14.4 Rehabilitation of low back muscles
Muscular insuciency of the muscles that provide stability of the lumbar region is often the cause of
common low back pain or identified as a contributing factor, which increases the risk of recurrence.
The particular benefit of electrostimulation is three-fold:
• It enables treatment to be started at an early stage because, unlike voluntary exercises, the stress
applied to the stabilising muscles in the lumbar region through electrostimulation is initially carried out
in isometric mode, which considerably reduces the mechanical stresses exerted on the vertebral and
periarticular structures.
• It enables an appropriate work regime to be created to restore the quality of the postural muscles, i.e.
the muscles that are essentially made up of type I, high-endurance fibres.
• It promotes motor re-learning and postural control by combining synchronised, electrically induced
contractions of the abdominal and lumbar muscles with voluntary proprioception exercises.
14.4.1 Protocol
Weeks 1 – 2: Lumbar stabilisation Level 1
Weeks 3 – 4: Lumbar stabilisation Level 2
14.4.2 Treatment frequency
Three to five sessions a week for four weeks.
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