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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/14698

Title: Effect of Gastrocnemius Muscles in Management of Spondylolisthesis
Authors: Ashraf Ramadan Hafez Ibraheem PhD
Keywords: Low back pain, Posture, Pathomechanics, Lumbar stability, Lumbar mobility, Lumbosacral angle, Spondylolisthesis, Conservative management.
Issue Date: 2005
Publisher: Bull. Fac. Ph. Th. Cairo University
Abstract: Background and purpose: Degenerative spondylolisthesis is a common problem and cause, of Low back pain that cause restriction of daily activities. This study was conducted to show the effect of gastrocnemius muscles in management of spondylolisthetic patients and its relation to lumbosacral angle. Subjects and methods: The study included fourty patients, age ranged from 40 to 50 year, divided into two groups. The first group with mean age 48.2±6.59 years followed a physical therapy program of exercises in the form of isolated stretching of back, hamstrings, gastrocnemius, and iliopsoas muscles; and strengthening exercises for the abdominal muscles, three sessions per week for three months. The second group with mean age 47.95±5.12 years is submitted to a physical therapy program of exercises in the form of isolated stretching of back muscles, hamstrings, and iliopsoas muscles; and strengthening exercises for the abdominal muscles, three sessions per week for three months. Outcome measures were lateral view of loading x-ray, to detect any change in lordotic curve by measuring lumbo-sacral (LS) angle, tape measurement to detect range of motion (ROM) of trunk flexion, and visual analogue scale to measure the pain. Results: There was a significant improvement in the first group (t of pain = 0.001, t of ROM = 0.005, t of L.S angle = 0.02) than in the second group (t of pain = 0,04, t of ROM = 0,03, t of L.S angle = 0.6). Discussion and Conclusion: This study provides that gastrocnemius stretching exercise is very important to be included in the program of management of spondylolisthetic patients and its effect on the correction of lumbosacral (LS) angle.
URI: http://hdl.handle.net/123456789/14698
Appears in Collections:College of Applied Medical Sciences

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