[English]
Transcriber: Min Zhang
Reviewer: Michael Nystrom
We have three things
in common, all of us here.
We all have a spine, we all sleep,
and when we were about five years old
and we were playing as children,
Grandma used to scream: “Posture!”
and all of us would sit up straight.
And that fear of Grandma
screaming that word,
even to world-leading influencers,
doctors who are sat on front row
slouching right now.
Where is he? Dr. C, we’ve seen you
even though you’re amazing.
So why do we?
Because everyone in the room
has been slouching.
Liam at the backstage doing the sound
all day has literally been like this,
doing his sound because it’s comfy.
Posture is the eternal
fight against gravity.
And sitting up like this,
although Grandma was watching,
she’s very disappointed in some of you.
(Laughter)
This is really hard.
Whereas this: Oh, yeah.
Get me back here, this is the good spot.
The thing that Grandma maybe missed
was that if posture is the eternal
fight against gravity,
then really we need to consider our sleep.
It’s great and it’s comfy.
And the beauty and the difference
between sitting and sleeping
or standing and sleeping -
we remember wearing a book
on our heads and doing this very nicely -
Is that you’re already asleep,
that’s the best bit.
When you’re uncomfortable
in these positions,
and this is really my go-to
for TV watching,
the second you become uncomfortable,
you move because you’re awake.
The difference with sleep is significant.
I’m going to share
and prove it to you now.
You will have all,
at some point in your lives,
either sat in the back of a car
and gone like this,
or come to a TEDx and heard
someone like me talk and done that,
and within ten minutes you wake up,
and your neck feels
like it’s going to burn off.
Why didn’t you wake up then?
Is this a completely different thing
because you’re asleep?
So I think it’s important
to really address the average human
because we spend so much time.
In fact, I met Youngr last night.
He’s so awesome.
And Youngr was talking to me
about some research that he’d found
about using whole foods
to reduce the chances of Alzheimer’s.
You eat for four and a half
years of your life.
The lady that came on before
who I’m definitely not going to mess with,
nor am I going to mess with her,
that guy was really big.
Um, but you exercise on average
for one and a half years of your life.
In fact, if you add all
of these things up,
it’s the same amount
of time that you sleep.
Now, the first or the second talk
by James, which was phenomenal.
I really know that
if I fail in this mission,
I know where I'm going for a job.
By law, we can sue James
if he doesn’t provide us
with an ergonomic workstation provision
and an annual screening
of our line work surface.
But none of you have spent
any time in your ergonomic chair
because you've all been doing this.
This gentleman here
is not the average human.
And this is a chap
I met just near Old Trafford,
the right side of Manchester.
(Laughter)
And
he’s a gentleman.
(Applause)
Dad that was for you.
He’s so annoyed with me
that he said don't. He’s gone mad.
Okay.
This is a gentleman
that walks into hospital now.
He had dementia,
but he had a gastro trouble,
walks into hospital, was bedridden
for two weeks in hospital.
And that two weeks becomes seven years.
That position you see
him in there is fixed.
This is a fixed body shape.
So think about his personal care
when you can’t separate his legs,
think about him trying to swallow,
his internal organs, his digestive system,
his comfort, his pain.
Who even cares about that?
He can’t speak. He can’t move.
He can’t be seated. He can’t shower.
And he spends 23 to 24 hours a day in bed.
With very, very simple
postural management equipment,
we bring the bed to him.
And look at what happens
three months later.
And that’s not rocket science.
That’s really, really simple.
If you always do this, you never do this,
and that feels really tight and awful.
And I’ve discussed the benefits
for somebody like that gentleman.
But the benefits for you guys
are that it may well increase
your energy levels.
I met a lady last night at the TED dinner
who said she was a great sleeper,
and then she told me that she felt
exhausted every time she woke up.
It can lessen tension in shoulders, neck.
If you’re waking up with really
awful tension headaches
or your shoulders burning through,
it could have something to do
with your sleep posture.
This happens to the majority of men.
Ladies, you’ll be very
grateful for this bit.
If you want to get back into your
bedroom and you want to stop snoring,
sleep posture may well be that thing.
