Efekat nehirurške dekompresije lumbalne kičme kod pacijenata sa diskus hernijom

Abstract

Objective. Back pain caused by lumbar herniated disc has a great medical and socioeconomic significance. The question of optimal treatment of patients with a lumbar herniated disc is still controversial. The aim of this study is to examine the effect of intermittent lumbar spine traction on the functional status of these patients. Methods. A prospective study was followed by 90 patients with chronic back pain caused by lumbar discus hernias, both sexes, an average age of 48.26±11.60 years. Group A consisted of patients who performed ambulatory physical treatment without balneotherapy and intermittent lumbar traction. In group B patients had the same procedures like patients from group A, with balneotherapy but without intermittent traction, while in group C all patients had all of the above therapeutic modalities. All patients performed a ten-day rehabilitation treatment. Monitoring parameters were: VAS, Schober index and Oswestry index. Statistics analysis was done by SPSS version 19.0 by Wilcoxon-Mann-Whitney and Kruskal-Wallis test. Value of p>0.05 was considered as statistical significant. Results. There was no statistically significant difference in the indicated parameter between groups. An analysis of the parameters monitored in all three groups of patients found a statistically significant improvement over the baseline (p<0.05), but this difference between the groups did not reach statistical significance (p>0.05). Conclusion. The application of ten-day rehabilitation treatment, in the form of kinesiotherapy, electrotherapy and work therapy, is effective in patients with lumbar disc hernias. Reliable evidence of the superiority of lumbar application in relation to other applied rehabilitation interventions was not found.