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The Jefferson Curl: Good or Bad for Your Back? 

6/6/2016

7 Comments

 
Performing the Jefferson Curl:
1) Start by standing upright on an elevated surface.
2) Slowly round your back one vertebrae at a time starting from your cervical spine.
3) Keep the weight in the balls of your feet.
4) Return from the forward flexed position, one vertebrae at a time.
 (see video to the right)

The standard deadlift & squat promote a neutral spine position. The Jefferson Curl promotes segmental stability as the spine rounds into flexion. ​

I recently heard about this exercise from a patient who had been attempting some gymnastic strength training exercises. During the exercise, he reported a sharp pain in his thoracic spine.  Putting his injury aside, my patient asked... "is this exercise ok for my spine?" When watching his form, the patient had clear thoracic mobility deficits with a loss of lumbar flexion active range of motion. Additionally, the patient admitted to using a heavier weight than instructed. 

The Jefferson Curl has potential to be a great exercise for the spine if you have the underlying mobility and stability requirements to perform the movement. As a society, we have been told that lumbar flexion is bad for the low back. This statement is not true. Adequate lumbar flexion is a necessary movement for spinal health. Problems with lumbar flexion occur when someone attempts to lift a heavy weight from a flexed spine without adequate mobility and stability. Since treating this individual, I have started incorporating the Jefferson Curl into my workouts. In addition to improving my back strength, I have also noticed improvements in posterior chain flexibility. 

However, I do not think the Jefferson Curl is appropriate for all people initially. If someone has clear postural deficits (excessive thoracic kyphosis or lumbar lordosis), other mobility exercises likely need to be performed first. Additionally, if a patient is experiencing pain, and they have a directional preference into extension, this flexion based exercise will likely increase their symptoms. Finally if someone lacks segmental motor control of the thoracic and lumbar spines, the lumbar ligaments and discs may be at risk for injury. The Jefferson curl has it's role in addressing segmental strength of the spine, but it should not replace your squat or deadlift exercises. Patient's should be reminded that the best way to lift something from the floor is with your spine stacked in neutral alignment while engaging the hips and core. 
My Recommendation:
1) Start performing the Jefferson Curl exercise without any weight
2) Gradually add light weights once you can effectively perform the movement pattern
3) Address any hip or thoracic spine mobility deficits prior to performing the movement 
4) Retrain and core stability deficits that may limit forward flexion

​-Jim Heafner PT, DPT, OCS
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7 Comments
Danny D - M.OsT
12/16/2016 03:00:06 am

Good article my friend. I often see people trying to do the cool looking moves they see on instagram without the pre requisites. As you say, most just don't have the mobility or stability, so doing a movement loaded that you cannot even do properly with bodyweight is insane. Most do not even realize how stiff their thoracic spine is.
I had a client who had a very large degree of anterior tilt who had been doing these exercises for years, was wondering why he still had tight hams and anterior tilt.Testing showed his anterior core was very weak/inhibited, he had been doing mostly hip flexor dominant core work, As soon as he stopped and we slowly corrected his tilt, he was able to do other excercises pain free,

Reply
Jordan Shinn link
11/9/2017 09:47:49 am

The Jefferson Curl is definitely controversial. Many professionals say that since most people are subject to excessive spinal flexion already, the lift is a redundancy. For athletes that need tons of flexion like gymnasts, there may be no way around it.

Reply
Steve
2/12/2018 03:28:39 pm

Do you have evidence of this being safe for the majority of people? Because we do have ample evidence of injury with prolonged flexion and acute flexion / rotation. Are we all supposed to jump on new and unproven exercises just to challenge old beliefs? Early adopters not always right or safe...

Reply
Jim
2/12/2018 10:30:18 pm

Steve-

Thanks for the comment. However, I urge you to read the article in detail again. I discuss your concerns in the post. For example, "I do not think the Jefferson Curl is appropriate for all people initially. If someone has clear postural deficits (excessive thoracic kyphosis or lumbar lordosis), other mobility exercises likely need to be performed first. Additionally, if a patient is experiencing pain, and they have a directional preference into extension, this flexion based exercise will likely increase their symptoms. Finally if someone lacks segmental motor control of the thoracic and lumbar spines, the lumbar ligaments and discs may be at risk for injury."

The Jefferson Curl has potential to be a great exercise for the spine if you have the underlying mobility and stability requirements to perform the movement. I completely agree, it is not for everyone!

Thanks for the comment and thank you for reading and contributing to the TSPT blog!

Reply
steve
2/13/2018 03:26:33 am

Appreciate the reply---and agree---mostly---

Andy
6/26/2022 07:55:49 am

I do wonder why people argue that this might be a flexion exercise, because it inherently is an extension one! All the dorsal muscles are at work

Reply
Victoria Addington link
10/31/2022 01:15:51 am

I appreciated you pointing out that good lumbar flexion is a vital movement for spinal health. My friend was recommended for spinal bracing. I should advise him to look for a specialist with years of experience in spinal bracing.

Reply



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  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test