Abstract
In the first month after surgery, the patient should avoid strenuous physical activities, such as lifting or carrying weights, and limit the number of longdistance car journeys. During this period, it is useful to walk and exercise by cyclette. Both activities were found to be helpful in increasing oxygen consumption and tolerance to pain, as well as improving general physical condition (6). Males can resume sexual activity 3 weeks after surgery and females even earlier.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Altmaier E. M., Lehman T. R., Russell D. W. et al.: The effectiveness of psychological interventions for the rehabilitation of low back pain: a randomized controlled trial evaluation. Pain 49: 329–335, 1992.
Arkuszewski Z.: The efficacy of manual treatment in low back pain: a clinical trial. Manual Med. 2: 68–71, 1986.
Armstrong J. R.: Lumbar disc lesions. Pathogenesis and treatment of low back pain and sciatica. E. & S. Livingstone Ltd., Edinburgh-London, 1967.
Bareme des accidents du travail et maladies profession-nelles. Mayet & Rey, M. Mathieu. Editions Lamarre-Poinat, Paris, 1975.
Bendix A. F., Bendix T., Busch E. et al.: Comparison of different active treatment programs for patients with chronic low back pain. Proc. International Society for the Study of the Lumbar Spine, Marseilles, 1993.
Brennan G. P., Shultz B. B., Hood R. S. et al.: The effects of aerobic exercise after lumbar microdiscectomy. Spine 19: 735–739, 1994.
Deyo R. A., Walsh N. E., Martin D. C. et al.: A controlled trial of transcutaneous electrical nerve stimulation (TENS) and exercise for chronic low back pain. N. Engl. J. Med. 322: 1627–1634, 1990.
Donaldson S., Romney D., Donaldson M. et al.: Randomized study of the application of single motor unit biofeedback training to chronic low back pain. J. Occup. Rehabil. 4: 23–37, 1994.
Faas A.: Exercises: which ones are worth trying, for which patients, and when? Spine 21: 2874–2879, 1996.
Fineschi G. F.: Patologia e clinica dell’ernia posteriore del disco intervertebral. Edizioni Scientifiche Istituto Ortopedico Toscano, Firenze, 1955.
Fordyce W. E., Fowler R. S. Jr., Lehman J. F. et al.: Operant conditioning in the treatment of chronic pain. Arch. Phys. Med. Rehab. 54: 399–408, 1973.
Frost H., Klaber Moffet J. A., Moser J. S. et al.: Randomised controlled trial for evaluation of fitness programme for patients with chronic low back pain. Br. Med. J. 310: 151–154, 1995.
Gibson T., Grahame R., Harkness J. et al.: Controlled comparison of short-wave diathermy treatment with osteopathic treatment in non-specific low-back pain. Lancet 1258–1261, 1985.
Guides to the evaluation of permanent impairment. Emgelberg A. L. Ed., Chicago: American Medical Association, 1988.
Hansen F. R., Bendix T., Skov P. et al.: Intensive dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low-back pain. Spine 18: 98–107, 1993.
Hazard R. G., Fenwick J. W., Kaiisch S. M. et al.: Functional restoration with behavioral support: a one-year prospective study of patients with chronic low-back pain. Spine 14: 157–161, 1989.
Herzog W., Conway P. J. W., Willcox B. J.: Effects of different treatment modalities on gait symmetry and clinical measures for sacroiliac joint patients. J. Manipul. Physiol. Ther. 14: 104–109, 1991.
Keefe F. J., Gil K. T.: Recent advances in the behavioral assessment and treatment of chronic pain. Ann. Behav. Med. 7: 11–16, 1985.
Koes B. W., Bouter I. M., van Mameren H. et al.: The effectiveness of manual therapy, physiotherapy and treatment by the general practitioner for non-specific back and neck complaints: a randomized clinical trial. Spine 17: 28–35, 1992.
Koes B. W., Bouter L. M., van Mameren H. et al.: A randomized clinical trial of manual therapy and physiotherapy for persistent back and neck complaints: subgroup analysis and relationship between outcome measures. J. Manipul. Physiol. Ther. 16: 211–219, 1993.
Krämer J.: Intervertebral disc diseases. Causes, diagnosis, treatment and prophylaxis. G. Thieme Verlag, New York, 1990.
Lehmann T. R., Russell D. W., Spratt K. F.: The impact of patients with nonorganic physical findings on a controlled trial of transcutaneous electrical nerve stimulation and electroacupuncture. Spine 8: 625–634, 1983.
Lidström A., Zachrisson M.: Physical therapy on low back pain and sciatica: an attempt at evaluation. Scand. J. Rehab. Med. 2: 37–42, 1970.
Lindström I., Ohlund C., Eck C. et al.: The effect of graded activity on patients with subacute low back pain: a randomized prospective clinical study with an operant-condi-tioning behavioral approach. Phys. Ther. 72: 279–293, 1992.
Lindström I., Ohlund C., Eck C. et al.: Mobility, strength, and fitness after a graded activity program for patients with subacute low back pain. Spine 17: 641–652, 1992.
Luvoni R., Mangili F., Bernardi L.: Guida alla valutazione medico-legale del danno biologico e deH’invalidità permanente. Responsabilità civile, infortunistica del lavoro e infortunistica privata. Quarta Edizione. A. Giuffrè, Milano, 1990.
