Results of rehabilitation treatment of patients after lumbar disc surgery in the Rehabilitation Centre Vilina Vlas Višegrad
Authors: Bukvić Dušana M , Jevtić Milorad R 
Published: February 2014

&lt;p&gt;&lt;strong&gt;&lt;span id=&quot;page9R_mcid607&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 319.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.16849);&quot; role=&quot;presentation&quot;&gt;Introduction&lt;/span&gt;&lt;/span&gt;&lt;/strong&gt;&lt;span id=&quot;page9R_mcid608&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 214.391px; top: 319.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09362);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; Approximately 80% of people worldwide feel at least once in their lives some pain in the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid609&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 339.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11471);&quot; role=&quot;presentation&quot;&gt;lumbar spine. The lumbar spine syndrome is significant for its frequency and features to recidivate, at &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid610&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 359.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11718);&quot; role=&quot;presentation&quot;&gt;the same time giving this health problem a socio-economic significance. Herniated lumbar interverte&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid612&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 379.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11623);&quot; role=&quot;presentation&quot;&gt;bral disc can press spinal nerves and cause pain, weakness, numbness and tingling, and in this respect &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid613&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 399.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09972);&quot; role=&quot;presentation&quot;&gt;it is called sciatica. Moreover, it is one of the most common reasons for surgical intervention of lumbar &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid614&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 419.689px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10272);&quot; role=&quot;presentation&quot;&gt;segment of the spine.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid615&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 449.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.15857);&quot; role=&quot;presentation&quot;&gt;Methods&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid616&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 185.688px; top: 449.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09102);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; A prospective study encompassed 35 patients, 22 men and 13 women, with an average age of &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid617&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 469.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09583);&quot; role=&quot;presentation&quot;&gt;47 years. All patients were surgically treated for herniated lumbar disc. The first post-operative rehabil&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid619&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 489.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10044);&quot; role=&quot;presentation&quot;&gt;itation treatment was conducted with the application of balneotherapy treatment according to the same, &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid620&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 509.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12445);&quot; role=&quot;presentation&quot;&gt;earlier established, therapeutic, protocol. The data about age, sex, occupation, period from surgery to&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid621&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 529.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07756);&quot; role=&quot;presentation&quot;&gt;rehabilitation were analyzed. The assessment of posture, mobility of lumbar segment, Lazarevic&amp;rsquo;s-Laseg&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid623&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 549.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09533);&quot; role=&quot;presentation&quot;&gt;ue&amp;rsquo;s sign and muscular strength of lower limbs were noted and compared before and after rehabilitation &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid624&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 569.138px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09663);&quot; role=&quot;presentation&quot;&gt;including the pre-surgical Visual Analog Scale for Pain.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid625&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 598.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.1618);&quot; role=&quot;presentation&quot;&gt;Results&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid626&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 175.183px; top: 598.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.14584);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; The average time from surgery to the balneotherapy treatment was 2.26 &amp;plusmn; 1.5 months, and &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid627&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 618.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10943);&quot; role=&quot;presentation&quot;&gt;the applied treatment lasted for approximately 19 days. The average assessment on the Pain Scale was &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid628&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 638.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12332);&quot; role=&quot;presentation&quot;&gt;9.09, before balneotherapy 4.11 and after balneotherapy 1.86 with statistically significant differences &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid629&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 658.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09165);&quot; role=&quot;presentation&quot;&gt;(Fr=70.00; p&amp;lt;0.01). The average value of mobility according to Schober&amp;rsquo;s test before rehabilitation was &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid630&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 678.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07749);&quot; role=&quot;presentation&quot;&gt;1.97 whereas after rehabilitation it was 3.14. The average assessment of sheer muscular strength of lower &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid631&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 698.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.06902);&quot; role=&quot;presentation&quot;&gt;limbs according to manual muscle test was 3.9 before and 4.4 after application of balneotherapy treatment &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid632&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 718.586px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.02772);&quot; role=&quot;presentation&quot;&gt;(Z=3.638; p&amp;lt;0.01).&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid633&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;strong&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 748.035px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.14596);&quot; role=&quot;presentation&quot;&gt;Conclusion&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid634&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 205.122px; top: 748.035px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12905);&quot; role=&quot;presentation&quot;&gt;&lt;strong&gt;.&lt;/strong&gt; It has been confirmed that applied therapeutic protocol decreases pain and increases the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page9R_mcid635&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 768.035px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10525);&quot; role=&quot;presentation&quot;&gt;functional capacity of lumbar spine in post-discectomy syndrome.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;