There is a lack of consensus as to what is the appropriate exercise therapy in the management of low back pain and pelvic disorders. The division is over whether to engage in specific strengthening activities, that include ‘core’ activation or to just get people moving in work hardening exercise programs.

The evidence as to what approach is most effective remains unclear (1).

We know there is a lack of deep inner unit activation in people with back pain and pelvic girdle pain (2), but there is also truth in the statement that ‘what we don’t use, we loose.’

While the evidence catches up, I suggest we look at function and what this shows us about why people are in pain.

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