Training of flexion and rotation of the lumbar-sacral spine based on Kinetic Control
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Department of Rehabilitation, Faculty of Medical Science, University of Warmia and Mazury in Olsztyn, Poland
Rehabilitation Center Humanus in Olsztyn, Poland
Fizjo-Sport, Poland
Fisio-Sports, Spain
Medical Spa & Fysioteraphy Training Center in Oslo, Norway
Submission date: 2014-01-08
Acceptance date: 2014-02-17
Online publication date: 2014-04-29
Publication date: 2020-03-26
Corresponding author
Michał Hadała   

Fizjo-Sport, Stokrotek 10, 35-604 Rzeszów, Poland. Tel.: +34 617 688 198; fax: +48 792 814 145.
Pol. Ann. Med. 2014;21(1):45-50
Various methods of rehabilitation are used at present; among which Kinetic Control is constituting as one of the concepts and according to which it is important to test the patients during functional training in order to determine their preferred direction of motion and weak links in the kinetic chain. Functional training takes into consideration the direction of motion, motor work of muscle units and endurance of dysfunctional muscle groups.

To choose tests which will determine muscular imbalances on the basis of Kinetic Control and to determine how the sitting position and stability of the lower limb improve functionally.

Case study:
The study presents a 43-year-old patient with history of left knee joint injury in 2001. In 2006, the patient suffered from severe sciatic neuritis radiating to the left lower limb. The rehabilitation programme which lasted for a year included rehabilitation of the lumbar spine.

Results and discussion:
Prior to the therapy, the patient was examined according to the concept of Kinetic Control, i.e. tests were performed in order to determine the direction of motion as well as muscular imbalances. After the training period, the tests showed functional improvements of the sitting position and the stability of the left lower limb when performing everyday motor activities.

(1) The performed tests, which were part of functional training, showed abnormalities in the direction of motion and muscular imbalances. (2) An improvement occurred in the sitting position and in the stability of the left lower limb.

