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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Published on: December 13, 2024

Moving beyond the neutral spine: stabilizing the dancer with lumbar extension dysfunction.

Jo Smith1

  • 1Westside Dance Physical Therapy, New York, New York, USA. josphysio1@yahoo.com

Journal of Dance Medicine & Science : Official Publication of the International Association for Dance Medicine & Science
|September 17, 2009
PubMed
Summary

Dancers experience low back pain due to extreme spinal extension. This review examines motor control changes in dancers with instability, highlighting the need for training through full lumbar range of motion.

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Area of Science:

  • Dance Medicine
  • Sports Science
  • Rehabilitation

Background:

  • Dancers frequently experience low back pain, often linked to extreme lumbar extension and prolonged lordotic postures.
  • Existing research documents extension-related instabilities like spondylolisthesis in dancers.

Purpose of the Study:

  • To review alterations in motor control associated with subtle clinical instability and recurrent low back pain in dancers.
  • To address the gap in research focusing on neutral spinal postures, emphasizing training for controlled movement through full lumbar extension.

Main Methods:

  • Literature review of studies investigating neuromuscular function in dancers with low back pain.
  • Analysis of research on spinal stability retraining and motor control adaptations.

Main Results:

  • Consistent evidence shows altered neuromuscular function in individuals with back pain.
  • Current spinal stability retraining often prioritizes neutral postures, potentially neglecting dancers' needs.

Conclusions:

  • Dancers require training that incorporates controlled movement through their full lumbar extension range of motion.
  • Understanding motor control changes is crucial for effective rehabilitation strategies in this population.