In this issue of the Scandinavian Journal of Pain Hugo Masse-Alarie and coworkers compared the effect of 3 weeks with isometric exercises of the multifidus muscles with exercises with more dynamic and general involvement of the low back muscles on pain and disability in patients with low back pain . However, their main contribution is the application of transcranial magnetic stimulation to study the influence of low back pain on the mechanisms involved in motor planning, and how different exercise approaches may alter central motor control. In an experimental pre-post two group training design, it is assumed that the isometric exercise of the multifidus offers larger challenge to motor skills than the more global exercises of the low back muscles, and hence have higher impact on motor cortex functioning and the anticipatory postural adjustments of the muscles. Based on previous studies, a delay in the anticipatory postural adjustments is considered to represent loss of inhibitory mechanisms in the primary motor cortex.1The immense burden on patients and on society of low back pain, psychosocial factorsLow back pain is the most common of the musculoskeletal conditions and recognized as a main global burden for disability . In addition to the individual
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
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