Pilates Elephants

294. The case for loaded spinal flexion, with Raphael Bender


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Why are we still hanging on to the idea of neutral spine in the Pilates world? It's not even part of Pilates, and it's certainly not science-based. Plus, it's just plain illogical.

Resources mentioned in the episode:

  • You can bias lower abs from upper abs by doing posterior pelvic tilt vs ab curl here
  • People with LBP lift with LESS flexion in their lumbar spine here
  • There was low-quality evidence that greater lumbar spine flexion during lifting was not a risk factor for LBP onset/persistence or a differentiator of people with and without LBP here
  • Spine posture in general has not been shown to be a causal factor in LBP according to a systematic review of systematic reviews in 2020 here

Connect with me on Instagram: @the_raphaelbender

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  • Visualized Anatomy



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Pilates ElephantsBy Raphael Bender

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