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How to improve your posture

2025/1/21
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Life Kit

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Katie Bowman
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Lita Malik
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Marielle (主持人)
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Lita Malik: 我认为良好的姿势并非指保持一种固定的、笔直的姿势,而是指根据你正在进行的活动灵活调整姿势的能力。这是一种动态的、适应性的姿势,它能够随着你的活动而变化,并且不会导致疼痛。长时间保持一种姿势,例如像虾一样蜷缩着,即使姿势本身没有问题,但如果持续一整天,也会导致疼痛。 改善姿势的第一步是了解你自己的姿势习惯。你每天都在重复哪些姿势?哪些姿势你很少或根本不做?通过观察你身体各个关节的姿势组合,你可以识别出重复出现的姿势模式,并找出导致疼痛的潜在原因。例如,你可能会发现,你睡觉时总是把一只胳膊压在身下,这导致你的肩膀在醒来时感到僵硬。而这种肩膀的姿势,也和你工作时、开车时的姿势很相似。 如果你在办公桌前工作,那么你需要调整你的办公环境,例如将显示器高度调整到与眼睛齐平,键盘位置调整到肘部弯曲90度,以减少身体的不适。确保你能够轻松地够到所有你需要的东西,并且你的手腕不会过度弯曲。 如果你感到某个部位疼痛,并且这种疼痛持续存在或加重,那么你应该寻求专业人士的帮助。 Katie Bowman: 良好的姿势不是关于你看起来如何优雅或端庄,而是关于你的身体感觉如何。它是一种动态的、灵活的姿势,能够适应你正在进行的活动,并且不会导致疼痛或受伤。 我们应该学习并运用身体各个关节的灵活度,避免长期保持相同的姿势。你可以通过在生活中不断变换身体姿势来改善你的姿势。例如,在长时间乘坐飞机或汽车后,你会感到身体僵硬,这时你可以通过伸展和变换姿势来缓解不适。 你可以使用“墙面测试”来客观地评估你的身体对齐情况。将你的背部靠在墙上,看看你的头部、肩膀和背部是否能够自然地贴在墙上。如果不能,这说明你的姿势可能存在问题。 改善姿势的另一个方法是进行“姿势反向编程”,即有意识地变换姿势,来弥补日常姿势中缺乏多样性的问题。你可以通过一些简单的运动,例如伸展、弯腰、旋转等,来变换你的姿势。 如果你在工作中需要长时间站立,那么你应该定期坐下休息,并进行一些伸展运动。如果你在工作中需要长时间坐着,那么你应该定期站起来走动,并进行一些伸展运动。 记住,你的身体会适应你反复做的姿势。如果你总是保持同一个姿势,那么你的身体会逐渐适应这个姿势,并可能导致疼痛或受伤。因此,你需要有意识地变换姿势,让你的身体保持灵活和健康。 Marielle: 改善姿势需要一个多方面的方法,包括识别你的姿势习惯、进行姿势反向编程、调整你的环境以及接纳并利用身体的自然活动。 首先,你需要了解你自己的姿势习惯。你每天都在重复哪些姿势?哪些姿势你很少或根本不做?通过观察你身体各个关节的姿势组合,你可以识别出重复出现的姿势模式,并找出导致疼痛的潜在原因。 接下来,你需要进行姿势反向编程,即有意识地变换姿势,来弥补日常姿势中缺乏多样性的问题。你可以通过一些简单的运动,例如伸展、弯腰、旋转等,来变换你的姿势。你也可以设置一些环境提示,例如每完成一项任务就站起来走动一下,或者每离开一个房间就触摸一下门框。 此外,你还需要调整你的环境,例如办公桌椅、床铺等,以减少身体的不适。确保你的办公桌椅高度合适,你的显示器高度与你的眼睛齐平,你的键盘位置舒适,你的床铺柔软舒适。 最后,你需要接纳并利用身体的自然活动,例如“ fidgeting ”。当你的身体感到不安时,它是在告诉你它需要运动了。不要压制这种冲动,而是要听从你的身体的信号,并进行一些简单的运动。

Deep Dive

Chapters
This chapter defines good posture, differentiating it from the misconception of simply standing straight. It emphasizes the importance of dynamic posture, adaptable to various activities, and highlights the significance of identifying repetitive body shapes and their potential impact on pain and injuries. The chapter introduces methods to analyze personal posture habits.
  • Good posture is dynamic and adaptable, not static.
  • Repetitive body shapes lead to postural issues and pain.
  • Analyzing body constellations reveals habitual postures.
  • Asymmetry in posture habits causes uneven load distribution.

