1. Introduction
Prolonged work with visual display terminals (VDTs) has become increasingly prevalent, with many students and office workers engaging in VDT work for extended periods to complete daily tasks. However, prolonged static loading of a muscle is known to result in sustained activation of high-threshold small motor units [
1]. During VDT work, the muscles in the back, shoulders, and neck are typically subjected to low-level static muscular loading, increasing the risk of developing musculoskeletal disorders such as myalgia (muscle pain) [
2]. The human spine comprises 24 vertebrae connected by intervertebral disks, and the sacrum, which naturally curves into an S-shape. However, in the seated posture during work, this S-shaped curve tends to shift into a more C-shaped form. Sustained compression of the intervertebral disks can lead to fluid expulsion [
3], which may adversely affect tissue nutrition [
4,
5]. Unsupported spinal loading has been shown to accelerate spinal shrinkage [
6]. Compressed intervertebral disks can irritate surrounding nerves, leading to lower-back pain [
7].
Thus, although prolonged VDT work is often unavoidable, it poses significant potential health risks, necessitating the implementation of countermeasures. Traditionally, office chairs that maintain the natural S-shaped curvature of the spine have been considered essential for reducing physical strain [
7]. However, in recent years, “active chairs” have been developed [
8], featuring mechanisms designed to respond to and facilitate user-initiated movements, thereby reducing static musculoskeletal loading and discouraging the prolonged adoption of static postures. Hyeong et al. [
9] introduced several types of active chairs for VDT work, including forward-tilting seat pans and balance-ball chairs, where the former help maintain lumbar lordosis [
10,
11]. Keegan [
12] studied the dependency of spinal health on the thigh-torso angle, revealing that lumbar lordosis is often induced by a posture involving a tilted seat and a 135° angle between the thighs and torso when the feet are on the ground.
Based on these findings, forward-tilting chairs were developed, including kneeling chairs [
13] that utilize knee supports to minimize forward sliding forces. A forward-tilting seat pan is expected to reduce the compressive load on the intervertebral disks by preventing posterior pelvic rotation and naturally promoting lumbar lordosis. However, comfort assessments have shown that chairs with horizontal seat pans are preferred to those with forward-tilting seats [
14,
15].
Moving the spine while seated is one method of reducing spinal shrinkage [
16], prompting the incorporation of balance balls into the seat of chairs [
17]. In such chairs, the unstable surface of the seat may promote spinal movement. Rather than encouraging a relaxed posture, the aim is to engage and strengthen the muscles around the lumbar spine to maintain an upright posture. Kingma et al. [
18] reported that sitting on a balance ball increased trunk motion and lumbar variability. However, they also noted an increase in the average lumbar muscle activity, which suggests that sitting on a balance ball may increase the physical load on the muscle, which is a potential drawback. Similarly, Gregory et al. [
19] suggested that using a balance ball instead of an office chair produces little change in biological responses. Moreover, considering the reported increase in discomfort, prolonged sitting on a balance ball may not be advantageous. Kitamura et al. [
20] demonstrated that exercises involving balance balls effectively activate core muscles and do not reduce office work efficiency.
To address the trade-off between the benefits of active chairs, such as muscular and postural load reduction and the promotion of spinal motion, and discomfort, a chair that sways 360° has been developed [
21]. In contrast with conventional chairs that prioritize stabilizing static posture, the philosophy underlying this design is promoting dynamic movement while seated. Unlike balance balls or conventional forward-tilting chairs, the 360° swaying chair allows the user to switch between a forward-tilted and a non-tilted sitting posture.
Based on a questionnaire survey, Tanaka et al. [
22] suggested that the suitability of this chair depends on the perceived comfort and the nature of the work, and that it has the potential to improve productivity under certain usage conditions. In this survey, participants who used the chair for three months reported positive feedback on its comfort and beneficial physical effects. This suggests that the 360° swaying chair can alleviate the discomfort associated with balance balls and conventional forward-tilting chairs. However, the physiological effects of the 360° swaying chair have not been adequately researched, and the relationship between the chair and the physical strain it places on the user remains unclear. Because the freely tilting seat is designed to encourage spinal movement and reduce muscle strain, analyzing the impact of the 360° swaying chair on muscle strain and comfort during VDT work, compared to that of standard office chairs, is essential.
