The role of physical medicine and kinesitherapy in the treatment of patients with spondylolistessis

Nikolovska, Lence and Vitanova, Sofce (2024) The role of physical medicine and kinesitherapy in the treatment of patients with spondylolistessis. Knowledge – International Journal, 65 (4). pp. 425-431. ISSN 1857-923X

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Abstract

Spondylolisthesis was first described in 1782 by Belgian obstetrician Herbinaux. The term
spondylolisthesis was coined in 1854 from the Greek words spondylos - vertebra and olisthesis – slip, sliding. A
large number of spinal diseases are caused by compression of the nerves in the intervertebral openings and are
associated with pain and weakness not only in the spine, but also in the limbs. A classic example of such a case is
Spondylolisthesis, which is characterized by displacement (slip) of the vertebral bodies, with the upper vertebral
body moving forward, backward, or sideways relative to the lower one Diagnosis: A good way to make a
diagnosis is dynamic radiography of the affected area, most often the lower back. The magnetic resonance of the
spine clearly shows the relationships between the bones, soft tissues and nerves, and with the help of
Electromyography, it is specified which nerves are affected and the extent of the neurophysiological function
disturbance. Treatment: In the early stage of the disease, with little slippage of the vertebral body, a key role is
played by physical medicine and rehabilitation and kinesitherapy, which strengthen the back muscle groups
involved in maintaining the shape of the spinal column, as well as the use of orthopedic aids (corsets). As the
displacement of the vertebrae progresses, in addition to the symptoms of constant pain, a neurological deficit is
also possible. This is an indication for operative treatment. The aim of the research is to evaluate the
effectiveness of physical medicine and kinesitherapy in the treatment of lower back pain associated with
spondylolysis and spondylolisthesis. Research methods: The research was conducted in the Recreational Center
of the University "Goce Delchev", Shtip and in Banja Kežovica in the Department of Physical Medicine and
Kinesitherapy, for a duration of two months, in the period from May 13th to July 8th. Results: The obtained
research results suggest that physical therapy and kinesitherapy exercises, alone or in combination with other
treatments, have a positive effect in reducing lower back pain due to spondylolysis and spondylolisthesis.
Discussion: The goals of physical therapy for spondylolisthesis are to reduce pain, improve range of motion, and
help the patient to return to normal activity levels. Physical therapy can also help to prevent further injury by
teaching patients how to properly protect their spine. Conclusion: Physical therapy can help to return to normal
activities by helping to reduce pain and improve mobility It may be concluded that physical therapy for
spondylolisthesis can be an effective treatment option for patients with this condition. While there is no one-size�fits-all approach to treatment, physical therapy can help to improve symptoms and quality of life for many people
with spondylolisthesis

Item Type:	Article
Subjects:	Medical and Health Sciences > Health sciences
Divisions:	Faculty of Medical Science
Depositing User:	Lence Nikolovska
Date Deposited:	23 Aug 2024 07:09
Last Modified:	23 Aug 2024 07:09
URI:	https://eprints.ugd.edu.mk/id/eprint/34557

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