Article Sidebar

Submitted
May 31, 2023
Accepted
May 31, 2023
Published
May 31, 2023
Download
PDF
Statistic
Read Counter : 904 Download : 769

Main Article Content

Abstract

   The five lumber vertebrae are a part of vertebral column and illustrated from vertebrae in further sections by their large size. Lumbar disc prolapses ('slipped disc') accounts for less than 5% of all low back problems, but is the most common cause of nerve root pain ('sciatica'). Ninety percent of acute attacks of sciatica settle with conservative management. Quasi experimental pretest posttest design study conducted among 100 patients with sciatic pain and low back pain during the period of 13 December 2021 to 1 September 2022 to evaluate the effectiveness of physiotherapy on reducing numbness and paresthesia of lower limb among patients with lumber disc prolapse at Rania District. The data of the study, collected by utilized constructed questionnaire form, which composed of the two parts; first part included questions about the sociodemographic characteristics of the study sample, while second part consist of presenting (back pain and sciatic pain before starting physiotherapy and the percentage of remaining these complains after finishing sessions of physiotherapy). The data of the study collected in Rania city among 100 patients by using constructed questionnaire, interview technique (face to face method) with the study sample. Data were analyzed by using SPSS V21 software program to produce descriptive analysis such as (percentage and frequency). For the current study data were collected from 100 patients that suffered from Lumber 4 and Lumber 5 disc prolapse, age of the majority of patients between 50 to 69 years old. And female more than male, most of them were obese, and presenting chronic back pain. Only a few number of the study sample had history of laminectomy. Most of the study sample were free from back pain, while all of the samples had sciatic pain before physiotherapy, and after physiotherapy the range of back pain decreased and regarding sciatic pain dramatically reduced among the majority of participants.

Keywords

Disc prolapse Physiotherapy Sciatic pain Lumber disc prolapse

Article Details

References

  1. A. Jamaly, H. Mohsenifar, and A. Amiri, "The effects of dry needling in combination with physical therapy on improvement of pain and hip internal rotation range in patients with piriformis syndrome," Journal of Clinical Physiotherapy Research, vol. 3, pp. 118-122, 2018.
  3. Anciaux M, Lenaert A, Van Beneden ML, Blonde W, Vercauteren M, 1991. "Transcutaneous electrical stimulation (TCES) for the treatment of adolescent idiopathic scoliosis: preliminary results". Acta Orthop Belg. 57(4), 399–405.
  4. Anciaux M, Lenaert A, Van Beneden ML, Blonde W, Vercauteren M, 1991. "Transcutaneous electrical stimulation (TCES) for the treatment of adolescent idiopathic scoliosis: preliminary results". Acta Orthop Belg. 57(4), 399–405.
  5. C. Campbell and S. J. Muncer, "The causes of low back pain: a network analysis," Social Science & Medicine, vol. 60, pp. 409-419, 2005/01/01/ 2005.
  6. C. Sutheerayongprasert, S. Paiboonsirijit, V. Kuansongtham, S. Anuraklekha, N. Hiranyasthiti, and S. Neti, "Factors predicting failure of conservative treatment in lumbar-disc herniation," J Med Assoc Thai, vol. 95, pp. 674-80, May 2012.
  7. H. Oh, S. Choi, S. Lee, J. Choi, and K. Lee, "The impact of manual spinal traction therapy on the pain and Oswestry disability index of patients with chronic back pain," J Phys Ther Sci, vol. 30, pp. 1455-1457, Dec 2018.
  8. H. Osterman, S. Seitsalo, J. Karppinen, and A. Malmivaara, "Effectiveness of microdiscectomy for lumbar disc herniation: a randomized controlled trial with 2 years of follow-up," Spine (Phila Pa 1976), vol. 31, pp. 2409-14, Oct 1 2006.
  9. H. Schmidt, A. Kettler, A. Rohlmann, L. Claes, and H.-J. Wilke, "The risk of disc prolapses with complex loading in different degrees of disc degeneration–a finite element analysis," Clinical biomechanics, vol. 22, pp. 988-998, 2007.
  10. Hides, J., Stanton, W., McMahon, S., Sims, K., & Richardson, C. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of orthopedic & sports physical therapy, 38(3), 101-108.
  12. Hides, J., Stanton, W., McMahon, S., Sims, K., & Richardson, C. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of orthopedic & sports physical therapy, 38(3), 101-108.
  13. J. A. Gibson, I. C. Grant, and G. Waddell, "Surgery for lumbar disc prolapse," Cochrane Database of Systematic Reviews, 2000.
  14. J. A. Rihn, M. Kurd, A. S. Hilibrand, J. Lurie, W. Zhao, T. Albert, et al., "The influence of obesity on the outcome of treatment of lumbar disc herniation: analysis of the Spine Patient Outcomes Research Trial (SPORT)," The Journal of bone and joint surgery. American volume, vol. 95, p. 1, 2013.
  15. J. N. Weinstein, T. D. Tosteson, J. D. Lurie, A. N. Tosteson, B. Hanscom, J. S. Skinner, et al., "Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial," Jama, vol. 296, pp. 2441-2450, 2007.
  16. K. Luoma, H. Riihimäki, R. Luukkonen, R. Raininko, E. Viikari-Juntura, and A. Lamminen, "Low back pain in relation to lumbar disc degeneration," Spine, vol. 25, pp. 487-492, 2000.
  17. L. C. Li and C. Bombardier, "Physical therapy management of low back pain: an exploratory survey of therapist approaches," Physical therapy, vol. 81, pp. 1018-1028, 2001.
  18. L. Yue, M.-s. Sun, H. Chen, G.-z. Mu, and H.-l. Sun, "Extracorporeal shockwave therapy for treating chronic low back pain: a systematic review and meta-analysis of randomized controlled trials," BioMed research international, vol. 2021, 2021.
  19. M. Farrell, Smeltzer & Bares Textbook of Medical-surgical Nursing vol. 3: Lippincott Williams & Wilkins Pty, Limited, 2016.
  20. M. M. Harding, J. Kwong, D. Roberts, D. Hagler, and C. Reinisch, Lewis's Medical-Surgical Nursing 11 ed.: Elsevier Health Sciences, 2020.
  21. M. S. Thiese, M. Hughes, and J. Biggs, "Electrical stimulation for chronic non-specific low back pain in a working-age population: a 12-week double blinded randomized controlled trial," BMC Musculoskelet Disord, vol. 14, p. 117, Mar 28 2013.
  22. R. Drake, A. W. Vogl, and A. W. Mitchell, Gray's Anatomy for Students: Elsevier Health Sciences, 2019.
  23. S. H. Ralston, I. D. Penman, M. W. J. Strachan, and R. Hobson, Davidson's Principles and Practice of Medicine: Elsevier Health Sciences, 2018.
  24. Weinstein SL, Dolan LA, Cheng JCY, Danielsson A, Morcuende JA, 2008. "Adolescent idiopathic scoliosis". Lancet Lond Engl. 371(9623), 1527–37
  25. Weinstein SL, Dolan LA, Cheng JCY, Danielsson A, Morcuende JA, 2008. "Adolescent idiopathic scoliosis". Lancet Lond Engl. 371(9623), 1527–37

Similar Articles

You may also start an advanced similarity search for this article.