This study aims to clarify the effects of a 360° swaying chair on users during VDT work, considering motion analysis, electromyography (EMG), and subjective evaluations. This study is divided into two parts: Experiment 1 and Experiment 2. In Experiment 1, the effects of using a 360° swaying chair and a standard office chair (two conditions) on the user during VDT work are compared. Analysis of muscle activity and subjective ratings while examining the postural characteristics of users in each chair revealed that the 360° swaying chair may have different effects to a standard chair. Recognizing that different sitting postures could lead to different physical effects even on the same chair, Experiment 2 focuses on muscle activity, motion, and subjective evaluations when users adopt various postures by engaging the seat-tilting feature of the 360° swaying chair. Through this approach, the effects of dynamic seat pan changes on reducing the physical load on muscles and improving work posture were investigated. The findings of this study are expected to provide practical guidelines for sitting postures that can be adopted to reduce the physical strain on office chair users. Furthermore, the data provide guidelines for the ergonomic design of future office chairs.
3. Experiment 2
Experiment 1 revealed increased muscle activity in the internal oblique when using the 360° swaying chair than when using a standard office chair. Because the 360° swaying chair allows users to adopt various sitting postures, it is possible that each posture affects the body differently. Therefore, the purpose of Experiment 2 was to interpret the effects of four different conditions on the user. These conditions included three postures in the 360° swaying chair—a neutral tilt posture, a forward tilt posture with feet forward, and a forward tilt posture with feet back, as well as the typical posture in a standard office chair.
3.1. Materials and Methods
3.1.1. Participants
The participants of this study were ten female university students with a mean age of 20.8 years (SD: 0.9), mean height of 154.7 cm (SD: 3.2), and mean weight of 51.1 kg (SD: 5.4). The average BMI was 20.2 kg/m2 (SD: 2.1), and most participants were within the WHO normal weight category, with one participant classified as underweight. None of the participants had a history of orthopedic disease, symptoms, or related medical conditions. The purpose and procedures of the experiment were fully explained to the participants in advance, and written informed consent was obtained from each of them. Approval for this study was granted by the Ethics Committee of the Graduate School of Human Life and Ecology at Osaka Metropolitan University (Approval No. 24-43).
3.1.2. Apparatus and Environment
In addition to the equipment from Experiment 1, a three-dimensional (3D) motion analysis system (VENUS3D, Nobby Tech Ltd., Tokyo, Japan) was used in Experiment 2. Reflective markers with diameters of 19 mm (Pearl Markers, Nobby Tech Ltd., Japan) and 25 mm (VICON) were attached to the participants. The technical details on the seats used in the experiment are provided in
Table 2.
3.1.3. Experimental Task
In each condition, the participants performed the same typing task as in Experiment 1, but for 5 min. They were instructed to transcribe a Japanese text equivalent in difficulty to the Level 1 Japanese Word Processing Examination from one half of the laptop screen to a Microsoft Word document on the other half, aiming for speed and accuracy.
3.1.4. Experimental Design
To evaluate the effects of the seat-tilting feature of the 360° swaying chair, the participants performed a 5 min VDT task under four conditions (
Figure 5). These included three postures in the 360° swaying chair—a neutral tilt posture (AC1), forward tilt posture with feet forward (AC2), and forward tilt posture with feet back (AC3)—and one control condition involving a typical posture in a standard office chair (OC).
3.1.5. Procedure
First, as mentioned, the purpose, procedures, and ethical considerations of the experiment were explained to the participants, and their written informed consent was obtained. The participants’ height and weight were measured. For both chair types, the chair height was adjusted to position the participant’s knees at a 90° angle relative to their feet, which were flat on the floor while sitting in a non-tilted posture. The chair height was kept constant for the three different postures in the 360° swaying chair. However, the participants were allowed to adjust the desk height and the placement of the chair and laptop to their own comfort, as fixing the desk at an unsuitable level would have forced them into unnatural working postures, which could have introduced additional bias in subjective ratings and EMG measurements. Electrodes were attached to the left side of each participant’s body and the reflective markers were attached to the participants’ right side. The participants were then seated and instructed to complete the 5 min typing task. After completing the task, they answered a questionnaire about the sitting comfort. Upon completing the questionnaire, the participants were allowed to stand up and were given a short break. They then completed the typing task and questionnaire for the remaining conditions. The order of the four conditions was randomized for each participant. After completing the tasks under all conditions, the muscle activity during MVC was measured using the same MMT methods as in Experiment 1.
