Spinecare Topics

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Exercise and The Spine
Multiplanar Exercise

The term multiplanar refers to movement in more than one plane. Normal daily activities and sporting activities are multiplanar. Multiplanar activity requires greater neurological control and complex patterns of muscle contraction and relaxation than single plane movements.

Single plane movements are usually seen at the gym. Many of the exercise machines limit movement in one plane such as flexion and extension. Some job responsibilities may require someone to perform alot of repetitive movements in one primary plane of movement. New generation exercise machines allow for movement with resistance through a variety of different planes in order to recruit different stabilizing muscles. This also helps to train the nervous system to direct and respond to more complex movement.

Multiplanar exercise can also be accomplished through the use of unstable base training, cable systems and integrated activities. The most common use of multiplanar exercise in spinal rehabilitation is the use of the exercise ball. The primary goal is develop good postural control and to work all the muscle involved with supporting, moving and stabilizing the back in the most efficient manner. There are many ways this can be used to strengthen spinal and pelvic muscles. For example sitting on an exercise ball and lifting one leg creates trunk movement through a few different planes requiring the use of many muscles to help regain and to maintain postural control.  The use of a lot of muscles places a demand on different areas of the nervous system. Multiplanar exercise better prepares a person to perform and react in the real world.

Single plane exercises can be very helpful during rehabilitation and as part of strengthening exercise program. It is an excellent way to train weak muscle groups and to focus on big strength gain in chosen muscle groups. The focus single plane approach should be incorporated into a well rounded blend of single and muliplanar exercises. The more complex a joint is the more important it is to strengthen the muscle around the joint using multiplanar resistance exercises. The spine is very complex and moves in a multiaxial fashion. Examples of complex joints include the shoulder, hip and ankle. Postural control and back exercise require the purposeful use of progressive multiplanar exercise.
 

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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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