With different types of sensitizations of movement, it may be healthy to avoid the provocative movement for a bit prior to returning to the previously painful movement via graded exposure. Respect the sensitivity but stay positive and stay moving. The gradual exposure to what was once a provocative movement is a form of cognitive behavioral therapy and symptom modification, that when done properly helps regain pain free range of motion. Of course, that is a case-by-case determination based on patient goals, training and injury history, and ability to symptom modify.
Pictured here is Eddie Hall, one of the strongest humans in the entire world. Much like the study of elite rowers mentioned previously, you can bet that Eddie has spent hours in the gym training his back and more specifically his discs to tolerate pulling these types of loads with that amount of lumbar flexion. In fact, check out the video below of one of his accessory training days. He is training a good morning exercise with quite a bit of lumbar flexion.
Like most things, the answer is it depends. I compiled a list below when I think it may be advantageous to avoid lumbar flexion. Think of this as a general rule of thumb rather than laws. Peters is passionate about helping those with lower back pain and regaining pain free range of motion.
Schedule an appointment with our Omaha chiropractic office if you are looking for help. Skip to content Wear and Tear: A case for avoiding lumbar flexion. Wear and Repair: Do we have to avoid lumbar flexion?
Always be sure to bend at the hips—not the low back. Most people believe bending their knees will ensure a safe lift, but this form alone can still lead to a back injury.
The most important tip is to bend the hips and keep the upper body upright as much as possible, pointing forward. When the chest is kept forward and the body is bent at the hips, the back is kept straight and back injury can be avoided.
The back muscles will then be used most effectively for maintaining good posture , as they are designed to do. The knees will bend automatically so the muscles of the legs and hips will produce the power for lifting correctly. Twisting is another dangerous mistake that can lead to back injury. Is there a relationship between lumbar spine flexion during lifting and low back pain? A systematic review with meta-analysis. Causal assessment of occupational bending or twisting and low back pain: results of a systematic review.
Spine J ;10 1 Are forward bending of the trunk and low back pain associated among Danish blue-collar workers? A cross-sectional field study based on objective measures.
Ergonomics ;58 2 Nachemson A. Acta Orthopaedica Scandinavica ;35 The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review.
Spine J ;14 5 Fear avoidance and prognosis in back pain: a systematic review and synthesis of current evidence Arthritis Rheum. Yoshimoto T, Oka H, Fujii et al. Survey on chronic disabling low back pain among care workers at nursing care facilities: a multicentre collaborative cross-sectional study.
J Pain Res ; What low back pain is and why we need to pay attention. Lancet ; Systematic review: occupational physical activity and low back pain.
Occup Med London ;61 8 Is age more than manual material handling associated with lumbar vertebral body and disc changes? A cross-sectional multicentre MRI study. BMJ Open. Easy to Harm, Hard to Heal: Patient views about the back. Spine Phila Pa ;40 11 Pain Science. Good advice for aches, pains and injuries.
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