Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]

Detalhes bibliográficos
Autor(a) principal: Johnston, Cíntia
Data de Publicação: 2007
Outros Autores: Paglioli, Eduardo Beck, Paglioli, Eliseu Beck
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615
Resumo: Aims: To evaluate the effect of early postoperative physiotherapy on pain intensity and functional status scores after surgery for lumbar disc herniation (LDH). Methods: Randomized controlled study evaluating twenty patients undergoing LDH surgery in Hospital São Lucas, PUCRS, from October 2003 to May 2004. The sample was composed of 20 patients: 10 in the study group and 10 in the control group. The study group started the physiotherapy intervention in the first postoperative day and underwent TENS, Williams’s flexion exercises and sciatic neural stretching. A visual analogue scale (VAS) and the Roland Morris questionnaire were used to obtain pain and function scores. Results: Patients who received early postoperative physiotherapy after LDH surgery had significantly better functional scores (P = 0.009) and greater reduction of pain intensity (P = 0.028) than patients in the control group. Conclusions: Early physiotherapy contributed to a better functional status and resulted in pain reduction in the first months after LDH surgery. KEY WORDS: INTERVERTEBRAL DISK DISPLACEMENT/ rehabilitation; INTERVERTEBRAL DISK DISPLACEMENT/surgery; PHYSICAL THERAPY MODALITIES; PAIN, POSTOPERATIVE.; POSTOPERATIVE PERIOD.
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spelling Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]Escore funcional e de dor após cirurgia de hérnia de disco lombar e fisioterapia precoceHérnia de disco lombarFisioterapiaPós-operatório imediatoReabilitaçãoAims: To evaluate the effect of early postoperative physiotherapy on pain intensity and functional status scores after surgery for lumbar disc herniation (LDH). Methods: Randomized controlled study evaluating twenty patients undergoing LDH surgery in Hospital São Lucas, PUCRS, from October 2003 to May 2004. The sample was composed of 20 patients: 10 in the study group and 10 in the control group. The study group started the physiotherapy intervention in the first postoperative day and underwent TENS, Williams’s flexion exercises and sciatic neural stretching. A visual analogue scale (VAS) and the Roland Morris questionnaire were used to obtain pain and function scores. Results: Patients who received early postoperative physiotherapy after LDH surgery had significantly better functional scores (P = 0.009) and greater reduction of pain intensity (P = 0.028) than patients in the control group. Conclusions: Early physiotherapy contributed to a better functional status and resulted in pain reduction in the first months after LDH surgery. KEY WORDS: INTERVERTEBRAL DISK DISPLACEMENT/ rehabilitation; INTERVERTEBRAL DISK DISPLACEMENT/surgery; PHYSICAL THERAPY MODALITIES; PAIN, POSTOPERATIVE.; POSTOPERATIVE PERIOD.Objetivos: Avaliar o efeito da intervenção fisioterapêutica no escore funcional e de dor dos pacientes submetidos à cirurgia de hérnia de disco lombar (HDL). Métodos: Estudo randomizado, controlado e cego, avaliando pacientes que internaram no Hospital São Lucas da PUCRS, no período de outubro de 2003 a maio de 2004, para realizar cirurgia de HDL. Amostra: 20 pacientes, 10 do grupo controle (cirurgia e repouso no pós-operatório) e 10 do grupo de intervenção (cirurgia e fisioterapia no pós-operatório). Intervenção fisioterapêutica: alongamento neural do ciático, alongamentos de Williams e uso da estimulação elétrica transcutânea três vezes ao dia, do primeiro dia pós-operatório até a alta hospitalar. Instrumentos para avaliar o escore de dor e de função, respectivamente: escala análogo-visual de dor e Roland Morris Questionnaire. Escores avaliados antes da cirurgia, no pós-operatório imediato e dois meses após os procedimentos. Resultados: Houve significância estatística na diferença do escore funcional (P = 0,009) e na redução da intensidade da dor (P = 0,028) dos pacientes no segundo mês pós-operatório, favorecendo o grupo com intervenção fisioterapêutica. Conclusões: A intervenção precoce de fisioterapia contribuiu para melhorar o estado funcional e reduzir a dor dos pacientes nos dois primeiros meses após o procedimento cirúrgico de HDL. DESCRITORES: DESLOCAMENTO DE DISCO INTERVERTEBRAL/ cirurgia; DESLOCAMENTO DE DISCO INTERVERTEBRAL/ reabilitação; MODALIDADES DE FISIOTERAPIA; DOR PÓS-OPERATÓRIA; PERÍODO PÓS-OPERATÓRIO.Editora da PUCRS - ediPUCRS2007-12-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionEnsaio clínicoapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615Scientia Medica; Vol. 16 No. 4 (2006); 151-156Scientia Medica; v. 16 n. 4 (2006); 151-1561980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615/1780https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615/7899Johnston, CíntiaPaglioli, Eduardo BeckPaglioli, Eliseu Beckinfo:eu-repo/semantics/openAccess2013-07-17T17:29:22Zoai:ojs.revistaseletronicas.pucrs.br:article/1615Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-17T17:29:22Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
Escore funcional e de dor após cirurgia de hérnia de disco lombar e fisioterapia precoce
title Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
spellingShingle Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
Johnston, Cíntia
Hérnia de disco lombar
Fisioterapia
Pós-operatório imediato
Reabilitação
title_short Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
title_full Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
title_fullStr Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
title_full_unstemmed Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
title_sort Funcional and pain score after lumbar disc surgery and early physiotherapy [Abstract in English]
author Johnston, Cíntia
author_facet Johnston, Cíntia
Paglioli, Eduardo Beck
Paglioli, Eliseu Beck
author_role author
author2 Paglioli, Eduardo Beck
Paglioli, Eliseu Beck
author2_role author
author
dc.contributor.author.fl_str_mv Johnston, Cíntia
Paglioli, Eduardo Beck
Paglioli, Eliseu Beck
dc.subject.por.fl_str_mv Hérnia de disco lombar
Fisioterapia
Pós-operatório imediato
Reabilitação
topic Hérnia de disco lombar
Fisioterapia
Pós-operatório imediato
Reabilitação
description Aims: To evaluate the effect of early postoperative physiotherapy on pain intensity and functional status scores after surgery for lumbar disc herniation (LDH). Methods: Randomized controlled study evaluating twenty patients undergoing LDH surgery in Hospital São Lucas, PUCRS, from October 2003 to May 2004. The sample was composed of 20 patients: 10 in the study group and 10 in the control group. The study group started the physiotherapy intervention in the first postoperative day and underwent TENS, Williams’s flexion exercises and sciatic neural stretching. A visual analogue scale (VAS) and the Roland Morris questionnaire were used to obtain pain and function scores. Results: Patients who received early postoperative physiotherapy after LDH surgery had significantly better functional scores (P = 0.009) and greater reduction of pain intensity (P = 0.028) than patients in the control group. Conclusions: Early physiotherapy contributed to a better functional status and resulted in pain reduction in the first months after LDH surgery. KEY WORDS: INTERVERTEBRAL DISK DISPLACEMENT/ rehabilitation; INTERVERTEBRAL DISK DISPLACEMENT/surgery; PHYSICAL THERAPY MODALITIES; PAIN, POSTOPERATIVE.; POSTOPERATIVE PERIOD.
publishDate 2007
dc.date.none.fl_str_mv 2007-12-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Ensaio clínico
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615/1780
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1615/7899
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 16 No. 4 (2006); 151-156
Scientia Medica; v. 16 n. 4 (2006); 151-156
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101748442234880

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