Shownotes Transcript

Translations:
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You're listening to Life Kit from NPR. Hey, everybody. It's Marielle. Have you ever seen that meme of a shrimp in a desk chair? Normally, I try not to explain memes or jokes, but this one's pretty straightforward. You know how shrimpies get curled up into sort of a hook shape? Imagine that, but sitting in a desk chair trying to fill out an Excel spreadsheet. A lot of us sit like this or in equally tortured positions, and that's bad.

Right? I always laugh as a physical therapist because people send it to me all the time. But the reality is, it's not so much the posture in itself, but the time and the

And the amount of movement that we actually get throughout the day to interrupt those stagnant positions. That's Lita Malik. She's a physical therapist and author of the book Science of Stretch. And she says if you hold your body in a shrimp-like shape for a short amount of time, probably not a huge deal. If you do it all day, every day, that's when you start hurting.

Katie Bowman is a biomechanist, which means she studies the effects that physical forces have on the body. She says you may have felt this effect after a long time in transit, when everything in your body feels stiff. Usually on a plane or a car, you don't get to have any movement breaks whatsoever. You're really, really stuck in a position. So what do you do in those moments? You shake out your muscles, stretch, and move your body into other positions.

Katie, who wrote a book called Rethink Your Position, says doing that throughout your life is what leads to good posture. We've got so many parts and I don't think we're really fluent in all the options that we have for positions, despite the number of joints and hinges and levers that really allow us to assume many different shapes. We're kind of stuck in the same set of shapes.

On this episode of Life Kit, how to improve your posture. We'll talk about what posture is exactly, how to know if yours is serving your body, and what you can do throughout the day to mix up the shapes your body is making.

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This message comes from Money for Couples, a new book and podcast that help you and your partner build and share financial vision. Discover clear, actionable steps for spending and saving that bring you closer together. Start your financial future today. Search Money for Couples wherever you listen. I used to think good posture was determined by whether you could glide across a room with a book on your head.

Lita Malik, the physical therapist, says it's not that. And it's not as simple as saying sit up straight. In reality, that posture, it may not be right for everyone and every single body. So really, the best posture is one that's fit for the things that you need to be doing and one that is adaptive and dynamic and one that you can change in and out of. Good posture isn't about how you look. It's not about being graceful or ladylike.

It's about how your body feels. So good posture is one that is dynamic, one that is not susceptible to pain as often as possible, and one that is best fit for what you need to get done. And bad posture is a set of patterns that cause you pain or make you prone to injury over time. The way you hunch over when you're washing the dishes or bend down to do your laundry or strain your neck reading in bed at night.

Takeaway one. The first step in fixing your posture and eliminating posture-induced pain is to drill down into your habits. What shapes are you making all the time? And what do you never do? Take a moment right now and check in with your body. Does anything hurt or ache? Have you noticed the pain before? Any idea when it started or what triggers it?

Here's an exercise that can help you go a little deeper on that. Imagine a star placed at every one of your joints, on your wrist, your elbow, your shoulders, one on your head and one on each vertebrae of the spine and your hips and your knees. And then ask yourself, what constellation is that?

Am I making the bulk of the day? And you start to recognize that there's probably some repetition around the way that particular area that's alerting you or flaring up for you is positioned. Maybe you feel tightness in your shoulder blade. If you feel that most when you wake up,

The problem could be your sleeping postures. You might notice like, oh, that shoulder that, yes, gets sort of folded underneath me when I'm sleeping, that it makes this particular arm constellation at night. I notice that's really similar to the same arm constellation that I'm making at work. And that arm constellation is also showing up

when I'm driving, and you start to see yourself as a collection of shapes. You might also realize, huh, I've been carrying a heavy tote bag on that shoulder. That's probably not helping. Looking at the constellations your body makes throughout the day will reveal your habits. And we have a lot of asymmetrical habits. And so over time, you feel the effects of not having movement really distributed properly.

throughout the body. Your body adapts to you repeatedly making these shapes. Now your bone mass is slightly adapted to the way you load your leg bones, you know, throughout the day. And you've got just a little bit more tension in the parts that have to shorten, you know, to accommodate the fact that you slouch in one particular direction and they get more etched into the body. And then over time that becomes our physical experience.

Katie has another tip to help you check on your body's alignment and what shapes you're repeatedly making. It's called the wall test. You can use this one if you're able to stand. Put a wall behind you and let your hips sit against the wall. Your heels don't need to touch the wall. They can be a few inches out to give your butt some space. Bring your...

middle back against the wall and then try to bring your head back there at the same time. And what many people will find is their upper back has become so stiff, that constellation of the upper back is really curved forward and that shape has become more etched in than they realize that the only way they can get their head back against the wall or their shoulders back against the wall is by really arching their lower back. And so the wall is just a really great tool to

To help you get an objective measure for how your body parts are able to articulate. I did this in the studio during our interview. And Katie also had me reach my arms out to the side against the wall. And your arm, can your wrists touch while all those other pieces stay on the wall? Yeah. And then you can go overhead. Do my hands go above my head? Can my wrists touch the wall there without making... That's not, that needs some work. Do we find one? Do we find a spot?

