Supine position Health benefits and risks
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The supine position is common in certain practices, such as yoga and Pilates. Many people also adopt a supine position for sleeping. For certain medical procedures, including some types of surgery, doctors will require a person to be in the supine position. The opposite of supine is prone, which is lying on the front, facing downward. Keep reading to learn about the benefits and risks of the supine position. Supine position in exercise Share on PinterestMaskot/Getty ImagesSome types of exercise, particularly those focusing on stretching or relaxation, use the supine position. Examples include yoga and Pilates. Supine position in Pilates A supine position may be the basis for certain Pilates exercises that help align the body correctly. Pilates practitioners adopt a neutral spine when in the supine position. A neutral spine aligns the spine and pelvis, easing pressure on the bones and muscles. A person can use cushions or blocks to help achieve a neutral spine. Supine position in yoga According to the National Center for Complementary and Integrative Health, yoga may help reduce pain and improve function in people with chronic low back pain. Many yoga practices include poses in the supine position. Corpse pose, or Shavasana, is a relaxing supine posture that people often adopt toward the end of a yoga sequence. In this pose, a person lies on their back with their arms by their side and their palms facing upward. They then focus on deep, slow breathing, which encourages deep, meditative rest and relieves stress. In a reclined spinal twist, known as the Supta Matsyendrasana pose, a person lies on their back and brings one knee toward their chest. They use the hand on the opposite side of the body to pull the knee gently over the other leg, enabling the torso to twist gently. They can rest the knee on the floor if doing so is comfortable. This pose stretches the spine, back, shoulders, thighs, and neck. Other yoga poses that involve the supine position include:Fish Pose, or MatsyasanaWind-relieving Pose, or PavanamuktasanaBridge Pose, or Setu BanhasanaBoat Pose, or Naukasana Research suggests that yoga poses might provide several health benefits, including:relieving lower back pain and neck painrelieving pain from tension-type headaches and knee osteoarthritishelping manage anxiety or depressionrelieving menopause symptomspromoting weight loss Learn more about how yoga affects the body. Is the supine position better for sleeping According to a 2016 article in the journal Sleep Health, the best sleeping position is a matter of personal preference. The authors explain that adults may change their sleeping position 11–45 times a night, either spontaneously or intentionally. A person’s age, health, and comfort all determine the most suitable sleep posture. Some people may find the supine position uncomfortable for sleeping or notice that it aggravates certain health conditions. If a person feels as though their back is arching in the supine position, they could try putting pillows underneath the knees to encourage a flatter back. According to a 2019 review in the British Medical Journal, the supine sleeping position may be beneficial for lower back pain, but scientists need more research to confirm this. Supine sleeping may also lessen the development of facial sleep wrinkles, which some people may see as a benefit. Sleeping on the stomach or side may compress a person’s skin and cause wrinkles, whereas supine sleeping is less likely to affect the skin’s appearance. Learn more about how to sleep comfortably on the back. Risks of sleeping in the supine position Although some people may find sleeping on their back more comfortable, it can carry some risks. Obstructive sleep apnea and snoring According to a 2015 study in the Journal of Clinical Sleep Medicine, a supine sleeping position can increase snoring. Additionally, research suggests that sleeping in the supine position plays a role in more than half of all cases of obstructive sleep apnea (OSA). The Food and Drug Administration (FDA) explains that people with OSA stop breathing for 10 seconds or more at least five times in an hour. Scientists think that the muscles that open the airways do not work effectively in the supine position in some people and may reduce lung volume. The FDA advises that special devices, including pillows and monitors, can help stop people with OSA from sleeping on their back. These devices can ensure that a person remains on their side while asleep to prevent their