Periodically one encounters different advice for lifting a load off the
floor. One approach encourages lifting with lumbar "lordosis", while the
other suggests that a "neutral" lumbar curvature is preferable and safer.
***Rather than aligning the methods of Olympic lifting, neutral lifting and
"lordotic" (increased lumbar concavity) lifting against one another, I would
prefer to teach lifting with an "optimal spinal curvature" (OSC) posture, in
which the relative supporting roles of the back muscles and back ligaments
are optimised.
This recommendation is based upon the fact that concerted attempts to recruit
the spinal muscles may result in ligamentous laxity, whereas inadequate use
of the spinal muscles (i.e. so-called 'lordotic' lifting) may result in a
greater load being placed on the spinal ligaments. Therefore, in a lifting
situation, a compromise or optimisation state has to be achieved between
active muscle support and passive ligamentous support.
Interestingly, this OSC lifting method produces a spinal curvature that
visually appears to be close to that of the neutral position of the relaxed
upright standing posture, though the bulging of the muscles in the lumbar
region does not allow one to make any accurate measurements of the degree of
lumbar concavity (not actually "lordosis", which by classical definition
refers to a pathological state of the spine).
But let us examine the entire concept of "lordotic" lifting. The term
"lordosis" refers to a degree of lumbar concavity that is GREATER than that
displayed in the relaxed upright "neutral" position. Right?
Really? Even though I have been involved in Olympic lifting as a competitor,
coach, official and scientist, I doubt if I have ever seen a single lifter
who is able to raise a load with a degree of lumbar concavity that is greater
than the neutral value. While a SMALL increase of lumbar concavity may be
possible in the standing
unloaded position, it is not possible if one is lifting a heavy load.
To claim that one can lift a heavy load without the spine tending to
"flatten" to an extent that depends on the magnitude of the load is the same
as proclaiming that a cantilever (something like a long pole sticking out of
a wall) loaded near its extreme end does not flex.
This does not happen with any engineering structures like this and, unlike
the human spine, these do not involve much more deformable soft tissues that
are viscoelastic or poroelastic in nature - so how can one logically conclude
that "lordotic" lifting is possible?
"Lordosis" means creating a curvature that is exactly the OPPOSITE to that
which occurs when an engineering cantilever is under heavy loading - that is
totally illogical and inaccurate. At best, one may be able to maintain a
"neutral" lumbar curvature in lifting a load off the floor, but to increase
the concavity of the lumbar spine under conditions of lifting sizeable loads
would require superhuman strength.
To me, the entire concept of "lordotic" lifting needs to be carefully
re-assessed. While one certainly needs to be encouraged to visualise a
"hollowing" of the lumbar spine while lifting to create a kinaesthetic
awareness tool to produce adequate tensioning of the erector spinae, this
visualisation drill does not necessarily result in increased lumbar concavity
while a load is being lifted.
Dr Mel C Siff
Denver, USA
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