3.1.6. Data Analysis
For the motion analysis, the frame rate was set to 30 Hz. Reflective markers were placed on the following anatomical landmarks: the tragus, cervical vertebra (C7), iliac crest, greater trochanter, knee–joint center, and lateral malleolus. An additional marker was placed on the chair. All measurements were performed in the sagittal plane. The calculated angles included the neck flexion angle, defined as the angle between the tragus-C7 and C7-iliac crest lines, and the spine tilt angle, defined as the angle of the C7-greater trochanter line relative to the horizontal. The trunk angle is formed by the C7-greater trochanter–knee joint center line. The pelvic tilt angle was measured as the angle of the iliac crest–greater trochanter line relative to the vertical. The knee flexion angle is the angle formed by the greater trochanter–knee–joint center–lateral malleolus line. The chair tilt angle is the angle between the seat pan and the horizontal line.
The EMG setup was the same as in Experiment 1. The target muscles were the lumbar erector spinae (at the L3–L4 level), thoracic erector spinae (at the T4–T5 level), rectus abdominis (at the L3–L4 level), and internal oblique (at the L4–L5 level).
A subjective evaluation questionnaire was administered using Microsoft Forms after the typing task while the participants were seated. In the evaluation of the sitting comfort, the participants were required to rate several items on a 5-point scale from 1 (very unfavorable) to 5 (very favorable). These items included the overall sitting comfort, ease of performing the task, and sense of stability, as well as the fit and support for both the buttocks and thighs, and the lumbar region.
3.1.7. Statistical Analysis
A one-way repeated measures ANOVA was performed for each angle obtained from the motion analysis and for the EMG data to examine the differences among the four sitting postures. When a significant main effect was found, post hoc multiple comparisons were conducted using the Bonferroni correction. The four sitting postures were compared by performing a Friedman test for subjective evaluation of the data for each item.
3.2. Results
The one-way repeated measures ANOVA revealed a significant main effect for the trunk angle (F (3, 27) = 29.11, p < 0.01). Post hoc multiple comparisons using the Bonferroni correction revealed significant differences between AC1 and AC2 (p < 0.05), AC1 and AC3 (p < 0.01), AC2 and AC3 (p < 0.05), AC2 and OC (p < 0.01), and AC3 and OC (p < 0.01).
The one-way repeated measures ANOVA revealed a significant main effect for the knee flexion angle (F (3, 27) = 330.77, p < 0.01). Post hoc multiple comparisons using the Bonferroni correction showed significant differences between AC1 and AC2 (p < 0.01), AC1 and AC3 (p < 0.01), AC2 and AC3 (p < 0.01), AC2 and OC (p < 0.01), and AC3 and OC (p < 0.01).
One-way repeated measures ANOVA of the RMS average (%MVC) indicated a significant main effect for the thoracic erector spinae (F (3, 27) = 4.00, p < 0.05). Post hoc multiple comparisons with the Bonferroni correction revealed a significant difference between AC2 and AC3 (p < 0.05). Similarly, ANOVA analysis of the average muscle activity (%MVC) of the thoracic erector spinae revealed a significant main effect (F (3, 27) = 3.71, p < 0.05). Post hoc comparisons revealed a significant difference between AC2 and AC3 (p < 0.05).
One-way repeated measures ANOVA of the MPF (Hz) revealed a significant main effect of the lumbar erector spinae (F (3, 27) = 3.01, p < 0.05). Post hoc comparisons using the Bonferroni correction showed a tendency toward a significance difference between AC2 and AC3 (p = 0.054).
One-way repeated measures ANOVA of the MPF (Hz) revealed a significant main effect for the rectus abdominis muscle (F (3, 27) = 4.24, p < 0.05). Post hoc multiple comparisons using the Bonferroni correction revealed significant differences between AC2 and AC3 (p < 0.05) and between AC3 and OC (p < 0.05).
The Friedman test revealed no significant differences among the four conditions for any of the rated items in the subjective evaluations. The results of Experiment 2 are presented in
Table 3.
