Studies over the past two to three decades into the effects of training on low back pain and functional disorders show differences in approach and also differences in effectiveness.
Motor control exercise
Classic non-specific training programs focus mainly on functional recovery of the ventral and dorsal deep and superficialtrunk muscles. Strengthening these muscles supports the spine, "restores damaged intervertebral discs" and thus reduces pain and improves the function of the spine. The effect of these movement programs on both pain and disability appears to be very small to zero.
Movement control exercise
Other researchers (20) focus more on the more specific delordosing control of the lumbar spine. An unstable spine as a result of reduced control of movement leads in the longer term to back pain.
Although a clear connection between back complaints and reduced joint functions (Hip-Spine and Shoulder-Spine Syndrome) has been demonstrated by several researchers, there is a lack of integral training programs that take into account both the motor skills of joints and the motor skills of the spine.
Kinesiological pathological model
Sahrmann (2017) has elaborated the principle of movement control exercise in the kinesiological pathological model. Repetitive abnormal movements and prolonged incorrect postures lead to patho-anatomical changes in the encapsulation and ligaments of joints. These can cause systematic movement disorders.
The source of pain is the consequence of impaired motion.
PhysioNovo explains back pain due to impaired joint functions. Arthro-neurological stimulation (overloading) or structural articular changes that have already occurred inhibit joint motor function. Compensatory motor activity as a result of this arthromyogenic inhibition leads to erroneous loading somewhere else, usually the spinal column.
The improvement of arm motor function is achieved by improving the function of the shoulder joint through activation or, if necessary, byrestoring thebalancebetween the partners of the force couples around the shoulder joint.This also improves the motor function of the thoracic and cervical spine.
Improving the function of the hip joint improves the motor ability of the leg and thus the motor ability of the lumbar spine. There are also force couples around the hip joint whose function can be improved.
PhysioNovo pays great attention to a correct walking and running pattern based on their physiological development.
A good pelvic posture corrects theleg axisand improves the rolling of the foot, knee and hip when walking and running.
Correct training of the abdominal muscles (paradoxical) connects the improved arm and leg motor skills to an integral motor function.
Not only the physical structure of the spinal column, but also specific active posture and the right movement determine the external appearance of the individual. In the same way that a poor posture can be aesthetically unappealing, a corrected posture on the other hand can look easy on the eye, even in the case of a poorly structured spinal column or obesity. The integration of a good posture in movement leads to an aesthetically pleasing motor control in everyday life.