I was treating patient with low back pain that had decreased lumbar endurance the other day utilizing both spinal manipulation and acupuncture, along with endurance based exercise. Incidentally, you should be able to hold a "superman" pose with your arms at your sides for approximately 150 seconds (1). The patient has been continuing to improve and is now virtually pain free.
Many clinicians don't realize a nice side effect of acupuncture is increased increased endurance, among other things. We ran across
this article (2) you may find interesting
"Acupuncture therapy is able to eliminate free radicals, resist lipid peroxidation, prevent dysfunction of the motor hypothalamus pituitary-gonadal axis, reduce the creatine kinase content, and lower lactic acid concentration, so as to play an important role in the elimination of sports fatigue and improvement of athletic ability of the body. "
One way to needle the multifidus...
1. Hager SM, Udermann BE, Reineke DM, Gibson MH, Mayer JM, Murray SR. Quantification of Lumbar Endurance on a Backup Lumbar Extension Dynamometer. Journal of Sports Science & Medicine. 2006;5(4):656-661
link to free full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3861768/
2. De-li Sun, Yan Zhang, Da-Long Chen: Research progress in Sports Fatigue prevented and treated by acupuncture
link to free full text: https://link.springer.com/article/10.1007/s11726-009-0123-7