chair. Slow
forward translation of trunk increases lumber
lordosis.
• Whereas , slow backward translation moves the
center of gravity dorsal to the ischial tuberosities .
Further translation can lead to backward tilt of pelvis
and lumber kyphosis.
Function of a lumber support is to provide firm
support on the upper side of pelvis and lumber area
to prevent tilting of spine and kyphosis
Lordotic vs kyphotic lumber
https://www.youtube.com/watch?v=STegkgO-oMk
Back rest
• This support not reach higher than the lower edge
of scapulae
• Thoracic spine is rigid enough(ribs) and a higher
back rest pushes the shoulders forward, which
over rules the lumber support.
• Also hinders the shoulders to stretch or turn to
left or right
Sitting in bed
Seat
• Horizontal seat always raises friction at the ischial
tuberosities which can be eliminated by means moderate
seat angle,(the angle between the seat and back rest) is
90 and 95 degree, which is met by classical rocking chair.
• with slightly inclined seat surface at ischial tuberosities,
the resultant force stands nearly perpendicular to surface
with less horizontal Fh component, reducing friction on
ischial tuberosity.
Back rest inclination larger in auditorium or cars
seats
• Head rests can not carry head when placed too far
forward to reduce friction and for perfect view of screen.
Leg-crossing
• No significant benefit
Leg-crossing
• Self bracing of SI joints.
• Exception; Internal oblique abdominals weakness
Chair and table
• Chair is important for good posture but when reading and
writing are involved, height and inclination of desk
becomes important
• Despite good chairs, postures with back bent or twisting
can be observed.

• https://www.youtube.com/watch?v=F8_ME4VwTiw
Bad postures
• Reading with trunk upright requires sharp bend in cervical
spine which can not be sustained for long duration
(reading distance is larger than 25 to 35cm)
 Hence, inclination of desk is necessary (approximately 12 degree) but not steeper than it.

WHY??
Lying
Lying
• Normally people change posture 20 times per night on
bed.
• Largest pressure occur at region of shoulder and the
hip.
• Ideal mattress maintains a straight spine in side lying and
S-shape of spine in supine posture.
Criterion of conformity of bed:
Sinking 2 square plates of 20×20cm at a distance of
60cm, each loaded with 20 kg. the greater the depth to
which the plates sink, greater the conformity.
• The combination of pressure and shear is a provocation of
decubitus skin ulcerations.
• The medium for anti-decubitus mattresses can be divided
into four:
Viscoelastic material, fluid, gas and a combination of
these media.
Pillow types used?
You Tube Lecture Link:

https://youtu.be/40ODnDniR5M
Questions
• Describe what are different parts of
ergonomic chair that helps in good
posture?

• How to prevent pressure sores in


unconscious patients?

• What is click clack phenomenon of lumbo-


pelvic region?

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