Yeah, there's not. Well, one of them can, but the other one can't quite. Right. And that's a big part of that asymmetry too. You know, there's just injuries, there's hobbies or habits that we all have that will etch in these just different ways of using our body. But without checking in with your ranges of motion and the way things are stacking and able to articulate relative to each other,

you just miss out that things are declining. You start to go, wow, I don't know when my hips got so tight. I don't know when I stopped being able to get my arms overhead. And then it becomes, I didn't know when I lost the ability to get up and down off the floor. And a lot of that is being set now just in

The fact that we're not utilizing a large number of shapes, we're kind of stuck in these same repetitive shapes and those shapes are leaving, they're leaving their mark. This isn't to say that we always need to move perfectly evenly or symmetrically, but we want to start giving our bodies more options. Takeaway two, create moments of posture counter-programming.

Let's say you're a desk worker and you spend most of the day sitting in the same position. Just stepping away and doing a three-minute workout, walking, doing lunges up and down your room or whatever it might be. That could help a lot. Now, if you have mobility restrictions or you can't do standing exercises, Leda recommends a seated cat-cow stretch, a seated hamstring stretch, a cross-body arm stretch, or some rotations in your chair. Basically, you want to put your body in as many different shapes as possible in that one-minute break.

Here's Katie. Just shake up your hands, reach them over the head, you know, bend to the right, bend to the left. Now, if you work on your feet in retail or at a warehouse, for instance, your posture breaks are going to look different. Typical movement breaks for that person might include actually sitting down for a bit, again, stretching the hip rotators, the hip flexors, standing up, stretching the calves, maybe even doing some calf raises. Lita recommends stretching your back too, especially if you're lifting heavy trays or boxes.

And Katie says you can create natural cues so these movement breaks become second nature, like changing positions every time you cross something off your to-do list or touching the top of the doorframe each time you leave a room. Create these little environmental cues that just remind me that these parts need to be

need movement, then my shoulder position when I go back to sitting at a desk and, you know, writing a book or working on a piece doesn't really bother me because I've nourished my shoulder and all these other positions just for minutes here or there sprinkled throughout the day. Here's another fun idea. Try a game of solo charades. You're going to contort your body to look like an animal or a fruit or a vegetable or a letter of the alphabet.

I find bananas are a good starting point. Elephant works well for me too. And giraffe is good if you really want to stretch your neck. The whole point is you're just trying to not do what you've just done for the hour leading up to that or the three hours or the six hours or the 16 years. But movement breaks are only part of the equation. Takeaway three, adjust your environment.

If you're constantly feeling pain in a part of your body, these body resets do help. But it's possible something's just wonky with your work setup or your sleep setup. That pain could vanish with some small tweaks. Think about the body constellations you made earlier. If you figured out that your arm is being pinned in a certain way when you're sleeping, then you might want to place pillows in a way that...

make it so that you're not pressing on certain areas. Or consider how you're sitting in your chair at the office. Do you slump back a lot or perch at the top of it? Put more weight on one leg or the other? Do you have to crane your neck up to look at your monitor or reach your arms out really far to type on your keyboard? Lita

Lita says when it comes to your desk setup, everything that you need to reach repetitively should be comfortable. Make sure that whatever it is you're looking at most, maybe that's your monitor, that the top of that screen is at or about eye level with you, give or take a few degrees. Another aspect is bringing it close enough to you so you don't have to peer forward too

Next, let's adjust your keyboard. Keeping the keyboard at, we suggest around 90 degrees at the elbows with some support for your wrist so that you're not reaching too far and your wrist isn't flexed too far up because that's a sustained posture that might aggravate for

For example, the carpal tunnel. Now let's do your desk chair. Do you feel comfortable and supported in the one you have? Are your feet swinging off the ground or resting firmly on the floor? You want something that allows your thigh to sit in the depth of the chair comfortably. The seat cushion should be about a couple inches behind your knee. So if your leg is going off of the seat, you should have a couple inches before you feel your knee.

feet flat on the ground, some support for your elbows and your shoulders. If your pain doesn't go away with these kinds of tweaks or if it's getting worse, there is professional help out there. If you have an area that's become very acutely injured and you're noticing other symptoms, you know, radiating pain and things that feel nervy or just the activities of daily living are being hindered because you can't

walk on a particular joint, then you want to go check in and have an evaluation. You can go see a primary care doctor or an orthopedist and also look for a physical therapist in your area.

