Back pain – part IV. Physical rehabilitation

The management strategies in patients suffering from chronic lower back pain have evolved from longterm bed rest in the recumbent position advocated earlier to early motor rehabilitation, which is becoming increasingly common. In kinesitherapy, it is essential to strengthen the muscles which most frequently become stretched and weakened and to stretch the pathologically shortened and tense muscles. Stretching of contracted muscles and other soft tissues should be long and slow without sudden movements that could induce protective responses and increase muscle tension.

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Vincent Pol University in Lublin