tongue or throat from blocking their airway. Learn about home remedies for OSA. Pregnancy According to a 2017 review, people should avoid sleeping in a supine position during pregnancy. The author explains that adopting a supine sleeping position in the third trimester of pregnancy can compress the inferior vena cava. This large vein carries blood from the lower part of the body to the heart. Compressing it can reduce blood flow to the uterus, cause maternal low blood pressure, and increase the risk of stillbirth. Gastroesophageal reflux According to a 2022 study, a supine sleeping position may not be ideal for people with nocturnal gastroesophageal reflux disease (GERD). In the study, 57 people used a device to monitor acid production during sleep. The results showed that sleeping on the left side was more beneficial than sleeping on the back or on the right side. Summary Yoga and Pilates practitioners use the supine position to align the body, relax, and de-stress. Maintaining a neutral spine while lying on the back can help prevent overstretching and minimize stress on the muscles and bones. Some people find sleeping on their back comfortable, and this position could help alleviate back pain in some individuals. However, experts advise that the supine position presents risks during the later stages of pregnancy. Additionally, sleeping on the back may cause snoring or sleep apnea or worsen the symptoms of GERD. Last medically reviewed on April 19, 2022Back PainSleep / Sleep Disorders / InsomniaComplementary Medicine / Alternative Medicine 14 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Always tired? You may have sleep apnea. (2021).https://www.fda.gov/consumers/consumer-updates/always-tired-you-may-have-sleep-apneaAnson, G., et al. (2016). Sleep wrinkles: Facial aging and facial distortion during sleep.https://academic.oup.com/asj/article/36/8/931/2613967?login=falseCary, D., et al. (2019). Identifying relationships between sleep posture and non-specific spinal symptoms in adults: A scoping review.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609073/Choosing the best sleep position. (n.d.).https://www.hopkinsmedicine.org/health/wellness-and-prevention/choosing-the-best-sleep-positionHerman, E. (2022). Corpse Pose: Shavasana gives deep yogic rest for the whole body.https://www.artofliving.org/us-en/corpse-pose-savasanaJoosten, S. A., et al. (2014). Supine position related obstructive sleep apnea in adults: Pathogenesis and treatment [Abstract].https://www.sciencedirect.com/science/article/abs/pii/S1087079213000099?via%3DihubLying-down body twist (Natrajasana). (n.d.).https://www.artofliving.org/us-en/yoga/lying-down-body-twist-natrajasanaOksenberg, A., et al. (2015). Continuous and loud snoring only in the supine posture.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4661340/Oksenberg, A., et al. (2016). Breathe well, sleep well: Avoid the supine and adopt the lateral posture [Abstract].https://www.sleephealthjournal.org/article/S2352-7218(16)00032-2/pdfSchuitenmaker, J. M., et al. (2022). Associations between sleep position and nocturnal gastroesophageal reflux: A study using concurrent monitoring of sleep position and esophageal pH and impedance [Abstract].https://journals.lww.com/ajg/Abstract/2022/02000/Associations_Between_Sleep_Position_and_Nocturnal.28.aspxShah, S. (2020). 50 yoga poses for health, flexibility, and inner strength.https://www.artofliving.org/us-en/blog/yoga/yoga-poses#50+%20yoga%20poses,%20from%20basic%20to%20advancedUse of yoga, meditation, and chiropractic by adults and children: What the science says. (2018).https://www.nccih.nih.gov/health/providers/digest/use-of-yoga-meditation-and-chiropractic-by-adults-and-children-scienceWarland, J. (2017). Back to basics: Avoiding the supine position in pregnancy [Abstract].https://physoc.onlinelibrary.wiley.com/doi/10.1113/JP273705Yoga: What you need to know. (2021).https://www.nccih.nih.gov/health/yoga-what-you-need-to-knowFEEDBACK:Medically reviewed by Darragh O'Carroll, MD — By Louisa Richards on April 19, 2022 Latest newsWhat sets 'SuperAgers' apart? Their unusually large neuronsOmega-3 may provide a brain boost for people in midlifeSeasonal affective disorder (SAD): How to beat it this fall and winterCDC: Monkeypox in the US 'unlikely to be eliminated in the near future'Why are more women prone to Alzheimer's? New clues arise Related Coverage6 yoga poses to help with back painMedically reviewed by Courtney Sullivan, Certified Yoga Instructor Can yoga help relieve the symptoms of back pain? 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