Spinecare Topics

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Caring for your Spine
Self Assessment

How to Monitor Spinal Health

There are two reasons why spinal screening tests are valuable.  They provide a quantitative baseline of performance for which to measure change.  They help the participant learn more about their body and physical capacity.  Most neurological compromise in the spine occurs gradually secondary to compression of spinal nerves or the spinal cord associated with degenerative changes.  The signs and symptoms are often intermittent and subtle during the early stages of development.  Muscle weakness may initially present as performance-induced fatigue, thus, the benefit of isolated self-assessment of muscle performance.  When spinal nerve compression does occur it usually occurs first on one side.

Flexibility:  Become familiar with your neck and low back flexibility.  Periodically assess spine flexibility.  There are six primary planes of movement that can be checked in the neck or low back.  They are flexion, extension, right and left rotation and right and left lateral bending.  Let your physician know if there is a progressive loss of flexibility.

Coordination:  Periodically assess your fine motor coordination.  An easy way to do this in the upper extremities is to turn both hands palms up.  Touch the tip of the thumb to each finger of the same hand one at a time.  Go back and forth.  You should be able to do this with relatively equal dexterity and speed on the right and left sides.  You may perform a little better on your dominant side, which is normal.  You can assess fine motor coordination in the legs by patting the ball of the foot lightly against a surface as fast as you can.  You should be able to do this with relatively equal precision and speed on both sides.  Some individuals will find they are able to perform a little better on their dominant leg.  Inform your physician of any loss of coordination.

Balance:  One way to check balance is to perform a heel-to-toe walk holding on an imaginary line on the floor as if you are on a tightrope. You should not attempt to perform this without assistance.  If you have difficulty or find that this task has become more challenging let your physician know.  Another simple test is to stand on one leg for 15 seconds.  Then switch to the other.  If you have difficulty or find that either test has become progressively more difficult inform your physician.  A loss of balance leads to increased risk for falling.

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To learn more about your spine. spinehealth, and available spinecare go to the International Spine Assocition (ISA) at www.spineinformation.org. The primary mission of the ISA is to improve spinehealth and spinecare through education. The ISA is committed to disseminating need-to-know information throught the World Wide Web in numerous languages covering many topics related to the spine, including information about spine disorders, spine heath, advances in technology and available spinecare



DISCLAIMER
All health information posted on the site is based on the latest research and national treatment standards, and have been written or reviewed and appoved by the American Acedemy of Spine Physicians and/or International Spine Association physicians or health professionals unless otherwise specified.



The information provided on this site is designed to support. not replace,
the relationship that exists between patient/site visitor and his/her physician.