Relationship between therapeutic alliance, symptoms remission and function improvement in chronic nonspecific low back pain patients after a lumbar stabilization program

Lumbar stabilization program during eight weeks. The treatment looking for decrease activation of the superficial lumbar muscles and improve activation of the deep muscles (multifidus and transversus abdominals). The protocol will be divided in two parts where each one is compound for 4 weeks. On first part, the patients will visit the clinic twice a week during 4 weeks for learn how relax the superficial muscles and activate the transversus abdominal and multifidus for then do exercises while maintaining contraction of the transversus abdominal. At the second part of protocol, the sessions will be once a week for others 4 weeks and patients will learn to do controlled movements of lumbar spine in a range of motion free of pain, later, the speed of the exercises is increased and functional movements are practiced. The exercises were grouped in a protocol elaborated using the motor control principle. Each session will have 50-60 minutes of duration.