Spinecare Topics

  • By: ISA Content Team
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Caring for your Spine
Spinal Exercises

Core Strengthening/Training

A loss of protective muscular function around an area of the spine renders the spine to injury.  There are many states of abnormal muscle function that can lead to reduced protection of the spine.  The causes include nerve damage with a loss of connection to muscle (muscle denervation), deconditioning due to disuse of a muscle and incoordination of muscle firing (contraction) patterns.  A loss of muscular protection may occur on one side (unilateral) or on both sides of the spine.  When it occurs on both sides (bilateral), it may cause instability.  The core muscles refer to the muscles that cross from your ribs across the waist to the pelvis and support you in an upright position.  This includes the deep muscles of the spine and the abdominal muscles.  There are many popular forms of exercise that offer core strengthening.  Examples include yoga and Pilates.

There are transverse and sagitall core strengthening exercises.  The level of contraction required for core stabilization is minor compared to conventional strengthening exercises.  It is important to understand the concept of muscle control versus muscle strengthening.  The maintenance of low back (lumbar) stability during the performance of arm, leg or trunk movements recruits core muscles.  The use of an unstable base such as a Physioball or balance board will help recruit core muscles in order to provide the nessecary stability to perform extremity or abdominal exercises.
 
Individuals who have chronic low back pain that does not respond to common muscle strengthening exercises may benefit from this more precise method of exercise.  Most low back patients lack the muscular control to perform an exercise in a lying, sitting, and standing position and are more likely to succeed with proper cueing by a physical therapist. Core spinal stabilization exercise programs may require a one-on-one approach. 

Mobilizing Exercises

Some exercises are used for improving and maintaining joint and soft tissue mobility.  These types of exercises are typically comprised of gentle and controlled movements or positions.  They can be very helpful with most types of back conditions.  Mobilizing exercises should be performed within a pain-free range.  There are special exercises that can be performed to restore or maintain nerve root movement at the spine.

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Educational Partners

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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



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