Examination and treatment of the local stabilizer muscles of the lumbar spine in the case of non-specific low back pain
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Abstract
Introduction and objective: In the background of the nonspecific low back pain, the disfunction of the local stabilizer muscles of the lumbar spine, such as Musculus transversus abdominis (TrA) and multifidi (MF) is common. Our examination aimed to assess the selective activation ability of local stabilizers and its development in patients with low back pain.
Methods: Ten volunteers were examined (7 females and 3 males; age: 25.1 ±1 year). The lumbar complaints were measured with the Oswestry Low Back Disability Questionnaire, Roland–Morris Disability Questionnaire, Quebec Back Pain Disability Scale, and Visual Analogue Scale. During the examination and the teaching of selective activation, the function of the TrA and MF was controlled with surface EMG and measured with ultrasound. Static balance parameters were recorded with the NeuroCom Basic Balance Master before and after the training program.
Results: Participants were in the middle-damaged category regarding low back pain. Before the training program, they were not able neither to activate the TrA independently nor the activation of the MF. After the controlled activation program, they were able to activate their local stabilizer muscles. The static balance parameters improved, and the pain decreased.
Conclusion: Our examination confirmed that the selective activation of the TrA and MF is a well learnable method. Results of the study demonstrated that besides the restoration of the other local stabilizer muscles’ function, the teaching and practicing of selective activation of the TrA and MF may be the basis of the nonspecific low back pain therapy.
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