Can exercise positively influence the intervertebral disc?

Belavý, Daniel L., Albracht, Kirsten, Bruggemann, Gert-Peter, Vergroesen, Pieter-Paul A. and van Dieën, Japp H. 2016, Can exercise positively influence the intervertebral disc?, Sports medicine, vol. 46, no. 4, pp. 473-485, doi: 10.1007/s40279-015-0444-2.

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Title Can exercise positively influence the intervertebral disc?
Author(s) Belavý, Daniel L.ORCID iD for Belavý, Daniel L.
Albracht, Kirsten
Bruggemann, Gert-Peter
Vergroesen, Pieter-Paul A.
van Dieën, Japp H.
Journal name Sports medicine
Volume number 46
Issue number 4
Start page 473
End page 485
Total pages 13
Publisher Springer
Place of publication Berlin, Germany
Publication date 2016-04
ISSN 0112-1642
Summary To better understand what kinds of sports and exercise could be beneficial for the intervertebral disc (IVD), we performed a review to synthesise the literature on IVD adaptation with loading and exercise. The state of the literature did not permit a systematic review; therefore, we performed a narrative review. The majority of the available data come from cell or whole-disc loading models and animal exercise models. However, some studies have examined the impact of specific sports on IVD degeneration in humans and acute exercise on disc size. Based on the data available in the literature, loading types that are likely beneficial to the IVD are dynamic, axial, at slow to moderate movement speeds, and of a magnitude experienced in walking and jogging. Static loading, torsional loading, flexion with compression, rapid loading, high-impact loading and explosive tasks are likely detrimental for the IVD. Reduced physical activity and disuse appear to be detrimental for the IVD. We also consider the impact of genetics and the likelihood of a ‘critical period’ for the effect of exercise in IVD development. The current review summarises the literature to increase awareness amongst exercise, rehabilitation and ergonomic professionals regarding IVD health and provides recommendations on future directions in research.
Language eng
DOI 10.1007/s40279-015-0444-2
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Springer
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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