scholarly journals Comparative effectiveness of surgical and Non-surgical management for patients with single level lumbar disc herniation in terms of symptom severity and quality of life

2021 ◽  
Vol 18 (1) ◽  
pp. 28-32
Author(s):  
Shashank Sangoli
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Low Back ◽  
Sf 36 ◽  
Group A ◽  
Group B

Aim: Sciatica is one of the most severe form of low back pain, with a lifetime prevalence of approximately 30 percent. To assess the short-term and long-term efficacy of surgical and conservative care in the incidence of sciatic symptoms and quality of life in standard clinical settings in patients with lumbar disc herniation. Material and method: It is a retrospective study conducted at Medical Trust Hospital, Kochi who underwent micro lumbar discectomy for single level lumbar disc herniation, and of those with the same diagnosis but who refused surgery or were still waiting for the surgery to be scheduled. The patients were divided into two groups as Group A- treated surgically and Group B – awaiting for surgery and managed non-surgically. Cases between 20-60 years of age, male or female, with low back pain and lower limb radiculopathy, positive signs of root tension (SLRT between 30-70 degrees or severe femoral root stress), associated neurological dysfunction (with respect to corresponding abnormal reflexes, reduced sensation in dermatomal distribution or weakness in myotomal distribution) and multiple disc herniation cases if only one of the level was symptomatic, were included. The study excluded patients with scoliosis of more than 15 degrees, segmental instability, spondylolisthesis, spine or tumor infection, psychiatric disease, refusal of patients and age < 20 and > 60 years.  All patients recruited had to fill the consent and a clinical evaluation by means of established questionnaires which included the Short Form 36 (SF36), 16 the Oswestry Disability Index (ODI), 17 and the visual analog scale for pain (VAS). Then were grouped into: Group A, for those who had already undergone surgical treatment and Group B, those awaiting surgery. Results:Total 60 patients fulfilling the inclusion criteria were included in present study. Mean age of the patients in Group A was 36.7 ± 5.8 and in Group B was 37.01 ± 5.56 years. Male preponderance was observed in our study with male to female ratio of 1.7:1. At the time of admission, patients in both the groups suffered similar scale of pain and agony. The VAS and ODI did not show significant difference in the pain and disability in both group of patients. During follow-up of 6month and 2 years, surgically treated patients showed a significant improvement in the scores of VAS and ODI. Also the SF-36 also showed a similar results and was better in patients treated by surgery contrary with conservative treatment. Conclusion:the study concluded with positive benefits from surgery with a reduction in pain reported in the lower limbs (VAS leg with p<0.05) and improved function (Oswestry with p<0.05); however, it did not show any much significant change in quality of life according to the SF-36 scale.  

scholarly journals Clinical Effect of Transforaminal Endoscopic Surgery in the Treatment of Lumbar Disc Herniation

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Tianhui Liu ◽  
Jianmin Cui
Keyword(s):  
Quality Of Life ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Endoscopic Surgery ◽  
Lumbar Disc ◽  
Curative Effect ◽  
Group A ◽  
Group B ◽  
Transforaminal Endoscopic Surgery

Objective: Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation. Methods: From October 2018 to October 2020, 36 patients with lumbar disc herniation were randomly divided into group A and group B. the curative effect, pain, lumbar function and quality of life were analyzed. Results: The curative effect of group A was 94.44%, better than that of group B 61.11%, P< 0.05; The visual analogue scale (VAS) of group A was lower than that of group B on 3D, 5D and 7d after operation (P< 0.05); The KSS of group A was higher than that of group B (P< 0.05); The score of quality of life in group A was better than that in group B (P< 0.05). Conclusion: Lumbar disc herniation patients underwent transforaminal endoscopic surgery, the effect is good, can improve lumbar function, relieve pain, improve the quality of life of patients.

P33. The impact of residual low back pain on quality of life after surgical treatments for lumbar disc herniation

2004 ◽  
Vol 4 (5) ◽  
pp. S93-S94
Author(s):  
Etsuro Yorimitsu ◽  
Kazuhiro Chiba ◽  
Morio Matsumoto ◽  
Yoshiaki Toyama
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Low Back ◽  
Surgical Treatments ◽  
The Impact

Effect of Comprehensive Rehabilitation Care on the Rehabilitation of Patients with Lumbar Disc Herniation Surgery

2021 ◽  
Vol 7 (5) ◽  
pp. 3093-3103
Author(s):  
Yuhong Li ◽  
zumei Gao
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Low Back ◽  
Rehabilitation Care ◽  
Comprehensive Rehabilitation

