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J Bodyw Mov Ther. 2014 Apr;18(2):244-58. doi: 10.1016/j.jbmt.2013.10.002. Epub 2013 Oct 5.

The effects of a global postural reeducation program on an adolescent handball player with isthmic spondylolisthesis.

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  • 1FisioBaroq, Rua do Bom Sucesso, 223, 3° drt, 4150-150 Porto, Portugal. Electronic address:
  • 2Private practice, Rua Engenheiro Duarte Pacheco 19C, Fração AC, 3850-040 Albergaria-a-Velha, Aveiro, Portugal. Electronic address:


This report describes and evaluates a physical therapy intervention in a 15-year-old male handball player with low grade isthmic spondylolisthesis and associated spinopelvic misalignment (shear-stress type). Upon examination, increased lumbar lordosis, horizontal sacrum and anterior pelvic tilting were mainly associated with altered resting length and extensibility of the iliopsoas, hip adductors and erector spinae muscles. The intervention was directed at improving the muscles resting length and extensibility balance within a global postural alignment perspective (global postural reeducation). After the treatment period, lumbar lordosis, sacral slope and anterior pelvic tilting decreased 17.2°, 16.5° and 15.1° respectively. Global postural reeducation was effective in changing spinopelvic alignment related to low grade isthmic spondylolisthesis. This treatment option should be considered as a potential nonsurgical alternative for this condition.

Copyright © 2013 Elsevier Ltd. All rights reserved.


Global stretching; Lumbar spine rehabilitation; Muscle imbalances

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