The Effect Observation Of Abdominal Muscle Exercise On Lumbar Disc Herniation After Unilateral MIS-TLIF

Objective:To observe the clinical efficacy of abdominal exercise in patients with unilateral MIS-TLIF(minimally invasive transforaminal lumbar interbody fusion)after lumbar disc herniation.Methods:From June 2015 to March 2016,64 patients with unilateral MIS-TLIF were randomly divided into treatment group and control group(n = 32).The control group and the control group In the 2 d after surgery(after extubation),by the professional rehabilitation practitioners began to guide the straight leg training,in 1 week after the start of the conventional back muscle exercise;treatment group in the control group on the basis of training,by the same rehabilitation The physician instructs the patient to perform all the exercises of the abdominal exercise program before the patient is discharged.After 2 days of operation,the ventilatory abdomen is trained.After 1 week,the supine nursing training is increased.After 2 weeks,the lateral bridge is combined with breathtaking training.Group functional exercise lasted for 3 months.The VAS score,Oswestry disability index(ODI),low back pain JOA score,and lumbar spine were recorded in the follow-up of the two groups.Organize the collected data,use SPSS20.0 software,the data collected for statistical analysis.Results:There was no significant difference in the VAS score between the two groups(P>0.05).The VAS scores of the two groups were significantly improved at 1 month after operation(P<0.01).The scores of the treatment group were better than those of the control group(P<0.05)in the treatment group,the control group and the control group(P<0.05).2.Oswestry dysfunction index,the two groups of patients after surgery and 1 month after treatment group compared with the control group,the treatment group ODI score was no significant improvement(P>0.05).Compared with the control group,the ODI score of the treatment group was better than that of the control group at 3,6,and 12 months after operation(P<0.01).There was no significant difference between the two groups(P>0.05).There was no significant difference between the two groups(P>0.05).The patients were followed up for 1,3,6 and 12 months after follow-up.Group JOA score was superior to the control group,the difference was statistically significant(P<0.05).4.Imaging examination,follow-up 3 months after the review of lumbar X-ray is lateral radiographs,the treatment group and the control group of patients with all X-ray tablets are not stick and fusion device loosening,displacement.Conclusion:Early postoperative abdominal muscle exercise combined with conventional low back muscle exercise in patients with lumbar disc herniation can reduce postoperative lumbar and leg pain and improve the quality of life of patients after unilateral MIS-TLIF.There were no loosening and displacement of the internal fixation of the patients after 3 months of follow-up.The patients of the ladder-type abdominal muscles were easy to accept and the clinical safety was high.