The most common mistakes during learning
- Too much force, only 30% are necessary
- Switching to the global muscle system
- Insufficient endurance and concentration when practicing
If perception and control of the individual muscle groups have been trained, all 6 exercises can be combined into a basic tension, and further practice can then be easily integrated into everyday life (at the desk, in the kitchen, in front of the television). After completion of this learning program, the general strength endurance is trained under tension of the local muscles (synergy local/global muscle system). The skills learned to tense the deep muscles in combination should be automated in such a way that the patient can recall them during each exercise (e.g. on the strength machine).
The training of everyday situations is the final stage in the treatment of spinal instability. In particular, activities are practiced that have caused the patient difficulties or previously caused the known pain. The patient must have the feeling that his spine is muscularly secured at all times.
Summary
For the optimal treatment of a patient with instability-related movement disorders of the spine and back – or neck pain, the training program for the local muscle system should be included in addition to the standard therapy. This is supported by its effectiveness, which has also been proven in studies, in reducing pain and decreasing recurrence rates.
