Volume 26, Issue 123, May 2022

Combining graded motor imagery and traditional physical therapy regimens in postoperative lumbar canal stenosis- A case study

Nikita Kachhwani¹, Madhu Lakhwani², Pratik Phansopkar^3♦

¹UG scholar, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, DMIMS, Wardha (Sawangi), Maharashtra, India
²Resident, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
³Associate Professor; HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India

^♦Corresponding author
Associate Professor; HOD, Department of Musculoskeletal Physiotherapy Department, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India;

ABSTRACT

Lumbar Spinal stenosis which is the narrowing of the central canal might be part of a generalized disease process that affects several sections of the canal at different levels, or it can be limited or segmental. Characteristic clinical symptoms include pain, weakness in the lower limbs, and intermittent claudication when walking/ standing for a significant amount of time. In determining the diagnosis, the history along with the imaging techniques (X-ray and MRI) can be quite useful. This is a case report of a female complaining of severe chronic low back pain with radiculopathy, diagnosed with lumbar canal stenosis. She was operated with by L3-L4-L5 posterior decompression and L3-L4 discectomy. Along with the conventional approaches, this study included a unique set of technique called as “Monkey see, Monkey do” which is a Graded Motor Imagery training i.e. Cognition training is a process of physical exercises aimed at maintaining or improving one’s cognitive abilities by exercising the brain, which may be hampered by limited physical mobility as a consequence of pain. Rehabilitation showed exceptional improvement in terms of pain and daily activities. This study suggests that the physiotherapy intervention those which are traditional and the advances as cortex reorganization training for lumbar stenosis are effective in management of symptoms. As a consequence, the patients' wellbeing improves.

Keywords: stenosis, rehabilitation, lumbar, physiotherapy

Medical Science, 2022, 26, ms187e2243

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DOI: https://doi.org/10.54905/disssi/v26i123/ms187e2243

Published: 20 May 2022