Center of Therapy, University of Tübingen, Medical School, Tübingen, Germany.
NeuroRehabilitation. 2010;26(2):155-8. doi: 10.3233/NRE-2010-0547.
To evaluate the long-term effect of a specific conservative treatment method for patients with lumbar disc prolapse.
Low back pain and symptoms of disc herniation have a good prognosis. Yet the rates of disability and sick-leave because of recurrences are high and cost-intensive.
Fifty consecutive patients with clinically and neuroradiologically confirmed lumbar disk prolapse, who responded to the first five daily physiotherapy sessions with pain centralization, were prospectively treated with mechanical physiotherapy with repeated end range spinal movements and leg movements. The results after one year of follow-up have been published previously (J Neurology 250 (2003), 746-749).
From the initial cohort of 50 patients, 5 patients were operated within one year after discharge and one patient died. One patient had surgery for disc prolapse 13 months after discharge. Three patients were lost for follow-up. None of the 40 remaining patients has had surgery until the last follow-up.
Pain centralization during the first 5 treatment sessions of mechanical physiotherapy is a useful diagnostic tool to predict a good longterm outcome. Mechanical physiotherapy with end range spinal movements and leg movements is an effective treatment strategy for many patients with lumbar disk disease.
评估一种针对腰椎间盘突出症患者的特定保守治疗方法的长期效果。
下腰痛和椎间盘突出症的症状有良好的预后。然而，由于复发导致残疾和请病假的比率很高，且成本高昂。
50 例连续的临床和神经放射学确诊的腰椎间盘突出症患者，在接受了 5 天的每日物理治疗后，疼痛集中，对他们进行了机械物理治疗，包括反复的脊柱末端范围运动和腿部运动。一年随访的结果之前已经发表（J Neurology 250 (2003), 746-749）。
从最初的 50 例患者中，有 5 例在出院后一年内接受了手术，1 例死亡。1 例患者在出院后 13 个月因椎间盘突出症接受了手术。3 例患者失访。40 名剩余患者中，直到最后一次随访，均未进行手术。
在机械物理治疗的前 5 次治疗中出现疼痛集中是预测良好长期效果的有用诊断工具。脊柱末端范围运动和腿部运动的机械物理治疗是许多腰椎间盘疾病患者的有效治疗策略。
