Effects of Orthosis & Exercise on Spondylolisthesis

Summary

In the treatment of spondylolisthesis, conservative methods are initially preferred unless severe neurological symptoms are present; surgical treatment is only performed in refractory cases lasting at least 3-6 months. Conservative treatment consists of orthotic use, activity restriction, pain control, physiotherapy and exercise. Orthotics may promote healing by restricting movement; however, there are not enough studies on this subject. Exercise is the intervention with the highest level of evidence in chronic low back pain. The efficacy of stabilisation exercises in providing positive and long-lasting effects on pain and functional disability in patients with spondylolisthesis has been demonstrated. However, studies evaluating the effect of exercise on spinal stability and radiological findings are limited. Therefore, this study aims to compare the effects of stabilization and conventional exercises with orthosis on radiographic findings, pain, physical function and quality of life.

Eligibility

Inclusion Criteria:

* Individuals aged 18-65
* Individuals without indication for surgery
* Individuals diagnosed with grade 1-2 spondylolysis
* Individuals without neurological deficits
* Individuals diagnosed with radicular pain or non-specific chronic low back pain for more than 3 months

Exclusion Criteria:

* Surgery recommended after diagnosis
* History of lumbar surgery
* Presence of rheumatic inflammatory diseases or diabetic polyneuropathy
* Individuals with symptoms of cauda equina or ischemic heart disease
* Presence of back pain with non-mechanical causes or non-radicular neuropathic pain
* Having received this type of exercise therapy before

Conditions4

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