Evaluation of physiotherapeutic management of patients with multi-level cervical discopathy after interbody implant surgery.
Journal Title: Fizjoterapia Polska - Year 2010, Vol 10, Issue 2
Abstract
Cervical discopathy is a serious medical and social problem. Displacement of the intervertebral disc into the vertebral canal compresses spinal nerve roots and/or the spinal cord. Cage fusion and the implantation of a mobile disc prosthesis have recently been introduced in surgery. The aim of the study was to assess the effectiveness of physiotherapeutic management of patients with multi-level cervical discopathy treated by microdiscectomy and cage fusion. A group of 23 patients was followed up over six weeks, including 20 patients after two-level surgery (Group A) and 3 after three-level surgery (Group B). The progress of rehabilitation was evaluated on the basis of :- muscle strength (Lovett test), - range of motion, - regression of pain (VAS scale) and paraesthesiae. In Group A, neck pain disappeared in 18 patients, and paraesthesiae in the upper limbs disappeared in 12 patients; 14 patients fully recovered muscle strength in the limbs, and 16 patients recovered the full range of motion in the shoulder joints. In group B, two patients reported regression of the neck pain, one fully recovered muscle strength, and two recovered the full range of motion in the shoulder joints. Conclusions1. The physiotherapy of patients with multi-level cervical discopathies following cage fusion surgery was an effective adjunctive treatment in this group of patients. 2. Early institution of appropriate procedures may result in full motor recovery
Authors and Affiliations
Włodzisław Kuliński, Wojciech Haładyna, Arkadiusz Wilk, Jan Podgórski, Marzenna Bazan, Józef Mróz, Paweł Leśniewski
Keywords
Related Articles
- EP ID EP65617
- DOI -
- Views 59
- Downloads 0
Comparison of the impacts of classic massage and Lomi Lomi Nui massage on the mental and physical condition of the patient
The objective of this study is comparison of the impacts of classic massage and Lomi Lomi Nui massage in treating stress-induced mental and physical tiredness. Another objective is to compare the impact of massage on bod...
Effect of early rehabilitation on psychomotor function in children with post-haemorrhagic hydrocephalus. Preliminary report
Background. Cerebral haemorrhages in newborns occur as a consequence of premature birth, Iow birth weight and newborn respiratory failure. These haemorrhages often lead to hydrocephalus with subsequent delayed psychomoto...
Zastosowanie terapii wymuszeniem ruchu u pacjentów po udarze mózgu
Co roku, około 10,5 mln osób na świecie doświadcza pierwszego udaru mózgu, czego częstym skutkiem jest niepełnosprawność fizyczna. Około 70-80% doznaje, w różnym stopniu, zaburzenia funkcji kończyny górnej, co znacznie p...
Ocena stanu funkcjonalnego dzieci z mózgowym porażeniem dziecięcym przy użyciu wybranych skal i testów
Cel pracy. Celem pracy jest ocena stanu funkcjonalnego dzieci z mózgowym porażeniem dziecięcym (MPD) przy użyciu wybranych skal i testów oraz analiza czynników wpływających na uzyskane wyniki. Materiał i metodyka. Badani...
Assessment suitability of the home rehabilitation for increasing the physical and psychological ability of disabled people
lntroduction: Home rehabilitation is a service provided within the healthcare system. For handicapped people it is typically the only one option to maintain their physical ability of the highest reachable level. Goal of...