Rehabilitation of patients after lumbar microdiscectomy
Objective: to investigate movement-based therapy (kinesitherapy) effectiveness in the rehabilitation of patients after lumbar microdiscectomy.Patients and methods. We enrolled 90 patients (33 men and 57 women, mean age — 59.78±12.0 years) after lumbar microdiscectomy due to the ineffectiveness of co...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2021-08-01
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| Series: | Неврология, нейропсихиатрия, психосоматика |
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| Online Access: | https://nnp.ima-press.net/nnp/article/view/1630 |
| _version_ | 1827062757385568256 |
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| author | V. S. Prokopovich V. A. Parfenov |
| author_facet | V. S. Prokopovich V. A. Parfenov |
| author_sort | V. S. Prokopovich |
| collection | DOAJ |
| description | Objective: to investigate movement-based therapy (kinesitherapy) effectiveness in the rehabilitation of patients after lumbar microdiscectomy.Patients and methods. We enrolled 90 patients (33 men and 57 women, mean age — 59.78±12.0 years) after lumbar microdiscectomy due to the ineffectiveness of conservative management of discogenic lumbosacral radiculopathy. One-half of the participants (45 patients: 15 men and 30 women, mean age — 60.24±12.0 years) underwent kinesitherapy under the supervision of a physician; in other 45 patients (18 men and 27 women, mean age — 59.33±11.0 years), kinesitherapy was not included in the radiculopathy treatment protocol. We assessed pain intensity with visual analogue scale (VAS) and disability using the Roland-Morris scale (RMS) before surgery, ten days after the surgery, and 1, 3, and 6 months after surgery.Results and discussion. We observed a significant decrease in pain intensity - up to 4 points on the VAS, and an improvement in activities of daily living up to 10 points on the RMS 10 days after microdiscectomy. After six months, there was a decrease in pain intensity according to the VAS to 2 points in the kinesitherapy group and to 3 points in the group without kinesitherapy (p=0.088), as well as an improvement in activities of daily living according to RMS up to 5 points in the kinesitherapy group and up to 8 points in the group without kinesitherapy (p=0.003). Reoperations were required in two of 45 patients in the group without kinesitherapy (4.4%) and in one of 45 patients (2.2%) in the kinesitherapy group (p≥0.05).Conclusion. Kinesitherapy can improve functional recovery in patients after lumbar microdiscectomy. |
| first_indexed | 2024-04-10T02:00:28Z |
| format | Article |
| id | doaj.art-0af344e23b244d59bc79dfcebfd52b1a |
| institution | Directory Open Access Journal |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| last_indexed | 2025-02-18T20:01:01Z |
| publishDate | 2021-08-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj.art-0af344e23b244d59bc79dfcebfd52b1a2024-10-17T16:15:28ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422021-08-01134606510.14412/2074-2711-2021-4-60-651162Rehabilitation of patients after lumbar microdiscectomyV. S. Prokopovich0V. A. Parfenov1Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaDepartment of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaObjective: to investigate movement-based therapy (kinesitherapy) effectiveness in the rehabilitation of patients after lumbar microdiscectomy.Patients and methods. We enrolled 90 patients (33 men and 57 women, mean age — 59.78±12.0 years) after lumbar microdiscectomy due to the ineffectiveness of conservative management of discogenic lumbosacral radiculopathy. One-half of the participants (45 patients: 15 men and 30 women, mean age — 60.24±12.0 years) underwent kinesitherapy under the supervision of a physician; in other 45 patients (18 men and 27 women, mean age — 59.33±11.0 years), kinesitherapy was not included in the radiculopathy treatment protocol. We assessed pain intensity with visual analogue scale (VAS) and disability using the Roland-Morris scale (RMS) before surgery, ten days after the surgery, and 1, 3, and 6 months after surgery.Results and discussion. We observed a significant decrease in pain intensity - up to 4 points on the VAS, and an improvement in activities of daily living up to 10 points on the RMS 10 days after microdiscectomy. After six months, there was a decrease in pain intensity according to the VAS to 2 points in the kinesitherapy group and to 3 points in the group without kinesitherapy (p=0.088), as well as an improvement in activities of daily living according to RMS up to 5 points in the kinesitherapy group and up to 8 points in the group without kinesitherapy (p=0.003). Reoperations were required in two of 45 patients in the group without kinesitherapy (4.4%) and in one of 45 patients (2.2%) in the kinesitherapy group (p≥0.05).Conclusion. Kinesitherapy can improve functional recovery in patients after lumbar microdiscectomy.https://nnp.ima-press.net/nnp/article/view/1630discogenic lumbar radiculopathylumbar discectomykinesitherapyrehabilitation after lumbar discectomy |
| spellingShingle | V. S. Prokopovich V. A. Parfenov Rehabilitation of patients after lumbar microdiscectomy Неврология, нейропсихиатрия, психосоматика discogenic lumbar radiculopathy lumbar discectomy kinesitherapy rehabilitation after lumbar discectomy |
| title | Rehabilitation of patients after lumbar microdiscectomy |
| title_full | Rehabilitation of patients after lumbar microdiscectomy |
| title_fullStr | Rehabilitation of patients after lumbar microdiscectomy |
| title_full_unstemmed | Rehabilitation of patients after lumbar microdiscectomy |
| title_short | Rehabilitation of patients after lumbar microdiscectomy |
| title_sort | rehabilitation of patients after lumbar microdiscectomy |
| topic | discogenic lumbar radiculopathy lumbar discectomy kinesitherapy rehabilitation after lumbar discectomy |
| url | https://nnp.ima-press.net/nnp/article/view/1630 |
| work_keys_str_mv | AT vsprokopovich rehabilitationofpatientsafterlumbarmicrodiscectomy AT vaparfenov rehabilitationofpatientsafterlumbarmicrodiscectomy |