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Re-training must be facilitated in a pain-free posture or position. The neutral spine posture is an ideal position for this. The simple process of achieving a neutral spine posture may significantly activate transverse abdominis and lumbar multifidus in some subjects with low back pain.
Sit with the spine in neutral alignment. Place fingers / thumbs on the muscles just to the side of the vertebrae and let them sink firmly into the muscle. Lean slightly forward from the hips (keeping the spine neutral) and feel the muscle tension. Then lean slightly back from the hips until the trunk is directly over the centre of gravity and the muscles relax. In this position with the muscle initially relaxed,[url=http://www.bearvalleyxc.com/images/rayban.asp]Fake Ray Ban Wayfarer[/url], instruct the patient to locally (or swell) the muscles into the finger and thumb. Ideally the muscle will harden as it generates tension. There should be a similar contraction between adjacent segmental levels and there should be symmetrical contraction between left and right sides at the same segmental level. The contraction should
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