Comparison of the results of early and delayed rehabilitation in patients with surgery for disco-radicular problems in the lumbar spine
Jerić, Z.; Sliepcević, B.
Reumatizam 38(5-6): 3-7
1991
ISSN/ISBN: 0374-1338 PMID: 1806957 Document Number: 369790
When painful remission and functional spine restitution with patients with verificated lumbal dischernia haven't been achieved by an adequate conservative treatment, an operation is to be performed. The aim of post-operative way of rehabilitation is to give the spine back the most possible nimbleness, to remove remained pains, to make the existing motoric deficit better if possible and to make the patient fit socially as well as professionally. Post-operation rehabilitation results of patients treated by inter-laminectomy of L4/L5 or L5/S1 segments were analysed retrospectively in this study. Compared groups differed in rehabilitation programme beginning time, so with group A it began 10-20 days and with group B 35 or more days after the operation. Clinical parametres observed were lumbal spine flexibility, paravertebral muscularity tension, motile painfulness, Lasegue sign presence and neurotic outbursts in motorical and sensual sphere. The achieved results show that late beginning of rehabilitation has no advantage in definite medical treatment results. Therefore the patients should be sent to rehabilitation centres after the catgut being taken out.