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The Effectiveness of Lumbar Extensor Training: Local Stabilization or Dynamic Strengthening Exercises. A Review of Literature 2017-05-22T15:53:35+00:00

The Effectiveness of Lumbar Extensor Training: Local Stabilization or Dynamic Strengthening Exercises. A Review of Literature

Autores:
D. Michal Hadala | Fisioterapeuta. Doctor por Universidad de Valencia. Profesor Internacional de Kinetic Control®. FISIO-SPORTS.ES, FIZJO-SPORT.PL

Szymon Gryckiewicz | Fisioterapeuta. FIZJO-SPORT.PL.

Summary

Background. Deconditioning of the lumbar extensor musculature (lumbar erector spinae and multifidus)
is a risk factor for low back injury and pain. The article presents various aspects of scientific reports which
confirm the effectiveness of lumbar extensor exercises.
Material and methods. The articles to be reviewed were extracted from the MedLine and PubMed data -
bases. The following key words were used as search terms: lumbar multifidus muscle exercises, low back
global exercise, motor control exercise in chronic low back pain, low back stabilization exercise.
Results. A number of prior investigations have described lumbar multifidus atrophy and replacement by fat
after low back injury. Restoration of the tonic activity of the multifidus muscle is an essential condition in
regaining health and spine functions. On the other hand, conditioning and strengthening exercises are
considered valuable in effectively ‘pre-habilitating’ and reducing injury risk for athletes.
Conclusions. 1. The lumbar low load specific stabilization exercises would be more efficient than muscle
strengthening in the improvement of chronic low back pain. 2. Conditioning and strengthening exercises are
considered valuable in effectively ‘pre-habilitating’ and reducing injury risk for athletes.

Key words

columna lumbar, local stabilization, motor retraining


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