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I just bought this chair and so far I love it! I am 5'10" so I had to buy a piston that would allow the chair to be taller. I have the backrest in case my back gets tired, but I try to not lean against it too much. My lower back was a bit sore at first, but that's just because those muscles were not used to flexing all day as they are now. I am trying the sit/stand desk method, and this chair is perfect for a little relief from standing when I need it!
The seat slope on this chair is very steep. It is very difficult to sit in this chair without slipping foward unless you use the kneepad, which I do not always like to do. Be sure to read the return policy before purchasing this or any item. On the plus side, the cushions are very thick and nice.
This chair is super comfortable and really helps with back discomfort when doing a lot of computer work. It might not be great for tall people but I'm 5'5'' and its perfect for me. You don't miss the arm rests at all and it forces you to engage your back and ab muscles while sitting which is great. I love it!