Loss of Lumbar Extension

Lumbar - Mobility

Loss of lumbar extension reduces the ability to maintain neutral spine during hip hinge and overhead tasks.

Biomechanical Mechanism

Lumbar stiffness, hip flexor tightness, and thoracic limitations can limit lumbar extension.

Clinical Rationale

Limited lumbar extension shifts stress to hips and thoracic spine. Restoring extension improves posture and function.

Practical Solution

Restore extension tolerance and reinforce neutral spine in hinge patterns.

Common Compensations

• Hip hinge breakdown
• Thoracic extension compensation
• Forward trunk lean

Progression

1. Level 1: Low-load press-ups
2. Level 2: Controlled hinge
3. Level 3: Loaded hinge
4. Level 4: Functional integration

Regression

• Reduce range
• Use supported positions
• Limit load

Red Flags

• Severe pain
• Neurological symptoms

Differential Diagnosis

• Lumbar disc pathology
• Facet restriction

Related Patterns

• lumbar hyperlordosis
• hip flexor tightness

Related Exercises

• prone press up
• hip hinge drill
• sphinx reach
• cat cow
• thoracic extension foam roller

Related Assessments

• lumbar lordosis assessment
• sldl assessment

Evidence