What motion should be limited in a client with Stenosis to minimize injury?

In clients with stenosis, limiting spinal extension is crucial to minimizing injury. Stenosis can cause a narrowing of the spinal canal, which may lead to pressure on the spinal cord and nerve roots. When the spine extends, it increases the space within the canal and can exacerbate symptoms such as pain, numbness, or weakness in the limbs.

Spinal extension often requires movements that can aggravate stenotic conditions, such as arching the back. Therefore, focusing on maintaining a neutral spine and emphasizing core stability while avoiding hyperextension is essential for a client with stenosis. This approach aids in alleviating pressure on the nerves and can contribute to more comfortable movement patterns.

The other choices, while they may be relevant in specific contexts, do not pose the same risk of exacerbating symptoms associated with spinal stenosis as spinal extension does. For instance, hip adduction can be beneficial for pelvic stability, knee flexion might be required for functional mobility, and shoulder flexion pertains to upper body movement that does not significantly impact the spinal condition. Thus, limiting spinal extension is the most critical consideration for this condition.