前曲是脊柱中的椎骨相对于其下方的椎骨向前滑动的情况。前滑脱通常根据滑动的方向和受影响的椎骨来描述,如L5-S1前旋,这表示在第五腰椎(L5)和骶骨(S1)之间发生的滑移。环化可能是由各种因素引起的,创伤,或先天性异常。与前旋相关的症状可能包括下背痛,刚度,肌肉紧绷,和神经症状,如果滑动压迫附近的神经。梨状肌,位于臀部深处,在这种情况下发挥着至关重要的作用,因为它的收缩或炎症会加剧坐骨神经的压迫,加剧个人所经历的疼痛和不适。患有L5-S1前裂和双侧梨状肌综合征的患者通常在涉及髋关节运动的日常活动中报告挑战,比如走路,坐着,或长时间站立。椎体滑脱和梨状肌受累的综合作用导致步态模式改变,并可能导致难以保持稳定和无痛姿势。有效的管理往往需要采取全面的方法,包括物理治疗,疼痛管理策略,and,在严重的情况下,手术干预。我们报告了一例75岁的男性,他抱怨背部疼痛放射到双下肢,一个月前在浴室里滑倒和摔倒,背部受伤,并参观了阿查里亚·维诺巴·巴哈乡村医院(AVBRH)的骨科,Sawangi,瓦尔达,在那里进行了调查,X射线显示L5-S1前裂。物理治疗在减轻疼痛方面起着至关重要的作用,提高运动范围和肌肉力量,减少肌肉紧绷,提高生活质量。理疗康复治疗L5-S1前剥离管理的目标是优化功能恢复,减轻疼痛,提高运动范围和肌肉力量,并改善患有这种疾病的个人的整体生活质量。
Anterolisthesis is a condition where a vertebra in the spine slips forward relative to the vertebra below it. Anterolisthesis is often described in terms of the direction of the slippage and the affected vertebrae, such as L5-S1 anterolisthesis, which indicates the slippage occurring between the fifth lumbar vertebra (L5) and the sacral bone (S1). Anterolisthesis can result from various factors, trauma, or congenital abnormalities. The symptoms associated with anterolisthesis can include lower back pain, stiffness, muscle tightness, and neurological symptoms if the slippage compresses nearby nerves. The piriformis muscle, situated deep within the buttocks, plays a crucial role in this scenario, as its contraction or inflammation can exacerbate the compression of the sciatic nerve, intensifying the pain and discomfort experienced by the individual. Patients with L5-S1 anterolisthesis and bilateral piriformis syndrome commonly report challenges in daily activities involving hip movement, such as walking, sitting, or standing for prolonged periods of time. The combined effects of vertebral slippage and piriformis involvement contribute to altered gait patterns and may lead to difficulties in maintaining a stable and pain-free posture. Effective management often necessitates a comprehensive approach, encompassing physical therapy, pain management strategies, and, in severe cases, surgical intervention. We report a case of a 75-year-old male who complained of pain in his back radiating to both lower limbs with a history of slipping and falling in the bathroom one month prior, sustaining an injury to his back, and who visited the orthopedics department of Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi, Wardha, where an investigation was done and an X-ray revealed L5-S1 anterolisthesis. Physiotherapy plays a crucial role in reducing pain, improving the range of motion and muscle strength, decreasing muscle tightness, and enhancing the quality of life. The goal of physiotherapeutic rehabilitation for L5-S1 anterolisthesis management is to optimize functional recovery, reduce pain, improve the range of motion and muscle strength, and improve the overall quality of life for individuals with this condition.