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Moreside from Dalhousie University, Canada, found that elliptical training often leads to greater average lumbar flexion angles and lumbar rotation compared to walking, with variations depending on stride length, speed, and hand position, and that while total lumbar flexion/extension was similar to walking, muscle activation patterns differed, with higher gluteal muscle activation on the elliptical and selective higher activation of back extensors, latissimi, and internal obliques, indicating specific spinal kinematics and muscle usage risks associated with elliptical use

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