Evaluation of the Back Muscle Exercise for the Lumbar Discectomy Patients (요추 추간판 탈출증 수술 후 시행하는 운동 요법의 효과 분석)

Dae Ho Ha (하대호); Dae Moo Shim (심대무); 김창수; 김태훈; 김다희; KIM TAE KYUN (김태균)

Evaluation of the Back Muscle Exercise for the Lumbar Discectomy Patients

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2013, 20(4), pp.143-148
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Dae Ho Ha ¹, Dae Moo Shim ¹, 김창수 ², 김태훈 ³, 김다희 ¹, KIM TAE KYUN ¹

¹원광대학교
²고신대학교
³고신대학교 의과대학 정형외과학교실

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To identify the implementation of self-exercise therapy and analyze the effects of exercise therapy after lumbar discectomy Materials and Methods: Studied 47 patients who underwent partial lumbar discectomy and laminectomy from January, 2009 to December, 2009. They were instructed on 16 kinds of exercise therapy in total from postoperative 1day to postoperative 6weeks. Group A (n=25), whose frequency of outpatient clinic visit is above the average, and Group B (n=22), whose frequency of visit is relatively low;,below 5 times. We tested the visual analog scale (VAS scale) of back, Oswestry disability index and the strength of the two groups before surgery and at postoperative 3, 6, and 12 months. Results: The degree of pain was significantly different (26.6±9.4 and 53.5±18.6) between group A and group B at postoperative 6months. Function of daily life and strength test were significantly different (6.6±4.8 and 11.3±4.0 at group A, 3.6±0.9 and 3.0±1.1 at group B) between the two groups at postoperative 12 months. The characteristics of low compliance patients are low accessibility to the hospital and lack of knowledge on the importance of exercise according to the degree of pain. Conclusion: These results suggested that postoperative exercise program has significant effects on the pain, the function of daily life. It also increases flexibility and strengthens the muscle of patients with high compliance of outpatient clinic visit. The factors influencing the results are the age of patients, the willingness to exercise, and the environment in which each patient lives/resides.

KEYWORDS

Lumbar discectomy, Postoperative back muscle exercise, Outpatient clinic

Citation status

* References for papers published after 2023 are currently being built.

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