Abstract
Objective To explore the effects of straight leg raising intervention in the rehabilitation of patients after transforaminal endoscopic discectomy (TED). Methods Totally 69 patients suffering from single level lumbar intervertebral disc herniation and received the treatment of transforaminal endoscopic discectomy from January 2015 to March 2016 were selected and randomly divided into the intervention group (n=39) and the routine group (n=30). Patients in the intervention group received regularly postoperative straight leg raising intervention, while patients in the routine group received routine health education and nursing. Lumbar function score of Japanese Orthopaedic Association (JOA) and Oswestry Disability Index questionnaire (ODI) were used to assess patients′ postoperative recovery status, and we compared the waist and limb visual analog scale score (VAS) score of patients between two groups by using SPSS 21.0 software for statistical analysis. Results There was no significant difference in the waist VAS score of patients in two groups during follow-up (P>0.05); the limb VAS scores in the intervention group at 1 week and 1 month after surgery were (1.79±2.01) and (1.38±0.90), which were significantly lower than that in the routine group (t=2.173, 2.015; P 0.05). At 1 week and 1 month after surgery, the ODI scores were (21.71±2.24) and (18.31±1.99) in the intervention group, which was lower than that in the routine group (t=2.425, 2.388; P<0.05); the JOA scores in the intervention group were (22.71±2.01) and (22.30±1.85), which were higher than that in the routine group (t=2.326, 2.104; P<0.05). Conclusions The application of straight leg raising intervention after TED can improve the process of pain relief and functional rehabilitation in early nursing, which could contribute to the nursing efficacy after orthopaedic nerve root decompression. Key words: Hospital, orthopaedics; Rehabilitation; Straight leg raise; Transforaminal endoscopic; Discectomy
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