Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Cervico-thoracic Mobilization to Address LBA for a Patient with Lumbar Spondylolisthesis


Affiliations
1 Department (PT), Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Cuttack, Orissa, India
2 Department of Neurology, SCB Medical College, Cuttack, India
3 Department of Orthopedics, SCB Medical College, Cuttack, India
     

   Subscribe/Renew Journal


Background and Purpose: This case report describes the examination, intervention and outcome of a patient with lumbar spondylolisthesis. The patient was managed by myofascial release of levator scapulae and cervico-thoracic central PA mobilization. There is no literature found describing these interventions for lumbar spondylolisthesis.

Case Description: The patient was a 43 years old woman with LBA with radiating pain to left lower limb due to lumbar spondylolisthesis. She received stretching of levator scapulae, piriformis & rectus femoris, cervico-thoracic central PA mobilization, passive lumbar flexion mobilization, core strengthening exercises. Treatment was given 5 days a week for 20 sittings.

Outcomes: Percentage of slippage.

Conclusion: Stretching of levator scapulae and cervico-thoracic central PA mobilization may help in reducing forward slippage in lumbar spondylolisthesis.


Keywords

Mobilisation, Cervico-Thoracic Dysfunctions, Myofascial Pain Syndrome, Spondylolisthesis, Muscle Energy Technique, Maitland
Subscription Login to verify subscription
User
Notifications
Font Size


  • Newman PH, Stone KH 1963: The etiology of spondylolisthesis. The journal of bone and joint surgery 45 –B (1):39

  • Magora a 1976: conservative treatment spondylolisthesis. Clinical Orthopaedics and Related Research, 117: 74-9

  • Moller H, Sundin a, Hedlund R 2000: symptoms, signs and functional disability in adult spondylolisthesis. Spine 25 (6) : 683-9

  • Vibert BT, Sliva CD, Herkowitz HN 2006: Treatment of instability and spondylolisthesis: surgical versus nonsurgical treatment. Clinical Orthopaedics and Related Research, 443: 222 – 7

  • Cavalier R, Herman Mj, Cheung EV, Pizzutillo PD 2006: Spondylolysis and spondylolisthesis in children and adolescents: Diagnosis, natural history and nonsurgical management. The journal of the American Academy of Orthopaedic Surgeons 14 (7)n : 417- 24

  • Wiltse LL, Newman PH, MacNab I: Classification of Spondylolysis and spondylolisthesis, Clinical Orthopaedics and Related Research,1976, 117, 23-29

  • Meyerding H. spondylolisthesis,Surg Gynaecology Obstetrics, 1932, 54, 371 – 7

  • Brukner P, Khan K 2007: Clinical sports medicine, 3rd edn. P371 – 372. McGraw-Hill, Australia

  • Zusman M. The absolute visual analogue scales (AVAS) as a measure of pain intensity. Australian Journal of Physiotherapy V 32 No 4, 1986, 244-246.

  • Travell J and Simons, myofascial pain and dysfunction, the trigger point manual, William and Wilkins, 1983.

  • Leon Chaitow - Muscle energy techniques 1996, Churchill Livingstone

  • Maitland GD- Vertebral Manipulation, 1991, Butterworth Heinemann

  • Tehan Philip, Gibbons Peter- Mnaipulation of spine, thorax and pelvis - An osteopathic approach. 2nd edition, 2007, Churchill Livingstone.

  • Warren I Hammer, 2007.Functional Soft-tissue Examination & Treatment by Manual Methods Jones & Barlett Learning 3rd edition.

  • Margaret Hollis, Phyl Fletcher, Cook : Practical Exercise Therapy, Wiley Blackwell,1999:4th Edn.

  • Martinez LM, Khalil TM (1992): Stretching in the rehabilitation of low-back pain patients. Spine; 17(3): 311-317.

  • De Deyne PG. (2001): Application of passive stretch and its implication for muscle fibres. Physical Therapy; 82(2): 819-827.