3.3. Discussion of Experiment
3.3.1. Motion Analysis
A comparison revealed that the trunk angle was significantly greater in the following order: AC3, AC2, AC1, and OC. The knee flexion angle was largest in condition AC2 and smallest in condition AC3, compared to that in the other conditions. Kim et al. [
28] reported that a large trunk–thigh angle combined with a small knee angle helps to maintain the natural S-shaped curve of the spine. Based on this finding, it is suggested that condition AC3, for which the trunk angle was larger and the knee flexion angle was smaller than in the other conditions, may be the most effective posture for maintaining the natural S-curve of the spine.
3.3.2. EMG
For the thoracic erector spinae, both the RMS average (%MVC) and the average muscle activity (%MVC) were significantly greater in condition AC2 than in AC3. These results suggest that the muscular load on the thoracic erector spinae is greater in AC2 than in AC3.
For condition AC2, the MPF (Hz) of the lumbar erector spinae was significantly lower than that for AC3. Because a lower MPF indicates muscle fatigue, this suggests that the AC2 posture may lead to more rapid fatigue onset in the lumbar erector spinae compared to the AC3 posture.
Significant differences in the MPF (Hz) of the rectus abdominis muscle were found between AC2 and AC3, as well as between AC3 and OC. These results indicates that the AC3 posture reduces muscle fatigue in the rectus abdominis compared to the AC2 and OC postures, suggesting that it may be advantageous for reducing physiological load during short-term tasks.
These results suggest that a forward tilt posture with feet forward (AC2) increases the muscular load on the thoracic and lumbar erector spinae, whereas a forward tilt posture with feet back (AC3) appeared to reduce the short-term muscular load on the rectus abdominis.
3.3.3. Subjective Evaluations
For the items rated in the subjective evaluations, no significant differences were observed among the four conditions (AC1, AC2, AC3, and OC). Previous studies have reported that on the basis of comfort, horizontal seat pans are preferred over forward-tilting counterparts [
14,
15], contrary to the present results. The present study demonstrates that comfort is not compromised with the 360° swaying chair, even when the seat is tilted forward. These results suggest that the 360° swaying chair could effectively promote good posture and a high level of comfort simultaneously.
3.3.4. Overall Discussion for Experiment 2
Experiment 2 examined the dynamic seating properties of the 360° swaying chair, aiming to clarify the effects of the seat tilt and foot position on postural adjustments and muscle activity.
The results indicate that the AC3 posture, which features a larger trunk angle and smaller knee flexion than the other conditions, helped maintain the natural S-curve of the spine and likely reduced fatigue in the thoracic erector spinae and rectus abdominis muscles. Previous research has shown that angles of the trunk and knees that prevent posterior pelvic rotation stretch the muscles around the hip joint, including the hamstrings and other thigh muscles [
30]. Thus, while effective for the upper body, the AC3 posture may place a greater load on the lower body than the other conditions. This trade-off highlights the need for future studies to quantify lower-extremity demands and confirm the comprehensive safety of this posture. The trunk angle was smaller in AC2 than in AC3, and the increased muscle activity in the thoracic erector spinae and the decreased MPF in the lumbar erector spinae observed under the AC2 condition suggest a trend toward muscle fatigue accumulation. It can be inferred that the trunk angle in the AC2 posture was insufficient to maintain the physiological S-curve of the spine, possibly necessitating compensatory activation of the erector spinae muscles. Taken together, these results suggest that to maintain the physiological S-curve of the spine and reduce the muscular load on the erector spinae, it is important not only to adjust the forward tilt of the seat but also to adjust the foot position to ensure a sufficiently open trunk angle.
Furthermore, subjective evaluations revealed no significant differences in comfort among the AC1, AC2, AC3, and OC conditions. The data confirm that implementing a forward seat tilt did not compromise user comfort. These results suggest that the 360° swaying chair may alleviate the discomfort reported with conventional forward-tilting chairs [
14,
15].
