Comparison of daily living return efficiency of patients with pressure biofeedback and normal exercise program after lumbar disc herniation surgery

Author(s):  
Şenay Kaçar ◽  
Kerem Alptekin ◽  
Şebnem N. Atilla Alkan ◽  
Jülide Öncü
2019 ◽  
Vol 12 (23) ◽  
pp. 26-31
Author(s):  
Mihaela Varga ◽  
Ana Maria Vutan

AbstractIntroduction: More and more young people with low back pain address family doctors or orthopaedists, being subsequently directed to the medical rehabilitation centres. Recent studies have shown that the medication only, prescribed in these cases, is not sufficient for the complete reintegration of these people into the workplace and into society. Physical exercises play an important role in the rehabilitation of these subjects.Aim: We conducted this study starting from the hypothesis that regular exercise can reduce pain and improve the well-being of patients diagnosed with lumbar disc herniation.Methods: The study was conducted at the “Politehnica” University of Timisoara within the Department of Physical Education and Sports, between September and November 2019. Ten subjects diagnosed (both clinically and by imaging) with lumbar disc herniation were included in the study. All patients followed an exercise program 3 times a week, for 90 days. As evaluation methods we used: the subjective pain evaluation scale (VAS scale) and the health assessment questionnaire (HAQ).Results: All the parameters followed in this study were improved following the application of the physical exercise program (muscle stretching, toning of the back and abdomen muscles, and as a result of the correct implementation of the notions of ergonomics at work and at home). In conclusion, we consider it is necessary to implement a protocol of exercises performed regularly for a long period in the case of patients with lumbar pain secondary to disc herniation.


2019 ◽  
Vol 12 (2) ◽  
pp. 139-146
Author(s):  
Mladen E. Ovcharov ◽  
Iliya V. Valkov ◽  
Milan N. Mladenovski ◽  
Nikolay V. Vasilev

Summary Lumbar disc herniation (LDH) is the most common pathology in young people, as well as people of active age. Despite sophisticated and new minimally invasive surgical techniques and approaches, reoperations for recurrent lumbar disc herniation (rLDH) could not be avoided. LDH recurrence rates, reported in different studies, range from 5 to 25%. The purpose of this study was to estimate the recurrence rates of LDH after standard discectomy (SD) and microdiscectomy (MD), and compare them to those reported in the literature. Retrospectively, operative reports for the period 2012-2017 were reviewed on LDH surgeries performed at the Neurosurgery Clinic of Dr Georgi Stranski University Hospital in Pleven. Five hundred eighty-nine single-level lumbar discectomies were performed by one neurosurgeon. The diagnoses of recurrent disc herniation were based on the development of new symptoms and magnetic resonance/computed tomography (MRI/CT) images showing compatible lesions in the same lumbar level as the primary lumbar discectomies. The recurrence rate was determined by using chi-square tests and directional measures. SD was the most common procedure (498 patients) followed by MD (91 patients). The cumulative reoperation rate for rLDH was 7.5%. From a total number of reoperations, 26 were males (59.1%) and 18 were females (40.9%). Reoperation rates were 7.6% and 6.6% after SD and MD respectively. The recurrence rate was not significantly higher for SD. Our recurrence rate was 7.5%, which makes it comparable with the rates of 5-25% reported in the literature.


2018 ◽  
Vol 8 (5) ◽  
pp. 14-19
Author(s):  
Tri Truong Van ◽  
Tri Tran Duc Duy ◽  
Khai Vo Le Quang

Introduction: Surgical wound infection in developing coutries is about 3%. Antibiotics prophylaxis may help to reduce the surgical site infection. The objective of this study was to evaluate the efficacy of antibiotics prophylaxis in patients with lumbar disc herniation who were treated with lumbar discectomy at Hue University hospital. Materials and Methods: A prospective study was conducted at Hue University hospital from March 2015 to May 2018 on 54 patients with lumbar disc herniation who were used antibiotics prophylaxis when undergoing discectomy. Results: The infection rate in our study was 0%. Antibiotics prophylaxis reduced the length of hospitalization as well as the medical cost. Conclusion: Antibiotics prophylaxis was effective in preventing surgical site infection despite the fact that the condition of operating rooms did not meet the standard rules. Key words: prophylaxis antibiotics, lumbar disc herniation


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