  • Oolaogun M, Kem IC (2004): Reliability of rating low back pain a visual analogue scale and a semantic differential scale. Physiotherapy theory and practice; 20: 135-142.

  • Thomas E. Hyde - Conservative management of sports injuries 2007

  • Huijbregts PA. HSC 11.2.3. Lumbopelvic region: Anatomy and biomechanics. In: Wadsworth C. HSC 11.2. Current Concepts of Orthopaedics Physical Therapy. LaCrosse, WI: Orthopaedics Section APTA, 2001)

  • Herling & Kessler, Management of common Musculo-skeletal disorders, 2nd Edn. P. 597

  • Raymonds & John Evans - Manual Therapy, New York 1997

  • Fritz JM, Whitman JM, Childs JD (2005): Lumbar spine segmental mobility assessment: An examination of validity for determining intervention strategies in patients with low back pain. Arch Phys Med Rehab; 86:1745-1752.

  • Harms M.C, Bader D. L. (1997): Variability of forces applied by experienced therapists during spinal mobilization. Clinical Biomechanics; 12 (6): 392-399.

  • Johansson F (2006): Inter examiner reliability of lumbar segmental mobility tests. Manual Therapy; 11: 331-336.

  • Latimer J, Maher C. (2002). Forces applied during manual therapy to patients with low back pain. Journal Of manipulative and Physiological Therapeutics; 25: 362-269.

  • Lee R, Evans J. (1997): An in vivo study of the intervertebral movement produced by Posteroanterior mobilization. Clinical Biomechanics; 12 (6); 400-408.

  • Lee R, Evans J. (1994): Towards a Better understanding of spinal Posteroanterior mobilization. Physiotherapy; 80 (2): 68-75.

  • McGill SM. (1999): Stability: From biomechanical concept to chiropractic practice. J.Can.Chiropr. Assoc; 43(2): 75-88.

  • Mollar M, Oberg B, Ekstrand J (1985): Duration of stretching effect on Range of motion in Lower extremities. Arch Phys Med Rehab; 66:171-173.

  • Potter L, Mc Carthy C, Oldham J (2006): Intra examiner reliability of identifying a dysfunctional segment in the thoracic and lumbar spine. J manipulative Physiological Therapeutics; 29: 203- 207.

  • White A, Panjabi M (1990): Clinical Biomechanics of the Spine. 2nd ed. Lippincott Williams and Wilkins.

  • Wilkinson A. (1992): Stretching the truth. A review of the literature on muscle stretching. Physiotherapy; 38(4): 283-285.

  • Robert A Donatelli, Physical therapy of the shoulder, 2nd edition


Abstract Views: 617

PDF Views: 0




  • Cervico-thoracic Mobilization to Address LBA for a Patient with Lumbar Spondylolisthesis

Abstract Views: 617  |  PDF Views: 0

Authors

P. P. Mohanty
Department (PT), Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Cuttack, Orissa, India
B. Kuanar
Department of Neurology, SCB Medical College, Cuttack, India
B. K. Behera
Department of Orthopedics, SCB Medical College, Cuttack, India

Abstract


Background and Purpose: This case report describes the examination, intervention and outcome of a patient with lumbar spondylolisthesis. The patient was managed by myofascial release of levator scapulae and cervico-thoracic central PA mobilization. There is no literature found describing these interventions for lumbar spondylolisthesis.

Case Description: The patient was a 43 years old woman with LBA with radiating pain to left lower limb due to lumbar spondylolisthesis. She received stretching of levator scapulae, piriformis & rectus femoris, cervico-thoracic central PA mobilization, passive lumbar flexion mobilization, core strengthening exercises. Treatment was given 5 days a week for 20 sittings.

Outcomes: Percentage of slippage.

Conclusion: Stretching of levator scapulae and cervico-thoracic central PA mobilization may help in reducing forward slippage in lumbar spondylolisthesis.


Keywords


Mobilisation, Cervico-Thoracic Dysfunctions, Myofascial Pain Syndrome, Spondylolisthesis, Muscle Energy Technique, Maitland

References