Effect of Physiotherapy on Back Pain and Function after the L4/L5 Disc Hernia Surgery

Abstract

Research background. A popular physiotherapy mean is spine stability exercises, but still not so many studies have been carried out about the benefts of this technique in patients after L4/L5 spinal hernia surgery during the acute period. The aim was to assess the effectiveness of spine stabilizing exercises in patients after spinal L4/L5 intervertebral disc hernia surgery for back pain and functional status. Methods. The motion of fear evaluation, using physical therapy questionnaire (TAMPA), functional disability evaluation, using Oswestry functional disability index questionnaire, pain assessment using a symptom assessment scale (SAS), lumbar spine motility measurement, using Sober test, static endurance measurement of the waist muscles. Results. After physical therapy program back pain and functional disability decreased, back and abdominal muscle endurance and lumbar spine mobility increased. Conclusions. The patients after spinal L4/L5 intervertebral disc hernia surgery low back pain decreased and functional disability increased after applied to the spine stabilization exercises.

Keywords: intervertebral disc hernia, low back pain, spine stabilizing exercises.