What general principle should be followed in managing spondylolisthesis?

In managing spondylolisthesis, avoiding hyperextension is a key principle because this condition often involves instability or slippage of one vertebra over another in the lumbar spine. Hyperextension can place additional stress on the affected segments, exacerbating pain and potentially worsening the displacement. By steering clear of movements that promote hyperextension, such as certain backbends or movements that extend the spine beyond its natural alignment, patients can help to protect the lumbar region and maintain stability.

It's important to incorporate a well-rounded rehabilitation approach, including strengthening exercises, but these should be tailored to avoid any positions or movements that might aggravate the condition. Thus, while other aspects of rehabilitation are also crucial, focusing on avoiding hyperextension is paramount for managing spondylolisthesis effectively.