Efficacy of rehabilitation in patients with segmental discopathy lumbar-sacral spine
Languages of publication
Discopathy of the lumbosacral spine are all pathological changes within the intervertebral disc, causing characteristic clinical symptoms, which mainly include pain in the lower part of the spine, often radiating to the lower limbs but also tingling, numbness and limitation of movements of torso. Treatment of patients with discopathy is usually conservative. Physiotherapy, kinesitherapy and therapeutic massage treatments are used to reduce pain. Subjective evaluation of the effectiveness of the physiotherapeutic procedures used in the group of patients with pain in the lumbosacral spine. The study included 140 people diagnosed with discopathy, attending rehabilitation procedures in Tarnów physiotherapy offices. The research method was a questionnaire of own design supplemented with the VAS scale to assess pain before and after rehabilitation. The data was subjected to statistical analysis. Among the treatments used in the examined group of patients dominated spine and abdominal muscle exercises, therapeutic massage, TENS currents and manual therapy. The average intensity of pain before rehabilitation was = 7.21 points. ± 1.54 points, while after the rehabilitation it was equal to = 3.44 points. ± 1.97 points (p <0.001). Outpatient physiotherapy reduced pain in people suffering from discopathy of the lumbosacral spine. Comprehensive use of TENS currents, spine and abdominal muscle exercises, therapeutic massage and manual therapy does not affect the total elimination of pain in the lumbosacral spine, it only allows for their significant reduction. Physiotherapeutic therapy applied in patients with lumbosacral spine discopathy significantly improved their quality of life.
- Department of Physiotherapy, Faculty of Medicine, University of Information Technology and Management in Rzeszow, 2 Sucharskiego Str., 35-225 Rzeszów, Poland
- Student Scientific Circle „RehSCIENCE”, Department of Physiotherapy, Faculty of Medicine, University of Information Technology and Management, 2 Sucharskiego Str., 35-225 Rzeszów, Poland
- Department of Human Anatomy, Chair of Human Anatomy, Medical University of Lublin, 1 Racławickie Str., 20-059 Lublin, Poland
-  Murray CJ, Lopez AD. Measuring the global burden of disease. N Engl J Med. 2013; 369: 448–57
-  Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000 Jun; 13(3):205-17.
-  Kanna RM, Shetty AP, Rajasekaran S. Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients. Spine J. 2014;14:300–307. doi: 10.1016/j.spinee.2013.10.042
-  Salminen J, Erkintalo M, Laine M, Pentti J. Low back pain in the young. A prospective three-year follow-up study of subjects with and without low back pain. Spine 1995; 20 (19): 2101–2107.
-  Buchbinder RBF, March LM, et al. Placing the global burden of low back pain in context. Best Pract Res Clin Rheumatol. 2013; 27(5): 575-589.
-  Mounce K. Back pain. Rheumatology 2002 Jan; 41(1): 1-5.
-  Modic MT, Ross JS. Lumbar degenerative disk disease. Radiology 2007, 245(1): 43–61.
-  Lin Y, Tang G, Jiao Y, Yuan Y, Zheng Y, Chen Y, Xiao J, Li C, Chen Z, Cao P. Propionibacterium acnes Induces Intervertebral Disc Degeneration by Promoting iNOS/NO and COX-2/PGE2 Activation via the ROS-Dependent NF-κB Pathway. Oxid Med Cell Longev. 2018 Aug 19; 2018: 3692752. doi: 10.1155/2018/3692752.
-  Ma T, Guo CJ, Zhao X, Wu L, Sun SX, Jin QH. The effect of curcumin on NF-κB expression in rat with lumbar intervertebral disc degeneration. Eur Rev Med Pharmacol Sci. 2015;19:1305–1314.
-  Wang Z, Li Y, Wang Y, Wang X, Zhang J, Tian J. Association between GDF5 single nucleotide polymorphism rs143383 and lumbar disc degeneration. Exp Ther Med. 2018 Sep; 16(3): 1900-1904. doi: 10.3892/etm.2018.6382.
-  Min-hee K, Won-gyu Y. Comparison of the Hamstring Muscle Activity and Flexion-Relaxation Ratio between Asymptomatic Persons and Computer Work-related Low Back Pain Sufferers. J Phys Ther Sci 2013; 25(5): 535–536.
-  Drezner JA, Stanley AH. Managing low-back pain. Phys Sportsmed 2001; 29(8): 37−43.
-  Elder BD, Witham TF. Low back pain and spondylosis. Semin Neurol. 2016; 36: 456–461.
-  Allegri M, Montella S, Salici F, et al. Mechanisms of low back pain: A guide for diagnosis and therapy. F1000 Research 2016 (5) doi:10. 12688/f1000research.8105
-  Hoozemans MJM, Koppes LLJ, Twisk JWR, van Dieën JH. Lumbar bone mass predicts low back pain in males. Spine 2012; 37: 1579 –1585.
