Is It OK to Round My Back When Deadlifting – The Risks of Getting out of Neutral with Dr Louis Howe

The Back Pain Podcast

In this episode, Dr Louis Howe researcher and strength and conditioning coach discusses lumbar spine flexion and getting out of neutral

He explains the current research and how in real life spinal flexion can’t be stopped but can be managed with the right strategies to avoid end range motion

This is a fascinating episode for both professional practitioners and individuals who want to understand more about spinal flexion and what getting out of neutral really means

KEY TAKEAWAYS

• Neutral alignment is seen as being optimal in sharing the load
• The research indicates that the spine flexes away from the neutral posture
• Whilst flexion can’t be stopped there are strategies that can be used to avoid end range motion and lower or increase those values
• When you perform lifting you are flexing and moving out of neutral
• We see more flexion occurring at the lower lumbar spine than at the upper lumbar spine
• When you are lifting the spine is both flexing and being exposed to compressive load
• Flexion has the potential to result in pathologies of the spine
• All of the tissues in our bodies can adapt to loading
• There is potential for managing the position of the spine and affecting injury risk
• Avoiding end range position and flexion can be important in training
• Coaching can encourage kinesthetics awareness to help avoid end range positions
• Programming strategies and the way overload is created in exercise is valuable as an injury risk management tool
• Years of strength training will bring architectural changes and spinal flexion can put muscles in a better position for lifting

BEST MOMENTS

‘The concept of neutral is attractive to practitioners because it puts the spine in a position where the load is spread’

‘It’s a variable that we can manipulate’

‘When they perform the tasks they do it in such a way that they are able to cope with the loads they are exposed to’

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RESOURCES FROM THIS EPISODE

Getting Out of Neutral: the risks and rewards of lumbar spine flexion during lifting exercises - Louis Howe with Greg Lehman

ABOUT THE HOSTS

Dave Elliott

Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [e-mail] if you have any questions for him.

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Rob Beaven

Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.

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