Lumbal Disk Herniasyonunda Farklı Tedavi Yöntemlerinin Karşılaştırılması
Notice bibliographique
Résumé
The aim of this study is to determine the effectiveness of three different treatment methods which consists spinal decompression, deep friction massage and exercise. Thirty patients (15 Male, 15 female) with lumbar disc herniation between the ages of 28 and 65 (mean age: 46.30±12.94) participated in the study. Group one (n=10) received non-surgical spinal decompression therapy, group two (n=10) received non-surgical spinal decompression, lomber stabilization exercises and deep friction massage, group three (n=10) received deep friction massage and lomber stabilization exercises. All groups completed 15 sessions of therapy. In each session, pain severity was assessed with numeric anolog scale, straight leg raise test applied and the degree of the hip flexion where the patient reported pain were recorded, respectively. Static, dynamic muscle strength-endurance tests were applied before the treatment sessions started, after the treatment sessions ended, six weeks after and three months after the study. Oswestry Diasbility Scale (ODI), Back Performance Scale (BPS), Lanss Neuropathic pain Questionnaire, Fear-Avoidance-Beliefs Questionnaire (FABQ) and McGill Pain Questionnaire were applied before the treatment sessions started, after the treatment sessions ended and three months after the study. Gradient of disc height and thickness of the herniation were assessed segmentally with magnetic rezonans imagination (MRI) before the study and three months after the study. Before the treatment, after the treatment, six weeks after treatment and three months after treatment measurements' intra-group and inter group analyses were distrubuted with Friedman and Kruskal-Wallis tests, respectively and statistical significance value (p) is accepted as 0.05. In terms of disc height and thickness of herniation no statistically difference were found between groups (p>0.05).While disc height and thickness of herniation parameters were statistically difference in first and second group (p<0,05), there was no statistically difference were found in third group before and after treatment (p>0.05). Though there was statistically difference between groups before treatment, there was no statistically difference after treatment in terms of static and dynamic muscle strenght endurance test (p>0.05). Statistically meaningful differences were found in all groups except third group's FABQ work model and Lanss Neuropathic Pain Questionnaire in intra-group analyses of questionnaires (p<0,05). Differences in BPS, Lanss, FABQ work model's inter-group analyses were found meaningful before and after teratment(p<0,05). In this study, effectiveness of the lumbar disc herniation treatments were proven objectively. Intra group analyses showed that decrease in thickness of the herniation and positive resorbtion of the herniated disc were seen in all groups after the treatments. According to MRI results of these treatment methods all methods have similar effects.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».