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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Medicine
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DOI: 10.5272/jimab.2025312.6204
Published online: 13 May 2025
Case report
J of IMAB. 2025 Apr-Jun;31(2):6204-6206
DEPARETIC PHENOMENON DURING UNDERWATER LUMBAR EXTENSION
Gergana Gecheva-Fermendzhieva
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Physiotherapy and Rehabilitation Department, Trakia University, Stara Zagora, Bulgaria.
ABSTRACT:
The purpose of this study is to evaluate the effect of underwater lumbar extension on the motor dysfunction of the paretic leg of a patient with a herniated disk and the patient's recovery rate after the treatment. Some authors describe a deparetic phenomenon in some patients with inability to dorsiflex the foot during extension therapy. When loading up to 40-45 kg, normal dorsiflexion occurs in some cases. When the loads are returned to 40-30 kg, motor function is lost again. Two patients were included in the study, 1 male and 1 female. Patients with proven disc herniation on CT or MRI with evidence of paresis - dorsiflexion with a score of 3- and 2- on MMT and EMG data were included. In both patients, dorsiflexion, 5 minutes after optimal traction during the underwater lumbar extension "PO GECHEV", was affected: In the male patient, dorsiflexion increased from a score of 3- to 5-, in the female patient, from 2- to 4+.
Keywords: deparetic phenomenon, paresis, underwater lumbar traction, herniated disk, motor dysfunction, dorsiflexion,
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Please cite this article as: Gecheva-Fermendzhieva G. Deparetic phenomenon during underwater lumbar extension. J of IMAB. 2025 Apr-Jun;31(2):6204-6206. [Crossref - 10.5272/jimab.2025312.6204]
Correspondence to: Dr Gergana Gecheva – Fermendzhieva, Medical center “Pavel banya” ltd.; 16, Petko Kolev Str., Pavel banya, Bulgaria; E-mail: dr.ggecheva@abv.bg
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Published online: 13 May 2025