Therapeutic Exercise for Spinal segmental Stabilization in Low Back Pain

This book is a must read for any remedial practitioner.  It states the proportion of low back pain sufferers are likely to have little or no control over their stabiliser muscles- the multifidus and transversus abdominus muscles.
With low back pain sufferers these muscles are used as phasic muscles which means they cannot endure long periods of activation and aren't being used for their purpose as stabiliser muscles.
The goal of this book is to teach the practitioner to convert these muscles into stabiliser muscles by reconditioning the body's nervous system.
The method by which this is done is a slow and deliberate procedure whereby the client learns to activate their stabiliser muscles with small movements whilst maintaining a healthy pelvic tilt.
As the sessions proceed, the movements the client is asked to perform become more varied and more weight is applied by having the client perform movements from the prone and supine position into standing and sitting positions.
Once the client has accomplished moving correctly and confidently without being consciously aware of activating their core muscles the core muscles become trained to withstand the weight of the body and take it off the spinal bones and ligaments.  In contrast to before, the client now activates their core stabilisers before any movements is precipitated regardless of direction.  This increases the intra abdominal pressure that is created by the diaphragm, perineal muscles, transversus abdominus and multifidus muscles.

Take note that this is a long and sometimes frustrating process of reconditioning the motor system but in the long run- highly succesful.