Segmental stabilization training

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Rita Major

Rita Major

Physiotherapist

What are the signs indicating instability?

  • Disharmony of the lumbar lordosis curve during movement, when bending forward or backward, despite good range of motion
  • Increased tone of the paravertebral muscles
  • Inability to maintain static positions (sitting, standing)
  • Difficulty straightening up

The goal of segmental stabilization training is to build up and reshape the deepest structures closest to the vertebrae.

Research shows that joint instability underlies 20-30% of back and lower back pain, and training the large muscles, i.e., the global muscles, is not sufficient to eliminate it. Stability is maintained jointly by the local and global muscles. The local muscles are small muscles located deep, close to the joints. They bridge one joint or vertebra, so their main function is to dampen unexpected, sudden movements from within.

Segmental stabilization training

In which cases do we apply segmental stabilization training?

  • Spondylolysis, spondylolisthesis
  • Disc degeneration
  • Recommended after discectomy and trauma

How does segmental stabilization training work?

With appropriate treatment, the load-bearing capacity of the deep local muscles can be restored, segmental muscle control can be rebuilt, and the patient can maintain the affected spinal segment in a pain-free position. Thus, compensatory movement patterns can be reversed or prevented.

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Rita Major

Rita Major

Physiotherapist

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