College of Massage Therapists of British Columbia (CMTBC) Practice Exam

For patients with low back pain exhibiting compensatory movements, what intervention is most likely appropriate?

1. Heat therapy to reduce inflammation

2. Strengthening of core stabilizing muscles

3. Progressive bracing of the lower back

4. Increased walking time without breaks

The correct answer is: Strengthening of core stabilizing muscles

In the context of patients with low back pain who demonstrate compensatory movements, strengthening the core stabilizing muscles is a particularly effective intervention. Core muscles play a crucial role in stabilizing the spine and pelvis during movement, which is essential for maintaining proper posture and reducing undue strain on the lower back. When compensatory movements occur, it often indicates that the body is trying to protect an area of weakness or pain, leading to imbalances. Strengthening exercises targeted at the core can help improve stability, enhance functional movement patterns, and ultimately alleviate pain by promoting a more efficient and balanced movement system. Additionally, while heat therapy can provide short-term relief and help in managing inflammation, it does not address the underlying issues related to muscle strength or movement patterns. Progressive bracing may limit mobility and can sometimes lead to muscle deconditioning, and simply increasing walking time without addressing core strength may not effectively rectify compensatory patterns. By focusing on core stability, the treatment aims to empower the patient to regain control over their movements and function effectively without relying on compensatory strategies.