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Spine Injury Health Feed

5 Exercises That Can Keep Your Spine In Perfect Shape!

M.P.T, Bachelor of Physiotherapy
Physiotherapist, Bangalore
5 Exercises That Can Keep Your Spine In Perfect Shape!

Spinal cord is a very important part of your body as it renders support to your body.  It also gives your body a good posture and thus, maintaining a healthy spine is very essential. An unfit spinal cord can lead to various complicated problems. The following are five must do exercises in order to maintain a healthy spine:


1.        Exercising your core muscles can help you to maintain a fit spine. Your core muscles refer to the muscles of your lower back and your abdominal muscles. These muscles give support to your spine. So exercising them can give you a healthy spine.


2.        Walking regularly can also give you a healthy spine. It is suitable for people of all age groups. Daily walking can help you to recover from various spinal illnesses as well such as spinal stenosis.


3.        Swimming is also good exercise for maintaing a fit spinal cord. Swimming helps to exercise all back muscles and thus, gives you a healthy spinal cord.


4.        Lying down straight with your face down on an even and firm surface for about twenty minutes can help you to get a healthy spine and also a good body posture.


5.        Cycling can also help you achieve a healthy spine. While cycling, all your back muscles and the muscles of the lower part of your body are engaged in physical activity. If the muscles of your lower back are strong, then it can help you to keep your spine fit.


Other than these exercises, stretching your limbs and other stretching exercises are also beneficial for a healthy spine. But, it is highly recommended for you to consult a doctor before doing any exercise in order to be guided in the proper manner and avoid further complications.
 

2 people found this helpful

5 Physiotherapy Exercises For Spinal Cord Injury

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
5 Physiotherapy Exercises For Spinal Cord Injury

1.Maintaining Passive and Active Range of Motion

The patient’s lower limb should be moved passively by the therapist through full range of motion if the patient is not able to perform the movement actively. Wherever the patient is likely to put his active efforts to perform the movement, the therapist should encourage it as this will not only maintain the active range but will also help the patient to maintain the properties in his muscles. 

Passive movements need to be given every two hourly hence the patient’s relative attending him should be taught the correct way of handling and giving passive movements without producing undesired movement of the spine.Passive movement helps to maintain the normal physiological length of soft tissues and prevents tightness. 

It maintains the memory of the movement pattern in brain which may help in the later stages of recovery. Passive movements also help in reducing spasticity if given in a gentle, slow and rhythmic manner.Along with passive movements, all the biarticular muscles of the lower limb should be stretched.

2.MAINTENANCE OF GOOD BRONCHIAL HYGIENE 

As the patient is totally bedridden it leads to deconditioning of the respiratory system. Moreover in higher cord lesion due to respiratory muscle weakness, the patient needs ventilatory support which further increases the chances of lung infection. Hence proper lung hygiene should be maintained by given proper positioning, nebulization and regular suctioning. If the patient is not on ventilatory support then he should be taught 

3.BREATHING EXERCISES and encouraged doing it every hour. 

4.ACTIVE EXERCISES 

As soon as the patient shows signs of active contraction of muscles and active participation, all the exercises that needs active cooperation of the patient should be started. These exercises are essential to make the patient functionally independent. The common exercises which are incorporate into the treatment program consist of Mat exercises, strengthening techniques, weight bearing exercises, normalizing tone in the lower limb, gait training and transfer activities.

5.MAT EXERCISES

To prepare the patient for gait training and erect posture mat exercises play a very important role. These exercises consist of those activities that may help the patient to achieve some functional independency. 

The activities consist of turning to each side, rolling and bridging. Similarly in prone position the patient may be given activities such as coming on to the forearms,coming on to extended forearms, quadripedal position with the help of some external support, kneeling with support, half kneeling etc.

2 Physiotherapy Exercises for Spinal Cord Injury

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
2 Physiotherapy Exercises for Spinal Cord Injury

A.STRENGTHENING EXERCISES:

These consist of exercises to strengthen the lower limb muscles in case of lower motor neuron type of palsy. Strengthening of the upper limb is essential as this will help the patient to enable efficiency in activities like transferring,use of walking aids like crutch, and also helps in over all functional rehabilitation. Strengthening of trunk muscles is essential for better trunk control and stability which will help in better balancing in sitting or standing.

