Back Pain Back Pain Prevention and Ergonomics 2 — Questions and Answers
Question 1: What is the recommended monitor height for ergonomic computer workstations to prevent back and neck strain?
- Below eye level, angled up
- At or slightly below eye level, arm's length away (Correct answer)
- Above eye level to encourage upright posture
- No standard — personal preference only
Correct answer: At or slightly below eye level, arm's length away
The monitor should be at or slightly below eye level and approximately arm's length away to allow a neutral head and spine position.
Question 2: Which workplace modification most effectively reduces back pain in workers who stand for long periods?
- Wearing hard-soled shoes
- Using anti-fatigue mats and alternating foot positions (Correct answer)
- Standing completely still to avoid twisting
- Wearing a rigid back brace at all times
Correct answer: Using anti-fatigue mats and alternating foot positions
Anti-fatigue mats cushion the feet and encourage subtle micro-movements, reducing static muscle loading and fatigue in the legs and back.
Question 3: Which body mass index (BMI) category is associated with the highest risk for chronic low back pain?
- Underweight (BMI <18.5)
- Normal weight (BMI 18.5-24.9)
- Overweight (BMI 25-29.9)
- Obese (BMI ≥30) (Correct answer)
Correct answer: Obese (BMI ≥30)
Obesity (BMI ≥30) increases lumbar compressive forces, promotes pro-inflammatory adipokines, and is associated with higher rates of chronic LBP and disc degeneration.
Question 4: How frequently should sedentary workers take movement breaks to reduce back pain risk?
- Once per day
- Every 2-4 hours
- Every 30-60 minutes (Correct answer)
- Only when pain starts
Correct answer: Every 30-60 minutes
Evidence supports taking brief movement breaks every 30-60 minutes to interrupt prolonged sitting, redistribute spinal loads, and improve disc nutrition.
Question 5: Smoking is a recognized risk factor for back pain primarily because it causes which spinal change?
- Increased spinal flexibility
- Reduced disc nutrition and accelerated degeneration via microvascular changes (Correct answer)
- Muscle hypertrophy around the spine
- Increased bone density
Correct answer: Reduced disc nutrition and accelerated degeneration via microvascular changes
Smoking impairs microvascular supply to vertebral endplates, reducing disc nutrition and accelerating degeneration while also impairing healing.
Question 6: Which sleep position is generally recommended for individuals with low back pain?
- Prone (face down)
- Supine with a pillow under the knees (Correct answer)
- Side-lying with legs fully extended
- Any position regardless of pain
Correct answer: Supine with a pillow under the knees
Sleeping supine with a pillow under the knees reduces lumbar lordosis and decreases hip flexor tension, minimizing compressive forces on the spine.
What is the recommended monitor height for ergonomic computer workstations to prevent back and neck strain?