Index to Chiropractic Literature
Index to Chiropractic Literature
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Thursday, November 20, 2025
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ID 28355
  Title Management of lumbar spondylolysis in the adolescent athlete using a dynamic neuromuscular stabilization paradigm: A case report
URL https://journal.parker.edu/article/133254-management-of-lumbar-spondylolysis-in-the-adolescent-athlete-using-a-dynamic-neuromuscular-stabilization-paradigm-a-case-report
Journal J Contemp Chiropr. 2025 ;8(1):92-96
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

Objective: To describe a novel approach in treating a teenage athlete with spondylolysis of the L5 vertebrae using Dynamic Neuromuscular Stabilization principles.

Clinical Features: A 15-year-old female softball pitcher presented with progressive low back pain following a tournament. MRI revealed acute bilateral pars interarticularis fractures at L5 with bone marrow edema pattern, without anterolisthesis.

Intervention and Outcome: She was treated with therapeutic exercises, spinal manipulation, and soft tissue therapy over 8 weeks. Therapeutic exercises were organized according to Dynamic Neuromuscular Stabilization principles, focusing on optimizing core stabilization during functional movements. She experienced significant improvements in pain (reduction from 7/10 to 1/10 on the Visual Analog Scale), increased pain-free range of motion, and safely returned to her sport.

Conclusion: This case suggests that interventions combining manual manipulation, soft-tissue therapy, and therapeutic exercise based on Dynamic Neuromuscular Stabilization principles may be beneficial in conservatively managing pars interarticularis injuries in adolescent athletes.

Author keywords: Dynamic Neuromuscular Stabilization; Spondylolysis; Conservative Care; Chiropractic; Manual Therapy; Pars interarticularis

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. 

 
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