# In-chair movements: Categorizations and patterns over time based on a literature review

**Authors:** Aernout Kruithof, Yu (Wolf) Song, Peter Vink

PMC · DOI: 10.1177/10519815251394878 · Work (Reading, Mass.) · 2025-11-19

## TL;DR

This paper reviews how people move in their chairs over time and how these movements relate to comfort and discomfort.

## Contribution

It introduces a framework for categorizing in-chair movements and identifies factors influencing their patterns.

## Key findings

- In-chair movement frequency generally increases over time.
- Posture tends to become more slouched during activities like driving.
- Movement patterns are influenced by seat design, tasks, and individual differences.

## Abstract

In recent years in-chair movements (ICM) have gained attention in comfort and discomfort studies, but the role of these movements in preventing and/or alleviating discomfort remains unclear. Furthermore, differences in study design and terminology make cross-study comparisons difficult.

This study aims to synthesize current research on ICM, particularly the categorization of different ICM types. It also aims to provide an overview of ICM over time, focusing on their progressions, characteristics, and possible patterns.

A systematic literature search was conducted based on the PRISMA framework using Scopus, PubMed, and Web of Science databases. Data from the included studies were extracted and organized according to three ICM descriptors: frequency, amplitude, and posture change.

Eighteen out of 230 identified papers met the inclusion criteria. Substantial heterogeneity in terminology and measurement partly explains inconsistencies in findings. Across most studies, ICM frequency increased over time, although a minority reported decreased movement or a “stiffening effect”. Findings regarding ICM amplitude were inconsistent, while a shift or change toward more slumped posture appears to be especially common during driving activities. These variations suggest that ICM patterns are influenced by task demands, seat characteristics, and individual differences.

ICM patterns are not solely time-dependent but are shaped by seat characteristics, task demands, and individual factors. While several studies suggest correlations between ICM strategies and discomfort, the underlying mechanisms remain unclear. Developing a comprehensive ICM framework that integrates movement strategies, and active or dynamic seating approaches will benefit cross-study comparability and provide directions for future ICM research.

## Full-text entities

- **Diseases:** skin ischemia (MESH:D007511), joint stiffness (MESH:C535724), muscle stiffness (MESH:D019042), fatigue (MESH:D005221), ORCID iDs (MESH:C535742), ICM (MESH:D009069)
- **Chemicals:** ICM (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

38 references — full list in the complete paper: https://tomesphere.com/paper/PMC12769933/full.md

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Source: https://tomesphere.com/paper/PMC12769933