Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Sit-to-stand movement analysis in obese subjects

Abstract

OBJECTIVES: The aim of this study was to evaluate the typical strategies of obese subjects during a sit-to-stand task (a typical daily living activity) and to assess the load conditions of hip, knee and ankle joints.

DESIGN: Cross-sectional, controlled (obese patients vs controls) study on sit-to-stand movement analysis

SUBJECTS: Ten adult young volunteers (five men and five women, mean age 28, s.d. 3 y; mean BMI 22, s.d. 2.3 kg/m2) and 30 obese subjects 25 women and five men, mean age 39.4, s.d. 13.7 y, mean BMI 40, s.d. 5.9 kg/m2) suffering from chronic lower back pain were analyzed in a sit-to-stand task (10 trials for each subject).

MEASUREMENTS: Angle parameters carried out from a quantitative three-dimensional analysis of sit-to-stand (STS) movement, using an optoelectronic system.

RESULTS: STS task in controls was characterized by a fully forward bending strategy of the trunk, while in obese patients at the beginning (first trial) of the STS task they limited the forward bending in order to protect the vertebral column. When fatigue increased during the execution of multiple STS tasks, the protection of the vertebral column was secondary to the execution of the task. In order to limit the muscle fatigue they increased the forward bending in order to decrease knee joint torque.

DISCUSSION: The analysis of the strategy used by obese patients in STS task can be used in the design of future trials to assess the efficacy of rehabilitative treatment.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Doorenbosh C, Harlaar J, Roebroeck M, Lankhorst J . Two strategies of transferring from sit-to-stand; the activation of monoarticular and biarticular muscles J Biomech 1994 27: 1299–1307.

    Article  Google Scholar 

  2. Kralj A, Jaeger R, Munih M . Analysis of standing up and sitting down in humans: definitions and normative data presentation J Biomech 1990 23: 1123–1138.

    Article  CAS  Google Scholar 

  3. Butler P, Nene A, Major R . Biomechanics of transfer from sitting to standing position in some neuromuscolar diseases Physiotherapy 1991 77: 521–525.

    Article  Google Scholar 

  4. Burdet R, Habasevich R, Pisciotta J, Simon S . Biomechanical comparison of rising from two types of chairs Phys Ther 1985 65: 1177–1183.

    Article  Google Scholar 

  5. Ellis M, Seedhom B, Wright V . Forces in the knee joint whilst rising from a seated position J Biomed Engng 1984 6: 113–120.

    Article  CAS  Google Scholar 

  6. Fleckenstein S, Kirby R, MacLeod D . Effect of limited knee flexion range on peak hip moments of forces while transfering from sitting to standing J Biomech 1988 21: 915–918.

    Article  CAS  Google Scholar 

  7. Nuzik S, Lamb R, VanSant A, Hirt S . Sit to stand patterns: a kinematic study Phys Ther 1986 66: 1708–1713.

    Article  CAS  Google Scholar 

  8. Schultz A, Alexander N, Ashton-Miller J . Biomechanical analyses of rising from a chair J Biomech 1992 25: 1383–1391.

    Article  CAS  Google Scholar 

  9. Leboeuf-Yde C, Kyvik KO, Bruun NH . Low back pain and lifestyle. Part II—obesity. Information from a population based sample of 29, 424 twin subjects Spine 1999 24: 779–783.

    Article  CAS  Google Scholar 

  10. Garzillo MJ, Garzillo TA . Does obesity cause low back pain? J Manipulative Physiol Ther 1994 17: 601–604.

    CAS  PubMed  Google Scholar 

  11. Divieti L, Galli M, Salvi R . Posture and movement in pregnancy Math Models Meth Appl Sci 1995 5: 145–157.

    Article  Google Scholar 

  12. Berger R, Riley P, Mann R, Hodge W . Total body dynamics in rising from a chair. In Thirty-Fourth Annual Meeting of the Orthopaedic Research Society 1988 Atlanta, GA.

    Google Scholar 

  13. Gregoire L, Veeger H, Huijing P, Schenau G . Role of mono and biarticular muscles in explosive movements Int J Sports Med 1984 5: 301–305.

    Article  CAS  Google Scholar 

  14. Kelley D, Dainis A, Wood G . Mechanics and muscular dynamics of rising from a seated position. In: Komi PV (ed). Biomechanics. University Park Press 1976, pp 127–134.

    Google Scholar 

  15. Winter D . Biomechanics of Human Movements Wiley: New York 1979.

  16. Wheeler J, Woodward C, Ucovich R . Rising from a chair: influence of age and design Phys Ther 1985 65: 22–26.

    Article  CAS  Google Scholar 

  17. Zatsiorsky V, Seluyanov V . The mass and inertia characteristics of the main segments of the human body. In: Matsui H, Kobayashi K (eds). Biomechanics VIII-B. 1983, pp 1152–1159.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M Galli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Galli, M., Crivellini, M., Sibella, F. et al. Sit-to-stand movement analysis in obese subjects. Int J Obes 24, 1488–1492 (2000). https://doi.org/10.1038/sj.ijo.0801409

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801409

Keywords

This article is cited by

Search

Quick links