Mobilisation of the thoracic spine in the management of spondylolisthesis

Summary Introduction Segmental instability due to lumbar spondylolisthesis is a potential cause of chronic low back pain. Hypomobility of the spine results in compensatory segmental hypermobility of the segment above or below restricted segments. Therefore, the aim of the study is to determine the e...

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Bibliographic Details
Published in:Journal of bodywork and movement therapies 2016-07, Vol.20 (3), p.598-603
Main Authors: Mohanty, P.P., MPT, FIAP, Ph.D, Pattnaik, Monalisa, MPT
Format: Article
Language:English
Subjects:
Adult
Chronic Disease
Exercise Therapy - methods
Female
Humans
Low Back Pain - etiology
Low Back Pain - therapy
Maitland
Male
Middle Aged
Mobilisation
Muscle energy technique
Musculoskeletal Manipulations - methods
Myofascial pain syndrome
Physical Medicine and Rehabilitation
Range of Motion, Articular
Spondylolisthesis
Spondylolisthesis - complications
Spondylolisthesis - therapy
Thoracic dysfunctions
Thoracic Vertebrae
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Summary:Summary Introduction Segmental instability due to lumbar spondylolisthesis is a potential cause of chronic low back pain. Hypomobility of the spine results in compensatory segmental hypermobility of the segment above or below restricted segments. Therefore, the aim of the study is to determine the effects of mobilisation of the hypomobile upper thoracic spine along with conventional flexion exercises and stretching of short hip flexors on the degree of slippage and the functions of the persons with lumbar spondylolisthesis. Methodology All patients with spondylolisthesis were randomly assigned into two groups: Group I – Experimental group, treated with mobilisation of the thoracic spine along with the conventional physiotherapy and Group II – Conventional group, treated with conventional stretching, strengthening, and lumbar flexion exercise programme. Results The experimental group treated with mobilisation of the thoracic spine shows a significant reduction in the percentage of vertebral slip from pre-treatment to post-treatment measurements. Conclusion Low back pain due to spondylolisthesis may be benefited by mobilisation of the thoracic spine along with stretching of short hip flexors, piriformis, lumbar flexion range of motion exercises, core strengthening exercises, etc.
ISSN:1360-8592
1532-9283
DOI:10.1016/j.jbmt.2016.02.006