View Full Version : Abdominals & Lordosis Discussion

Renee' Turner/jennifer Bridges
06-17-1999, 10:08 AM
Dear Fellow Biomch'ers

At a recent conference, I was presented with a therapeutic perspective
regarding low back pain and I am interested in hearing viewpoints on this
information from other non-USA scientists/therapists/kinesiologists. I am
also interested in specific current or classic references related to the
discussion that you might have to offer.

The information was presented to musicians regarding seated posture while
playing string instruments. What essentially was presented was that: "discs
rupture on the posteror lateral aspect so lordosis is always your friend",
"sit-ups/abdominal exercises do nothing to reduce back pain, don't ever do
them again", "North America has gone crazy with the sit-up idea and
posterior pelvic tilt. Neither of these do anything positive for low back
pain", "discs are largest when you are born and flatten with age- this is
normal and thus older people have less pain in their backs then younger
people", "Figure skaters and gymnasts need to land with a lot of lordosis
during their performances in order to balance on the landing and also to
protect the low back".

I talked to the physiatrist after the presentation and said that it sounded
like "heresy" to me. The speaker smiled and said "yes", and pointed me to
these references:

1. Cyriax: Textbook of Orthopaedic Medicine 1969 Vol 1 and 1971 Vol II
2. McKenzie's two books: 1981 Lumbar Spine and 1990 Cervical and Thoracic
Spine books
3. Nachemson's 1976 article on The Lumbar Spine, an Orthopaedic Challenge

I'm looking forward to challenging some of my old ideas and hearing some of
your new ideas.

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