Introduction:The relevance of the studies that include lumbar disc herniation (LDH) has increased in recent years, mainly because the disease results in pain and neurological deficit, producing impediment for the execution of the daily activities and inability to work. Objective: to evaluate the quality of life and functional scores of patients before and after HDL surgery. Methods: This is a cross-sectional and exploratory study, through the evaluation of questionnaires "Short Form Health Survey and Roland-Morris (RM) in the period April to September of 2008. The sample consisted of 20 patients and the scores were assessed before surgery and two months postoperatively. Results: It was observed that most patients were male (55%), average age 45.5 ± 14, 79 years-old (20-83), with great loss labor pre surgery (60%). There was significant improvement in the areas of the SF-36 for functional capacity, physical aspects, pain and mental health and the Roland Morris functional gains were observed with the decrease of its limitations caused by back. For the analogical scale of pain (VAS), the patients obtained an important reduction of pain: the preoperative average rate was 8,3 points and the postoperative average rate after 60 days was 4.55. Even though 65% have returned to work, only 45% joined the rehabilitation program. Conclusion: Further studies should be conducted so as to provide subsidies to team showing that more than abolishing the pain, functional improvement, expressed by the daily activities, should be modified. An effective approach that includes occupational therapy, physiotherapy and psychology, looking always to operating changes and a better quality of life should be looked for.
Key-words: lumbar disc herniation; quality of life; surgical treatmentRESUMO Introdução: A relevância dos estudos que abrangem a hérnia de disco lombar (HDL) tem aumentado nos últimos anos, principalmente porque esta doença resulta em dor e déficit neurológico, gerando impedimento para a execução das atividades cotidianas e incapacidade para o trabalho. Objetivo: avaliar a qualidade de vida e o escore funcional de pacientes antes e após cirurgia de HDL. Casuística e Método: Trata-se de um estudo transversal, exploratório, mediante a avaliação dos questionários "Short Form Health Survey" (SF-36) e "Roland-Morris"(RM) no período de abril a setembro de 2008. A amostra foi composta de 20 pacientes e os escores foram avaliados antes da cirurgia e no pós-operatório de dois meses do procedimento. Resultados: Observou-se que a maioria dos pacientes eram do sexo masculino (n=11, 55%), média de idade de 45,5 ± 14,79 anos (variando de 20 a 83 anos), com grande prejuízo laboral pré cirurgia (60%).Os resultados demonstraram que houve melhora significativa nos domínios do SF-36 para capacidade funcional, aspectos físicos, dor e saúde mental e para o Roland Morris foram observados ganhos funcionais com a diminuição de suas limitações provocadas pelas costas. Pela escala analógica de dor (EVA), os pacientes obtiveram uma diminuição import...