Evaluation of a sitting aid: the back-up.

The effects of a portable back support, the Back-Up, were tested in 28 variables. Both subjective and objective physical load measures were recorded during sitting with and without Back-Up, most of them during VDU work. The main result was that the posture of the upper back and neck/head was improved by the Back-Up. However, the knee straps induced unacceptable high pressure and increased significantly the discomfort in the legs. Based on these results the Back-Up was modified: the contact area between the strap and the knee was enlarged. This modified Back-Up was tested again for 13 variables with 10 new subjects. The knee pressure turned out to be acceptable and the discomfort was equal to sitting without the Back-Up. Based on this research the Back-Up is considered as a possible addition to more fundamental ergonomic improvements such as adjustable furniture and variation between sitting, standing and walking tasks, especially for improvement of the neck load. However, the Back-Up should not replace proper ergonomic workstation and work organization design or a backrest on the chair. Furthermore, the Back-Up should not be made obligatory, and it should be worn only for a part of the day, because it limits variation in postures.