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Muscles of the Vertebral Column01:27

Muscles of the Vertebral Column

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The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
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Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

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Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
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Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
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General Structure of a Vertebra01:30

General Structure of a Vertebra

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A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
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Anatomical Movements00:51

Anatomical Movements

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Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist,...
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Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

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In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
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Passive movement techniques for intra-articular and periarticular disorders.

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The development and possible future of manipulative therapy in australia.

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Abnormalities in passive movement: diagrammatic representation.

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Acute locking of the cervical spine.

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Related Experiment Video

Updated: Apr 27, 2026

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
08:38

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

Published on: July 15, 2021

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Extension or flexion for the lumbar spine.

G D Maitland1

  • 1Adelaide.

The Australian Journal of Physiotherapy
|July 16, 2014
PubMed
Summary

Physiotherapy for low back pain remains unclear regarding the optimal use of flexion and extension exercises. This study aims to clarify the best approaches for managing and preventing low back pain through exercise and positioning strategies.

Area of Science:

  • Physiotherapy
  • Orthopedics
  • Rehabilitation Medicine

Background:

  • Low back pain is a prevalent condition frequently managed with physiotherapy.
  • There is significant confusion in existing literature regarding the efficacy of flexion versus extension exercises for low back pain.
  • Conflicting advice exists on optimal patient positioning during rest and standing, specifically concerning lumbar curve management.

Purpose of the Study:

  • To elucidate the relative roles of flexion and extension exercises in the physiotherapy management of low back pain.
  • To address the confusion surrounding optimal standing posture and resting positions for individuals with low back pain.
  • To provide clear guidance on the prophylactic strategies for low back pain.

Main Methods:

  • The study will analyze existing literature on low back pain treatment and prophylaxis.

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  • It will critically evaluate differing opinions on exercise modalities (flexion vs. extension).
  • It will examine recommendations for patient positioning during rest and daily activities.
  • Main Results:

    • The relative effectiveness of flexion and extension exercises for low back pain requires further clarification.
    • Evidence-based guidelines for standing posture (e.g., flattened vs. natural lumbar curve) are lacking.
    • Optimal resting positions (e.g., lumbar pillow, Fowler's position) for low back pain relief are debated.

    Conclusions:

    • Clearer understanding of exercise principles is needed for effective low back pain physiotherapy.
    • Standardized recommendations for posture and positioning are essential for low back pain prevention.
    • Further research is warranted to resolve conflicting advice on low back pain management and prophylaxis.