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Specific Instructions: Promote neutral lumbar spine position to avoid pain-provoking and loaded lumbar extension activities. Suggested Treatments: Manual therapy: Soft tissue mobilization paraspinals, quadratus lumborum, gluteals and piriformis as needed Modalities as indicated: Ultrasound, electrical stimulation, heat and ice to control pain
Rehabilitation Goals • Maintain pain free (or nearly pain free) range of motion • Pain free with daily activities • Increase abdominal and core strength • Ensure normal hip and thoracic mobility • Progress flexibility and lumbar stabilization to weight-bearing postures • Improve pelvic proprioception
26 wrz 2016 · Lumbar Spondylolysis/listhesis Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following a non-operative lumbar spondylolysis/listhesis.
Maintain pain free (nearly) range, pain free daily activities, increase core strength, normal hip and thoracic mobility, progress flexibility and lumbar stabilization to WB postures, improve proprioception. Exercises within each category are to provide the clinician with examples based on evidence based research, but are not all inclusive.
A diagnosis of lumbar spondylolysis is defined as the presence of a fracture, typically located at the pars interarticularis region of the vertebra. This diagnosis is typically found in the lumbar spine, but may also be located in the cervical spine depending on the patient’s presentation.
Patients with symptomatic lumbar spondylolisthesis may first be treated with conservative management strategies including, but not limited to, non-narcotic and narcotic pain medications, epidural steroid injections, transforaminal injections, and physical therapy.
Spondylolysis (spon-dee-low-lye-sis), or lumbar stress fracture, is a stress fracture of a section of the lumbar spine. The area of the fifth lumbar vertebra is most often affected. The injury can occur on the left or right of the vertebra.
