The results suggest there is currently no evidence to support the use of dynamic sitting as a st and -alone approach in the management of LBP .
Overall , the evidence suggests that dynamic sitting approaches are not effective as a st and -alone management approach for LBP
Dynamic sitting has been proposed to reduce  low back pain ( LBP ) and /or low back discomfort ( LBD ) while sitting .
This is supported by studies suggesting that subjects with LBP assume more static , sustained postures while sitting .
This systematic review investigated the effect of dynamic sitting on LBP among subjects with LBP and the development of LBD among pain-free subjects .
Practitioner Summary : This systematic review investigated the effect of dynamic sitting on LBP or LBD .
It's time for change with the management of non-specific chronic low back pain
Low back pain ( LBP ) is the second greatest cause of disability in the USA.1 USA data supports that in spite of an enormous increase in the health re sources spent on LBP disorders , the disability relating to them continues to increase.2 The management of LBP is underpinned by the exponential increase in the use of physical therapies , opiod medications , spinal injections as well as disc replacement and fusion surgery.2 This is maintained by the underlying belief that LBP is fundamentally a patho-anatomical disorder and should be treated within a biomedical model.1 This is in spite of calls over a number of years to adopt a bio-psycho-social approach , and evidence that only 8–15 % of patients with LBP have an identified patho-anatomical diagnosis , result ing in the majority being diagnosed as having non-specific LBP.3 Of this population , a small but significant group becomes chronic and disabled , labelled non-specific chronic low back pain ( NSCLBP ) , consuming a disproportionate amount of healthcare re sources .4 1 . Over the past decade , the traditional biomedical view of LBP has been greatly challenged . This is a result of : the failure of simplistic single-dimensional therapies to show large effects in patients with NSCLBP5–8 ; 2 . the results of clinical trials testing commonly prescribed interventions demonstrating that no management approaches are clearly superior5–7 9 ; 3 . the stories of NSCLBP patients relating their own ongoing pain experiences of multiple failed treatments , conflicting diagnoses , lost hope and ongoing suffering10 ; 4 . the indisputable evidence supporting the multidimensional nature of NSCLBP as a disorder , where disability levels are more closely associated with cognitive and behavioural aspects of pain rather than sensory and biomedical ones11 12 ; 5 . positive outcomes in r and omised controlled trials ( RCTs ) are best predicted by changes in psychological distress , fear avoidance beliefs , self-efficacy in
The results suggest there is currently no evidence to support the use of dynamic sitting as a st and -alone approach in the management of LBP .
Overall , the evidence suggests that dynamic sitting approaches are not effective as a st and -alone management approach for LBP
Dynamic sitting has been proposed to reduce  low back pain ( LBP ) and /or low back discomfort ( LBD ) while sitting .
This is supported by studies suggesting that subjects with LBP assume more static , sustained postures while sitting .
This systematic review investigated the effect of dynamic sitting on LBP among subjects with LBP and the development of LBD among pain-free subjects .
Practitioner Summary : This systematic review investigated the effect of dynamic sitting on LBP or LBD .