Can a Back Brace Help With Rolled Shoulders

Back Health and Posture

Good posture involves training your body to stand, walk, sit and lie in positions where the least strain is placed on supporting muscles and ligaments during these activities. Read on for illustrations and instructions for correct lifting, driving, sitting, and sleeping positions.

Normal Spinal Alignment side view and back view.

What is posture?

Posture is the position in which you hold your body while standing, sitting or lying down. Good posture involves training your body to stand, walk, sit and lie so as to place the least strain on muscles and ligaments while you are moving or performing weight-bearing activities.

Good posture helps you in the following ways:

Keeps bones and joints in the correct position (alignment) so that muscles are being used properly.
Helps cut down on the wear and tear of joint surfaces (such as the knee) to help prevent the onset of arthritis.
Decreases the strain on the ligaments in the spine.
Prevents the spine from becoming fixed in abnormal positions.
Prevents fatigue because muscles are being used more efficiently, which allows the body to use less energy.
Prevents backache and muscular pain.

Four common postural tendencies include normal, kyphotic-lordotic, sway back and flat back.

Correct sitting position

Sit up with your back straight and your shoulders back. Your buttocks should touch the back of your chair.
All 3 normal back curves should be present while sitting. You can use a small, rolled-up towel or a lumbar roll to help maintain the normal curves in your back.
Sit at the end of your chair and slouch completely.
Draw yourself up and accentuate the curve of your back as far as possible. Hold for a few seconds.
Release the position slightly (about 10 degrees). This is a good sitting posture.
Distribute your body weight evenly on both hips.
Bend your knees at a right angle. Keep your knees even with or slightly higher than your hips. (Use a foot rest or stool if necessary.) Do not cross your legs.
Keep your feet flat on the floor.
Try to avoid sitting in the same position for more than 30 minutes.
At work, adjust your chair height and work station so that you can sit up close to your work and tilt it up toward you. Rest your elbows and arms on your chair or desk, keeping your shoulders relaxed.
When sitting in a chair that rolls and pivots, don't twist at the waist while sitting. Instead, turn your whole body.
When standing up from the sitting position, move to the front of the chair. Stand up by straightening your legs. Avoid bending forward at your waist. Immediately stretch your back by doing 10 standing backbends.

Here's how to find a good sitting position when you're not using a back support or lumbar roll:

Distribute your body weight evenly on both hips.
Bend your knees at a right angle. Keep your knees even with or slightly higher than your hips. (Use a foot rest or stool if necessary.) Do not cross your legs.
Keep your feet flat on the floor.
Try to avoid sitting in the same position for more than 30 minutes.
At work, adjust your chair height and work station so you can sit up close to your work and tilt it up at you. Rest your elbows and arms on your chair or desk, keeping your shoulders relaxed.
When sitting in a chair that rolls and pivots, don't twist at the waist while sitting. Instead, turn your whole body.
When standing up from the sitting position, move to the front of the chair. Stand up by straightening your legs. Avoid bending forward at your waist. Immediately stretch your back by doing 10 standing backbends.

Correct driving position

Use a back support (lumbar roll) at the curve of your back. Your knees should be at the same level or higher than your hips.
Move the seat close to the steering wheel to support the curve of your back. The seat should be close enough to allow your knees to bend and your feet to reach the pedals.

Correct lifting position

If you must lift objects, do not try to lift objects that are awkward or are heavier than 30 pounds.
Before you lift a heavy object, make sure you have firm footing.
To pick up an object that is lower than the level of your waist, keep your back straight and bend at your knees and hips. Do not bend forward at the waist with your knees straight
Stand with a wide stance close to the object you are trying to pick up and keep your feet firm on the ground. Tighten your stomach muscles and lift the object using your leg muscles. Straighten your knees in a steady motion. Don't jerk the object up to your body.
Stand completely upright without twisting. Always move your feet forward when lifting an object.
If you are lifting an object from a table, slide it to the edge to the table so that you can hold it close to your body. Bend your knees so that you are close to the object. Use your legs to lift the object and come to a standing position.
Avoid lifting heavy objects above waist level.
Hold packages close to your body with your arms bent. Keep your stomach muscles tight. Take small steps and go slowly.
To lower the object, place your feet as you did to lift, tighten stomach muscles and bend your hips and knees.

What is the best position for sleeping and lying down?

No matter what position you lie in, the pillow should be under your head, but not your shoulders, and should be a thickness that allows your head to be in a normal position.

Try to sleep in a position that helps you maintain the curve in your back (such as on your back with a pillow under your knees or a lumbar roll under your lower back, or on your side with your knees slightly bent). Do not sleep on your side with your knees drawn up to your chest. You may want to avoid sleeping on your stomach, especially on a saggy mattress, since this can cause back strain and can be uncomfortable for your neck.
Select a firm mattress and box spring set that does not sag. If necessary, place a board under your mattress. You can also place the mattress on the floor temporarily if necessary. If you've always slept on a soft surface, it may be more painful to change to a hard surface. Take the time to find the right mattress and box spring for your needs.
Try using a back support (lumbar support) at night to make you more comfortable. A rolled sheet or towel tied around your waist may be helpful.
When standing up from the lying position, turn on your side, draw up both knees and swing your legs on the side of the bed. Sit up by pushing yourself up with your hands. Avoid bending forward at your waist.

These recommendations will benefit most people who have back pain. If any of these guidelines causes an increase of pain or the spreading of pain to the legs, stop the activity and seek the advice of a physician, chiropractor or physical therapist.

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