None declared.
Durmała J. Przewlekłe zespoły przeciążeniowe kręgosłupa u młodzieży i młodych dorosłych [Chronic spine strain syndromes in youth and young adults]. Ortop Traum Rehab. 2010;12(suppl 1):16 [in Polish].
Meziat Filho N, Santos S, Rocha MR. Long-term effects of a stabilization exercise therapy for chronic low back pain. Man Ther. 2009;14(4):444–447.
Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin N Am. 2003;34:245–254.
Lama P, Le Maitre CL, Dolan P, Tarlton JF, Harding IJ, Adams IJ. Do intervertebral discs degenerate before they herniate, or after? Bone Joint J. 2013;95-B(8):1127–1133.
Łebkowski WJ, Dzięcioł J, Łebkowska U. Proliferacja naczyniowa lędźwiowych krążków międzykręgowych w trakcie starzenia się [Vascular proliferation of lumbar intervertebral discs in the process of aging]. J Ortop Trauma Surg Rel Res. 2009;2(14):40–47 [in Polish].
Rożek K, Lewandowska J. Radiodiagnostics versus clinical symptoms of lumbar discopathy. Post Rehab. 2009;2(8):120–122 [in Polish].
MacDonald DG, Moseley GL, Hodges PW. The lumbar multifidus: does the evidence support clinical beliefs? Man Ther. 2006;11(4):254–263.
Mottram S, Comerford M. A new perspective on risk assessment. Phys Ther Sport. 2008;9(1):40–51.
Standaert Ch., Weinstein J, Rumpeltes SMJ. Evidenceinformed management of chronic low back pain with lumbar stabilization exercises. Spine J. 2008;8(1):114–120.
Tsao H, Hodges PW. Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain. J Electromyogr Kinesiol. 2008;18(4):559–567.
Ferreira PH, Ferreira ML, Maher Ch., et al. Specific stabilisation exercise for spinal and pelvic pain: a systematic review. Aust J Physiother. 2006;52(2):79–88.
Lehtola V, Luomajoki H, Leinonen V, et al. Efficacy of movement control exercises versus general exercises on recurrent sub-acute nonspecific low back pain in a subgroup of patients with movement control dysfunction. Protocol of a randomized controlled trial. BMC Muskoskelet Disord. 2012;13(55). 13-55.
Protasiewicz-Fałdowska H, Wiśniewska T, Zaborowska- Sapeta K, et al. The influence of specialist kinesiotherapy on the spinal function after fenestration surgeries. Pol Ann Med. 2010;17(1):44–53.
Lee D. Treatment of pelvic instability. In: Vleeming A, Mooney V, Dorman T, et al. eds. Movement, stability and low back pain. Edinburgh: Churchill Livingstone; 1997:52–57.
Kuszewski M, Saulicz E, Myśliwiec A, et al. Rola sztywności pasywnej mięśni kulszowo-goleniowych w procesach stabilizacji [The role of passive stiffness of hamstring muscles in body stablity processes]. Fizjother Pol. 2009;9(3):195–201 [in Polish].
Silfies SP, Squillante D, Maurer P, et al. Trunk muscle recruitment patterns in specific chronic low back pain populations. Clin Biomech. 2005;20(5):465–473.
Myers TW. Anatomy Trains. Myofascial Meridians for Manual and Movement Therapists. 2nd ed. Edinburgh: Churchill Livigstone Elsevier; 2009:189–190.
Aihara T, Takahashi K, Yamagata M, et al. Biomechanical function of the iliolumbar ligament in L5 spondylolysis. J Orthop Sci. 2000;5(3):238–242.
Drapała G, Trzaskoma Z. Siła maksymalna mięśni zginających oraz prostujących tułów kobiet i mężczyzn z bólem lędźwiowego odcinka kręgosłupa [Maximal strength of trunk flexors and extensors in men and women with low back pain]. Post Rehab. 2006;20(1):33–39 [in Polish].
Gniewek T, Hadała M. Koncepcja Kinetic Control jako integralna część terapii funkcjonalnej w procesie leczenia dysfunkcji narządu ruchu na przykładzie patologii kręgosłupa lędźwiowego [The concept of Kinetic Control as an integral part of functional therapy during treatment of motor dysfunctions on the example of lumbar spine pathologies]. Prakt Fizjoter Rehab. 2012;7–8(4–12). [in Polish].
Hadała M. Stabilizacja centrum jako priorytet w rehabilitacji sportowca – nowe perspektywy w ocenie i treningu według Performance Stability i Kinetic Control [Stabilising the centre as a priority in rehabilitation of an athlete – new perspective in assessment and training according to Performance Stability and Kinetic Control]. Prakt Fizjoter Rehab. 2011;9:56–63 [in Polish].
Hadała M. Funkcjonalny trening stabilizacji w dysfunkcji ruchu. Zasady i strategie dynamicznej kontroli ruchu według nowoczesnego modelu Kinetic Control [Functional stabilising training in motor dysfunction. Rules and strategies in dynamic motor control according to the modern concept of Kinetic Control]. Prakt Fizjoter Rehab. 2011;6:52–56 [in Polish].
Hindle KB, Whitcomb TJ, Briggs WO, et al. Proprioceptive neuromuscular facilitation (PNF): its mechanisms and effects on range of motion and muscular function. J Hum Kinet. 2012;31:105–112.
Łysak A, Podczarska-Głowacka M. Zastosowanie masażu leczniczego oraz terapii wg koncepcji Neurac w dolegliwościach bólowych odcinka lędźwiowo-krzyżowego [Therapeutic massage and Neurac therapy in lumbar-sacral spine pain]. Reahab Prakt. 2010;4:54–57 [in Polish].
Comerford MJ, Mottram SL. Movement and stability dysfunction – contemporary developments. Man Ther. 2001;6(1):15–26.
Goodworth AD, Peterka RJ. Contribution of sensorimotor integration to spinal stabilization in humans. J Neurophysiol. 2009;102(1):496–512.
Kriščiūnas A, Kowalski IM. Ensuring rehabilitation and full value life to patients with chronic non-infections diseases. Pol Ann Med. 2012;17(1):112–122.
Dankaerts W, O'Sullivan PB, Straker LM, et al. The interexaminer reliability of a classification method for nonspecific chronic low back pain patients with motor control impairment. Man Ther. 2006;11(1):28–39.
Key J, Clift A, Condie F, et al. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 1. J Bodyw Mov Ther. 2008;12(1):7–21.
Key J, Clift A, Condie F, et al. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-Part 2. J Bodyw Mov Ther. 2008;12(2):105–120.
van Vliet PM, Heneghan NR. Motor control and the management of musculoskeletal dysfunction. Man Ther. 2006;11(3):208–213.
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