Efficiency of different physiotherapy programmes for reducing pain of the lumbar spine

Research problem: Pain of the lumbar spine is one of the main reasons of disability. Approximately 60-85 % of patients experience pain of the lumbar spine at least once in their lives. Although there are many methods of treatment of pain of the lumbar spine, only few of them are based on evidence. Meanwhile, the impact of some of them is similar to placebo. The stretching therapy is one of the most widespread conservative treatment methods. Nevertheless, the impact of it is still arguable. Research object: impact of physiotherapy in the gym and water and spine stretching on spinal pain and mobility and on endurance of the waist muscles. Research aim: to identify the impact of different physiotherapy programmes pain of the lumbar spine. Research objectives: 1. To identify the impact of physiotherapy in the gym, physiotherapy in the water, physiotherapy together with spine stretching and of spine stretching on pain of the lumbar spine. 2. To identify the impact of physiotherapy in the gym, physiotherapy in the water, physiotherapy together with spine stretching and of spine stretching on functional disability. 3. To identify the impact of physiotherapy in the gym, physiotherapy in the water, physiotherapy together with spine stretching and of spine stretching on spine mobility. 4. To identify the impact of physiotherapy in the gym, physiotherapy in the water, physiotherapy together with spine stretching and of spine stretching on endurance of the abdominal, spinal and side waist muscles. Research methods: assessment of pain intensity, functional condition and mobility of the waist part spine; testing of static endurance of the waist muscles. Research hypothesis: Supposedly, physiotherapy together with spine stretching, applied 5 times a week for two weeks, can improve spine mobility, reduce pain of the lumbar spine and functional disability level and increase endurance of the waist muscles much more than physiotherapy in the gym, physiotherapy in the water or only spine stretching. Conclusions: 1. The pain of the lumbar spine was mostly reduced, applying physiotherapy together with spine stretching (p<0,05). 2. Applying physiotherapy together with spine stretching and spine stretching, minimal dysfunction of all test participants was identified. 3. Applying physiotherapy together with spine stretching, the mobility of the waist part of spine was improved mostly (p<0,05). 4. Applying physiotherapy in the gym, physiotherapy in the water and physiotherapy together with spine stretching, the endurance of the waist muscles of the test participants increased (p