Comparison of Early Postoperative Mobilization and Electrical Stimulation-Supported Rehabilitation on Functional Recovery After Lumbar Disc Herniation Surgery: A Prospective Randomized Controlled Trial.

IF 2.3 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI:10.1097/PHM.0000000000003177

Kadir Yıldırım, Oğuz Balkış, Mehmet Salih Tan

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引用次数: 0

Abstract

Objective: To compare early mobilization alone versus early mobilization combined with electrical stimulation on functional recovery, pain, and mobility after lumbar disc herniation surgery.

Design: Prospective, two-arm, parallel-group randomized controlled trial.

Methods: Sixty adults undergoing primary single-level lumbar discectomy were randomized to early mobilization alone (n=30) or early mobilization combined with NMES/TENS (n=30). Sessions were delivered three times weekly for 5 weeks. Outcomes included the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), Timed Up and Go test (TUG), 10-Meter Walk Test (10MWT), and Manual Muscle Testing (MMT).

Results: Significant time × group interactions favored the combined group for ODI (F(1,58)=7.55, P=0.008, η²P=0.115), VAS (F(1,58)=74.53, P <0.001, η²P=0.562), TUG (F(1,58)=27.89, P <0.001, η²P=0.325), 10MWT (F(1,58)=26.71, P <0.001, η²P=0.315), and MMT (F(1,58)=15.33, P <0.001, η²P=0.209). The combined intervention produced greater improvements, especially in pain.

Conclusion: Adding electrical stimulation to early mobilization significantly enhances early functional recovery, reduces pain, and improves mobility and strength after lumbar disc herniation surgery. This low-cost adjunct can be readily integrated into routine rehabilitation.

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术后早期活动和电刺激支持康复对腰椎间盘突出症术后功能恢复的比较：一项前瞻性随机对照试验。

目的：比较单纯早期活动与电刺激联合早期活动对腰椎间盘突出症术后功能恢复、疼痛和活动能力的影响。设计：前瞻性、双臂、平行组随机对照试验。方法：60名接受初级单节段腰椎间盘切除术的成年人随机分为单独早期活动组（n=30）和联合NMES/TENS早期活动组（n=30）。每周三次，持续5周。结果包括Oswestry残疾指数（ODI）、视觉模拟量表（VAS）、计时行走测试（TUG）、10米步行测试（10MWT）和手动肌肉测试（MMT）。结果：显著的时间×组相互作用有利于联合组ODI (F(1,58)=7.55， P=0.008, η²P=0.115), VAS （F(1,58)=74.53， P）。结论：在早期活动中加入电刺激可显著促进腰椎间盘突出术后早期功能恢复，减轻疼痛，改善活动能力和力量。这种低成本的辅助方法可以很容易地整合到常规康复中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).