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Transcript of Spondylolisthesis
Amy T. Spondylolistheis What is Spondylolisthesis? Signs and Symptoms: Special Tests: Patient Background Spondylolisthesis is considered to be a complication of spondylolysis which results in hypermobility of a vertebral segment. Most commonly occur between 4th and 5th vertebra of the lumbar spine. Common Causes sports movements that hyperextend the spine and ligament hyperlaxity. Risk Factors - over 50 y/o
- african american ethnicity
- general joint laxity
- sagittally oriented facet joints
- high pelvic incidence 23 year old male
Football player: Lineman
PMH: diagnosed Spondylolysis at L5-S1 level 2 years ago. Step deformity felt upon palpation of spinous process during clinical evaluation.
other signs and symptoms:
- weak and drooping abdominal wall
- paravertebral muscle hypertrophy
- increase lumbar lordosis
- hamstring muscle spasms
- pain during lateral trunk flexion- extension
-pain with ambulating distances shorter than 250 meters. Straight Leg Raise -
pain indicates positive test prone instability test -
when pressure is applied,
no pain indicates positive test. stork standing test -
pain indicates a positive test. 2. Abdominal Curls 4. Prone holds 5. Bird Dog exercises 3. Double knee to chest •flexion: superior slide
•extension: inferior slide •lateral flexion: superior slide of contralateral facet, inferior slide of ipsilateral facet •rotation: Contralateral facet will approximate, ipsilateral facet will separate. •flexion and extension: sagittal plane
•lateral flexion: frontal plane
•rotation: transverse plane Photos reference: http://www.osceskills.com/e-learning/subjects/spine-examination/ 40-50 degrees - flexion 15-20 degrees - extension 20 degrees 5-7 degrees Reference: p. 350 Neuman Question 1 Which muscles should you strengthen first when treating Spondylolisthesis? 1. Erector Spinae
2. Rectus Abdominus
4. Rectus Femoris What is not a common cause of Spondylolisthesis?
1. Excessive lumbar lordosis
2. Lumbar kyphosis
3. Lumbar hyperextension Lecture 12
Hip Reference: http://www.google.com/imgres?hl=en&safe=off&sa=X&tbo=d&biw=1366&bih=667&tbm=isch&tbnid=iWvS_mtJxdL0DM:&imgrefurl=http://bretcontreras.com/2012/09/long-lever-pelvic-tilt-plank-llptp/&docid=4XOaddU3hScqFM&imgurl=http://bretcontreras.com/wp-content/uploads/posterior-pelvic-tilt1.jpg&w=353&h=343&ei=TTnBULCAF4qx0QGDyYDwDg&zoom=1&iact=hc&vpx=683&vpy=113&dur=2701&hovh=221&hovw=228&tx=117&ty=245&sig=102995596211825038063&page=1&tbnh=139&tbnw=142&start=0&ndsp=25&ved=1t:429,r:4,s:0,i:99