T. Rybak, W. Kuliński, A. Misztela, J. Mróz, R. Koczorowski

T. Rybak, W. Kuliński, A. Misztela, J. Mróz, R. Koczorowski – Long-term follow-up results in the treatment of herniated discopathy in the lumbar spine. Fizjoterapia Polska 2002; 2(1); 40-42

Abstract
Background. The purpose of our research was to measure the impact of cessation of the recommended rehabilitation program on the clinical status of patients with herniated discs in long-term follow-up. Material and methods. We examined 36 patients diagnosed by computer tomography with herniated disk, treated conservatively at the Physical Medicine Department in 1998. Examinations were performed at one year and two years after the resolution of symptoms. The subjects were divided into 3 groups: Group I consisted of 18 patients (50%) who were still maintaining the recommended rehabilitation program at home; Group II included 9 patients undergoing periodic rehabilitation in an outpatient program; Group III was comprised of the remaining 9 patients, who had entirely abandoned the recommended program. Results. After one year 66,6% of the patients in groups I and II had moderate pain symptoms (up to 5 points on the Laitinen Scale), and 33,4% had pain symptoms periodically preventing work (6-11 points). In group III, 33,3% of the patients had >5 points, 33,3% had 6-11 points, and 33,4%had pain systems permanently preventing a return to work and independent living (>11 points).

Key words:
Outcome, Laitinen Scale, conservative treatment

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