Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Abstract

Degenerative disc disease (DDD) in the lumbosacral spine is one of the most common causes of pain and the significant associated limitations in physical activity and daily functioning, with the vast majority of patients requiring long-term physiotherapy. Hence, the significance of proper diagnostics, locating the cause of the ailment, implementation of appropriate therapy and prevention. The aim of the study was to investigate the efficacy of outpatient physiotherapy on reducing pain and improving the function of the lumbosacral spine. The research group comprised 95 people (50 women and 45 men) with an average age of 53 years, all patients with DDD in the lumbosacral spine. They underwent 3 physical treatments: magnetotherapy, laser therapy, and systemic cryotherapy, as well as gymnastic exercises, aimed at improving physical fitness, and strengthening the muscular corset. The research methods included the Schober test, the Thomayer test (finger-ground test), the Visual Analogue Scale scale, Laitinen's pain questionnaire, and calculation of BMI. Physiotherapeutic treatments significantly reduced the patients' pain symptoms, significantly increased the range of motion in the lumbosacral spine and improved physical fitness. Better results of the therapy were observed in patients with lower BMI.

The impact of rehabilitation on pain complaints and functional efficiency of low back pain syndrome patients that resided at the CRR KRUS Center in Iwonicz Zdrój

“…Bolach et al [20] also showed that three weeks of spa physiotherapy reduced pain intensity in 65% of the patients with degenerative changes of the lower spine studied. The pain intensity reduction value found in the group of fifty-six men was statistically significantly higher (t=2.99; p=0.003) than in the group of fifty-four women.…”

“…Unfortunately, conservative treatment brings the expected results in the majority of patients, and only 2% of all people with pain are qualified for surgery [19]. An important adjunct to therapy is SPA treatment, which, because of the comprehensiveness of its approach, makes it possible to combine the positive effects of physiotherapy with the influence of climatic and environmental conditions on improving patients' health [20].…”

“…Bolach et al [20] also studied the effect of three weeks of SPA physiotherapy on the performance of the Schober test in study patients with degenerative changes of the lower spine. It was shown that there was a statistically significant improvement in the Schober test score among patients of both genders after physiotherapy.…”