case_images: PMC10857922_01
case_images: MRI findings of patient. MRI findings show mild asymmetrical disc bulge at L1-2 level and mild disc bulge at L2-3 level, disc desiccation, and diffuse circumferential disc bulge causing mild bilateral neural foraminal narrowing at L3-4 level, it indents anterior thecal sac and abuts bilateral traversing L4 nerve roots, mild decreased disc height, and diffuse circumferential disc.
case_images: cureus-0016-00000052056-i01.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i01.jpg
case_images: FIG1
case_images: Spondylitis changes were revealed by an MRI study of the lumbosacral spine (Figure 1), which revealed mild asymmetrical disc bulge at L1-2 level and mild disc bulge at L2-3 level, disc desiccation, and diffuse circumferential disc bulge causing mild bilateral neural foraminal narrowing at L3-4 level, it indents anterior thecal sac and abuts bilateral traversing L4 nerve roots, mild decreased disc height, and diffuse circumferential disc.
case_images: Hamstring stretching
case_images: cureus-0016-00000052056-i02.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i02.jpg
case_images: FIG2
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.
case_images: Piriformis stretching
case_images: cureus-0016-00000052056-i03.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i03.jpg
case_images: FIG3
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.
case_images: Pelvic bridging
case_images: cureus-0016-00000052056-i04.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i04.jpg
case_images: FIG4
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.
case_images: Trunk PNF (rhythmic stabilization). PNF: Proprioceptive Neuromuscular Facilitation
case_images: cureus-0016-00000052056-i05.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i05.jpg
case_images: FIG5
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.
case_images: Sit to stand with minimum support (patient initiating standing)
case_images: cureus-0016-00000052056-i06.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i06.jpg
case_images: FIG6
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.
case_images: Patient able to stand with support
case_images: cureus-0016-00000052056-i07.jpg
case_images: PMC10857922_01_cureus-0016-00000052056-i07.jpg
case_images: FIG7
case_images: Physiotherapy care was provided once a day for one hour, which included active-assisted and passive stretching exercises for lower limbs (Figures 2, 3), pelvic bridging (Figure 4), spinal rotations, trunk proprioceptive neuromuscular facilitation (PNF; stabilizing reversals and rhythmic stabilization) (Figure 5), weight shift, reach out, sit to stand (Figures 6, 7), spot marching and gait training in parallel bars.