Kinetotherapy is a complex of prophylactic, treatment and recovery methods, using movement for therapeutic aim.
Kinetotherapy objectives are:
- Relax muscle contracture
- Recovery of muscle strength and increase muscle strength;
- Increase and adapt exercise capacity;
- Improve the function of coordination, body control and balance;
- Correct posture and body alignment;
- Increase articular mobility;
A kinetotherapeutical program begins only after establishing an exact diagnosis and then will continue with developing a special program of medical recovery. The recovery program will be individualized according to the disease’s stage and patient’s condition.

Stage of the disease can be classified as:

1. Acute-pain – the period that the lumbosacral pains are intense, they don’t calm not even in decubitus , there is a paravertebral muscle contracture with or without blocking. In this period a rebalancing of the autonomic nervous system, a general relaxation and a lower lumbar contracture are needed. Adaptation of some antalgic positions is recommended, in dorsal decubitus (knees bent), lateral decubitus, or in any other relaxed position; McKenzie exercises decreases the compression on the intervertebral discs, are useful in patients with leg pain or with degenerative disc problems. They can be combined with lumbar stabilization exercises. Using this technique, the therapist tries to find for the patient the position which gives him the highest dorsal comfort. Then back muscles are trained to keep the vertebral column in this position.

2. The subacute period – when the pains in “decubit” disappear, the patient can move in bed without sever pain, sit on a chair for a limited time and can walk without using the lombosacrata column, so now the muscle relaxation can be tried, toning abdominal muscles and stretching paravertebral muscles’ strenghtening.

Williams’s program has an important role in toning abdominal muscles and contains the following exercises:

The first phase – on his back, knee flexion-extension, then pulls one knee with his hands, turns to his chest until the knees reach the top, then run simultaneously with both knees, with hands under his head to pull one knees to chest, then raised to the vertical arms, besides the head, knees bent 90 degrees, feet on the bed.; the abdominal muscle are contracted and se basculeaza sacrul inainte

Number of exercise is determined based on the patient (pain level and stage of disease after diagnosis)

 Second phase;
-On his back with knees bent, feet on the bed, both knees stuck are bending to the right and left to reach the bed surface, then the heels will be raised alternatively and put on the opposite knee and in this position the thigh is brought to reach the bed surface ;

-On his back, alternating each leg is raising with the knee extended;
- Squats with hands resting on the backrest of a chair, back remains perfectly straight, heels on the ground;
- Body bent forward with the hands on the ground, the support knee is stretched, balancing the leg in the same time
  
 3. Chronic period – pain is moderate and occur only in standing and walking (after a long time), allows the patient to mobilize his spine and muscular contractures still exist. It will be insisted on toning core muscles.
 4. Remission period – is the period between the painful episodes in which the patient is asymptomatic and pain can return.

 Correct posture in different situations are:

                      - dorsal decubitus – with knees bent and shoulders slightly elevated;

                      - lateral decubitus – with thighs and knees in flexion;

                      - by weight-lifting: squats, with both hands stretched out (but not at chest level);

                      –  taking objects from below: with trunk bending on one flexed knee and the other leg easily stretched;

Practiced rigorously, kinetotherapy is a method to enhance or restore the functions of body parts affected by disease