Exercise and The Spine
Finding the Zone
The term “being in the zone� or “finding
the zone� is commonly used in exercise medicine, diet programs as well
as in Madison Avenue advertising. When used in reference to exercise
and the spine it refers to the position of the spine which places the
least amount of stress on the supporting elements of the spine and the
position which requires the least amount of work from the muscles
surrounding the spine. It is usually the position associated the least
amount of discomfort or pain. The neutral zone is the position which
usually encompasses the mid portion of the range of motion of the spine
and is associated with the lowest element of risk for injuring or
straining the spine. The spine is never held perfectly still during
weight bearing. Even in the stillest position it moves to and fro
almost oscillating in response to small imperceptible shifts in posture
and in response to the pattern of perpetual muscle contraction and
relaxation around the spine.
The neutral zone is essentially
the most efficient position of the spine or a segment of the spine.
From functional perspective the neutral zone in a particular area of
the spine may change in the presence of pathology or disease. During
spinecare or physical rehabilitation the attending physical or
therapist may instruct the patient to find the neutral zone, in other
words find the position that is associated with the least amount of
discomfort.