Spondylolisthesis is a condition where one vertebrae slips forward on the one below. The most common level for a spondylolisthesis to occur is at L5S1. Predisposing factors include the presence of bilateral pars defects (these can be developmental or the result of trauma such as stress fractures), chronic disc disease leading to loss of disc height and associated facet joint degeneration, and excessive anterior pelvic tilt (usually due to muscle imbalances around the lumbo-pelvic region) which leads to increased shear at the L5S1 spinal level.
Research has demonstrated that specific physiotherapy intervention for patients with lumbar spondylolisthesis can significantly improve their function, decrease their pain, and decrease their need for medication.
LUMBAR SPINE STABILISING MUSCLES
Beaumaris Physiotherapy in Ocean Reef offers real-time ultrasound imaging (RTUI) of the lumbar spine stabilising muscles (transversus abdominis, lumbar multifidus and pelvic floor) to correctly retrain the function of these muscles to improve spinal stability and function. This can be an essential component for successful rehabilitation of this condition.