| Autor: |
Pradeep, Suri, David J, Hunter, Cristin, Jouve, Carol, Hartigan, Janet, Limke, Enrique, Pena, Ling, Li, Jennifer, Luz, James, Rainville |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Journal of the American Geriatrics Society. 59(3) |
| ISSN: |
1532-5415 |
| Popis: |
To determine whether older adults (aged ≥ 60) experience less improvement in disability and pain with nonsurgical treatment of lumbar disk herniation (LDH) than younger adults (60).Prospective longitudinal comparative cohort study.Outpatient specialty spine clinic.One hundred thirty-three consecutive patients with radicular pain and magnetic resonance-confirmed acute LDH (89 younger, 44 older).Nonsurgical treatment customized for the individual patient.Patient-reported disability on the Oswestry Disability Index (ODI), leg pain intensity, and back pain intensity were recorded at baseline and 1, 3, and 6 months. The primary outcome was the ODI change score at 6 months. Secondary longitudinal analyses examined rates of change over the follow-up period.Older adults demonstrated improvements in ODI (range 0-100) and pain intensity (range 0-10) with nonsurgical treatment that were not significantly different from those seen in younger adults at 6 month follow-up, with or without adjustment for potential confounders. Adjusted mean improvement in older and younger adults were 31 versus 33 (P = .63) for ODI, 4.5 versus 4.5 (P = .99) for leg pain, and 2.4 versus 2.7 for back pain (P = .69). A greater amount of the total improvement in leg pain and back pain in older adults was noted in the first month of follow-up than in younger adults.These preliminary findings suggest that the outcomes of LDH with nonsurgical treatment were not worse in older adults (≥ 60) than in younger adults (60). Future research is warranted to examine nonsurgical treatment for LDH in older adults. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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