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Rehabilitation Practice and Science

Translated Title

嚴重下背痛之預後

Abstract

Low back pain is a suffering condition which frequently results in limitation of activity of daily living. The frequent recurrence of low back pain makes patient accept different therapeutic tries. The purpose of this study was to compare the effects of physical therapy and surgical therapy for severe low back pain.Sixty two patients who had been admitted to our departement of rehabilitation for severe low back pain were collected. Among Them, 41 were males. 21 were females. The major cause of low back pain was intervertebral disc herniation, about 66.6%. The most frequent precipitating factor of low back pain was lifting heavy object, about 44.2%. The different causes and conditions of low back pain will result in many different type of management. They start to receive therapy in this hospital at 22.5 weeks in average after symptom onset. Forty patients were improved in physical therapy group (88.9%), while 16 cases got initially improvement in surgical group (94.1%). It was no significant difference in age, duration of symptom, pain score, activity of daily living score or hospitalizati on in both groups. The frequent recurrence of low back pain trementdously bothered patients in both groups. The recurrent rate of low back pain in this study was 50% in physical therapeutic group, and 75% in surgical goup. How to decrease the recurrent rate of low back pain is still a great challenge for medical personel.

Language

Traditional Chinese

First Page

163

Last Page

170

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