Physical therapy effects for back pain and function after L4/L5 disc hernia operations

Problem of research: low back pain caused by hernia is the main disease of the spine, which affects more than half of the population. Numerous studies on rehabilitation after spinal hernia operations, using various physical therapy techniques, have been performed. A popular physical therapy measure is spine stabilizing exercises, but no studies thus far have been carried out about the benefits of this technique in patients after L4/L5 spinal hernia surgery, during the acute period. Therefore, in this work we study and compare the effectiveness of the spine stabilizing exercises with the effects of classic physical therapy exercises on back pain. Hypothesis of research: whereas spine stabilizing exercises activate the deep multifidus muscles, we assume that this approach should be effective in treating patients during the acute period after L4/L5 disc hernia operations. Goal of work: to assess the effectiveness of spine stabilizing exercises in patients after spinal L4/L5 intervertebral disc hernia surgery for back pain and functional status. Objectives of work: to assess changes in the waist muscle endurance, after physiotherapy procedures; to assess lumbar motility changes after rehabilitation; to evaluate the low back pain levels in subjects and the functional condition after rehabilitation; to compare the functional recovery results of the control and the test groups of patients after physical therapy procedures. Research methods: the motion of fear evaluation, using physical therapy questionnaire (TAMPA), functional disability evaluation, using Oswestry functional disability index questionnaire, pain assessment using a symptom assessment scale (SAS), lumbar spine motility measurement, using Sober test, static endurance measurement of the waist muscles. Object of research: pain in patients after L4/L5 disc hernia operations in the acute period. Conclusions: 1. After a course of physical therapy in research group, which has been applied to the spine stabilization exercises, and the control group, which has been applied to the classical physical therapy exercises, back muscle endurance increased significantly. 2. After a course of physical therapy in research group, which has been applied to the spine stabilization exercises, and the control group, which has been applied to the classical physical therapy exercises, lumbar mobility increased significantly. 3. After a course of physical therapy in research group, which has been applied to the spine stabilization exercises, and the control group, which has been applied to the classical physical therapy exercises, low back pain decreased, and functional disability averages increased significantly. 4. After a course of physical therapy in research group, which has been applied to the spine stabilization exercises, low back pain decreased and functional disability increased significantly more, than control group, which has been applied to the classical physical therapy exercises