-  Golob AL, Wipf JE. Low back pain. Med Clin North Am. 2014; 98: 405– 428.
-  Deyo RA, Mirza SK. Clinical Practice. Herniated lumbar intervertebral disk. N Engl J Med. 2016; 374(18): 1763–72.
-  Furlan AD, Pennick V, Bombardier C, van Tulder M. Editorial Board, Cochrane Back Review Group. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine 2009; 34:1929 –1941.
-  Furlan AD, Yazdi F, Tsertsvadze A, et al. A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain. Evid-Based Complement Altern Med ECAM. 2012; 953139. doi: 10.1155/2012/953139
-  Chou R, Huffman LH. American Pain Society, American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 2007; 147: 492–504.
-  Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ 2006; 332: 1430–1434
-  Angel S. Movement perceived as chores or a source of joy: a phenomenological-hermeneutic study of physical activity and health. Int J Qual Stud Health Well-being. 2018 Dec; 13(1): 1516088. doi: 10.1080/17482631.2018.1516088
-  Green BN, Johnson CD, Haldeman S, Kane EJ, Clay MB, Griffith EA, Castellote JM, Smuck M, Rajasekaran S, Hurwitz EL, Nordin M, Randhawa K, Yu H. The Global Spine Care Initiative: public health and prevention interventions for common spine disorders in low- and middle-income communities. Eur Spine J. 2018 Aug 11. doi: 10.1007/s00586-018-5635-8.
-  Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ 2008; 337: a171.
-  Carey TS, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker DR, et al. The outcomes and costs of care for acute low-back-pain among patients seen by primary-care practitioners, chiropractors, and orthopedic surgeons. N Engl J Med 1995; 333: 913-917.
-  Schiottz-Christensen B, Nielsen GL, Hansen VK, Schodt T, Sorensen HT, Olesen F. Long-term prognosis of acute low back pain in patients seen in general practice: a 1-year prospective follow-up study. Fam Pract 1999; 16: 223-32.
-  Costa Lda C, Maher CG, McAuley JH, Hancock MJ, Herbert RD, Refshauge KM, Henschke N. Prognosis for patients with chronic low back pain: inception cohort study. BMJ. 2009; Oct 6; 339: b3829. doi: 10.1136/bmj.b3829
-  Topolska M, Sapuła R, Topolski A, Marczewski K. Evaluation of the effectiveness of short-term rehabilitation of women with chronic low back pain using the Oswestry and Roland-Morris Disability Scales. Ortop Traumatol Rehabil. 2011; Jul-Aug; 13(4): 353-60.
-  Kaapa EH, Frantsi K, Sarna SA, Malmivaar A. Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial. Spine 2006; 31: 371-376.
-  Chatzitheodorou D, Kabitsis C, Malliou P, et al. A pilot study of effects of hig intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain. Phys Ther, 2007; 87: 304-312
-  Natour J, Cazotti Lde A, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015 Jan; 29(1): 59-68. doi: 10.1177/0269215514538981. Epub 2014 Jun 25.
-  Ben Salah Frih Z, Fendri Y, Jellad A, Boudoukhane S, Rejeb N. Efficacy and treatment compliance of a home-based rehabilitation programme for chronic low back pain: a randomized, controlled study. Ann Phys Rehabil Med. 2009 Jul; 52(6): 485-96. doi: 10.1016/j.rehab.2009.04.002
-  Lim E, Lim R, Suhaimi A, Chan BT, Wahab AKA. Treatment of chronic back pain using indirect vibroacoustic therapy: A pilot study. J Back Musculoskelet Rehabil. 2018 Aug 17. doi: 10.3233/BMR-171042
-  Sertpoyraz F, Eyigor S, Karapolat H, Capaci K, Kirazli Y. Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study. Clin Rehabil. 2009 Mar; 23(3): 238-47. doi: 10.1177/0269215508099862
-  Majchrzycki M, Kocur P, Kotwicki T. Deep tissue massage and nonsteroidal anti-inflammatory drugs for low back pain: a prospective randomized trial. Scientific World Journal. 2014 Feb 23; 2014: 287597. doi: 10.1155/2014/287597.
-  Krukowska J, Dudkiewicz I, Balcerzak E, Linek P, Kulma D, Miller E. Evaluate the efficacy of combination therapy of ultrasound and currents of TENS professionally active in patients with pain of the lumbar spine. Wiad Lek. 2014; 67(4): 453-9.
-  Taradaj J, Ozon M, Dymarek R, Bolach B, Walewicz K, Rosińczuk J. Impact of selected magnetic fields on the therapeutic effect in patients with lumbar discopathy: A prospective, randomized, single-blinded, and placebo-controlled clinical trial. Adv Clin Exp Med. 2018; 27(5): 649–666
Publication order reference