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Prevention > Following ergonomic and postural hygiene norms

Sports: Gym workouts

Gym exercise has its advantages and risks. The main advantages are that it permits the very efficient development of a specific muscle group within a relatively short period of time, and it is frequently the only alternative in an urban environment. In fact, exercise programs aimed at developing back muscles can and usually do use gymnastic apparatus. With an individualized program and adequate supervision, gym training may strengthen back muscles, decrease the risk of pain crises, or improve self-sufficiency in patients who suffer from back pain. Exercise training is very good and effective in strengthening body muscles, including those involved in the back. The programs should be designed and supervised individually by a specialist and focused on the needs of each person.

One of the greater risks associated with gyms is that training usually consists of developing one or several muscle groups in the most efficient manner, which may give rise to lesions, especially if exercise is not performed correctly. It is therefore advisable, and definitely in the case of beginners, to practice exercises while supervised by a trained monitor, coach or physical therapist.

Some exercises using apparatus or weights are especially effective in strengthening back muscles. However, other exercises expose back muscles to potential risks, specifically in individuals who already suffer from back pain. We will review some exercises further on.

It is recommended

  • To warm up appropriately. Warming up is essential to prepare your body for further exercises and to avoid injuries. During weight training, before you start working on each muscle group, one way to warm-up joints and muscles is to do an initial set of 15 or more repetitions, lifting light weights or no weights at all.
  • When you work out a specific muscle group, you must make sure to isolate that muscle perfectly and to perform the maneuver without overloading another muscle. For example: in working the biceps with weights your back must be properly immobilized. One way is to sit and support your back perfectly. Otherwise, there is a tendency to overload the dorsal and lumbar musculature of the side opposite to the contracting biceps, to counterbalance the associated loss of equilibrium. Thus, it is advisable to be under close supervision when initiating training with weights.
  • Sit-ups with weights is one of the most potentially hazardous exercises for your back. To decrease the risk, make sure that the weight is symmetrically distributed. Keep your back straight and arched backward constantly, never bent forward. Keep your feet totally on the floor and avoid raising your heels when flexing your knees.
  • Muscle stretching -or "hyper-stretching"- is an efficient set of exercises to develop low back muscles provided they are performed correctly, since they may otherwise trigger lesions. Avoid exceeding 180º when extending your back, since you may strain the dorso-lumbar musculature and the facet joint. Move slowly with a specific range of motion. Avoid back pulls since they would easily induce muscle contracture. Moreover, low back muscles essentially work to straighten the back when flexed about 45º; therefore, it is senseless to flex it more than this angle. If you do, when straightening your back the buttocks muscles and the posterior part of your thighs work more, but not those of the back.
  • "Lat match" (pulley behind nape) is also an efficient exercise to strengthen dorsal and lumbar musculature. To do it correctly, make sure that your back is straight, do not bend it forward or backward; lower the bar in a perfect horizontal line, avoid lowering the bar more with one hand than the other, your neck should be flexed as little as possible. Depending on the shape of the shoulder joint, this exercise may injure tendons, especially the biceps tendon. If this should occur, it is best to perform this exercise with the pulley in front of the nape. If you practice it this way, chest muscles help the dorsal muscles by making them work less, without exposing shoulder tendons to any risks.
  • Supported rowing is an efficient exercise to develop dorsal musculature. To reduce the risk of injury, your chest must be well supported and still, make sure not to move your back while performing this exercise and to keep you neck slightly flexed forward, never extended backward. You should only move your arms. If you use a vertical grip, your elbows should be be aimed downward; if you use a horizontal grip, your elbows should be aimed outward.
  • Discontinue any type of exercise immediately if you experience back pain or if it exacerbates the already existing back pain.


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