 Quadratus lumborum is the most important trunk muscle in case of spinal cord injury that has got no hip flexors because it enables the patient to hike the pelvis.

Use of tilt table: In the initial stages when there is no trunk stability patient can be trained for weight bearing on lower limbs by using tilt table.In this the patient’s trunk and the lower limbs are strapped to the tilt table and then the table is tilted such that the patient is in erect position.Moreover tilt table can also be used in the initial stage to prevent the chances of orthostatic hypotension

For preventing hypotension in the initial stages the patient is made to lie on the tilt table and the table is gradually tilted everyday at increasing range so that the autonomous nervous system is made to get conditioned as a result the reflex vasoconstriction can bestimulate d in erect position. This will help in preventing or treating orthostatic hypotension.

Transfer activities: To make the patient independent in ADL, it is necessary to train him to use the wheelchair. Easy ways of transfer from bed to wheelchair from wheelchair to low stool and from low stool to floor and back to wheel chair should be taught to patient. The patient also should be trained for balance in sitting position if his trunk muscles are also affected. Patient should also be taught various ways of locomotion in emergency situation like shuffling in sitting position, semi crawling in prone position with the help of weight bearing on the forearm.

B.GAIT TRAINING:

Spinal cord injury can be made to ambulate with the help of crutches and calipers. There are various types of gait that can be taught with the assistance of axillary crutches like shuffling gait, dragging gait and swing gait. However walking should be trained in a gradual manner. The lower limbs are supported with appropriate orthosis and the patient is made to sand in the parallel bar. The patient is advised to do hyperextension at the hips and trunk to maintain erect posture and balance. 

Hyperextension of the hip locks the hip with the help of ischio-femoral ligament and thus provides stability. Once the patient is confident in standing gait training is started by instructing the patient to lift one leg and take weight on other extremity. Stepping forward is taught next and the physiotherapist progresses to walking in parallel bars.After this patient is made to walkout of the parallel bar with the help of walker.Depending on the trunk stability and confidence of the patient progression can be made to axillary crutches. Elbow crutches or canes can be given only if the upper limb musculature becomes quite strong to weight bear efficiently and within the safely limit of the patient. 

Even if the patient is not going to be a community walker, it is important to give him gait training so that can achieve some independency in activities of daily living and to maintain his self-esteem. Weight bearing on the lower limbs in erect posture also acts to slowdown the process of osteoporosis and prevent tightness.

Use of orthosis or appliances: lower limb orthosis or gaiter may be used depending on the muscular status in the lower limbs. 

Keep Your Spine Safe - Spinal Cord Injury Has Lot Many Complications

Dr. Vishwas Virmani 91% (18136 ratings)
MPT, BPT
Physiotherapist, Noida
Keep Your Spine Safe - Spinal Cord Injury Has Lot Many Complications

SPINAL CORD INJURY

Mechanism of the injury that can cause damage to the vertebrae with a resultant damage to the cord is usually a hyper flexion with rotation is less likely to cause damage to the cord.Injuries to the spinal cord can be caused by:

  1. Fracture or fracture  with dislocation  
  2. Sports injuries 
  3. Industrial injuries 
  4. Stab injury 
  5. Gunshot injuries 
  6. Surgical procedures:     surgeries done in and around the spinal cord can cause damage to it.Fracture or fracture dislocation can be caused either due to collision of a heavy object over the head or directly over the spine.

COMPLICATION OF SPINAL CORD INJURIES 

Pressure sores: In case of chronic illness with spinal cord injury, the patient is bed-ridden for a long time. If proper care is not taken patient develops pressure sores which becomes a major complication if infected.

Tightness and contractures: because of inability of the patient to move the lower limbs, patients lower limbs are positioned under the effect of gravity or under the influence of spasticity. The patient suffers from tightness, contractures and loss of ROM. If these are not treated in time it will lead to fixed mal   alignment of joints which eventually will lead to deformity.

Osteoporosis: without adequate weight bearing imposed on the lower limb bones more and more calcium is released from bones which causes osteoporotic and fragile bones that is prone to have fractures even with trivial trauma.

Urinary Tract infection and urinary calculi: due to urinary retention in the spinal cord injury patient there is growth of bacteria primarily due to the presence of an indwelling catheter which acts as a main source of entrance for the bacteria.

