| Abstract [eng] |
The aim of the study - to evaluate the likely existing links between the applied different outpatient rehabilitation programmes’ content and patients experienced pain intensity, physical, functional and psychoemotional changes in population with disc related lumbosacral radiculopathy. In the study the main demographic features of patients undergoing different outpatient rehabilitation programmes due to disc related lumbosacral radiculopathy are analysed. The comprehensive analysis of the differences in the effectiveness of applied multidisciplinary rehabilitation programme and non-multidisciplinary rehabilitation programme in management of disc related lumbosacral radiculopathy on patients experienced pain intensity, physical assessment parameters and functional status changes is performed. Patients undergoing different outpatient rehabilitation programmes assessed according the WHO recommendations with respect to biopsychosocial model, evaluating all the aspects: physical, functional, psychoemotional and social. During the study it is proved that multidisciplinary rehabilitation programme is significantly more effective reducing lumbosacral nerves roots irritation signs and functional patients’ status than non-multidisciplinary programme. Within the study the main distinctions in the effectiveness of applied different low back traction methods are revealed. The need of earlier use of multidisciplinary rehabilitation programme for patients with disc related lumbosacral radiculopathy in acute pain stage is shown. Mathematical prediction formulae allowing forecast the changes in patients’ experienced pain intensity, physical assessment parameters and functional status during the course of multidisciplinary rehabilitation due to disc related lumbosacral radiculopathy are estimated. During the study for the first time in Lithuania the new method of instrumental spinal function’s assessment in patients with disc related lumbosacral radiculopathy, using new computerised device “the Insight Subluxation Station”, implemented. The suggested model of outpatient multidisciplinary rehabilitation „PRM and Patients with Low Back Pain Complicated by Radiculopathy“ is the first programme of care devoted for patients with lumboscral radiculopathy that fitted the European accreditation standards and was accredited by UEMS RPM Section & Board Clinical Affairs Committee in 2010 and is available at: www.euro-prm.org. |
