I suppose it comes down to whether there is muscle damage there or not really.
If there is muscle damage you need to first find out what has caused it and sort that out then work on releasing the back and then work on strengthening.
It can be a long process, just depends on whats going on really.
In Bs case it was a combination of a short back, saddle fit issues and ulcers all over a period of years causing him to make compensations in his way of going.
So firstly everything needed addressing ( not easy when it comes to bl**dy saddles

)
Then he needed to learn to let go and reach over his whole topline and only then could I address the muscle development.
In his case I couldnt find a saddle that didnt set the spasm off again so I have worked him in hand and lungeing including pole work and lateral work ( ensuring he remains reaching) since about last September

Also been riding him bareback on hacks for max 30 minutes on non consecuitve days for the last couple of months.
He is now, finally, at the stage where I have introduced the counted walk and piffle to get the pelvic tilt that lifts the back, always ensuring that he remains reaching over that topline rather than bracing his back.
So yeah, depends on the horse as ever

but IMO you have to have the relaxation and reach first and if he is developing muscle elsewhere but not the back that suggests it is currently blocked.
I personally wouldnt use any gadgets that force an outline but I know others seem to have had success with the Pessoa.