Abstract:
Background: Prolapsed Lumbar Intervertebral Disc (PLID) is a prevalent
musculoskeletal condition that significantly affects physical functioning and quality of
life. It contributes to pain, disability, kinesiophobia, and impairs activities of daily
living. This study aimed to assess the challenges faced by PLID patients in their
everyday functioning through a mixed-methods approach. Methods: A mixed-method
cross-sectional study was conducted at the Musculoskeletal Unit of CRP, Savar. A total
of 68 participants diagnosed with PLID were selected through convenience sampling.
Quantitative data were collected using standardized tools: the Visual Analogue Scale
(VAS) for pain, the Oswestry Disability Index (ODI) for disability, the Tampa Scale of
Kinesiophobia (TSK), and WHOQOL-BREF for quality of life. Qualitative data were
obtained through in-depth interviews with 10 participants, focusing on personal care,
mobility, lifting, social interaction, and travel difficulties. Data analysis was performed
using SPSS v25 and thematic content analysis. Results: The majority of participants
reported moderate to severe pain and disability, with 75% indicating high levels of
kinesiophobia. Chi-square tests revealed significant associations between pain severity
and variables such as age, sex, and marital status (p<0.05). Thematic analysis identified
six
major challenges: limitations in personal care, weight lifting,
standing/sitting/walking/sleeping, traveling, and reduced social participation. Fear of
movement and re-injury further aggravated their conditions and restricted rehabilitation
participation. Conclusion: PLID has a profound impact on patients’ daily activities,
physical mobility, emotional well-being, and social life. The combined quantitative and
qualitative findings highlight the necessity of individualized rehabilitation strategies
addressing pain, fear-avoidance beliefs, and functional limitations. Physiotherapists
should integrate psychosocial support and patient education to enhance treatment
adherence and improve overall quality of life.
Keywords: Prolapsed Lumbar Intervertebral Disc (PLID), Daily activities, Pain,
Disability, Kinesiophobia Quality of life, Mixed-method study, Rehabilitation,
Functional limitations, Psychosocial support.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
