Introduction Since the beginning of the 21st century rehabilitation has developed rapidly, however still many patients report problems of the musculoskeletal system. Aim The aim of the study was to analyse motor control of the lumbar spine according to different movement patterns and chooses the best exercise for abnormal movement patterns. Material and methods The lumbar spine is a region with reference to which patients most often report pain. Pain sensations are most often induced by mechanical overloads. In order to prevent such overloads and treat the pain, it is significant to assess various movement patterns. Results The concept of Kinetic Control allows analysing the movement patterns thoroughly, with the use of the assessment of the direction control for flexion, extension and rotation movement. Discussion Clinical indication is for people with symptoms and those who still have not reported the lumbar spine pain to work in order to regain correct movement timing during such a global movement. It is often advisable to work at the same time towards controlling the direction of movement, regaining optimal elasticity of multi-joint structures and restoring proper segmental stabilisation. Identifying a dysfunction of the musculoskeletal system early enough, it is possible to avoid pathologies and pain in patients, simultaneously minimising the risk of irreversible structural changes. Conclusions The loss of motor control is related to the low back pain, and is a good diagnostic tool. Important is the choice of motor control exercises for a particular direction of motion.