Could Poor Head Posture Affect Your Sleep?

Many people experience problems with acquiring proper, restful sleep.  We often associate this with direct causes like stress, anxiety, or diet.  Have you ever thought about your posture and, in particular, your head position being part of the reason for poor sleep habits?  Many chronic health symptoms we experience can actually be indirect results of maladies originating in seemingly unrelated areas of the body.

How poor head posture can adversely affect your sleep. 

As a society that shifts more and more into the classic seated chair posture, many people become unaware of the poor alignment that often sets in with the head and neck.  From a gravitational perspective, the head (and its’ weight) is meant to sit OVER the spine so the upper vertebra can take the load of the skull.  

Common poor posture sets in for most where the head draws forward of the spinal lines.  This places chronic tension on the entire neck – the rear aspect of neck tissues become tense and over-elongated – the neck curvature dissolves losing its’ ability to take skull loading – the front neck muscles also become undesirably strengthened – overall, a great imbalance of loading and muscle tension develops.  Result?  Neck pain! 

The other common side effect of head forward posture is we tend to shift into ‘mouth breathing’ over nostril breathing.  The combination of neck pain and mouth breathing has a direct affect on overall breathing.  Chronic pain as well as mouth breathing inhibits lower lung (diaphragm) breathing.  Inefficient breathing mechanics sets in where breathing is localized in the upper lungs (called apical breathing).

Apical breathing has a cascading effect – we start to breath more rapid and shallow.  This breath pattern increases our exhalation rate and thus the venting off of carbon dioxide (CO2).  CO2, when in the blood, exists primarily as an acid – if we vent off too much of CO2 (hence the ‘acid’), our blood pH moves into a more alkaline state.

Our hemoglobins’ ability to deliver oxygen to our tissues is enhanced in an acidic environment (at the tissue level) – this is called the Bohr Effect.  When our system becomes more alkaline (due to the increased venting of CO2), oxygen delivery by the hemoglobin is inhibited.  With less oxygen available to cell tissues, the tissues shift from an efficient aerobic respiration to more anaerobic respiration. 

Anaerobic respiration has been shown to increase the production and circulation of cortisol, a steroid hormone produced by the adrenal gland.  Cortisol is typically produced in states of stress.  The general function and effects of cortisol are increased blood sugar (through gluconeogenesis), suppression of the immune system, and increased fat, protein, and carbohydrate metabolism.

With the body mimicking a ‘fight or flight’ state, another effect of cortisol production is the disruption of healthy sleep patterns.  With the body encountering poor sleep, the nervous system remains in a state of arousal as well fatigue tends to cause one to fall deeper in poor posture habits.  Result?  The cycle feedbacks on to itself causing sustained apical breathing and the cascading effects.

Here is a summarized version of this pathway:

*Head forward posture causes mouth breathing and pain

*body shifts into apical breathing

*increased venting off of CO2

*increased respiratory alkalosis (blood pH increases towards alkaline state)

*increased Bohr Effect leading to decreased oxygen to tissues

*increased anaerobic respiration

*increased cortisol release

*reduced ability to have restful sleep patterns

*increased arousal due to poor sleep and increased head forward posture

*further shifts into apical breathing…

Consider how you sit throughout the day.  Address issues of poor sitting posture and work ergonomics – chair height, viewing levels and angles of computers and reading material, and finding ways to take breaks to stretch and realign the body.  Besides some of the obvious benefits of improving your neck posture, maintaining better head alignment in upright and seated positions may be offer support for better sleep.

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sherryann8, posted on November 25, 2015

Wow! thanks. Have been assessed at work; have some really weird sitting postures (chin jutting out toward the monitor) and no one explained why not sit like that. This was really insightful and explained why I need to be more mindful of my posture at work.
Thank you

kregweiss, posted on November 26, 2015

thanks SHERRYANN8. keep the mindfulness towards your posture going. there are several ideal yoga flows for the office / in a chair that are worthwhile exploring ... I highly recommend looking for the videos titles 'upper cross' and 'lower cross' as these directly explore postural imbalances due to work place postural habits. cheers, Kreg

kregweiss, posted on August 23, 2014

@seeker consider your standing posture and how your head is positioned ... aim to use pillows that are only a few inches thick to avoid creating excessive neck flexion ... only challenge with thinner pillows is when you lay on your side, they will not provide ample height and support ... there are some different pillow designs that accommodate sleeping on your side and back

seeker_2, posted on August 23, 2014

Interesting article so what is the correct posture for the head while sleeping?

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