If you're interested in exploring how ancient spiritual practices like sujood (the prostration posture in Salah) might offer real, evidence-based health advantages, you're in the right place. Sujood involves kneeling down, placing your forehead on the ground, and holding that humble position—it's a core part of Muslim prayer performed multiple times a day. While it's primarily an act of worship, emerging research suggests it could boost brain function, ease back pain, and more.
The Paper: A Comprehensive Review of Salah's Health Impacts
For this post, I'm highlighting a 2021 narrative review titled "A Review of the Literature on the Health Benefits of Salat (Islamic Prayer)" by Majid Chamsi-Pasha and Hassan Chamsi-Pasha, published in the Medical Journal of Malaysia (Vol. 76, No. 1). This isn't some unsubstantiated source—it's a peer-reviewed synthesis of studies from Medline databases spanning 1966 to 2020, focusing on keywords like "prayer," "salat," "health," and "Islam." The authors systematically reviewed existing research to highlight how salah, including sujood, affects psychological, neurological, cardiovascular, and musculoskeletal health. It's not a new experiment but a compilation of observational and small-scale studies, making it a great starting point for understanding the science.
The review emphasizes that salah is more than meditation; it's a full-body routine. Muslims perform it five times daily, performing over 119 postures a day (like standing, bowing, prostrating, and sitting). Over a lifetime, that's millions of reps! Sujood stands out as the posture where your head dips below your heart level, which the paper suggests could significantly enhance blood flow to the brain. Intrigued? Let's unpack the key benefits.
Brain Boost: Enhanced Blood Flow and Cognitive Perks
One of the most compelling findings? Sujood might give your brain a physiological improvement. The paper quotes: "Prostration (Sujood) is the only position in which the head is in a position lower than the heart and therefore, receives increased blood supply, which consequently, may have a positive effect on memory, concentration, psyche and cognitive function.” This inverted pose could flood the brain with oxygen-rich blood, potentially enhancing focus and memory.
Supporting studies in the review back this up. For instance, research on 778 older adults found that regular midlife prayer (including sujood) slashed the risk of mild cognitive impairment in women—87% of cognitively healthy individuals prayed regularly, compared to just 71% with impairment (p<0.0001). Another study with 60 healthy men showed better dynamic balance in those who prayed consistently, thanks to the controlled movements in postures like sujood. Think of it as yoga for the mind: EEG scans during salah revealed boosted alpha waves (for relaxation) and gamma waves (for attention), mimicking meditation's calm focus.
Back Pain Relief and Muscle Magic
If you've got chronic back issues, sujood's forward bend might be a beneficial aid. The review describes salah as "gentle stretching" that engages most muscles and joints without causing fatigue, promoting flexibility and circulation. Specifically for sujood, it involves balanced muscle contraction and relaxation—think core engagement and spinal alignment that could ease tension in the lower back and neck.
A study cited involving seven adults used electromyography to show even muscle activity in the erector spinae and trapezius during prostration, helping maintain postural balance. For older individuals, this could ward off osteoarthritis: In a group of 303 elderly participants, Muslims (who pray with deep knee flexions like sujood) had lower knee OA rates (55.8% vs. 67.1% in non-Muslims, p=0.02).
The paper even notes sujood's role in preventing cervical spondylosis by strengthening neck muscles—regular prayers had fewer cases (17/118 vs. 30/82 in irregular prayers, p<0.05). The end-of-prayer head turns (salaam) act like a minor cervical exercise.
Heart Health and Stress Reduction
Sujood isn't just about the spine—it's cardio-friendly too. The review points out that prostration drops your heart rate to its lowest during prayer, aiding relaxation and blood pressure control. In one study of 30 men, systolic BP dipped after salah (from 118 to 115 mmHg, p<0.05), and heart rate variability shifted toward parasympathetic dominance—meaning less stress and better heart regulation.
Mentally, sujood as part of salah physiological and mental restoration. Surveys of hundreds of Muslims linked regular prayer to lower anxiety, depression, and job stress, plus higher life satisfaction. It's that combo of movement and mindfulness: "Salat induces serenity, minimizes anxiety, and involves cognitive and motor components.” Even for niche issues like erectile dysfunction, a pilot study found salah movements (including pelvic floor work in sujood) improved function.
Addressing Misinformation: The "Sujood" Back Pain Claim
You've probably seen viral memes claiming that Harvard University declared sujood the "best medicine" for back pain, complete with edited images of a Harvard building and a person in prostration. Spoiler: It's a hoax. This misinformation has been circulating since at least 2021, often twisting a legitimate Harvard Health tweet and article to promote the idea.
Fact-checkers like The Quint have thoroughly debunked it: The original 2021 tweet from @HarvardHealth linked to a 2020 article titled "Babying your back may delay healing," which advises general movement and exercise over rest or surgery for common back pain. The article discusses back pain's prevalence (affecting 80% of people at some point) and recommends strengthening through physical therapy, but it never mentions sujood, prostration, Islamic prayer, or any religious posture. A stock image in the piece (resembling yoga's child's pose) likely fueled the misinterpretation, but Harvard's advice is broad: things like stretching, yoga, and core exercises like curl-ups or planks.
As of 2025, no Harvard Health publications endorse sujood specifically—searches on their site yield only generic tips for back pain relief through safe, evidence-based activities. While sujood shares similarities with beneficial poses (like forward bends for spinal relief), the "Harvard declaration" is fabricated. Stick to verified sources.
Caveats and the Bigger Picture
The paper is honest about limitations: Most studies are small, observational, and lack long-term follow-ups or randomization. There's no deep dive comparing salah to other exercises like yoga, and confounders like age or lifestyle aren't always controlled. So, while promising, this isn't definitive proof—more robust research is needed.
That said, the authors conclude that salah, with sujood at its heart, could be a free, non-drug tool for holistic health: “Salat may be integrated into mind-body medicine for holistic care.” It's especially useful for rehab in older or disabled individuals, improving blood flow and fitness without strain.
Wrapping It Up: Try It Yourself?
Sujood isn't a miracle cure, but this review shows it's more than ritual—it's a science-aligned practice for better brain, back, and heart health. If you're dealing with stress or minor aches, incorporating similar postures (consult a doc first!) could help. Want the full read? Grab the open-access PDF here. What do you think—does this inspire you to explore mindful movement? Drop a comment below!
Great thanks 👍
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