And the best bit is it’s
the most simplest of equations.
You need to consider
the position you go to sleep in.
You’ll say, “Well, I don’t stay
in one position.”
Of course you don’t.
And we don’t want you to.
You’ve moved a thousand times
just in the four -
I’ve got to figure this out,
four minutes and something.
So the position you go
to sleep in, that’s the software.
That’s what you guys
are going to address tonight.
So we are legitimately going
to find a tangible way
to improve your quality of sleep tonight.
The second bit is the hardware,
we’ll worry about that next time.
Now,
if you are suffering with sleep,
which is in Manchester.
By the way, we are
the worst sleep city in England.
Congratulations to us all.
That does deserve a round of applause
because we’re all still smiling,
that is the best bit.
In Westminster, in December,
the university discussed
our sleep deprivation.
So in this room, 74% of you
get less than seven hours,
one in two, I think, gets less than six
in the Manchester right now.
Definitely not enough.
And every day we read a paper
and we read an article that goes:
“If you don’t get your 7.5 hours,
your nose will fall off,
you’re going to get dementia,
dying early, miserable death.
Great.
So anyone who’s struggling
with sleep tonight
is definitely not looking forward to it.
But there’s nothing to tell us
how to make it better.
So we see all these articles,
all these phenomenal scientists on TED,
online, telling us what happens
with the sleep, why we need it,
and what happens if we don’t get it.
So this fight between
quantity and quality.
Who cares about quantity?
No one in the room is getting any.
So let’s start focusing on something that
we tangibly can because we can’t focus on.
I saw James Leinhardt today at TED
and he said, “Get eight hours,”
and that’s what I’m going to do
because you might hate your partner,
you might hate your boss,
you might hate your kids,
you might have a bill you
weren’t expecting.
There's a million reasons why
you won't sleep tonight.
Sleep is definitely not going to help.
Last night, I slept for about an hour.
Thanks to herb.
(Laughter)
And we all know the significance of sleep.
In fact, you could argue that sleep is
the foundation of all good wellbeing,
because you wake up tired, you’re doing
nothing about your wellbeing.
We know it recovers as we know
it restores as it heals us.
But really, you still can't get the hours.
It doesn't matter what I tell you.
How many wonderful nuggets of information
that say if you get eight hours tonight,
the world will be a fabulous place
and United will win six nil.
Anyway, back to this.
What we do know to be true
is from a piece of conceptual evidence
dating back to 1987, I think it was,
that talks about the relationship
between a neutral resting spine
and the speed of recovery
when you’ve had a spinal injury.
Now, if you look at this board,
it's pretty depressing.
1.78 billion people have
some sort of chronic pain.
60% who have chronic pain
suffer with depression.
Imagine waking up in chronic pain.
You’re going to be
in an absolute stinky mood,
and you’re not getting
any sleep because everything hurts.
You don’t get any sleep, everything hurts,
and you’re in a bad mood.
This is a cycle that we’re all in.
I can’t just tell you to get your hours.
That’s not good enough.
So when you leave tonight, don't worry.
You don’t have to go and buy
a bed that costs ten grand
that flies you to the moon
and spins and whatever,
lavender spray, or a smartwatch
that doesn’t really tell you
you’ve had a great night’s sleep.
If you drink a bottle of whiskey tonight,
you’ll have a great night’s sleep,
The best bit about sleep posture is
it will cost you absolutely
nothing tonight,
and I’m going to share how to do it.
As you know, I work with complex
neurological patient groups.
But when we realized that
those people have no voice
and no one really cares about
the people in beds that have no voice,
we went to meet with a load of athletes.
And just before Tokyo.
This is one such athlete
I met, Katy Marchant,
who is a bronze medal Olympic champion,
and she sadly crashed out of Tokyo.
But she came to me because she was
at the velodrome down the road
seven hours a day,
and she complained of knee pain.
“Right, stiff right SIJ, hip”,
I think, she said.
And her shoulders were hurting,
but she said it was all down to the bike
because of course, if you are a cyclist,
you need to spend your days
like this for aerodynamism,
which you can’t do much
for your back or neck, I assume.
