Sitting disability

A Sitting disability is a condition in which a person may not be able to sit, usually due to pain, but can also happen to persons sitting in wheel chairs. It is also known as "reduced ability to sit", "sitting problems" or "inability to sit".

Sitting disability has generally been an unrecognized disability. [ [http://www.dok.no/universell-utforming-og-sittehemmede-.4452524-82143.html Norwegian article at The National Centre for Documentation on Disability] ] The term "sitting disability" is not a well known expression although it is a term used to describe notable symptoms for people with severe back pain. The disabilities usually mentioned in research and legal documents are reduced mobility and visual or auditory impairments.

Possible causes

Pain while sitting is a well known symptom when having ischial tuberosity [ [http://www.caringmedical.com/conditions/Ischial_Tuberosity_Pain.htm Caring Medical - Ischial Tuberosity Pain] ] , Myofascial Pain Syndrome, coccyx pain (coccydynia), failed back surgery and back pain in general. An inability to sit is one of the signs of chronic low back pain. [ [http://www.usu.edu/health/HealthInfo/backpain.htm USU - Back Pain] ] Low back pain is a condition that affects a large part of the general United States population at some point in life. [ [http://www.dhmc.org/ortho/Spine_Center/lowback_pain.html Dartmouth-Hitchcock Medical Centre - Chronic Low Back Pain] ] Sixty-five percent to 80% of Americans have an episode of [http://jaapa.com/issues/j20040701/articles/lowback.html low back pain] at some time in their lives. Although most cases resolve quickly, 40% recur and 5% result in a residual disability after 1 year.

In the U.S., acute low back pain (also called lumbago) is the fifth most common reason for all physician visits. About nine out of ten adults experience back pain at some point in their life, and five out of ten working adults have back pain every year. [ [http://www.aafp.org/afp/20000315/1779.html American Family Physician - Diagnosis and Management of Acute Low Back Pain] ]

With several severe pain syndromes, like neuralgia or [http://www.plus-size-pregnancy.org/pubicpain.htm Pelvic Pain] (Symphysis Pubis Dysfunction), pain during pregnancy or after given birth, the pain can be aggravated by sitting.

The specific problems for persons with back problems are usually not addressed anywhere in research, legal documents, accessibility or anti-discrimination laws.

Sitting problems are usually an invisible disability. This combined with the fact that reduced ability to sit is not mentioned in research or anti-discrimination laws, makes it even harder for people to live with this kind of impairment.

Equality and accessibility

A person with a sitting disability caused by excessive pain, is unable to sit or stand for long periods of time, and will need to lie down. The availability of benches or other devices where one may lie down may be a critical factor that determines whether a means of transportation or a public building is usable or not for many people with this form of disability. Public buildings and transportation such as flying are often inaccessible to people with severe sitting problems. People with both sitting- and mobility problems often have to use a wheelbench, which is usually too large to fit into an elevator.

A sitting disability is a medical condition that makes a person unable to sit, "not" unable to move. It is not the inability to access the building that prevents a person from being in a building, it is the lack of places to lie down or comfortable reclining chairs. Accommodations for people who have a sitting disability are being enforced as Western nations integrate Universal design into their societies. The [http://odin.dep.no/filarkiv/274587/cbk-Ryggforeningen_i_Norge.pdf Norwegian back pain association] has described this in relation to sitting problems in a document to the Government in Norway.

For some medical conditions like [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15902174&query_hl=3 Pudendal neuralgia] , avoiding activities like sitting, which worsen the condition [ [http://www.spuninfo.org/index_files/PhysiciansPerspectiveTreatment.htm Physicians Perspective Treatment] ] , is regarded as crucial. A severe sitting disability requires major life adjustments.

ee also

*Invisible disability
*Sitting
*Coccydynia

References

External links

* [http://www.mosken.com/sitteproblemer.html (Norwegian) External article]
* [http://www.ryggforeningen.no/?pageID=469&ItemID=0 (Norwegian) External article]
* [http://www.mosken.com/sit.html External Article]
* [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15902174&query_hl=3Pudendal Neuralgia and sitting]
* [http://www.comp.state.nc.us/ncic/pages/court/642881.htm A U.S. court case involving the disability]
* [http://www.emedicine.com/pmr/topic242.htm Free medical review article on coccydynia (coccyx pain, tailbone pain), online at eMedicine]