The influnce of rehabilitation on the spine movem ent and subjective pain assessment in case of patients with lumber region pain syndrome

Agnieszka Depa
Andżelina Wolan-Nieroda
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Grzegorz Przysada
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Department of Physiotherapy, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, Rzeszów, Poland
Institute of Health Sciences, Medical College University of Rzeszów, Rzeszow, Poland
Institute of Physiotherapy, Medical Department, University of Rzeszow, Rzeszów, Poland

Abstract

Introduction: Lumber region pain syndrome called lower back pain, has become the plague of our times. The main reasons for that are: sedentary lifestyle and lack of physical activeness which result in spine degeneration and overload and in consequence, intensify the pain and limit movement. Successful treatment of lower back pain constitutes a serious interdisciplinary problem, that is why, properly planned and conducted rehabilitation is so important. The aim of the research work: the evaluation of rehabilitation 's influence on a change of spine movemeni and subjective pain assessment, in case of patients with lower back pain syndrome.

Material and method: the research was performed on a group of 75 people, the group included 45 men and 30 women. Qualified for the research were the patients with lumber region pain syndrome, undergoing treatment as part of ZUS pension prevention in the Regionał Hospital no. 2 in Rzeszów. The treatment lasted three weeks in total. Before rehabilitation started and right afier it has finished, every patient has undergone examination of spine movement by means of Schober's test and Otto test, subjective pain assessment was ałso evaluated by VAS scale of pain, as well as the degree of functional activeness impairment measured with Oswestry questionnaire. The obtained results were subject to statisticał anałysis.

Results: As a result of the research, it was stated that afier rehabilitation 59% of patients experienced decrease of subjective pain intensity. lt was also noticed that lumber region spine movement has improved — 57% of patients. The anałysis of relation between the difference in degree of pain feeling and change of
patients" fitness (expressed by Otto and Śchober's tests) has proved that together with the improvement of fitness, the feeling of pain decreases. The obtained results were of statistical importance. lt was also shown that when lumber region movement improves, more patients experience decrease of functional ac-
tiveness impairment degree, measured by means of Oswestry questionnaire. No statistically important relation between age, gender, diagnosis and rehabilitation results was noticed.

Conclusion: Employment of the proper, complex rehabilitation activities on the patients with lumber region pain syndrome improves spine movement, reduces pain and improves functional activeness.

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