Nikoobakht, Mehdi and Yekanineajd, Mir Saeed and Pakpour, Amir H and Gerszten, Peter C and Kasch, Richard (2016) Plasma disc decompression compared to physiotherapy for symptomatic contained lumbar disc herniation A prospective randomized controlled trial. ScienceDirect.
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Abstract
Introduction: To evaluate clinical outcomes with PDD as compared with patients who underwent to standard physiotherapy intervention. Material and methods: One-hundred-seventy-seven randomly assigned patients with primari- ly radicular pain associated with a single-level lumbar contained disc herniation were enrolled. Participants received either PDD (89 patients) or conservative physiotherapy care (88 patients). Results: Patients in the PDD group had significantly greater reduction in leg pain scores and significantly improved VAS ( p < 0.001), Oswestry Disability Index ( p < 0.05), and 36-Item Short Form, than those in the physiotherapy group at 12 months. On subset analysis, patients achieved even better outcomes after PPD who: were younger, had a shorter period of radiculopathy, of male gender, and lower BMI. Patients with subacute pain reported better outcomes than those with chronic pain in the PDD group. Conclusions: Patient selection for PDD over physiotherapy favored younger patients who presented with a shorter period of pain symptoms and who had a more favorable body habitus.
| Item Type: | Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine |
| Divisions: | University Portal > research center > sdh |
| Depositing User: | pr SDH research |
| Date Deposited: | 09 Apr 2018 08:12 |
| Last Modified: | 09 Apr 2018 08:12 |
| URI: | http://eprints.qums.ac.ir/id/eprint/7309 |
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