National Physical Therapy Examination (NPTE) Practice Exam

What treatment is considered the best for a patient with lumbar stenosis?

1. Lumbar flexion exercises and ultrasound

2. Manual therapy and exercise

3. Sciatic nerve glides and stretching

4. Repetitive lumbar extension exercises

The correct answer is: Manual therapy and exercise

For a patient with lumbar stenosis, manual therapy and exercise is considered the best treatment approach. This condition often results in compressed neural structures due to narrowing of the lumbar canal and can lead to pain, numbness, and weakness in the lower extremities. Manual therapy can assist in restoring proper movement mechanics and may alleviate restrictions in the lumbar spine and surrounding soft tissues. Techniques such as mobilizations can improve range of motion and reduce pain, contributing to better function for the patient. Exercise is also crucial in managing lumbar stenosis; specifically, therapeutic exercises that focus on strengthening the core and enhancing flexibility can help stabilize the spine and support better posture. This combination can lead to improved tolerance for activity, functional mobility, and overall quality of life. While lumbar flexion exercises may also be beneficial in some cases because they help create space in the lumbar spine, the emphasis on manual therapy combined with a tailored exercise program addresses both muscular and skeletal issues associated with lumbar stenosis more effectively. Other options, such as sciatic nerve glides and repetitive lumbar extension exercises, may not adequately target the primary issues related to lumbar stenosis and could potentially exacerbate the patient's symptoms.