Jolie Bookspan, M.Ed, PhD, FAWMExercise and Fitness
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Kettlebells Without Spine Injury

Jolie Bookspan, M.Ed, PhD, FAWM
Reader Dan wrote:
"Hello, I'm writing as someone who has incurred a training-related lower back injury and who has great interest in your words on hyperlordosis. I am hoping that you might shed some insight on how to achieve a neutral spine while doing "kettlebell swings." This is the exercise that has caused me back pain, and I would love to return to working out with kettlebells, but am not sure how to do so without creating too much lordosis. Any ideas? I appreciate any assistance you can provide and thank you for your contributions! Take care,
Dan L"
Kettle bells (also called kettle balls and many other names) are usually ball-shaped weights with a handle. A variety of sizes is shown in the photo below, along with a medicine ball for comparison. Kettle bells were long used in various martial arts and cultural festivals and contests before being rediscovered for modern weight lifting. In general, you lift, swing, and move them to do various weight lifting exercises.

When lifting and swinging kettlebells (and any weights) overhead, don't lean your upper body backward (photo below left). Leaning backward is often mistakenly done to "balance the weight" and make the lift easier. Another common body movement to make lifting overhead easier is changing the tilt of the pelvis (hip) so that it juts forward in front and outward in back (same photo below left). Leaning the upper body back and tilting the pelvis are not necessary to balance a load - your own muscles can hold the load, and in fact, that is the point of lifting the weights. Not only are they not necessary, they increase the inward curve of the lower spine. Increasing the small normal small inward curve (lordosis) to a large curve (hyperlordosis) increases compression on the joints (facets) and soft tissue of the lower spine. The same overarching is the hidden cause of back pain in women who lean back and/or tilt the hip trying to offset the load of a pregnancy - Back Pain in Pregnancy - and Why Men Can Get It.

The photos of spine position swinging the heavy medicine ball are from the book Healthy Martial Arts. My black belt student Christopher demonstrates. This is a similar overhead motion as swinging kettle bells by the handle. In the left photo, Christopher allows the hip to tilt forward in front (and out in back) and his upper body is tilting backward relative to the lower spine. In the right photo, he holds neutral spine. In the right hand photo you can see the change to reduce the overarching to neutral spine. The belt line changes from tipped downward in front to level.

Leaning backward and overarching are not helpful adaptations as sometime thought, are not unavoidable, and are not limited to pregnant women. Overarching (hyperlordosis) is a common bad posture, and an often missed source of back pain. It can be easily prevented by using your muscles to hold neutral spine. The post Prevent Back Surgery shows photos of hyperlordosis compared to neutral spine during many activities.

Neutral spine while exercising with kettle bells is the same as neutral spine during anything else - just hold your spine position. Holding neutral spine is the same as not slouching your shoulders or not letting your mouth hang open. You just voluntarily move to and hold desired position.

Neutral spine is not done by tightening or clenching any muscles. It is done by moving your hip and lower spine the same way you move your arm to scratch your nose - without tightening, just moving it to where you want it.

Helpful posts to see and learn neutral spine while swinging kettlebells, babies, and all other fun weightlifting:

The book Healthy Martial Arts (www.DrBookspan.com/books) has a section on lifting and swinging kettlebells, medicine balls, and other weights. Keep breathing, smiling, and have fun. You can swing weights to be stronger and healthier, without injury.


Kettlebell collection photo by maryspics
photo © by Jolie of Christopher Emmolo from the book Healthy Martial Arts



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Fast Fitness - Stronger Arms and Chest, and Core, Hip, and Leg Stability With A Friend

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - strengthen inner legs, thighs, arms, and core, while practicing neutral spine with a friend. Better than putting hands up on a bench or exercise ball My students Johanna (1) and Diana (2) demonstrate:
  1. Partner 1 lies face up with bent knees
  2. Partner 2 does pushups on Partner 1's knees while holding neutral spine, not letting the lower back sag and arch downward. Partner 1 holds legs stable and does not let knees wobble.
  3. Switch and repeat.




To increase core and hip stabilization training for both partners, Partner 1 tilts knees slightly to each side while Partner 2 continues pushups. Try both moving continuously side to side, and holding legs stable at an angle. Do not twist your spine. Have fun moving and laughing with a partner.

