Can patients with spondylolisthesis do pull-ups on a horizontal bar?
Sep 26, 2024
Source: Cainiu Health
Dr. Chen Jian
Introduction
In general, patients with lumbar spondylolisthesis are usually advised against hanging from a pull-up bar, as it may worsen discomfort. These patients should avoid any activities that place gravitational stress on the lumbar spine. During the course of the condition, the lower back may be in an inflamed and swollen state, and the lumbar spine may be unstable. Hanging from a pull-up bar could exacerbate this instability and thereby aggravate the condition.
In general, patients with lumbar spondylolisthesis are usually advised against hanging from a pull-up bar, as it may worsen their discomfort. The specific reasons are as follows:
Hanging from a pull-up bar may increase the load on the lumbar spine, potentially aggravating the slippage and even leading to other complications. Patients with lumbar spondylolisthesis should avoid any activity that places gravitational stress on the lumbar spine. During the course of the condition, the lower back may be in an inflamed and swollen state, and the lumbar spine may be unstable. Hanging from a bar could exacerbate this instability and thereby worsen the condition.
Even if patients feel well, they should not attempt hanging from a pull-up bar without professional evaluation and guidance from a physician, as incorrect posture or premature activity could result in injury.
If a patient with lumbar spondylolisthesis has recovered and is in the rehabilitation phase, they may perform back and core muscle exercises under medical supervision, such as planks, "flying swallow" exercises, and bridging (five-point support). These exercises can strengthen the muscles of the back and improve spinal stability, helping to alleviate symptoms of lumbar spondylolisthesis and prevent recurrence.
