Central European Journal of Sport Sciences and Medicine

ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2021.4-03
CC BY-SA   Open Access   DOAJ  DOAJ

Issue archive / Vol. 36, No. 4/2021
Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Authors: Bartosz Bolach ORCID
Faculty of Physical Education and Sport, Department of Paralympic Sports, Academy of Physical Education in Wroclaw

Jagoda Walowska ORCID
RB Dr Jagoda Walowska, Wroclaw

Paulina Chabraszewska
Institute of Physiotherapy, University of Physiotherapy in Wroclaw

Karina Ryterska ORCID
Pomeranian Medical University in Szczecin

Eugeniusz Bolach ORCID
Faculty of Physical Education and Sport, Department of Paralympic Sports, Academy of Physical Education in Wroclaw
Keywords: intervertebral disc fibrous annulus nucleus pulposus spine
Data publikacji całości:2021
Page range:10 (27-36)
Cited-by (Crossref) ?:

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.
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Bibliography

1.Adamczyk, A., Kiebzak, W., Wilk-Frańczuk, M., Śliwiński, Z. (2009). Effectiveness of holistic physiotherapy for low back pain. Ortop Traumatol Rehabil., 11 (6), 562–576.
2.Azadinia, F., Ebrahimi-Takamjani, I., Kamyab, M., Parnianpour, M., Asgari, M. (2017). A RCT comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain. Med J Islam Repub Iran, 31, 26.
3.Barakat, A., Elwell, V.A., Lam, K.S. (2019). Stem cell therapy in discogenic back pain. J Spine Surg, 5 (4), 561–583.
4.Cheung, K., Karppinen, J., Chan, D., Ho, D., Song, Y-Q., Sham, P., Cheah, K., Leong, J., Luk, K. (2009). Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine, 34 (9), 934–940.
5.Colombini, A., Lombardi, G., Corsi, M.M., Banfi, G. (2008). Pathophysiology of the human intervertebral disc. Int J Biochem Cell Bio ,40 (5), 837–842.
6.França, F.R., Burke, T.N., Hanada, E.S., Marques, A.P. (2010). Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics, 65 (10), 1013–1017.
7.Fronczyk, K., Kuliński, W. (2017). Lumbosacral discopathy: analysis of physical therapy. Medical studies, 33 (1), 9–16.
8.Frost, B., Camarero-Espinosa, S., Foster, E.J. (2019). Materials for the Spine: Anatomy, Problems, and Solutions.Materials, 12 (2), 253.
9.Hodgkinson, T., Shen, B., Diwan, A., Hoyland, J.A., Richardson, S.M. (2019). Therapeutic potential of growth differentiation factors in the treatment of degenerative disc diseases. JOR Spine, 2 (1), 1045.
10.Kamper, S.J., Apeldoorn, A.T., Chiarotto, A., Smeets, R., Ostelo, R., Guzman, J., van Tulder, M.W. (2015). Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ, 350, 444.
11.Kanayama, M., Togawa, D., Takahashi, C., Terai, T., Hashimoto, T. (2009).Cross-sectional magnetic resonance imaging study of lumbar disc degeneration in 200 healthy individuals. J Neurosurg Spine, 11 (4), 501–507.
12.Kocyigit, B.F., Berk, E. (2018). Comparison of Lumbosacral Alignment in Geriatric and Non-Geriatric patients suffering low back pain. Pak J Med Sci., 34 (2), 282–287.
13.Kos, N., Gradisnik, L., Velnar, T.A. (2019). Brief Review of the Degenerative Intervertebral Disc Disease. Review/Med Arc., 73 (6), 421–424.
14.Krawczyk-Suszek, M., Szlichta-Kołeczek, K., Bednarski, J. (2018). Efficacy of rehabilitation in patients with segmental discopathy lumbar-sacral spine. World Scientific News, 111, 40–50.
15.Kuai, S., Liao, Z., Zhou, D.G.W., Guan, X., Ji, R., Zhang, R., Guo, D., Liu, W. (2017). The Effect of Lumbar Disc Herniation on Musculoskeletal Loadings in the Spinal Region During Level Walking and Stair Climbing. Med Sci Monit., 23, 3869–3877.
16.Kwon, Y., Kim, Ji.W., Heo, J.H., Jeon, H.M., Choi, E.B., Eoma, G.M. (2018).The effect of sitting posture on the loads at cervico-thoracic and lumbosacral joints. Technol Health Care, 26 (1), 409–418.
17.Like, M., Solovieva, S., Lamminen, A., Luoma, K., Leino-Arjas, P., Luukkonen, R., Riihimäki, H. (2005). Disc degenerationof the lumbar spine in relation to overweight. Int J Obes., 29 (8), 903–908.
18.Manek, N.J., MacGregor, A.J. (2005). Epidemiology of back disorders: prevalence, risk factors, and prognosis. Curr Opin Rheumatol, 17 (2), 134–140.
19.Miller, J., Schmatz, C., Schultz, A. (1988). Lumbar disc degeneration: correlation with age, sex, and spine level in 600 autopsy specimens. Spine., 13 (2), 173–178.
20.Newell, N., Little, J.P., Christou, A., Adams, M.A., Adam, C.J., Masouros, S.D. (2017). Biomechanics of the human intervertebral disc: A review of testing techniques and results. Journal of the Mechanical Behavior of Biomedical Materials, 69, 420–434.
21.Peolsson, A., Öberg, B., Wibault, J., Dedering, A., Zsigmond, P., Bernfort, L., Kammerlind, A.S., Persson, L.C.G., Löfgren, H. (2014). Outcome of physiotherapy after surgery for cervical disc disease: aprospective randomised multi-centre trial. BMC Musculoskelet Disord, 15, 34.
22.Plaskiewicz, A., Kałużny, K., Kochański, B. (2015). The use of physical therapy in the treatment of pain lumbar spine. Journal of Education, Health and Sport, 5 (5), 11–20.
23.Roughley, P. (2004). Biology of intervertebral disc aging and degeneration: involvement of the extracellular matrix. Spine, 29 (23), 2691–2699.
24.Rubin, D.I. (2007). Epidemiology and risk factors for spine pain. Neurol Clin., 25 (2), 353–371.
25.Shapiro, S, Wilk, M. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52, 591–611.
26.Siegel, S. (1956). Nonparametric statistics for the behavioral sciences. New York: McGraw-Hill Book Company.
27.Urban, J.P.G., Roberts, S. (2003). Degeneration of the intervertebral disc. Arthritis Res Ther., 5 (3), 120–130.
28.Wu, P.H., Kim, H.S., Jang, I-T. (2020). Intervertebral Disc Diseases PART 2: A Review of the Current Diagnostic and Treatment Strategies for Intervertebral Disc Disease. Int J Mol Sci., 21 (6), 2135.
29.Zylbergold, R.S., Piper, M.C. (1981). Lumbar disc disease: comparative analysis of physical therapy treatments. Arch Phys Med Rehabil., 62 (4), 176–179