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Extension Bias

By , About.com Guide

Updated November 04, 2010

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Definition:

With some back conditions, specific positions are known to help manage symptoms. These positions are known as biases. There are three types of biases: extension, flexion and non-weight bearing.

If your back feels better and your symptoms abate when you arch your back, your injury or condition has an extension bias.

Extension bias is the term indicating that the preferred position for your spine is one that increases the lordosis in your low back and neck. In order to increase your lumbar and cervical lordoses, you need to extend your spine.

Herniated disc and injury to the posterior longitudinal ligament in the spine are two conditions with extension biases.

For injuries and conditions with an extension bias, symptoms tend to increase when your back is flexed (bent).

Examples:
An example of an injury with an extension bias is a herniated disc injury. Many times, because of the extension bias, symptoms of a herniated disc will be reduced when you lie on your stomach (called the prone position). Lying in the prone position arches (extends) the back. Ask your doctor or physical therapist about extension bias and how you might position your spine to manage your back pain and other symptoms.
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