SELECTIVE TRAINING OF THE LUMBAR MULTÍFIDUS

Do you know why and how to work the lumbar Multífidus?


As we have seen in previous posts, the "lumbar Multífidus" is a deep muscle that is part of the great muscular network of the Core, in this post I tell you why it is interesting to work, I propose several exercises and which of them is the one that provokes higher levels of activation.



For further clarification of concepts here I give you the link to a video showing the functions of the multífidus and its anatomical position:

 https://www.youtube.com/watch?v=5Zy3MsS7tuI

 In the world of sport and health we are very aware of the importance of working the abdominal muscles (flexor of the trunk), although it is also necessary to work the posterior musculature (erector and extender), to avoid decompensations that generate Discomfort and pain in the lumbar area.

The Multífidus by the disposition of its fibers, presents good mechanics in the sagittal and transverse plane (flexion and rotation). It also plays an important role in the segmental control of the lumbar vertebrae, controlling the rotation and shear forces. If it does not work correctly, and there is a lack of control, it will be another musculature (global or superficial spinal erectors) who replaces its function, generating an increasing decompensation between the muscles and being responsible for the appearance of certain lumbar pains.

There are studies, which confirm, that a dysfunction and atrophy of the multífidus generates lumbar pains and that after the selective training of multífidus and hypertrophy of this ceases pain.

If you liked the post, in the next chapter I will show you which are the best exercises to work it.


Bibliography:

Hides, J., Richardson, C., & Jull, G., (1996). Multifidus Muscle Recovery Is Not Automatic After Resolution of Acute First-Episode Low Back Pain. Spine, 21(23), 2763-2769.

Mitsuhiro, M., Hiroshige, T., Rui, T., Satoko, I., & Noriaki, I., (2015). Selectively strengthen the lumbar multifidus muscle: effects of different lifting directions and weight loading of the extremities during quadruped upper and lower extremity lifts.
Journal of Manipulative and Physiological Therapeutics, 38(2), 138–144.

Richard, E., Robert, D., & Kenji, C., (2007). Electromyographic Analysis of Core
Trunk, Hip, and Thigh Muscles During 9 Rehabilitation Exercises. Journal of orthopaedic & sports physical therapy, 37(12), 754-762.

Hides, J., Stanton, W., Mcmahon, S., & Sims, K., (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of orthopaedic & sports physical therapy, 38(3), 101-108.

 Freeman, M.,  Woodham, M., Woodham, AW., (2010). The role of the lumbar multifidus in chronic low back pain: a review. The journal of injury, function and rehabilitation, 2 (2), 142-146. 



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