Article

OBJECTIVES: To evaluate the efficacy of the rehabilitation protocol designed by
the Physical Medicine and Rehabilitation Department on the patients with lumbar
degenerative disk disease after lumbar disk replacement surgery. Open
prospective auto-controlled trial. SETTING: Physical medicine and rehabilitation
department, neurosurgery department, and anesthesiology and pain management
department. PARTICIPANTS: Patients (N=20) with single level lumbar degenerative
disk disease were recruited for this study. INTERVENTIONS: Lumbar disk prosthesis
surgery with metal on metal lumbar disk prosthesis; preoperative, provocative,
diskography; and a postoperative rehabilitation program were used. MAIN OUTCOME
MEASURES: Change in the functional status and pain intensity in patients was
evaluated by the Oswestry Disability Index (ODI) and visual analog scale (VAS)
during rest and movement. The ODI and VAS during rest and movement were primary
outcome criteria, while return to work and duration of hospital stay were
secondary outcome criteria. The results for the various scoring systems were
statistically analyzed using the t test. RESULTS: Preoperative mean VAS scores
+/- SD at rest and movement were initially in the range of 6.00+/-2.47 and
8.65+/-1.08, respectively. The scores decreased to 1.70+/-1.12 and 2.60+/-1.72 at
3 months postsurgery, respectively (P<0.01). The scores decreased to 1.20+/-0.69
and 1.90+/-1.07 at 12 months postsurgery, respectively (P<0.01). The mean
preoperative ODI score was 73.3+/-15.5; the postoperative scores were 35.0+/-15.5
and 20.4+/-12.9 at 3 and 12 months, respectively (P<0.01). The mean duration of
hospital stay +/- SD was 3.5+/-1.6 days, and return to work was achieved after a
mean +/- SD period of 14.1+/- 4.3 days with no complications related to surgery
or the rehabilitation protocol. CONCLUSIONS: The protocol was designed for
postoperative rehabilitation program after artificial lumbar disk replacement
surgery for degenerative disk disease patients. The good outcomes are the result
of a combination of very careful and restrictive patient selection, surgical
technique, and presented rehabilitation program. These parameters provide early
pain relief and return to activities of daily living after surgery.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS