Effect Of Early Physiotherapy Intervention for Patients with Prolapsed Lumbar Intervertebral Disc (PLID)

Abstract

Introduction: Prolapse lumbar intervertebral disc (PLID) is one of the most common causes of low back pain (LBP) and one of the common musculoskeletal complain in all parts of the world and account for 2 to 3% prevalence rate. Different treatment options are available mostly conservative and surgery. Physiotherapy is one of the important management strategies to mange PLID from acute to chronic stage. It has been shown there are confusion about time to intervention of physiotherapy and found different evidences and arguments. Objective of the study to evaluate the effect of early physiotherapy intervention for patients with Prolapsed Lumber Intervertebral Disc (PLID). Methodology: Quasi experimental study design was selected for this study. Participants were collected from the physiotherapy department of CRP. The PLID were diagnosed by a group of MDT members and by MRI findings of lumbar spine. Total 60 participants were selected by hospital based random sampling technique and subjects were allocated randomly to the therapist with given treatment protocol. To carry out this study tools are used modified Kuppuswamy’s Socio-Economic Status Scale (SES), the numerical pain rating scale and Oswestry disability low back pain index. Data was analyzed by parametric and non parametric statistical scale. Result: the finding of the study showed that male and upper lower class people are mostly prominent to PLID. The level of pain in pre test and post test found very significant (P < 000) as well as the level of disability status and functional improvements were significant in ODI (P < 0001), therefore, study reject null hypothesis and accepted alternative hypothesis. Conclusion: Based on the findings it’s proved that a specific treatment protocol for patients with acute PLID and early intervention of physiotherapy can have positive effect in reducing pain and improving function outcome. But it is recommended that further randomize control trail study can be done to see the actual effect within different clinical settings. Key wards: Prolapse Lumbar Intervertebral Disc (PLID), Low Back Pain, Physiotherapy, Exercise therapy