Rehabilitation therapy versus drug therapy in patients with lumbar disc degeneration

Authors: Broscatean EF (1) , Dogaru G (1,2)
(1) “Iuliu Hațieganu” University of Medicine and Pharmacy Cluj-Napoca (2) Clinical Rehabilitation Hospital Cluj-Napoca
Source: Balneo Research Journal 4(4):140-143
DOI: 10.12680/balneo.2013.1053 Publication date: Not specified E-Publication date: 2013 Dec Availability: full text Copyright: Not specified
Language: English Countries: Romania Location: Not specified Correspondence address: Not specified


Article abstract

Lumbar disc degeneration is a disorder whose clinical manifestations are represented by episodic pain in the lumbar spine, without lumbar blockage and minor muscle contraction. Because lumbalgia caused by lumbar disc degeneration is not always very high intensity pain, the easiest to apply treatment is drug therapy. The aim of this study was to analyze the potential role of rehabilitation treatment in the recovery of patients and the prevention of complications compared to drug therapy alone. The study included 28 patients (17 women and 11 men) aged between 23-60 years, assigned to two groups: 20 patients who received rehabilitation treatment (consisting of massage, kinesiotherapy, hydrokinesiotherapy, electrotherapy and medication) and 8 patients who received drug treatment consisting of anti-inflammatory and analgesic drugs. The treatment duration was 10 days. For the evaluation of pain, the visual analogue scale was used, for the degree of disability, the Oswestry questionnaire, and for joint mobility and muscle strength, articular and muscular testing. At the end of treatment, the study group compared to the control group had a statistically significant result for pain (p=0.001), as well as for the Oswestry score (p=0.030). The mean age of the patients was 35.51±3.026, which shows an increased incidence among young adults. A possible connection between the development of the disease in women and age less than 45 years was also investigated, but the result was not statistically significant, p=0.22. Our data suggest the fact that rehabilitation treatment plays an important role in the reduction of pain and the improvement of the quality of life of patients with lumbar disc degeneration by decreasing the degree of disability. In the future, it can be proposed to monitor patients with lumbar disc degeneration over a longer time period in order to see the effects of kinetic rehabilitation programs in relation to the delay of chronicization. As studies show, genomic medicine is gaining ground and in the future we will probably witness genetic testing for lumbar disc disease and lumbosciatica, which will allow for personalized treatment.
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