Comprehensive rehabilitation is superior to surgical intervention for many patients with recurrent lumbar disc herniation
10.3760/cma.j.issn.0254-1424.2017.07.010
- VernacularTitle:综合康复干预与手术治疗反复发作腰椎间盘突出症患者的疗效对比观察
- Author:
Chaoqun YE
;
Chongwei WANG
;
Guangmin ZHAO
;
Zhi LIU
;
Fang LI
;
Tiansheng SUN
- Keywords:
Lumbar discs;
Herniation;
Rehabilitation;
Surgery
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(7):524-528
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness of comprehensive rehabilitation therapy with that of surgical intervention for patients with recurrent lumbar disc herniation (LDH).Methods A total of 124 LDH patients were recruited antd randomly divided into an experimental group and a control group,each of 62.The experimental group was given comprehensive rehabilitation consisting of medicine,physical therapy,and spinal stabilization exercises,while the control group received lumbar spine surgery.The patients' back and leg pain scores and their Oswestry Disability Index (ODI) scores were compared at admission and discharge,as well as 3 and 12 months after discharge.Anxiety and depression were also assessed at admission and 3 months after discharge.Results At discharge and 3 and 12 months later the average back and leg pain scores and ODI ratings were significantly lower than that at admisshin for both groups.There were no significant inter-group differences.In terms of anxiety and depression,however,these had decreased signifieantly in both groups,but the experimental group's average rating was significantly better at diseharge.Conclusions Comprehensive rehabilitation is superior to surgical intervention in relieving the depression of patients with recurrent LDH.Comprehensive rehabilitation should be considered as the first ehoiee for patients with rccurrent LDH,and only supplemented by surgical intervention if it is not effective.
