International Journal of Physiotherapy Research and Clinical Practice

Abstract

This comprehensive review examines the evidence-based exercise interventions for lumbar spondylosis, a prevalent degenerative condition affecting the lower spine. The investigation encompasses a diverse range of modalities, including core-stabilization exercises, flexibility training, low-impact aerobic exercises, the McKenzie method, progressive resistance training, patient education, and multidisciplinary rehabilitation programs. The synthesis of findings reveals consistent positive outcomes across various interventions, emphasizing their collective efficacy in managing symptoms and improving functional outcomes. Notably, core-stabilization exercises demonstrate a significant impact on spinal stability, while flexibility training contributes to enhanced range of motion. Low-impact aerobic exercises emerge as a well-tolerated avenue for cardiovascular health, and the McKenzie Method provides structured directional preference exercises. Progressive resistance training demonstrates positive effects on pain reduction and functional improvement, highlighting the importance of addressing muscular imbalances. Patient education and self-management strategies play a crucial role in empowering individuals to actively participate in their care. Practices like yoga and Pilates offer holistic benefits, contributing to flexibility, strength, and overall well-being. Moreover, multidisciplinary rehabilitation programs exhibit enhanced outcomes, emphasizing the value of a collaborative approach. The review underscores the need for personalized and adaptive exercise interventions, considering individual responses and preferences. While the evidence supports the efficacy of various interventions, further research is warranted to explore long-term effects, optimal dosages, and potential synergies between different modalities. This comprehensive examination contributes to the evolving understanding of evidence-based exercise therapy for lumbar spondylosis and informs practitioners and researchers in the field.