Pain syndrome: the source of pain can be traumatic, spinal cord pain and musculoskeletal.

PHYSIOTHERAPY MANAGEMENT

The aims of the physiotherapy management consist of:

  • Prevention of all   secondary complications as a result of being bedridden. 
  • Restoration of   functional independency to the maximum possible limit. 
  • Psychological  counseling. 
  • Social and vocational  rehabilitation.
  • Family education   
  • Home adaptation.

How To Deal With Spinal Stenosis?

Dr. Shobhit Tandon 87% (296 ratings)
MBBS, PG-Diploma In Clinical Pathology
Orthopedist, Sri Ganganagar
How To Deal With Spinal Stenosis?

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

  1. A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
  2. Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
  3. Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
  4. Medications such as the anti-inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case antidepressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2597 people found this helpful

Treat Your Own Spine

Dr. Shikha Shah 90% (23 ratings)
B.P.Th, Physiotherapy/Occupational Therapy Assistant Program
Physiotherapist, Mumbai
Treat Your Own Spine

1. Hydrate your spine by drinking 8-12 glasses of water per day so that the disc between the bones of the spine are well-nourished and moves appropriately.

2. Break your long sitting posture every 1-2 hourly to relieve direct stress on your spine due to daily activities

3. Avoid sitting slouched on a chair and make sure your lower back is well supported with a pillow or a towel roll to maintain the natural curve of our spine

7 people found this helpful

Spinal Cord Injury - Physiotherapy For It!

Dr. Anuradha Sharma 91% (14348 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Spinal Cord Injury - Physiotherapy For It!

A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms -

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Treatment

Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  1. Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  2. Flexibility and strengthening exercises for the whole body.
  3. Breathing exercises to maximise lung function and prevent chest infection.
  4. Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  5. Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  6. Walking re-education, if there is sufficient muscle activity and power in the legs.

Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.

Prevention

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. Always wearing a seatbelt while in a car
  2. Wearing proper protective gear while playing sports
  3. Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks

In case you have a concern or query you can always consult an expert & get answers to your questions!

3172 people found this helpful

Hi,Yesterday I had fallen from a tree and injured my lower left side back and know it seems that there is little bit of swelling. what should I do to recover myself.

Dr. Julie Mercy J David Raja 89% (5203 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi,Yesterday I had fallen from a tree and injured my lower left side back and know it seems that there is little bit ...
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain.
1 person found this helpful
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How To Protect Your Spine While Lifting Weights?

Dr. Avinash 88% (1388 ratings)
Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
How To Protect Your Spine While Lifting Weights?

The human spine is endowed with tremendous strength and flexibility, but it is also prone to severe injuries. Due to the presence of a vast network of nerves in the spinal cord, particularly in the lower region, injuries can become gravely complicated with a large scope for permanent damage. Heavy lifting, sudden movements and twisting can lead to spinal injuries and must be avoided while working out in the gym.

There are simple precautions that you can take to protect your spine from accidents and injuries while doing heavy lifts in the gym. Not only will these precautions ensure that your spine is protected from any harm, but they also yield a range of health benefits in the long run.

Following are a few precautions that can be taken from spinal protection:

  1. Check the object before lifting: It is important that you check the weight of the object before performing the lift. Test it out by pushing it with your hands or your feet very lightly to see how heavy it is and determine whether or not you should be lifting it.
  2. Perform a warm up exercise: This is one of the most essential factors for preventing exercise-related injuries. Pace around and stretch all your muscles before you start lifting. This will keep your muscles from suddenly stiffening or locking while you do the lift.
  3. Ensure that the weight is well balanced: Unbalanced weights greatly increase the risk of injury. You should always make sure that the weight you are lifting is evenly balanced on all sides and that the packing is proper so that it does not move around when you lift or have pieces falling off it.
  4. Maintain proper posture: One of the most important aspects of lifting in the right manner is to maintain proper body posture. You must always avoid arching your back or reaching out while you lift as that will surely lead to injury.
  5. Move slowly: Sudden jerks and movements are sure to lead to injury when lifting weights in the gym. Slow and smooth movements are recommended as they keep you from straining your muscles. There is no need to rush through your workout. Always avoid twisting while performing a lift.
  6. Create enough space: There has to be enough room all around you while you are lifting. This will ensure your safety while you are working out.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4022 people found this helpful
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