The complex of exercises of exercise therapy for spondylolisthesis
exercise therapy for spondylolisthesis of the lumbar spine is applied at 1 and 2 the degree of displacement of the vertebrae. Physical therapy helps to stabilize the vertebral segments to normalize blood flow and reduce the intensity of pain.
Spondylolisthesis may be congenital or acquired. The type of disease influences the choice of gymnastics. When an inherited defect of the vertebral arches physical exercises can only temporarily delay the neurological manifestations and pathology are applied before surgical treatment.
Some of the acquired forms of the disease can be successfully cured by physical therapy, but only with regular practice over a long period of time. Effective set of exercises for the lumbar spine while doctors chosen by trial and error, despite the importance of the principle of evidence in medicine.
specific recruitment exercise therapy
Physiotherapy (physical therapy) when spondylolisthesis is selected depending on the type of disease:
- is False.
True lestes Occurs on the background of degenerative changes of the spinal column (bony growths, damage to the muscular-ligamentous aponeurosis, impaired blood supply). The set of exercises in this form of pathology is aimed primarily at improving microcirculation in the damaged segments of the spine. The treatment regimen does not include a power physical exercise. To normalize the blood supply enough dynamic training of skeletal muscles of the back.
Gymnastics in traumatic spondylolisthesis Is selected individually by a physician based on the characteristics of disease in each individual patient. Damage to the vertebrae in the first place requires wearing orthopedic corset, which is removed before performing gymnastics.
Pathological dislocation of vertebra Is accompanied by neurological symptoms, which requires the exclusion of exercises with increased load on the spine, to prevent the infringement of the vertebral vessels.
False listes Can not show clinical symptoms. However, his accidental discovery, the x-ray requires the use of physiotherapy to prevent complications. In this type of pathology used strength exercises designed to restore the anatomical position of displaced vertebrae.
It Should be understood that any careless movement can cause the amplification of pain during compression of the nerve root therefore to develop a complex of physical therapy under the guidance of professional instructors of remedial gymnastics.
When spondylolisthesis 1 and 2 degrees in the home, you can perform the following exercises:
- "Samovyrazheniya spine". Hands lift up, reach heels and head in opposite directions. Feet should look straight, stomach in and back straight;
- "Isometric muscle contraction". Extend your arms along the body, hands squeeze into a fist, tighten all the muscles of the trunk. Hold the position for 15 seconds;
- Place your hands along the body and make strong the tension of the back muscles, but do not pull the spine up. Keep the position for 15 seconds;
- Bend your knees and bring them to the stomach. Put your head on your knees and grasp feet with hands. Keep the pose for 15 seconds;
- Raise the legs to an angle of 30 degrees and hold them 30 seconds, and then lower to the starting position;
- the"spinal Twist". Place your hands at your sides, pull left knee to right shoulder. Then do a similar exercise for the other side. Repeat 5-7 times;
- "Numbers". Describe leg numbers from 1 to 5. Relax and repeat for the other leg;
- Slow write circles in the air first one leg and then the other. The number of repetitions – 7
- Lift the pelvis up the spine and rotten. Fix the position for 20 seconds and then return to the starting position;
- Lift the left leg at an angle of 40 degrees, right 5 degrees. Slowly change the situation;
- Extend your arms along the body. Slowly lift up head, feet and shoulders. Hold the position for 10 seconds.
The Above complex is performed in the supine position. The following exercises should be performed lying on the stomach:
- Lift angle 40 degrees left foot, and right at an angle of 5 degrees. Slowly repeat the exercise for the other side. While spondylolisthesis of the lumbar spine it helps to strengthen the muscle corset back;
- extend Hands along the body, lift the shoulders, legs and head. Hold the position for 10 seconds. Slowly return to the starting position;
- Lift your legs at an angle of 35 degrees.Keep the position for 10 seconds. Slowly lower your legs
- Legs are fixed under the heels any prop. Hands lie along the body. Lift the torso, the head, and keep the position for 10 seconds.
When the above complex exercise therapy for offset vertebrae in the lumbar spine it is necessary to gradually increase the load by increasing the holding time and the number of repetitions of exercises. In the first month of practice is strongly not recommended to increase physical activity.
When spondylolisthesis is a high probability of infringement of the nerve roots, so any pain when performing exercises, require immediate cessation of exercise. The only way to choose an optimal set of physical therapy.
Without trial and error while performing physical therapy is difficult to expect a positive effect. Selecting an optimal charging based on their own feelings can cure the disease.
In conclusion, I would like to note that the important indicators of stress on the body while performing physical therapy for the treatment of spondylolisthesis of the lumbar spine is the pulse rate not more than 130 beats per minute.