Spinal cord injury (SCI) is one of the most severe forms of disability, both from the physical aspect as well as from the psychological, social and professional aspects ( 1 ). From 10.4 to 83.0 new SCI cases per million inhabitants are recorded each year worldwide ( 2 ). Based on the available data, the incidence in Western Europe amounts to 6 new cases per million per year for non-traumatic SCI ( 3 ) and 16 new cases per million for traumatic SCI ( 4 ). During rehabilitation, in addition to a number of therapeutic procedures, it is
proposed to prevent and treat painful syndromes resulting from the repetitive strain during flatwater kayaking. Common painful syndromes are usually treated by stretching and rotator cuff strengthening exercises ( Anderson and Anderson, 2010 ; Mei-Dan and Carmont, 2013 ). However, the ultimate goal of a treatment approach should not only consist in getting the kayaker out of current pain, but rather to prevent repetitive strain, increase strength, and promote sport performance ( Brolinson et al., 2012 ).
In this study we used the Kolar’s approach to DNS based on
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lumbar, thoracic and hip extensors is crucial. Literature provides evidence that strength training of the trunk extensors in sport is important in the prevention of low back pain (LBP) ( Durall et al., 2009 ). Exercise will lead to a decrease in pain and disability, and to a reduction of LBP occurrence among athletes ( Gabriel et al., 1998 ; Renkawitz et al., 2006 , 2008 ). Trunk extensors strength training is also beneficial for sport performance ( Durall et al., 2009 ) and various types of physical activity and sports ( Guzik et al., 1996 ) due to its relationship
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