A progressive exercise program of balancing muscles that stabilize the lumbar spine to reduce pain and risk of injury. They are exercises that focus on controlling the pelvis and holding the lumbar spine in a neutral position. Next in the progression, the patient practices co-contracting the low back extensor and abdominal muscles with enough force to create a bracing “corset” for the low back while still being able to breathe from the diaphragm. This is practiced in a variety of postures, including supine, seated and standing.
Once this level of control has been achieved, the training can progress through a series of exercises designed to challenge the patient’s ability to maintain a neutral pelvis while protected by co-contraction of the muscular corset. Special attention is also paid to posture, breathing and muscle balance.