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Individualized functional restoration reduced activity limitation in patients with lumbar disc herniation
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Compared with guideline-based advice alone, investigators found individualized functional restoration that incorporated advice showed greater reductions in activity limitation at 10 weeks and 52 weeks among patients with lumbar disc herniation and associated radiculopathy.
In their randomized study, researchers performed a preplanned subgroup analysis of 54 participants with radiculopathy and imaging that demonstrated lumbar disc herniation. During a 10-week period, patients received 10 sessions of individualized functional restoration that incorporated advice or received two sessions of guideline-based advice alone. At 5 weeks, 10 weeks, 26 weeks and 52 weeks, investigators collected information on activity limitation and numeric pain rating scales for back pain and leg pain.
Results showed after 10 weeks and 52 weeks, investigators found better results with the additional individualized functional restoration compared with the guideline-based advice alone regarding activity limitation. Results for back pain were also better for the individualized functional restoration group at 10 weeks, but these results did not continue with longer follow-up. Investigators noted there was no significant difference seen for either the individualized functional restoration group or the guideline-based advice alone group with regard to leg pain during any follow-up. Individualized functional restoration was also favored vs. advice alone when investigators examined secondary outcomes. ‒ by Monica Jaramillo
Disclosures: Hahne reports he receives a grant from and is a consultant for LifeCare Health. Please see the full study for a list of all other financial disclosures.
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