It had absolutely nothing
to do with her bike whatsoever.
If you look at that position, which
I’m going to show you, sorry, front row,
the second you bring one
leg over the other,
you've now put yourself in what
we call a provocative posture.
(Laughter)
So,
a research from a very intelligent chap
called Doug Cary out of Australia,
talks about the fact that if you go
to sleep in a provocative posture,
you are more likely to wake up
with increased symptoms of pain.
But let's not even go with references
or worry about any silly
clinical words that none of us,
including me, really understand.
When you bring one leg
over the other, this hip is now diagonal,
as is my knee when I’ve fallen asleep,
and this feels, by the way, ‘comfortable’,
my shoulders going to drop forward.
And now I’m face planting.
So if you actually look at the picture,
you’ll see that Katy had right knee pain
because she was squeezing it into the bed.
Her stiff SIJ came because
she was twisted like a pretzel.
And I think you can see what's
going on with the neck.
And all she needed to do was remember
that if she worked with James,
she would have been given
an ergonomic chair,
and if she only stuck a pillow
between her knees or ankles
and wants to fill that space she would
have looked just like that picture.
So this isn’t really an experiment
because her naval failed.
What position do you go to sleep in?
Because I suspect you sleep
in a provocative posture.
The provocative posture, by the way, is
one where both knees touch the bed.
So if you are a tackler and it's the
only way you can go to sleep
because it’s comfy, don’t forget
that every pregnant woman
that went to the doctor and found out
that they were a pregnant and a tackler,
the doctor said, “It’s time to move
onto your left-hand side.”
They all did it. So you can’t not only.
There’s only two positions I’d recommend,
and I’m recommending this based
on our experience in health care,
because these are the two
positions we put our patients in
for 2 to 4 hours at a time.
There’s one significant difference
between our two patients here.
One, as you can see, is supported,
and we maintain good body shape
and we preserve somebody’s body,
internal organs are working,
lung capacity is nice and lovely.
And that’s just horrendous to watch.
These guys can’t speak.
So you guys have moved probably
100 times in the 12 minutes I’ve spoken.
These people are put for 2 to 4 hours
and can't tell you that
they're uncomfortable.
And none of us have a clue how to do this.
None of you in the room have
a clue how to sleep properly.
So we called them the soldier
and the dreamer. Very simple.
Just remember Grandma.
She’s screaming at you right now.
Standing nice, standing up straight,
shoulders, hips, knees and ankles.
And seated posture,
I think we’ve been there.
Lovely.
Oh, yeah, that's better actually.
Anyway,
these positions are the only
two that you can control.
The only two you can control
when you go to sleep.
What happens thereafter is anyone's guess.
And I'm not here to maintain
a singular posture.
In fact, if you sat like this
throughout my talk,
which some of you have done and you didn’t
have to, you still get a point.
This is really hard, actually.
This is why. Yeah. Just there.
So perhaps, there is a way
of reversing this cycle.
Because if you have chronic pain
or if you are struggling with insomnia,
then you will definitely be struggling
with your mental health.
So if you wake up in less pain tomorrow
just because you stuck a pillow
between your knees and ankles
and didn’t look like a twisted pretzel,
you might wake up in less pain.
If you wake up in less pain,
you’ll be in a better mood,
and you might even sleep
a little bit better.
In this room,
you are either looking after somebody
that you love, like Celia,
the lady that’s been taking pictures
who after this will be going
straight to see her mom.
She’s not seen her in two days.
Or my dad over there.
Dad, how many times have you been
to the GP this week with Grandma?
Five. There you go.
Because at some point in your life,
you’ll be looking after somebody you love.
Or like my wife, you will be looking after
someone like me for their whole lives.
But the point is,
this is going to affect all of us.
It’s not about when we get older,
because if Dad’s had a bad night’s sleep,
he’s going to be in a bad mood
when he goes and sees Grandma.
I'd like to dedicate this talk in memory
of my uncle who fell asleep with Covid
and never woke up.
And whilst we know that
sleep posture can save lives,
we actually are more concerned today
with you going and saving your spines.
Thank you very much.
(Applause)