templatemo header
templatemo header
Sports teaches you to understand the meaning of a team. You need to be able to work with everybody; you don't have to be their best friend. You can experience the fun of competition and driving toward a common goal without pushing to bond in some major way with each individual on a project.
Gymnasts and Other Athletes
Spondylolysis/Spondylolisthesis in Gymnasts and Other Athletes

Spondylolysis refers to a defect in the pars interarticularis—the segment of the vertebra between the superior and inferior articular processes—while spondylolisthesis refers to a forward displacement of a vertebra, especially the fifth lumbar vertebra, most commonly occurring after a fracture. Both conditions are relatively common in children, adolescents and athletes, especially gymnasts, divers, football linemen, tennis players, and rowers.

Those who suffer from spondylolisthesis may experience pain in the legs, thighs, lower back and buttocks that worsens with standing or weight-bearing activity. Other common symptoms include hamstring tightness, restricted range of motion and tenderness. In rare cases, loss of bladder or bowel control may occur.

Goals:

  • Regain optimal/normal ranges of motion
  • Return to athletic activity without pain or degeneration of condition
  • Regain/increase strength in lower back

Activity: Commonly seen in gymnasts, divers, football linemen, tennis players, divers and rowers

  • Contrast therapy: moist heat plus cryotherapy.
  • Physiotherapy modalities.
  • Manual/distractive manipulation.
  • Shock-reducing functional orthotics to minimize stress through the kinetic chain from the feet to the spine and normalize biomechanics.
  • Therapeutic pillow at night to reduce spinal distortion.