“…Panjabi (1992) proposed that an alteration of the passive structures may be related to a decrease in the intrinsic stiffness that can then lead to increased muscular activity as a compensatory response in order to sustain the stability of the trunk. This was confirmed by several studies which revealed evidence of increased activities of the trunk muscles due to low back pain (LBP) (Fischer and Chang, 1985;Pirouzi et al, 2006). Increased muscle co-contractions (Granata and Marras, 1995;Marras et al, 2004;Radebold et al, 2000) have also been observed, and may be related to increased spinal stress (Granata and Marras, 1995;Marras et al, 2004) that may lead to injuries and spinal degeneration (Adams et al, 1996;Gallagher et al, 2005).…”