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Spondylolisthesis And Physiotherapy Management - …

Airaksinen O, Brox JI, Cedraschi I, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal B, Ursin H, Zanoli G. . COST B13 Working Group on Guidelines for Chronic Low Back Pain. European guidelines for the management of chronic non-specific low back pain. Eur Spine J 2006 Mar;15:S192-299

Spondylolisthesis physiotherapy management

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

Spondylolisthesis physiotherapy management - …

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300.

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

Physiotherapy management of spondylolisthesis - …

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

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Spondylolisthesis - Physiotherapy Brisbane

Muscle energy techniques as developed by British - Canadian physiotherapist, the late David Lamb, used the priciples of contract relax technqiues from PNF to restore pelvic-hip-lumbar spine functional symmetry. The contract relax technique uses the principle of autogenic muscle relaxation post isometric contraction. Theoretically, this is based on Ib tendonous, golgi tendon organ, autogenic inhibition or gate control theory, involving type III muscle afferents. In the PNF concept, this isometric contraction can be up to 100% max, whereas when using MET's the contraction level is usual low and may represent only 10%max when using it to make pelvic and back adjustments. Investigations, comparing static stretching, isometric contractions and contract-relax have demonstrated "a broader adaptive response that likely explains its (C-R) superior efficacy in acutely increasing ROM" (Kay et al 2015, Med Sc Sp Ex, 47, 10, 2181-2190). Clinically, hip flexor C-R are used to improve the ROM of both flexion and extension when used in the Gaelsens position (see previous). When used in side-lying an isometric contraction of the hip flexor which is on the lower side can be used to improve contralateral (upper side) rotation as well as reduce SIJ counternutation. The same position and contraction can be used whilst placing the fingers on the upper side Psoas Major (in the anterolateral abdominal cavity) whilst asking the client to use lateral diaphragmatic breathing to release the myofascia which envelops the hip flexor and diaphragm. Met's can also be performed on the piriformis whilst in Prone Knee Bend to reduce sacral torsion and ilial outflares. Ischiococcygeus releases use a similar principle of isometric contraction with finger pressure, whilst applying a medial pressure to the ASIS to reduce outflares. Whereas, the previous examples involve muscle contractions to improve the ROM in the direction opposite to the muscles normal functional pull, the hamstring is used to improve ilial counter-nutation in the same direction as it's pull. This technique is done in side-lying, where a pressure is applied by the therapist to the lower part of the clients posterior thigh, whilst the client pushes their leg into the therapists hand, the therapists other hand is applying a pressure on the sacral tuberosity in a manner which opposes counter-nutation. Having performed these techniques since the late 1980's I can attest to their clinical efficacy, especially when they are combined with manual therapy joint mobilisations, myofascial releases, dry needling and an appropriate exercise regime.

What Causes a Spondylolisthesis

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

Isthmic vs Degenerative Spondylolisthesis

Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006 Mar;15 Suppl 2:S192-300

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