Article

PURPOSE: To report the outcomes and adverse events of people diagnosed with
lumbar disc herniation with associated radiculopathy (LDHR) who were treated with
a physiotherapy functional restoration programme. METHOD: Data on functional
outcome (Oswestry score), work status, global rating of change, and adverse
events were extracted from the files of all people with LDHR treated by three
physiotherapists using functional restoration principles from 2001 to 2009.
RESULTS: Ninety-five participants were included. The Oswestry score reduced by a
mean of 15.9 (95% CI, 11.8-20.1) points between baseline and discharge following
a mean (SD) of 8.7 (9.4) months of treatment. The proportion of participants
working full-time increased from 37% to 67% between baseline and discharge (p <
0.001). Eighty per cent of participants reported overall improvement between
baseline and discharge on the global rating of change scale (p < 0.001). Minor
adverse events were reported by eight (8%) participants, while one (1%)
participant developed adhesive capsulitis. CONCLUSION: People with LDHR who
undertook a physiotherapy functional restoration programme achieved significant
improvements in Oswestry disability scores, work status, and global rating of
change, with few adverse events reported. A randomised controlled trial is
warranted to determine the efficacy of functional restoration for people with this condition.
Sciatique - Lombalgie

Langue : ANGLAIS