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Forty participants were block randomized to experience either the activated or deactivated version of the same seating system first. Participants completed two 30-minute simulated driving trials, separated by washout, with continuous measures of anterior head translation, spine posture, and pelvis orientation. Perceptions of comfort\/well-being were assessed by survey and open-ended questions immediately following each condition. Small, but statistically significant decreases in anterior head translation and posterior pelvic tilt occurred with the activated seat system. Participants reported lower satisfaction with the activated seat system. Order of the 2 seat conditions affected differences in pelvis orientation and participant perceptions of comfort\/well-being. An anthropometric-based seat system targeting upper back support can significantly affect head and pelvic posture but not satisfaction during simulated driving. Future work should examine long-term impacts of these posture changes on health outcomes.<\/jats:p>","DOI":"10.1123\/jab.2023-0040","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T14:49:33Z","timestamp":1696430973000},"page":"40-49","source":"Crossref","is-referenced-by-count":2,"title":["The Vehicle Seating Intervention Trial: Cross-Over Randomized Controlled Trial to Evaluate the Impact of 2 Car Seat Configurations on Spinal Posture"],"prefix":"10.1123","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9474-4286","authenticated-orcid":true,"given":"Diana","family":"De Carvalho","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Memorial University of Newfoundland, St. John\u2019s, NL, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6563-7203","authenticated-orcid":true,"given":"Kristi","family":"Randhawa","sequence":"additional","affiliation":[{"name":"Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Verville","sequence":"additional","affiliation":[{"name":"Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1744-5036","authenticated-orcid":true,"given":"Sheilah","family":"Hogg-Johnson","sequence":"additional","affiliation":[{"name":"Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada"},{"name":"Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3293-6076","authenticated-orcid":true,"given":"Samuel J.","family":"Howarth","sequence":"additional","affiliation":[{"name":"Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Liang","sequence":"additional","affiliation":[{"name":"Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6575-2797","authenticated-orcid":true,"given":"Silvano","family":"Mior","sequence":"additional","affiliation":[{"name":"Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada"},{"name":"Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6986-6676","authenticated-orcid":true,"given":"Pierre","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada"},{"name":"Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"key":"r1","series-title":"American Driving Survey: 2014\u20132015","author":"Triplett T","year":"2016","unstructured":"Triplett T, Santos R, Rosenbloom S, Tefft B. 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