Document Type : Literature Reviews


1 Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran


Background: This article aims to investigate the possibility of adapting the spinal circuits and the spinal cord in response to various eccentric, concentric, isometric, balance, and skill exercises, whether these changes are permanent or temporary.
Methods: A narrative review of studies conducted in the field of spinal adaptation following exercise training in Google scholar, Pedro, PubMed, Science direct, Cochrane, Scopus, SID databases in the period of 2000 to 2020 with the keywords: neural adaptation, spinal adaptation, exercise training, neuroplasticity, neuro-rehabilitation, spinal plasticity, eccentric training, isometric training, and concentric training was done. An effort was made to identify and examine research linked to exercise treatment and physiotherapy in healthy and sick persons from among the different studies in this topic. Results: from 35 recruited articles, 12 articles were critically reviewed and reported in two contents: 1-Spinal adaptation and balance exercises -2- Spinal adaptation and isometric, concentric, and eccentric exercises 
Conclusion:  From this review, it can be concluded that the spinal network is fully adaptable, and the manner of this adaptation is completely dependent on training and motor function. The possibility and need of therapeutic application of the spinal plasticity phenomenon in the rehabilitation program of persons with neurological diseases such as stroke are underlined in people with neurological pathologies such as stroke.


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