The effectiveness of exercise programmes after lumbar disc surgery: a randomized controlled study.

OBJECTIVE

To compare two different exercise programmes versus a control group, after lumbar disc surgery.

DESIGN

A prospective, single-blind, randomized controlled study.

SETTING

Outpatient clinic of Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation.

SUBJECTS

Sixty patients diagnosed as having single level lumbar disc herniation with clinical examination and MRI evaluation and who had undergone lumbar discectomy (post-operative first month) at a single level. Patients with serious pathologies involving the cardiac and respiratory systems that could prevent them from doing exercises were excluded.

INTERVENTION

The patients were randomly split into three groups. The first group received an intensive exercise programme and back school education while the second group received a home exercise programme and back school education. The third group was defined as the control group and did not receive education or exercise.

MAIN MEASURES

The patients were evaluated at the beginning and end of the treatment with clinical parameters, pain levels, endurance tests and weight-lifting tests, modified Oswestry Disability Index, Beck Depression Inventory, Low Back Pain Rating Scale and return to work.

RESULTS

The groups doing exercises experienced a decrease in the severity of pain and disability, also functional parameters showed better improvement than the control group. The intensive exercise programme was better than the home exercise programme.

CONCLUSIONS

It seems that intensive exercise is more effective in reduction of pain and disability, but whether it is cost-effective is not clear.