COMPARATIVE PROSPECTIVE STUDY OF THE EFFECTIVENESS OF STANDARD AND INDIVIDUALIZED MEDICAL REHABILITATION IN PATIENTS AFTER SURGICAL TREATMENT OF LUMBOSACRAL INTERVERTEBRAL DISC HERNIATION
Keywords:
intervertebral disc herniation, lumbar spine, medical rehabilitation, discectomy, VAS, ODI, SF-36, neurosurgery, postoperative recoveryAbstract
A prospective comparative clinical study included 120 patients who underwent microdiscectomy or endoscopic discectomy for L4–L5 and L5–S1 disc herniations. Patients were divided into two groups: a standard rehabilitation group (n=58) and an individualized rehabilitation group (n=62). Outcomes were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), SF-36 quality of life questionnaire, neurological examination, timing of mobilization, and return-to-work analysis. The individualized rehabilitation program demonstrated faster pain regression, greater functional recovery, and accelerated social and occupational reintegration. At 6 months of follow-up, VAS scores were 1.1±0.5 versus 1.9±0.7 in the standard rehabilitation group (p<0.001), while ODI values were 13.2±4.9% versus 20.7±6.3%, respectively (p<0.001). Return to work within 3 months was achieved in 88.3% of patients in the individualized rehabilitation group compared to 71.7% in the standard rehabilitation group. The obtained results indicate high clinical effectiveness of the personalized approach to postoperative rehabilitation in patients with lumbar intervertebral disc herniation.
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