The Influence of the Timing of Postoperative Rehabilitation Intervention on the Clinical Efficacy of Unilateral Biportal Endoscopic Spine System in the Treatment of Lumbar Disc Herniation
The Influence of the Timing of Postoperative Rehabilitation Intervention on the Clinical
Li Xiang
72 participants
Mar 28, 2025
INTERVENTIONAL
Conditions
Summary
This study focuses on the impact of the timing of postoperative rehabilitation intervention on the clinical efficacy of unilateral biportal endoscopic spine surgery in the treatment of lumbar disc herniation. The main objective is to explore this impact and provide high-quality evidence-based medical evidence for making reasonable clinical decisions.
Eligibility
Inclusion Criteria6
- Aged between 19 and 65 years.
- Diagnosed with lumbar disc herniation by imaging and scheduled for unilateral biportal endoscopic (UBE) surgery.
- Presenting with radicular pain in the lower extremity, with a history of less than 1 year.
- Able to understand Chinese and complete questionnaires independently.
- Physically capable of participating in exercise rehabilitation.
- Willing to participate and provide written informed consent.
Exclusion Criteria8
- Aged under 18 or over 65 years.
- Combined with other spinal pathologies (e.g., ankylosing spondylitis, rheumatoid arthritis, spinal tumor, spinal fracture, cauda equina syndrome).
- Diagnosis of neurological disorders (e.g., multiple sclerosis, Parkinson's disease).
- Presence of uncontrolled cardiovascular, respiratory, or peripheral vascular diseases.
- History of severe psychiatric disorders (e.g., schizophrenia).
- Previous history of spinal surgery.
- Pregnancy or lactation.
- Inability to understand or comply with the study procedures.
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Interventions
This intervention is a standardized, progressive rehabilitation protocol for patients after lumbar disc herniation surgery, delivered under the guidance of a senior physical therapist. The protocol aims to improve pain, restore function, and prevent complications through core stability exercises and neurodynamic techniques. The exercises are performed once daily and progressed based on patient tolerance. The protocol consists of two phases: Initial Phase ( commencing postoperatively): Includes: 1) Transverse abdominis activation; 2) Sit-to-stand training with abdominal bracing; 3) Four-point kneeling rockbacks for spinal mobility; 4) Neural mobilization techniques (performed in sitting); 5) Neural sliding techniques (performed in sitting). Progressive Phase: Builds upon the initial exercises by increasing the range of motion, adding isometric hold times, and integrating cervical movement with neural techniques to increase difficulty and intensity.
Locations(1)
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NCT07161232