ArticleHeliyon2024
Lumbar spine coronal balance parameters as a predictor of rehabilitation management outcomes in patients with radiculopathy due to lumbar disc herniation: A multicenter prospective case series study.
Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This prospective consecutive case series was conducted in 5 physiotherapy clinics in the UAE from January 2021-March 2023 to assess coronal lumbar spine radiographic parameters as a predictor of conservative therapy outcomes in patients suffering from low back and leg pain due to lumbar herniated nucleus pulposus (HNP). Ninety patients (mean age 44 yrs., 54 % male) with lumbar HNP underwent conservative therapy. All participants received lumbar spine MRI and radiography to assess spine alignment. Interventions included specific exercises, diathermy, traction, education, a home-based exercise program, and medications. Detailed demographic data was collected. Follow-up was 6-months after discharge. A successful outcome was based on a minimum of the following four outcomes: (1) reduction of radicular or leg pain by 17.5 points (0-100 NRS); (2) fatigue reduction by 7.5 points; (3) distress reduction by 5 points; and (4) interference reduction by 9.5 points. At 6-month follow-up, it was found that patient age, education, and radiographic lumbosacral angle measures significantly affected the odds of a successful outcome. Increasing age by 1-year significantly decreased the odds of success of improving pain (OR = 0.85, p = 0.016), fatigue (OR = 0.85, p = 0.016) and interference scores (OR = 0.89, p = 0.042) by 15 %, 15 % and 11 %, respectively. Lower education significantly increased the odds of success for improving pain, fatigue, and interference by 26.18, 26.18, and 7.5 (p = 0.006, = 0.006, and = 0.029, respectively). Increasing (worsening) the radiographic lumbosacral angle by each degree significantly reduced the odds of success for improving pain, fatigue, distress, and interference by 3.52, 3.52, 27.99 and 2.55, respectively (p < 0.001, <0.001, = 0.003, = 0.001). Our findings indicate that younger age, less education, and better coronal radiological lumbar spine alignment all had a substantial impact on the likelihood of success on 6-month outcomes in patients suffering from chronic lower back pain and radiculopathy due to HNP.
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