The clinical symptoms of lumbar disc herniation, one of the most common low back pain diseases, are a series of manifestations of low back pain, sciatica, and cauda equina compression, and the recurrence rate after treatment is high, which seriously affects work and life. Surgery is a serious physiological stress in patients with degenerative changes in the lumbar spine and symptoms of nerve damage. If the corresponding nursing work cannot be performed effectively and timely after the operation, it may affect the recovery of postoperative function, cause complications, and cause motor dysfunction. It may also be accompanied by psychological problems such as depression, which seriously affect the quality of life of the patient. In addition, training can enhance the strength of the back muscles, thereby making up for the destruction of the surgery, helping to consolidate and improve the treatment effect. However, clinicians often overlook postoperative functional recovery. Therefore, this paper studies the effect of comprehensive rehabilitation nursing on the rehabilitation of patients with lumbar disc herniation, and discusses the comprehensive rehabilitation nursing intervention measures for patients with lumbar disc herniation. Thereby promoting patients to receive comprehensive rehabilitation care increase health behaviors and improve the quality of life. The proposed method is very effective in the rehabilitation of patients with lumbar disc herniation.

scholarly journals Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

10.14444/4028 ◽  
2017 ◽  
Vol 11 (4) ◽  
pp. 28 ◽  
Author(s):  
Stylianos Kapetanakis ◽  
Grigorios Gkasdaris ◽  
Tryfon Thomaidis ◽  
Georgios Charitoudis ◽  
Konstantinos Kazakos
Keyword(s):  
Quality Of Life ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Men And Women ◽  
Endoscopic Discectomy

scholarly journals Rasterstereographic Analysis of Lateral Shift in Patients with Lumbar Disc Herniation: A Case Control Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Britta K. Krautwurst ◽  
Jürgen R. Paletta ◽  
Sylvia Mendoza ◽  
Adrian Skwara ◽  
Melvin Mohokum
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Pelvic Tilt ◽  
Lumbar Disc ◽  
Lateral Shift ◽  
Healthy Controls ◽  
Low Back

Objective. Detection of a lateral shift (LS) in patients with diagnosed disc herniation compared to healthy controls. Summary of Background Data. A specific lateral shift (LS) pattern is observed in patients with disc herniation and low back pain, as shown in earlier studies. Methods. Rasterstereography (RS) was used to investigate the LS. Thirty-nine patients with lumbar disc herniation diagnosed by radiological assessment and low back pain and/or leg pain (mean age 48.2 years, mean BMI 28.5, 28 males and 11 females) and 36 healthy controls (mean age 47.4 years, mean BMI 25.7, 25 males and 11 females) were analysed. LS, pelvic tilt, pelvic inclination, lordotic angle, and trunk torsion were assessed. Results. The patient group showed a nonsignificant increase in LS, that is, 5.6 mm compared to the healthy controls with 5.0 mm (p = 0.693). However, significant differences were found between groups regarding pelvic tilt in degrees (patients 5.9°, healthy controls 2.0°; p = 0.016), trunk torsion (patients 7.5°, controls 4.5°; p = 0.017), and lordotic angle (patients 27.5°, healthy controls 32.7°; p = 0.022). The correlation between pain intensity and the FFbH-R amounted 0.804 (p = < 0.01), and that between pain intensity and the pain disability index was 0.785 (p < 0.01). Discussion. Although some studies have illustrated LS with disc herniation and low back pain, the present findings demonstrate no significant increase in LS in the patient group compared to healthy controls. Conclusion. The patients with lumbar disc herniation did not demonstrate an increased LS compared to healthy controls. Other parameters like pelvic tilt and inclination seemed to be more suitable to identify changes in posture measured by RS in patients with low back pain or disc herniation.

scholarly journals Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing

2010 ◽  
Vol 20 (3) ◽  
pp. 491-499 ◽  
Author(s):  
Yun Peng Huang ◽  
Sjoerd M. Bruijn ◽  
Jian Hua Lin ◽  
Onno G. Meijer ◽  
Wen Hua Wu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Low Back ◽  
Arm Swing ◽  
Pain Patients

scholarly journals Quality of life, clinical outcomes and safety of early prophylactic levothyroxine administration in patients with Graves' hyperthyroidism undergoing radioiodine therapy: a randomized controlled study

2016 ◽  
Vol 174 (4) ◽  
pp. 491-502 ◽  
Author(s):  
David Taïeb ◽  
Claire Bournaud ◽  
Marie-Claude Eberle ◽  
Bogdan Catargi ◽  
Claire Schvartz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Endpoint ◽  
Radioiodine Therapy ◽  
Controlled Study ◽  
Thyroid Function Tests ◽  
Randomized Controlled ◽  
Sf 36 ◽  
Group A ◽  
Group B