Manniche C., Asmussen K., Lauritsen B. et al.: Intensive dynamic back exercises with or without hyperextension in chronic back pain after surgery for lumbar disc protrusion. A clinical trial. Spine 18: 560–567, 1993.
Manniche C., Skall H. F., Braendholt L. et al.: Clinical trial of postoperative dynamic back exercises after first lumbar discectomy. Spine 18: 92–97, 1993.
Marchand S., Charest J., Li J. et al.: Is TENS purely a placebo effect? A controlled study on chronic low back pain. Pain 54: 99–106, 1993.
Martin P. R., Rose M. J., Nichols P. J. R. et al.: Physiotherapy exercises for low back pain: process and clinical outcome. Int. Rehabil. Med. 8: 34–38, 1980.
Mayer T., Gatchel R., Mayer H. et al.: Objective assessment of spine function following industrial accident: a prospective study with comparison group and one-year follow-up. Spine 10: 482–493, 1985.
Mayer T., Gatchel R., Mayer H. et al.: A prospective two-year study of functional restoration in industrial low back injury: an objective assessment procedure. JAMA 258: 1763–1767, 1987.
Nicholas M. K., Wilson P. H., Goyen J.: Operant-behaviour-al and cognitive behavioural treatment for chronic low back pain. Behav. Res. Ther. 29: 225–238, 1991.
Nicholas M. K., Wilson P. H., Goyen J.: Comparison of cognitive behavioral group treatment and an alternative non-psychological treatment for chronic low back pain. Pain 48: 339–347, 1992.
Oland G., Tveiten G.: A trial of modern rehabilitation for chronic low-back pain and disability: vocational outcome and effect of pain modulation. Spine 16: 457–459, 1991.
Pizzetti M., Caruso I.: Medicina fisica e riabilitazione. Quarta Edizione. Edilombardo, Roma, 1987.
Postacchini F., Ferro L.: La lombosciatalgia. Trattamento postoperatorio. Società Editrice Universo, Roma, 1985.
Postacchini F., Montanaro A.: Early mobilisation and functional re-education in the postoperative treatment of prolapsed lumbar disc. Ital. J. Orthop. Traumatol. 4: 231–236, 1978.
Risch S. V., Norwell N. K., Pollock M. L. et al.: Lumbar strengthening in chronic low back pain patients. Spine 18: 232–238, 1993.
Sachs B. L., Ahmad S. S., LaCroix M. et al.: Objective assessment for exercise treatment on the B-200 isostation as part of work tolerance rehabilitation: a random prospective blind evaluation with comparison control population. Spine 19: 49–52, 1994.
Social security rulings. Title 20-Employees’ benefits. 404. 1567 — Physical exertion requirements.
Stuckey S. J., Jacobs A., Goldfarb J.: EMG biofeedback training, relaxation training, and placebo for the relief of chronic back pain. Percept. Motor Skills 63: 1023–1036, 1986.
Ternig E.: Physiotherapy following chemonucleolysis. In: Chemonucleolysis and related intradiscal therapies. Wittenberg R. H. Ed., G. Thieme Verlag, Stuttgart-New York, 1994.
Tollison C. D., Kriegel M. L. Satterthwaite J. R. et al.: Comprehensive pain center treatment of low back workers’ compensation injuries: an industrial medicine clinical outcome follow-up comparison. Orthop. Rev. 18: 1115–1126, 1989.
Triano J. J., McGregor M., Hondras M. A. et al.: Manipulative therapy versus education programs in chronic low-back pain. Spine 20: 948–955, 1995.
Turner J. A., Clancy S.: Comparison of operant behavioral and cognitive-behavioral group treatment for chronic low back pain. J. Consult. Clin. Psychol. 56: 261–266, 1988.
Turner J. A., Clancy S., McQuade K. J. et al.: Effectiveness of behavioral therapy for chronic low back pain: a component analysis. J. Consult. Clin. Psychol. 58: 573–579, 1990.
Turner J. A., Jensen M. P.: Efficacy of cognitive therapy for chronic low back pain. Pain 52: 169–177, 1993.
Van der Heijden G. J. M. G., Beurskens A. J. H. M., Dirx M. J. M. et al.: Efficacy of lumbar traction: a randomised clinical trial. Physiother. 81: 29–35, 1995.
Waagen G. N., Haldeman S., Cook G. et al.: Short term trial of chiropratic adjustments for the relief of chronic low-back pain. Manual Med. 2: 63–67, 1986.
Weinstein J., Spratt K. F., Lehmann T. et al: Lumbar disc herniation. A comparison of the results of chemonucleolysis and open discectomy after ten years. J. Bone Joint Surg. 58-A: 43–54, 1986.
Wiesel S. W., Feffer H. L., Borenstein D. G. et al.: Industrial low back pain. A comprehensive approach. Second Edition, The Michie Company, Charlottesville, VA, 1989.
Rights and permissions
Copyright information
© 1999 Springer-Verlag Wien
About this chapter
Cite this chapter
Postacchini, F., Gumina, S. (1999). Postoperative Functional Recovery. In: Lumbar Disc Herniation. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6430-3_17
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6430-3_17
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7322-0
Online ISBN: 978-3-7091-6430-3
eBook Packages: Springer Book Archive