We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Multidisciplinary Conservative Treatment Outcomes of in-Patient Physiotherapy Set-Up Among Patients with Lumbar Disc Herniation in Dhaka City, Bangladesh: A Retrospective, Cross-Sectional Study.
- Authors
Hossain, Md Shahadat; Akter, Sapia; Siddique, Mustafa Amimul Ehsan; Siddique, Md Kaoser Bin; Reza, G M; Alom, Foisal Mohammad Mosiul; Ali, Mohammad; Noman, Md. Obayadur Rahman; Rahman, M Mazibar; Islam, Md. Shofiqul; Hossain, K M Amran
- Abstract
Background: The study aimed to determine the outcome of Multidisciplinary physiotherapist-led conservative treatment of lumbar disc herniation at an in-patient set-up of a specialized spine center in Dhaka, Bangladesh. Methods: This was a retrospective cross-sectional study of 228 cases completing treatment and follow-up sessions. The outcome was evaluated as pain at rest and five different functional positions, neurological recovery, and Magnetic resonance imaging (MRI) changes during discharge and follow-up. Results: 80.3% had a complete recovery with a typical motor and sensory status, no limitations in straight leg raise (SLR), no cauda equina symptom (CES), and no or < 3 pain during more than 30 minutes of daily living activities. Statistically significant changes were noted at all outcome measures at the follow-up (day 90), compared to baseline (day 1) P< 0.01. In the posthoc tests, pain, SLR, and CES had the most significant improvement at discharge (day 12) compared to the baseline (P < 0.01) and at follow-up compared to discharge (P < 0.01). No major adverse events noted. Conclusion: Physiotherapist-led in-patient treatment results in significant resting and functional pain outcomes in 12 days. Also, the improvements in neurological recovery and normalizing disc position are statistically significant in 90 days.
- Subjects
DHAKA (Bangladesh); BANGLADESH; CONSERVATIVE treatment; TREATMENT effectiveness; HERNIA; MAGNETIC resonance imaging; CROSS-sectional method; INTERVERTEBRAL disk hernias
- Publication
Journal of Multidisciplinary Healthcare, 2023, Vol 16, p587
- ISSN
1178-2390
- Publication type
Article
- DOI
10.2147/JMDH.S400021