ABORDAGEM FISIOTERAPÊUTICA NA MIELOPATIA ESPONDILÓTICA CERVICAL

Abstract

Cervical spondylosis, characterized by degenerative changes in intervertebral discs, vertebral bodies, facet joints, and ligaments, can progress to spondylotic cervical myelopathy, causing spinal cord compression and motor, sensory, and postural deficits. This study aimed to analyze the physiotherapeutic evolution of a 78-year-old male patient diagnosed with cervical spondylosis and spinal cord myelopathy, treated at the Physiotherapy Teaching and Research Clinic of Iguaçu University (UNIG). This is a case study, conducted through a detailed evaluation including anamnesis, physical examination, joint tests, muscle strength, perimetry, measurement, and sensory assessment. The therapeutic plan was structured with therapeutic stretching, joint mobilization, assisted active kinesiotherapy, gait training, balance and transfer exercises, using dumbbells and elastic bands. During the follow-up, significant improvements were observed in muscle strength, with several groups reaching grade 5, increased range of motion, improved postural control, and reduced motor compensations, favoring greater safety in gait and performance in activities of daily living. Sensitivity remained preserved in the upper limbs and hypoesthetic in the lower limbs, without painful alterations. The findings demonstrate that the systematized physiotherapy intervention contributed significantly to functional recovery, increased autonomy, and prevention of limitations secondary to spinal cord compression. It is concluded that physiotherapy plays a fundamental role in the management of cervical spondylosis and spinal cord myelopathy, providing improved mobility, strength, balance, and quality of life for the patient.