Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial
Study DesignRandomized controlled trial.PurposeWe compared the disability and functional outcome after conservative treatment with prolonged physiotherapy versus early surgical intervention in patients with lumbar disk herniation.Overview of LiteratureLumbar disk herniation is one of the most common...
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Korean Spine Society
2017-08-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-11-531.pdf |
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| author | Doaa Abdelmohsen Abou-Elroos Mirvat Abd El-Hameed El-Toukhy Ghada Sanad Nageeb Essam Abdelhameed Dawood Safwat Abouhashem |
| author_facet | Doaa Abdelmohsen Abou-Elroos Mirvat Abd El-Hameed El-Toukhy Ghada Sanad Nageeb Essam Abdelhameed Dawood Safwat Abouhashem |
| author_sort | Doaa Abdelmohsen Abou-Elroos |
| collection | DOAJ |
| description | Study DesignRandomized controlled trial.PurposeWe compared the disability and functional outcome after conservative treatment with prolonged physiotherapy versus early surgical intervention in patients with lumbar disk herniation.Overview of LiteratureLumbar disk herniation is one of the most common causes of job-related disability in individuals less than 45 years old. Conservative treatment is the initial pathway for the majority of patients but the duration of conservative treatment remains debatable and the adverse effects of prolonged conservative treatment are still unclear. Prolonged duration of symptoms before surgical intervention is associated with worse outcomes than a short period of symptoms.MethodsFrom June 2011 to July 2013, 60 patients with lumbar disk herniation at our institute were randomized into two groups. Group I was treated with prolonged physiotherapy and rehabilitation for 6 months, while group II was treated with early surgical discectomy. Oswestry disability index was used to assess disability, while the Prolo economic outcome rating scale was used to assess the work status.ResultsMost patients were males between 21 and 45 years old (mean age, 35.88±7.15). There was significant improvement in the disability and work status in both groups without statistically significant differences in the disability score at the second or third assessment. However, the Prolo scale became significantly better in group I than in group II patients during the second and third assessments.ConclusionsA prolonged physiotherapy and rehabilitation program is a beneficial and successful treatment in patients with recently diagnosed lumbar disk herniation. |
| first_indexed | 2024-12-24T11:00:46Z |
| format | Article |
| id | doaj.art-2b74689578574b2e8c174ee0e0607918 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-24T11:00:46Z |
| publishDate | 2017-08-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-2b74689578574b2e8c174ee0e06079182022-12-21T16:58:43ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462017-08-0111453153710.4184/asj.2017.11.4.531249Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized TrialDoaa Abdelmohsen Abou-Elroos0Mirvat Abd El-Hameed El-Toukhy1Ghada Sanad Nageeb2Essam Abdelhameed Dawood3Safwat Abouhashem4Department of Rheumatology and Rehabilitation, Kenayat Hospital, Kenayat city, Egypt.Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Sharkia, Egypt.Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Sharkia, Egypt.Department of Neurosurgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.Department of Neurosurgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt.Study DesignRandomized controlled trial.PurposeWe compared the disability and functional outcome after conservative treatment with prolonged physiotherapy versus early surgical intervention in patients with lumbar disk herniation.Overview of LiteratureLumbar disk herniation is one of the most common causes of job-related disability in individuals less than 45 years old. Conservative treatment is the initial pathway for the majority of patients but the duration of conservative treatment remains debatable and the adverse effects of prolonged conservative treatment are still unclear. Prolonged duration of symptoms before surgical intervention is associated with worse outcomes than a short period of symptoms.MethodsFrom June 2011 to July 2013, 60 patients with lumbar disk herniation at our institute were randomized into two groups. Group I was treated with prolonged physiotherapy and rehabilitation for 6 months, while group II was treated with early surgical discectomy. Oswestry disability index was used to assess disability, while the Prolo economic outcome rating scale was used to assess the work status.ResultsMost patients were males between 21 and 45 years old (mean age, 35.88±7.15). There was significant improvement in the disability and work status in both groups without statistically significant differences in the disability score at the second or third assessment. However, the Prolo scale became significantly better in group I than in group II patients during the second and third assessments.ConclusionsA prolonged physiotherapy and rehabilitation program is a beneficial and successful treatment in patients with recently diagnosed lumbar disk herniation.http://www.asianspinejournal.org/upload/pdf/asj-11-531.pdfDisk herniationPhysiotherapyDiscectomyDisability |
| spellingShingle | Doaa Abdelmohsen Abou-Elroos Mirvat Abd El-Hameed El-Toukhy Ghada Sanad Nageeb Essam Abdelhameed Dawood Safwat Abouhashem Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial Asian Spine Journal Disk herniation Physiotherapy Discectomy Disability |
| title | Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial |
| title_full | Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial |
| title_fullStr | Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial |
| title_full_unstemmed | Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial |
| title_short | Prolonged Physiotherapy versus Early Surgical Intervention in Patients with Lumbar Disk Herniation: Short-term Outcomes of Clinical Randomized Trial |
| title_sort | prolonged physiotherapy versus early surgical intervention in patients with lumbar disk herniation short term outcomes of clinical randomized trial |
| topic | Disk herniation Physiotherapy Discectomy Disability |
| url | http://www.asianspinejournal.org/upload/pdf/asj-11-531.pdf |
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