A Case of Spinal Canal Stenosis with Sacroiliac Dysfunction:-Role of Physiotherapy

Authors

  • Payal Umesh Toshniwal BPT MGM school of Physiotherapy Aurangabad
  • Dr. Satyam Bhodaji Assistant Professor, HOD Department of Community Physiotherapy, MGM School of Physiotherapy, Aurangabad, Maharashtra.
  • Sayali Darmode BPT, MGM Institute of Physiotherapy, Aurangabad
  • Nabeela Fatema BPT, MGM School of Physiotherapy, Aurangabad

Keywords:

Spinal Canal Stenosis, Sacroiliac joint dysfunction, M2T blade

Abstract

Spinal stenosis is defined as the narrowing of the spinal canal, lateral recesses, or intervertebral foramina, which may cause bone or soft tissue to compress nerve root. Spinal Stenosis is most often attributed to degenerative changes. Sacroiliac joint dysfunction is the common term used to describe the joint pain related to disorientation of the joint structures. The main aim of this study is to reduce the pain and increase the strength of cervical, lumbar, sacral region, and shoulder joint. In this case study we used outcome measures like Numerical Pain Rating Scale (NPRS) for pain and Swiss Spinal Stenosis Score for severity of the disease and physical function. In Intervention M2T blade was used for soft tissue mobilization followed by dynamic spinal McKenzie mobilization in extension position with other conventional modalities. In Conclusion present case study report M2T blade mobilization with spinal McKenzie mobilization showed significant improvement in reducing pain and improving Quality of life

References

Andaloro, Alicia MS, PA-C Lumbar spinal stenosis, Journal of the American Academy of Physician Assistants: August 2019 - Volume 32 - Issue 8 - p 49-50 doi: 10.1097/01.JAA.0000569788.21941.ca

Cansever T, Civelek E, Sencer A, et al. Intermittent priapism in degenerative lumbar spinal stenosis: case report. Turk Neurosurg 2007;17:260-3

Singh K, Samartzis D, Vaccaro AR, et al. Congenital lumbar spinal stenosis: a prospective, control-matched, cohort radiographic analysis. Spine J 2005;5:615-22.

Katz JN, Dalgas M, Stucki G, et al. Degenerative lumbar spinal stenosis. Diagnostic value of the history and physical examination. Arthritis Rheum 1995;38:1236-41.

Chiles BW 3rd, Leonard MA, Choudhri HF et al. Cervical spondylotic myelopathy: Patterns of neurological deficit and recovery after anterior cervical decompression. Neurosurgery. 1999;44:762-9.

Laslett M: Evidence-based diagnosis and treatment of the painful sacroiliac joint . J ManManip Ther. 2008, 16:142-152. 10.1179/jmt.2008.16.3.142.

Fortin JD, Dwyer AP, West S, Pier J: Sacroiliac joint: pain referral maps upon applying a new

injection/arthrography technique. Part I: asymptomatic volunteers. Spine. 1994, 19:1475-1482.

Sizer PS Jr, Phelps V, Thompsen K: Disorders of the sacroiliac joint. Pain Pract. 2002, 2:17-34.10.1016/j.spinee.2005.02.022.

Brolinson PG, Kozar AJ, Cibor G: Sacroiliac joint dysfunction in athletes. Curr Sports Med Rep.

, 2:47-56.

Vleeming A et al. The sacroiliac joint:an overview of its anatomy, function and potential clinical implications. J Anat. 2012,221:537-567. 10.1111/j.1469-7580.2012.01564.x

Cristin M et al. Internal Construct Validity of the Swiss Spinal Stenosis Questionnaire Rasch Analysis of a Disease-Specific Outcome Measure for Lumbar Spinal Stenosis. February 2011Spine 36(23):1969-76 DOI:10.1097/BRS.0b013e3181fc9daf

Pathania t, muragod ar. Comparative effect of foam roller and m2t blade on hamstring flexibility in elderly population: a randomized control trial. Indian j health sci biomed res 2019;12:160-5

Kim j et al.Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application https://doi.org/10.12965/jer.1732824.412

Jauregui JJ, Cherian JJ, Gwam CU et al. A Meta-Analysis of Transcutaneous Electrical Nerve Stimulation for Chronic Low Back Pain. Surg Technol Int. 2016 Apr;28:296-302. PMID: 27042787.

Alhakami, Anas Mohammed et al. “Effects of McKenzie and stabilization exercises in reducing pain intensity and functional disability in individuals with nonspecific chronic low back pain: a systematic review.” Journal of physical therapy science vol. 31,7 (2019): 590-597. doi:10.1589/jpts.31.590.

Namnaqani FI, et al. The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review. J Musculoskelet Neuronal Interact. 2019 Dec 1;19(4):492-499. PMID: 31789300; PMCID: PMC6944795.

Published

2021-07-07