Rehabilitation for clinical lumbar instability in a female adolescent competitive diver with spondylolisthesis
Few studies have investigated conservative lumbar stabilization approaches with adolescent athletes, specifically those with radiographic evidence of a unilateral pars interarticularis fracture. The purpose of this case study was to describe a lumbar stabilization strengthening intervention for an adolescent competitive diver. A 12-year-old female was diagnosed with a grade-I, traumatic, unilateral, dysplastic spondylolisthesis, accompanied by ensuing symptoms of lumbar spine instability. Symptom provocation occurred during extension and torsion motions as well as long-term sitting and standing. A comprehensive lumbar stabilization program was associated with a reduction of symptoms, improvement in trunk stabilization, and a quick return to competitive diving. Because the case report involved one highly motivated subject, the results are not generalizable to all adolescent divers. Future studies should investigate the treatment of spine instability on a sample of adolescent athletes.
Cook, C; Cook, A; Fleming, R
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