Trunk Muscle Strength in Flexion, Extension, and Axial Rotation in Patients Managed With Lumbar Disc Herniation Surgery and in Healthy Control Subjects

Abstract

The recovery of maximal endurance and explosive type strength characteristics is incomplete in patients with lumbar disc herniation 2 months after surgery. Active strength training is recommended to restore muscle function in these patients.

Chiropractic/Rehabilitative Management of Post-Surgical Disc Herniation: A Retrospective Case Report

“…Fifteen to 20% of patients will suffer a recurrent herniated lumbar disc, and in 74% of those cases, it occurs within 6 months of the first operation (15). Post-operative deconditioning is common (16). It has been suggested that surgery should be undertaken if the patient does not respond after at least two months of conservative treatment (17).…”

“…Low physical fitness and inadequate strength and endurance of the back muscles is listed among the risk factors for back trouble. Further, patients requiring lumbar IVD herniation surgery may experience a long period of inactivity before surgery, which causes decreased muscle strength and impairment of the voluntary neural activation rate (16,20,21,22). Another study showed that muscle retraction time during surgery is directly proportional to the severity of damage to the multifidis muscle group, and delaying recovery of the extensor muscle strength.…”

“…Another study showed that muscle retraction time during surgery is directly proportional to the severity of damage to the multifidis muscle group, and delaying recovery of the extensor muscle strength. Further, 60% of patients have restricted mobility of the spine and reduced lifting capacity 3 months after surgery (16,20).…”

“…A major factor underlying disability from back pain is an actual physical inability to perform certain tasks because of lost muscle strength, lowered endurance and aerobic capacity, or decreased mobility and coordination (23). Studies have shown that the recovery of maximal endurance and explosive type strength characteristics is incomplete in patients with lumbar disc herniation two months after surgery (16). Active strength training is recommended to restore muscle function in these patients.…”

Comparison of the results of open PLIF versus UBE PLIF in lumbar spinal stenosis: postoperative adjacent segment instability is lesser in UBE

“…And the endoscopic approach has less impact on the muscle groups at the surgical site than the open approach, and these muscle groups are the paraspinatus, multifidus and erector spinae muscles [ 4 ]. Arja et al showed that muscle function recovery in open surgery patients is incomplete at two months postoperatively, and it is therefore suspected that muscle damage from open surgery may jeopardize trunk muscle function and be involved in postoperative low back pain [ 28 ]. After the patient’s UBE procedure, significant enlargement of the cross-sectional area of the dural sac and the area of dural stenosis, early pain scores were significantly lower than in patients undergoing open surgery and lower incidence of associated paravertebral muscle injuries, and these suggest that the UBE procedure has good decompression effects and may be an alternative to conventional microsurgical decompression [ 29 ].…”