Means of therapeutic physical culture in the treatment of atypical pain (motor) patterns in myofascial syndromes

There were 68 patients with low back pain which developed 2-6 years after myofascial injury of the lumbar spine. All patients were examined neuro-orthopaedically and with EMG, rheography, manual muscular testing and ultrasonography. Course of treatment using pathogenetic method of therapeutic exercises which were differentiated depending on the type of atypical pain pattern and the stage of its development was applied. Treatment resulted in the increase of contraction force and bioelectric activity amplitude of muscle-antagonist, restoration of the pattern of muscles activation (according to EMG data), elimination of static and dynamic overload of the contracted and hyperexcitable muscular groups (according to manual muscular testing data), restoration of the optimum dynamic stereotype. In 92.0% of patients recovery with the elimination of subjective neurologic symptoms and restoration of spine function was achieved.