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AB1400 Physiotherapy in the recovery of quality of life in patients with acute lumbar facet
  1. L.L. Vicas,
  2. F. Cioara,
  3. C. Nistor-Cseppento
  1. Reabilitation, University of Oradea, Oradea, Romania

Abstract

Background Pain in the lumbar spine is present on at least 65% of patients that addresses a rehabilitation service.

Objectives The objective of this study was to assess the recovery of back pain syndromes, pain and inflammation caused by decompensation of the lumbar spine facet joints by means of specific treatment balneofiziokinetoterapy

Methods This study was conducted on a group of 58 patients with a mean age of 48.34 years, with lumbar facet syndrome diagnosis. The treatment was performed in Baile Felix, Oradea, Romania resort. The patient lot was processed aiming at the frequency data by age and sex, the predominant type of physical activity and associated diseases. All patients were investigated by medical imaging. We evaluated the influence of pain on the daily activities using the Quebec scale. The muscle strength was evaluated by Shirado and Sorensen Biering tests and quality of life using the Nottingham scale. Recovery program was to balneo-kineto-therapy, kinesiology at the gym, electro and masotherapy, every six months and in physical therapy at home.

For quantitative comparison of mean values of the variables we used the T-student test. We calculated correlations between quantitative variables ranges of values using Pearson correlation coefficient. The statistical significance of the tests was set to 95% (p=0.05)

Results We present here the statistically significant results. The presence of lumbar facet syndrome before the age of 45 years frequently accompanies a sedentary lifestyle and ligament laxity. Over 45 years, association with obesity is more common with static spinal disorders.

Making systematic exercise programs significantly reduced back pain and therefore the number of episodes of pain relievers and NSAIDs consumption.

Pain was improved in 86.20% of cases. Joint mobility was significantly improved in 89.20% and muscle strength improved in 79.31% of cases. Quality of life improved from an average of 32 points to 9 points.

Conclusions Physical medicine therapeutic methods are effective for pain control to maintain stability and motility properties of the spine. The patient compliance for hygiene is important for joint restoration, preservation and improvement of muscle balance. Thorough clinical examination the patient has often an emphasized therapeutic relevance, even in the presence of severe outcomes imaging examination

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  2. Carragee EJ, Hannibal M (2004). Diagnostic evaluation of low back pain. Orthopedic Clinics of North America, 35(2004): 7-16

  3. Koes B, Van Tulder M (2006). Low back pain (acute), search date November 2004.

Disclosure of Interest None Declared

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