4. General Discussion
As confirmed by Experiment 1, compared to the standard office chair, the use of the 360° swaying chair required significantly higher average activity of the internal oblique muscle. However, Experiment 2 revealed no significant difference in the activity of the internal oblique muscle with the use of the 360° swaying chair or the standard OC. A possible explanation is that the tilt angle was greater in the instructed forward tilt posture in Experiment 2 compared to the spontaneous posture in Experiment 1. However, since spinal posture and pelvic rotation were not quantified in Experiment 1 due to the absence of motion analysis, this explanation remains speculative. Consequently, a higher proportion of body weight may have been supported by the feet in the former, thus reducing the muscular load on the internal oblique muscle. This suggest that slight forward tilting, which places minimal load on the feet, may be key in promoting internal oblique muscle activity.
The results of Experiment 2 confirmed that the AC2 posture increased activity in the thoracic erector spinae muscle. This posture likely placed a greater muscular load on the lumbar erector spinae muscle. In contrast, the AC3 posture appeared to reduce the muscular load on the rectus abdominis, suggesting that it may help minimize upper-body stress during VDT tasks. Furthermore, the larger trunk angle and smaller knee flexion angle in the AC3 posture suggest that this posture helps maintain the S-shaped curvature of the spine, which can potentially reduce the compressive load on the intervertebral disks, a key factor in maintaining spinal health. However, despite reducing the load on the upper body, the AC3 posture may increase the load on muscle groups in the lower body.
The results of the subjective evaluations showed no major differences between the conditions in Experiment 1. Similarly, no significant differences were found among the conditions in Experiment 2. These results suggest that none of the tested sitting postures on the 360° swaying chair are less comfortable than that on the standard OC.
As indicated in previous research, although conventional active chairs, such as forward-tilting seats and balance balls, can improve posture, they are uncomfortable [
14,
15,
19,
20]. However, the present study demonstrated that the forward tilt posture in the 360° swaying chair does not compromise comfort, suggesting that discomfort may not increase even during prolonged periods of sitting.
Given that not all muscles were monitored, changes in the sitting posture can possibly put stress on muscles in the lower body, such as the hamstrings, quadriceps, and gastrocnemius [
30]. Because the present study did not evaluate these muscles, the effects of postural changes while seated in the 360° swaying chair on the activity of muscles in the lower body need to be investigated in future research.
Another limitation of this study is the specific characteristics of the participant pool. The research was conducted with female university students, but the user base for active chairs includes people of various ages and genders. Caution is necessary when generalizing the results of the present study considering that previous research has reported that changes in lumbar flexion and muscle activity can differ by age and gender [
19]. Additionally, the small sample sizes, with only 8 participants in Experiment 1 and 10 in Experiment 2, require a cautious interpretation when generalizing the findings.
While Experiment 2 examined the effects of specific prescribed postures (AC2 and AC3), Experiment 1 allowed participants to adopt their spontaneous sitting posture. This discrepancy in posture control hinders the direct comparability of the two experiments. In future studies, the implementation of consistent posture instructions across experiments is recommended to enhance ecological validity and strengthen the interpretation of posture-specific effects.
It should be noted that MVC measurements were conducted after the task to prioritize natural posture; while this may theoretically result in slightly inflated %MVC values, the low-intensity nature of the task and consistent protocol across conditions support the validity of the relative comparisons.
The present study evaluated the effects of different sitting postures. However, the optimal frequency for changing posture and the ideal conditions for long-term comfort remain unclear. Further research is needed to analyze the effects of postural changes in long-term work environments and establish evidence-based design guidelines for OCs.
The present study evaluated only short-term VDT tasks. The effects of prolonged seated work on muscular and postural loads, as well as subjective discomfort, remain unclear and warrant further investigation.
Furthermore, motion analysis in this study was restricted to the sagittal plane to focus on spinal alignment and forward-tilting effects. Since the chair is designed to sway 360 degrees, future research should quantify lateral flexion and rotation to provide a more comprehensive understanding of the chair’s dynamic characteristics.
Finally, the VDT task in this study was a standardized transcription task involving continuous typing. In actual office environments, workers perform a variety of tasks with varying levels of cognitive demand and physical interaction. Since task type and complexity can influence muscle tension and posture, future research should investigate the effects of the 360° swaying chair across a broader range of VDT activities.
Taken together, these limitations indicate that the findings should be interpreted as preliminary and specific to short-term VDT tasks in a young female population. By investigating these issues in future studies, it will be possible to design chairs that promote more comfortable and healthier postural adjustments.