Mohanty P P, Pattnaik Monalisa
Swami Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, Cuttack, 754010, Odisha, India.
Swami Vivekanand National Institute of Rehabilitation Training and Research, Olatpur, Cuttack, 754010, Odisha, India.
J Bodyw Mov Ther. 2016 Jul;20(3):598-603. doi: 10.1016/j.jbmt.2016.02.006. Epub 2016 Feb 13.
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.
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.
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.
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.
腰椎滑脱导致的节段性不稳定是慢性下腰痛的一个潜在原因。脊柱活动度降低会导致受限节段上方或下方节段的代偿性节段性活动过度。因此，本研究的目的是确定对活动度降低的上胸椎进行松动术，同时结合传统的屈曲练习和短髋屈肌拉伸，对腰椎滑脱患者的滑脱程度和功能的影响。
所有腰椎滑脱患者被随机分为两组：第一组——实验组，接受胸椎松动术及传统物理治疗；第二组——传统组，接受传统的拉伸、强化和腰椎屈曲锻炼方案。
接受胸椎松动术治疗的实验组，从治疗前到治疗后的测量显示椎体滑移百分比显著降低。
腰椎滑脱引起的下腰痛可能通过胸椎松动术以及短髋屈肌、梨状肌拉伸、腰椎屈曲活动度练习、核心强化练习等得到改善。
