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Spondylolysis & Listhesis

Clinically the spondylolysis is mostly asymptomatic and can reveal after prolonged standing and with poor translation (walking to the shops) or after an occasional physical performance; in cases of spondylolisthesis (vertebral isthmus rupture) the clinical picture varies greatly depending from the front of the vertebra slipping and needs rehabilitation treatment.

The first objective is the reduction of pain through relaxing manual therapy of shortened low back paravertebral for the frequent association with high lumbar lordosis; you need to reach a good flexibility of the posterior chain through stretching exercises for lumbar paravertebral, the buttocks, the hamstrings, the iliopsoas, avoiding postures extension (Mc Kenzie) that can accentuate the front sliding of the vertebra.

If the listhesis is stable you can set a rehabilitation protocol by enhancing selective abs, core muscles of the buttocks with the aim of creating a natural corset that stabilizes the lumbar spine in static and dynamic with isometric contractions combined with breathing exercises till reaching to perform exercises with Bobath balls for advanced control of the pelvis and gluteal muscles.

The rehabilitation program ends with a gradual recovery of the sport specific gesture with field exercises for the recovery of specific athletic movement, proprioception, and vestibular function. In this last phase it is advisable to use a lumbotrain (protective brace for your lower back) both during the activity as well as whenever you have to lift weights.

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