Effects of the Strengthening Exercise on Back Muscles after Lumbar Discectomy

Dong Hoon Lee; Dae Moo Shim; Sang Soo Kim; Dae Ho Ha; Tae Kyun Kim; Young Jin Kim; Ha Heon Song; Suk Hyun Kwon

doi:10.4184/jkss.2002.9.1.41

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Lee, Shim, Kim, Ha, Kim, Kim, Song, and Kwon: Effects of the Strengthening Exercise on Back Muscles after Lumbar Discectomy

Original Article

Journal of Korean Spine Surg 2002;9(1):41-47.

Published online: 21 February 2002

DOI: https://doi.org/10.4184/jkss.2002.9.1.41

Effects of the Strengthening Exercise on Back Muscles after Lumbar Discectomy

Dong Hoon Lee, M.D., Dae Moo Shim, M.D., Sang Soo Kim, M.D., Dae Ho Ha, M.D., Tae Kyun Kim, M.D., Young Jin Kim, M.D., Ha Heon Song, M.D., Suk Hyun Kwon, M.D.

Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea

Address reprint requests to Dae Moo Shim, M.D. Department of Orthopaedic Surgery, Wonkwang University Hospital #344-2 Sinyoung-dong, Iksan-city, Chollabuk-do, 579-180, Korea Tel : 82-63-850-1255, Fax : 82-63-850-1257, E-mail : osshim@wonkwang.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study design

A retrospective study about lumbar strengthening exercise after lumbar discectomy.

Objectives

To evaluate the effect of lumbar strengthening exercise on muscle power and pain, to analyze the problem of reha-bilitation program after lumbar discectomy. Summary of Literature Review : The effectiveness of Lumbar strengthening exercise is still controversy and we can not found the similar article for this kind problem.

Materials and methods

Three- hundred twenty eight patients of microscopic lumbar discectomy from 1998 to 1999, were divided into 2 groups; exercise group was 72 cases among 119 patients, and non- exercise group was 58 cases among 208 patients. degree of pain and functional activity were evaluated by visual analog scale and A PI test, respectively, at postoperative 3 months, 6 months, 1 year. the reason for not exercising was surveyed in non- exercise group.

Results

Exercise group 119 patients(36%). The most common cause of Non- Exercise was a deficiency of importance for lumbar strengthening exercise and exercise was done better in civil peoples than inrural peoples. There was a significant good result in exercise group by visual analog scale for pain at 3 months and 6 months postoperatively, but no difference between two groups after 1 year. exercise group had better results in flexion/extension test and fatigue endurance test. Lumbar strengthening exercise was a good method for relieving the pain in short term, but it was not effective in long term follow up.

Con clusions

These results suggest that good results after lumbar discectomy in exercise group result from the secondary effects of increasing muscle power rather than relieving pain.

Keywords: lumbar discectomy, Back muscle, strengthening exercise

REFERENCES

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Table 1.

Patients characteristics.

		Exercise	Non-exercise
	Sex (M:F)	42 : 30	38 : 20
	Age	18-50(38.3)	24-49(39.0)
Level	L2/3	1	0
	L3/4	6	2
	L4/5	38	36
	L5/S1	27	20
Type	Protrusion	27	22
	Extrusion	40	32
	Sequestration	5	4

Table 2.

Item content of the 11 API Activity categories.

Employment	Instruct or discipline a child?
Do your usual work away from home?	Feed, dress or attend a child?
Education	Stop to supervise a childs activities?
Attend classes(for other than solely recreational purposes)?	Pick up or drop off a child?
Study a textbook or do school homework?	Passive recreation
Personal care	Stop to listen to a radio, stereo or records?
Sit alone, idle or in thought?	Read a book, newspaper or records?
Lie down Just to rest or nap?	Play cards or board games or work a crossword puzzle?
Eat or snack?	Stop to watch TV?
Bathe or take a shower?	Work on a hobby or craft(eg, woodworking, crocheting)?
Get dressed or Change clothes?	Go for a drive or ride for recreation?
Engage in sexual activity?	Active recreation
Obtain personal services(eg, get a haircut, go to the hairdresser)?	Go for a walk?
Homemaking male	Participate in a sport or exercise(eg, bowling, biking, fishing)?
Do yard work or gardening?	Dine out?
Work on or clean an automobile?	Go to a nightclub, disco, bar or tavern?
Have Your car repaired, serviced or cleaned?	Go to a movie, concert or play?
Homemaking female	Visit a library, museum, city park or gallery?
Cook or prepare meals?	Go to watch a sports event?
Do dishes?	Participation
Clean house?	Go to an organization or club meeting or function?
Do laundry or iron clothes?	Go to church or other religious activity?
Sew to make or repair clothing?	Socializing
Homemaking general	Make a telephone call to a family member or relative?
Help another adult dressing, grooming or in the bathroom?	Receive a telephone call from a family member or relative?
Do small repairs or routine maintenance chores around the house?	Make a telephone call to a friend or neighbor? Receive a telephone call from a friend or neighbor?
Work at balancing the household checkbook or paying bills?	Write a letter to a family member or relative?
Make a phone call for household business(eg, to order some-thing or straighten out a bill)?	Write a letter to a friend? Receive a letter from friends or relatives?
Shop for groceries?	Go visit a family member or relative?
Shop for other merchandise(eg, clothings)?	Be visited by a friend or neighbor?
Obtain prescribed medicine?	Go to visit a friend or neighbor?
Obtain household services(eg, cleaners, shoe repair)?	Be visited by a friend or neighbor?
Do the banking?	Socialize with people you live with(eg, just sitting around talk-
Leave the house to take care of things like shopping, banking, etc.?	ing, not doing other things)? Have a party or gathering at your house(not an organization
Child supervision	function)?
Talk or play with a child?	Go to a party or social event(not an organization function)?

Table 3.

Visual analog scale(VAS).

	Exercise	Non-exercise
3 month	2.8± 0.1^∗	3.4± 0.2
6 month	2.6± 0.1^∗	4.0± 0.1
1 year	4.0± 0.4	4.8± 0.3

(∗; p<0.05)

Table 4.

Activity pattern indicator(API) test.

	Exercise^∗	Non-exercise
Good	46	26
fair	22	22
poor	04	10

(∗; p<0.05)

Table 5.

Flexion/extension test.

	Exercise	Non-exercise
3 month	14.4± 2.2^∗	8.0± 0.9
6 month	16.0± 1.5^∗	12.1± 1.2
1 year	15.6± 2.5^∗	10.1± 2.1

(∗; p<0.05)

Table 6.

Fatigue endurance test.

	Exercise	Non-exercise
3 month	14.1± 1.1^∗	10.1± 0.8
6 month	16.2± 1.9^∗	9.6± 1.1
1 year	17.1± 2.2^∗	11.1± 2.1

(∗; p<0.05)

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