PMC6133905_01
MRI scan before and at the end of the treatment program.
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PMC6133905_01_gr3.jpg
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Sample program of exercise, manipulation, and exercise of a different level. RSB: Right side bending, LR: Left rotation.
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PMC6133905_01_gr4.jpg
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These descriptive movement directions were selected to direct the patient to her OSP and a home exercise regime (Fig. 4). The patient lay down on her left side, bending the left leg and stretching the right leg backward while turning the torso into a semi-prone position to induce left rotation (Fig. 4a) for at least 2 h of sleep time. The sitting posture was implemented using a 3-inch book placed under the right hip throughout the sitting period (Fig. 4b). A DSE protocol was implemented, progressing from lying to sitting to standing positions (2 weeks each for 45-60 min. sessions) (Table 1, Fig. 4). A maintenance period of 2 weeks carried out mostly in sitting and standing positions ended the program (Fig. 4). The patient was treated 3x/wk for the first 4 weeks (initial period), 2x/wk in loading (Fig. 4c), for one week (middle period/partial loading) (Fig. 4d, f) and then 1x/wk until discharge, using full loading (Fig. 4e) (final period). Mobilization exercises (ME) and manipulation (quick thrust) were carried out in each session in the OSP (Fig. 4h, i) and were followed by strengthening exercises (SE) (Fig. 4j). A home care program (in the sitting and sleeping postures) as well as specific pictured exercises (Fig. 4) was recommended for 3x/day, for 10 min each.