Conservative treatment of lumbar disc disease: patient’s quality of life compared to an unexposed cohort

2007 ◽  
Vol 149 (8) ◽  
pp. 783-791 ◽  
Author(s):  
C. Schneider ◽  
N. Krayenbühl ◽  
H. Landolt
Author(s):  
Mariyana Mihaylova ◽  
◽  

The goal of this research is to examine the efficiency of a set of physical factors with the inclusion of traction therapy in treating lumbar static and dynamic pain and the opportunities to influence the quality of life of patients with lumbar disc disease (LDD).100 patients with lumber disc disease participated in the clinical study. They were equally divided into a control group (CG), which has been treated with basic therapy (LFMF and IFC) and experimental group (EG) where traction therapy was part of the treatment protocol. For evaluating the effectiveness of the treatment was used quantitative assessment for static and dynamic pain and the quality of life before and after thetreatment. Results of both treatment protocols have statistically significant effect (p<0,001) in reducing low back pain and improving the quality of life. In comparison between the two groups, EG has a statistically significant (p<0,001) advantage over the CG. The inclusion of extension therapy in basic physical therapy gives excellent results, contributes to a more significant reduction ofpain and improves the quality of life of patients.


2002 ◽  
Vol 13 (2) ◽  
pp. 1-4 ◽  
Author(s):  
Peter D. Angevine ◽  
Paul C. McCormick

Lumbar discectomy is generally performed to reduce pain or disability and thereby improve quality of life. Important surgery-related results, therefore, include the patients' perceptions of the effect of surgery on their health and ability to perform daily tasks. Spine surgeons should have an understanding of basic concepts of outcome measurement and be able to select appropriate questionnaires and incorporate them into their clinical practices and research. A brief review of the fundamental principles of outcome research is presented, and the recent lumbar discectomy literature concerning these ideas is summarized. Properly designed, conducted, and reported outcome studies of lumbar discectomy will assist the spine surgeon in selecting appropriate patients for surgery, educating them regarding expected results, and comparing this procedure with novel treatments for lumbar disc disease.


2002 ◽  
Vol 13 (2) ◽  
pp. 1-9 ◽  
Author(s):  
Daniel K. Resnick ◽  
David G. Malone ◽  
Timothy C. Ryken

Object Discography has been used as a diagnostic test in the evaluation of patients with recalcitrant low-back pain. Recently, its usefulness has been questioned because of the occurrence of false-positive results as well as the influence of psychological factors on test results. The purpose of this review is to establish the literature support for and against the use of discography. A search of the English-language literature published between 1966 and 2001 was performed. Papers were selected based on inclusion criteria described in the text, and the quality of information was graded using previously described methods. Conclusions The authors propose a set of practice parameters based on the literature. Although the data were not judged adequate for the determination of a treatment standard, parameters for the use of discography are provided at a guideline and option level.


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