COMBINED ROLE OF CORE MUSCLE ACTIVATION AND PILATES ON REFORMER IN A GERIATRIC PATIENT WITH DEGENERATIVE LUMBAR SPONDYLOSIS AND L4-L5 PROLAPSED INTERVERTEBRAL DISC.

Raveena Kini, Zoeb Rangwala

Abstract


The case report highlights the fact that core muscle activation with progressive limb loading and pilates on the reformer,
even for an individual belonging to the geriatric age group, is very effective to cure low back pain. In patients belonging
to geriatric population therapists prefer more of electrotherapeutic and conventional forms of physiotherapy. This case
report discusses how we went about with a different outlook for the patient. Mrs K who belongs to the geriatric
population, was diagnosed with Degenerative Lumbar Spondylosis with L4-L5 Prolapsed Intervertebral Disc. She had
pain in performing activities of daily living, had antalgic gait and a lot of apprehension due to difficulty of participation in
the daily activities and recreational ventures. After assessing her in detail, she was begun on a core muscle activation
exercise program, which initially was in the unloaded position, thereafter with progressive limb loading. She was
subsequently progressed on the pilates reformer machine. Within 3 weeks of her physiotherapy treatment she was able
to do her activities without pain and resume her social activities as well. Her quality of life improved. Thus we conclude
that core muscle activation and pilates reformer does show good results even in the geriatric population who have good
cognition and must be used by therapists to treat patients belonging to that age group.


Keywords


Core Muscle Activation, Geriatrics, Lumbar Spondylosis, Pilates, Prolapsed Intervertebral Disc

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