ObjectiveWhile radioiodine therapy is commonly used for treating Graves' disease, a prolonged and clinical hypothyroidism may result in disabling symptoms leading to deterioration of quality of life (QoL) of patients. Introducing levothyroxine (LT4) treatment in the early post-therapeutic period may be an interesting approach to limit this phenomenon.MethodsA multicenter, prospective, open-label randomized controlled trial enrolled 94 patients with Graves' hyperthyroidism randomly assigned to the experimental group (n=46) (group A: early prophylactic LT4treatment) or the control group (n=48) (group B: standard follow-up). The primary endpoint was the 6-month QoL. The secondary endpoints were other QoL scores such as Graves' ophthalmopathy (GO) outcomes, thyroid function tests and safety.ResultsThe primary endpoint at 6 months was achieved: the mental composite score (MCS) of Short Form 36 (SF-36) was significantly higher in group A compared to group B (P=0.009). Four other dimension scores of the SF-36 and four dimension scores of the thyroid-specific patient-reported outcome (ThyPRO) significantly differed between the two groups, indicating better QoL in group A. After adjustment for variables, the early LT4administration strategy was found as an independent factor for only two scores of SF-36: the MCS and the general health (GH) score. There were no differences in GO, final thyroid status and changes in the anti-TSH receptor antibodies (TRAbs) levels between the two groups. No adverse cardiovascular event was reported.ConclusionEarly LT4administration post-radioactive iodine (RAI) could represent a safe potential benefit for patients with regard to QoL. The optimal strategy taking into account administered RAI activities and LT4treatment dosage and timing remains to be determined.

scholarly journals Health-related quality-of-life assessment in patients with low back pain using SF-36 questionnaire

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 607 ◽  
Author(s):  
Kotryna Vereščiagina ◽  
Kazys Ambrozaitis ◽  
Bronius Špakauskas
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Short Form ◽  
Bodily Pain ◽  
Low Back ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Objective. For complete assessment of benefits of the surgical intervention, it is essential to provide evidence of the impact on patients in terms of health status and healthrelated quality of life. In the present study, the preoperative 36-item Short Form (SF-36) Health Survey scores were determined in patients before lumbar microdiscectomy due to better preoperative screening likewise in the control group – almost healthy population taken into account any habitual ailments experienced in an appropriate age. Patients and methods. In the present study, we investigated a cohort of 100 patients with disc herniation causing low back pain and another hundred of the control subjects, matched by age and gender. The short form 36 general health questionnaire (SF-36) was applied. Results. Estimation of the SF-36 scores showed that (1) all of the domain values were considerably lower in the preoperative patient group than in the second one (P<0.01); (2) the bodily pain scores were closely correlated to the social function scores (R=0.7, P<0.01), whereas the physical function was less related to the bodily pain (R=0.6, P<0.01). The weakest correlation was observed between bodily pain and mental health and general health (R=0.4, P<0.01). Conclusion. The present study showed that the generic instrument, SF-36 Health Survey, was optimized paraclinical method for patients predisposed to surgical treatment of the lumbar disc herniation disease likewise for normal population individuals, matched by age and sex, in the assessment of health-related quality of life.

scholarly journals Psychometric evaluation of a brazilian portuguese version of the spitzer quality of life index in patients with low back pain

2008 ◽  
Vol 16 (6) ◽  
pp. 943-950 ◽  
Author(s):  
Rafaela Cunha Matheus Rodrigues Toledo ◽  
Neusa Maria Costa Alexandre ◽  
Roberta Cunha Matheus Rodrigues
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Correlation Coefficient ◽  
Low Back ◽  
Life Index ◽  
Sf 36 ◽  
Quality Of Life Index ◽  
Test Retest Reliability

The purpose of this study was to adapt the Spitzer Quality of Life Index and evaluate its reliability in patients with low back pain. The following steps were followed: translation, back-translation, evaluation by a committee, and pretest. The reliability was estimated through stability and homogeneity assessment. The validity was tested comparing scores of the Spitzer (QLI) with the SF-36 and the Roland-Morris. The psychometric properties were evaluated by the self-application on 120 patients. Results showed that the Cronbach's Alpha was 0.77. Intraclass correlation coefficient for test-retest reliability was 0.960 (p<0.001; IC95%: 0.943; 0.972). Spearman´s correlation coefficient for test-retest reliability was 0.937 (p<0.001). There was significant correlation between the Spitzer (QLI) scores and the dimensions of the SF-36. A significant negative correlation was found between the Spitzer (QLI) and the Roland-Morris scores (r = - 0.730). The adaptation process was conducted successfully and the questionnaire presented reliable psychometric measures.

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