Physical therapy for a patient with cervical spondylosis myelopathy with the complication of degenerative spondylosis who experienced difficulty performing an activity with both hands while standing

Abstract

We conducted physical therapy for a patient who had cervical spondylosis myelopathy with the complication of degenerative spondylosis. The patient was observed to have backward instability in the standing posture while placing a tray on the table in front of her. When she stood, we observed bilateral knee joint flexion and ankle joint dorsiflexion, compensating for excessive thoracic spine flexion. We considered that hypotonia of the longissimus muscles of both sides was the major cause of these problems of trunk extension. We conducted physical therapy for the patient to improve hypotonia of the longissimus muscles. Physical therapy improved in the stability of her standing posture and her movement when placing a tray on the table in front of her.