Mobilisation of the thoracic spine in the management of spondylolisthesis

Mohanty, PP; Pattnaik, Monalisa

doi:10.1016/j.jbmt.2016.02.006

Cited by 12 publications

(9 citation statements)

References 15 publications

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“…Also in this Prevention and Rehabilitation section is a paper by Mohanty and Pattnaik (2016) that confirms that in the short term at least, manual therapy of hypo-mobile thoracic spine, Posterior Anterior (PA) mobilisations, helps reduce extension stress at the lumbo-sacral area preventing or correcting forward slippage in a spondylolisthetic lumbar spine.…”

Section: The Role Of the Deep Local Hip Musclesmentioning

confidence: 88%

Treatment of hip microinstability and gluteal tendinopathies involves movement control and exercise

McNeill¹,

Scott²

2016

Journal of Bodywork and Movement Therapies

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Section: The Role Of the Deep Local Hip Musclesmentioning

confidence: 88%

Treatment of hip microinstability and gluteal tendinopathies involves movement control and exercise

McNeill¹,

Scott²

2016

Journal of Bodywork and Movement Therapies

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“…Recently, insufficient activity of the thoracic vertebrae has attracted the attention of scholars. Studies have shown that increased activity of the thoracic spine has an important role in improving spine-related problems, such as nonspecific low back pain and neck pain [44,47]. Therefore, insufficient thoracic spine activity is likely to be prevalent among adolescents.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Sagittal Spinal Morphology and Function of Adolescents: A Cross-Sectional Study

Feng¹,

Zhou²,

Wang³

et al. 2020

Preprint

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Background: Spine health is significant in adolescent health. Few studies have focused on adolescent sagittal plane health; therefore, this study investigated the sagittal spine morphology and function of adolescents.Methods: This cross-sectional study analysed 1152 junior and senior high school students (543 boys and 609 girls) in Beijing. Spinal sagittal morphology and function of adolescents were measured using the Spinal Mouse. The sacral angle (SA), thoracic kyphosis angle (TKA), lumbar lordosis angle (LLA), inclination angle (INA), sacral range of motion (SROM), thoracic range of motion (TROM), lumbar range of motion (LROM), and inclination range of motion (IROM) were measured. The Matthiass strength test was used to measure changes in angles after external load placement on the adolescent spine.Results: Abnormal TKA rates were 48.2% and 44.7% in the junior and senior high school groups, respectively. Abnormal LLA rates were 44.6% and 55.4%, respectively. Spinal mobility test results of the junior high school group were 60.6°±19.1° (SROM), 23.0°±16.6° (TROM), 81.3°±15.4° (LROM), and 136.1°±16.9° (IROM) for boys and 66.0°±34.4° (SROM), 14.0°±17.3° (TROM), 66.3°±18.6° (LROM), and 127.4°±26.8° (IROM) for girls. For the high school group, these results were 66.0°±17.6° (SROM), 21.6°±16.0° (TROM), 77.9°±15.1° (LROM), and 138.4°±16.0° (IROM) for boys and 72.2°±26.9° (SROM), 15.7°±17.2° (TROM), 65.8°±18.2° (LROM), and 133.4°±21.7° (IROM) for girls. There were significant differences between boys and girls (P<0.05 or P<0.01). The Matthiass strength test results indicated that the inclination angle change (INAc) values of the junior high school group were 5.7°±5.0° and 2.6°±3.7° for boys and girls, respectively; however, the INAc values of the senior high school group were 2.8°±3.3 and 1.6°±3.0 for boys and girls, respectively, indicating significant differences (P<0.01). The canonical correlation coefficients of SA, SROM, LROM, and IROM were 1.3877, -2.5384, -0.6625, and 1.6336, respectively. SROM and LROM were negatively correlated and IROM was positively correlated with spinal function.Conclusion: Thoracic kyphosis and lumber lordosis rates were high. During flexion and extension, Boys had better thoracic and lumbar vertebral activity and overall activity. Girls had better ability to maintain the normal spinal shape with an extra load. Sacral obliquity and pelvic position greatly influence the spinal morphology.

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“…A useful adjunct treatment may be the mobilization of stiff spinal segments. Mohanty & Pattnaik [ 17 ] proposed mobilization of thoracic spine as an adjunct to stretching legs and core stability exercises, based on the concept that decreasing thoracic hypomobility should also decrease the hypermobility of painful lower segments. Some controversies exist about manual therapy, often used in the context of a multimodal treatment, regarding the indication for repeated end-range extension movements [ 71 , 82 ].…”

Section: Management and Treatmentmentioning

confidence: 99%

“…Frequently, hypermobility at the SPL level is compensated by hypomobility of other spinal levels, mostly the thoracic ones, and vice-versa [ 17 ]. Hypermobility of the segments adjacent to the one involved by SPL also has been observed [ 18 ]; even so, SPL is not always associated with instability, both at the involved lumbar segment and at different spinal levels.…”

Section: Introductionmentioning

confidence: 99%

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

et al. 2021

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Introduction There is weak relationship between the presence of lumbar spondylolisthesis [SPL] and low back pain that is not always associated with instability, either at the involved lumbar segment or at different spinal levels. Therefore patients with lumbar symptomatic SPL can be divided into stable and unstable, based on the level of mobility during flexion and extension movements as general classifications for diagnostic and therapeutic purposes. Different opinions persist about best treatment (conservative vs. surgical) and among conservative treatments, on the type, dosage, and progression of physical therapy procedures. Purpose and importance to practice The aim of this Masterclass is to provide clinicians evidence-based indications for assessment and conservative treatment of SPL, taking into consideration some subgroups related to specific clinical presentations. Clinical implications This Masterclass addresses the different phases of the assessment of a patient with SPL, including history, imaging, physical exam, and questionnaires on disability and cognitive-behavioral components. Regarding conservative treatment, self- management approaches and graded supervised training, including therapeutic relationships, information and education, are explained. Primary therapeutic procedures for pain control, recovery of the function and the mobility through therapeutic exercise, passive mobilization and antalgic techniques are suggested. Moreover, some guidance is provided on conservative treatment in specific clinical presentations (lumbar SPL with radiating pain and/or lumbar stenosis, SPL complicated by other factors, and SPL in adolescents) and the number/duration of sessions. Future research priorities Some steps to improve the diagnostic-therapeutic approach in SPL are to identify the best cluster of clinical tests, define different lumbar SPL subgroups, and investigate the effects of treatments based on that classification, similarly to the approach already proposed for non-specific LBP.

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Mobilisation of the thoracic spine in the management of spondylolisthesis

Cited by 12 publications

References 15 publications

Treatment of hip microinstability and gluteal tendinopathies involves movement control and exercise

Treatment of hip microinstability and gluteal tendinopathies involves movement control and exercise

Analysis of Sagittal Spinal Morphology and Function of Adolescents: A Cross-Sectional Study

Lumbar spondylolisthesis: STATE of the art on assessment and conservative treatment

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