Photos by Jolie

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Fast Fitness - Strength, Abs, Balance, and Ankle and Leg Stabilization

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - quickly increase functional stabilization of the knee, leg, and ankle while increasing overall strength and balance.

Anyone can lift weights, but can you do it balancing on a basketball? Get started by standing on one foot:

  1. Do your regular lifts, curls, presses while standing on one foot (and then the other). Breathe.

  2. Notice the leg you stand on. Don't let the arch of your foot flatten toward the floor, or knee roll inward toward the other leg. Hold knee, ankle, arch inline, using your muscles. See Arch Support Is Not From Shoes.

  3. Don't lean your upper body backward (increasing lower back arch) when lifting arms up - a hidden source of back pain. See Change Daily Reaching to Get Ab Exercise and Stop Back and Shoulder Pain.

It reduces exercise to sit, even on a fitness ball. It is more exercise, more functional, and better balance training to stand on one foot than to sit. You sit all day already.

Be safe, be excited about having fun doing functional movement, be happy.

Photo by Lazy_Lightning

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Lung Training from the Exercise Ball

Jolie Bookspan, M.Ed, PhD, FAWM
The week before I left to teach at the Wilderness conference, I taught my University yoga class entirely on an exercise ball. I will post about functional movement on a ball in weeks to come.

We don't use three of the most ineffective things you can do on a ball - crunches, sitting on the ball (for almost anything), and arching the lower back over the ball. These seem to be three of the more common things done on the ball in fitness classes, but they are not fit or effective. Another myth is that an exercise ball will magically make you sit straight. You can sit with as faulty positioning as on any other surface. Click Does an Exercise Ball Make You Sit Straight? Better, healthier ways to use your time on the ball instead will open many good doors, so watch for posts to come on this.

Most of my students brought in an owned or borrowed exercise ball. I brought in three more for students without access. Some of the students pin-balled cheerfully through the narrow doorway with a large inflated exercise ball. One came in on the subway holding hers. I managed a comic, calorie-burning commute with three on a bicycle. A few students brought theirs uninflated. Wow, such an idea.


They asked me if I had a pump.

I told them, "Yes, your lungs, blow it up."

They sat politely waiting for the other students who brought a pump to finish with theirs.

I chided them that people talk all about yoga and breathing but here was opportunity in the tangible. They sat politely waiting for the pump. I demonstrated - "fffooooooooou."

I told them that when I was small, I was transfixed when my father, a Russian ice swimmer, blew up a beach ball in one breath. I decided then and there that I wanted to do that. I experimented with bags. I'd inflate to all my capacity and compare the bag to my little chest. I later practiced this in my swimming career until I was measured by scientists who came one day to test our whole team. My lung volume (not counting residual that you cannot breathe out) came in close to 6 liters. They called me a sports car. I didn't know what that was and hoped they were not flunking me. Who knows how much was from my 35 to 40 mile a week swimming training, or inherited, or just lung size relative to height. Still, a "big engine" can be trained and added to the mix. Click the label "breathing" under this post for entries about training breathing and exercise capacity.

My students took a chance on believing me that breathing and yoga and health had something to do with real life, and took a big breath to the ball. Bigger, bigger, full. Then quick hands to cap it off. They laughed. Laughing is good for breathing too. Then we started class.
  • Take a nice full breath in right now. Let your lower abdomen come outward. Exhale normally.
  • Breathe when you cook, clean, and do daily life. Don't hold your breath or gasp.
  • Blow up balloons, pool floats, air cushions, enormous inflatable beach toys. Don't overbreathe and get dizzy.
  • Exercise until you have to breathe a lot. Don't let yourself get so out of shape that it ever becomes unhealthy to try fun exercise.
  • Sing.
  • Laugh.


Photo - from the world's strongest lungs competition

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Does an Exercise Ball Make You Sit Straight?

Jolie Bookspan, M.Ed, PhD, FAWM

Healthline staff helpfully sent in photos of sitting at work on an exercise ball. Both photos show obvious slouching and forward rounding.

A ball does not make you sit upright or prevent unhealthful, uncomfortable sitting position. You can sit upright or not. It is not the ball, but you, that determines what you do with your own body.




A ball that is too high will even prevent you from sitting close enough to the desk, so that you have to lean over forward to reach the surface.


Use common sense and your own muscles for simple, comfortable, healthful habits.




Photos courtesy of Healthine.com. Please do not try these bad postures at home. Healthline staff are trained professionals.

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