As I was talking to Katie about taking movement breaks throughout the day and getting up to stretch my body, I thought back on all the times in my life when that behavior was frowned upon. At my first job, working for a financial magazine, one of the executives complained to HR that I was getting up from my desk too much to go to the bathroom or the kitchen to chat with a colleague.

It's like they expected their employees to be robots who could sit at a desk without moving, typing away for eight hours straight. Well, it's acting. You know, you're basically acting. You're like, I will act like a person who doesn't need to move.

I told Katie, that has never felt right in my body. I guess I would describe myself as having sort of a restless energy in my body and I need to like get up and move and stand and stretch and do all these things or else, I don't know, I'll just start to fall asleep or I'll feel really, really like pent up. And socially, that wasn't really accepted for a long time. I think...

A lot of that starts in school. There's a big assumption that if people are moving and taking care of their body's physical needs, that they can't possibly address their educational or mental productivity. But I think that there's a lot more evidence just to the contrary of that.

That if you are someone who needs to move, that moving can really help regulate yourself. It's really just the ability to fidget. Embracing your fidget, especially if it helps you stay more focused in what you're doing. Embrace the fidget. That's our fourth and final takeaway. So much of life trains us to be sedentary, to unlearn all of the ways we moved our bodies as kids.

Let's push back on that. Let the people fidget. It is a way of distributing load and it's a very easy way to meet more of the body's needs to move. Katie says if you're feeling self-conscious about leaving your desk to do some squats or make the shape of a banana, remember. You know, you can only focus and think really as much as you can based on how your body's biological needs are met and movement is a tremendous tool.

biological need. Also, think about all the ways your body is trying to shake itself out. Do you bounce your knee all the time? Drum your fingers? She says those little movement quirks we have are impulses worth listening to. I would teach that those fidgeting signals are more like hunger signals. We really need a language for, oh, my body's telling me it needs to change shapes right now and do a

Okay, Katie has one final tip for you to check on the alignment of your hips and lower back. This is a problem area for a lot of folks. She says a lot of us have this habitual standing posture where we push our pelvis and hips forward. So that your pelvis is placing more weight on the front of your foot over your toes than it is the heels. To see if you're doing this, take off your shoes, stand up, and see if you can lift your toes.

If that feels impossible. Back your hips up so that the pelvis is stacked more over the heel and less over the middle or the front of the foot so that you can lift your toes all the way up. And that simple adjustment is

It changes the way your lower back is articulating. If this feels really good, remember that posture the next time you're, for instance, washing dishes. If you notice your hips are resting against the counter, pull them back. It's like an instant lower body makeover just by backing the hips up. Do you think that this is what Juvenal was talking about when he said back that ass up? I'm almost certain that's what he was talking about. He cares about your posture. He cares about the load on your lower back. Who doesn't?

Who doesn't? I mean, that's a community service song, ultimately. All right, it's time for a recap. Takeaway one, you can map out your most common body constellations to determine which parts of your body are overworked or neglected. That can help you find the root of the pain you might be experiencing.

Takeaway two, start to fill in those gaps with little movement cues. Do some squats or lunges or overhead reaches whenever you check an item off your daily list. If you're on your feet a lot throughout the day, find some time to sit and rotate your back muscles. This can also be less formal. Touch the top of the doorway every time you leave the room. Make animal poses or shape your body like letters or numbers.

Takeaway three, adjust your most common environments for maximum comfort. Get that desk chair and monitor just right or use that body pillow while you're sleeping. And takeaway four, embrace the fidget. When you're feeling antsy, your body is trying to tell you something. It's probably saying, hey, I could really use a stretch break right now or this sitting position is uncomfortable. So listen and move accordingly no matter what other people say.

For more Life Kit, check out our other episodes. We've got one on the best stretches for preventing chronic pain and another on how to heal from an injury. You can find those at npr.org slash life kit. And if you love Life Kit and want even more, subscribe to our newsletter at npr.org slash life kit newsletter. Also, we love hearing from you. So if you have episode ideas or feedback you want to share, email us at lifekit at npr.org.

This episode of Life Kit was produced by Margaret Serino. Our visuals editor is Beck Harlan, and our digital editor is Malika Gharib. Megan Cain is our supervising editor, and Beth Donovan is our executive producer. Our production team also includes Andy Tegel, Claire Marie Schneider, and Sylvie Douglas. Engineering support comes from Robert Rodriguez. I'm Mariel Cegarra. Thanks for listening.

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