Title: The effects of drug treatment and ADL instructions in patients with PLID among the adult populations at Dhaka Medical College Hospital

Authors: Dr Ripon Kumer Saha, Dr Moinuddin Hossain Khan, Dr Dilir Zamal, Dr Aparajeya Bivab Bikash Baral, Dr S.M Mazharul Islam, Dr Md. Aminul Alam, Professor D. Jahidul Islam

 DOI: https://dx.doi.org/10.18535/jmscr/v10i1.07

Abstract

Background: PLID is one of the most common medical problems and causes a significant amount of disability and incapacity in different countries. PLID has a persistent and recurrent nature, with major consequences for individuals and society.

Objective: see the effects of drug treatment and ADL instructions in patients with PLID

Method: Randomized Clinical Trial was carried out in the department of Physical Medicine & Rehabilitation in Dhaka Medical College Hospital, Dhaka, Bangladesh. Patients presenting with PLID in the age group of 18 to 50 years of both sexes attending in the Department of Physical Medicine & Rehabilitation at Dhaka Medical College Hospital, Dhaka were included as study population. A total number of 70 patients with PLID who fulfilled the selection criteria were taken as study population and among them 35 patients were selected who were treated with drugs and ADL instruction.

Results: Among the 70 patients, majority of the patients were in the age group of 41 to 50 years which was 14 (40.0%) cases. Male was   predominant than female which was 21(60.0%) cases.   The mean score of Schober’s test before treatment was 3.6 ± 0.7.The mean score of Schober’s test 2 weeks after treatment was  4.5 ± 0.6, after 4 weeks      4.7 ± 0.7 and after 6 weeks   was  5.3 ± 0.8  . The mean score of VAS before treatment was 8.9 ± 0.9  , 2 weeks after treatment   was 6.4 ± 1.1). 4 weeks after was 4.3 ± 1.1.and 6 weeks after   was 2.9 ± 1.4.

Conclusion: This study was done on very small, selected admitted patients in department of medicine, Dhaka Medical College Hospital. Though the improvement was positive still the effects of drugs treatment was not that much impressive that treatment with traction.

Keywords: Drug treatment, PLID, LBP.

References

  1. Ahmed MS, Shakoor MA, Khan AA; Evaluation of the effects of shortwave diathermy in patients with chronic low back pain, Bangladesh Med Res Counc Bull 2009; 35: 18-20.
  2. Akbar A, Mahar A. Lumbar disc prolapse: management and outcome analysis of 96 surgically treated patients. J Pak Med Assoc. 2002;52(2):62-5.
  3. Beurskens AJ, Henrica C, Regtop W, van der Heijden GJ, Lindeman E, Knipschild PG. Efficacy of Traction for Nonspecific Low Back Pain: 12Week and 6Month Results of a Randomized Clinical Trial. Spine 1997;22:2756-2762
  4. Borman P, Keskin D. Bodur H. The efficacy of lumbar traction in the management of patients with low back pain. Rheumatol Int 2003; 23: 82–86
  5. Cailliet R. Spine disorders and deformities. In: Kottke FJ, Lehmann FJ, eds. Krusen’s Handbook of Physical Medicine and Rehabilitation. 4th ed.Philadelphia: W.B. Sunders; 1990: pp.792-809.
  6. Hasan MA, Rahim MA, Siddiq MAB, Hossain MS, Taslim A, Paul S, Barua A, Hassn MMU, Islam MN, Haq SA. Study of spectrum of rheumatic diseases in the department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, Bangladesh. Journal of Chittagong Medical College Teachers’ Association, 2009; 20(1): 6-11.
  7. Harte AA, Baxter GD, Gracey JH, The effectiveness of motorised lumbar traction in the management of LBP with lumbo sacral nerve root involvement: a feasibility study. BMC Musculoskeletal Disorders 2007
  8. Helia–Vaara M. Body height, obesity, and risk of herniated lumbar intervertebral disc. Spine 1987;12:469-472
  9. Logue VL. Treatment of lumbar disc prolapsed, Post Graduate Medical Journal 1953,234-42.
  10. Moyeenuzzaman M. A study of patients with low back pain attending Physical Medicine Department of IPGM & R [Dissertation]. BCPS, Dhaka. 1992
  11. [Mundt DJ, Kelsey JL, Golden AL, Pastides H, Berg AT, Sklar J, Hosea T, Panjabi MM. An epidemiologic study of non-occupational lifting as a risk factor for herniated lumbar intervertebral disc. Spine 1993;18:595-602
  12. Pellecchia G L; limbar traction : a review of the literature, JPSPT, November 1994,vol 20,No-5
  13. Peterson L, Renstrom P. Sports injuries, their prevention and treatment, Martin Dunitz Ltd 2001,UK, 3rd ed,page-216-42
  14. Pellecchia G L; limbar traction : a review of the literature, JPSPT, November 1994,vol 20,No-5
  15. Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine 1995;20:1878-1883
  16. Saunders H D. Lumbar Traction, The Journal of Orthopaedic and Sports Physical therapy, Summer 1979, Vol. 1, No. 1, 36-45
  17. Shakoor MA, Hassan SA, Moyeenuzzman M, Dev AK. Treatment with shortwave diathermy chronic low back pain. Journal of Chittagong Medical College Teachers’ Association, 2010; 21(1): 40-4.
  18. Spannare BJ. Prolapsed lumbar intervertebral disc with partial or total occlusion of the spinal canal. Acta Neurochirurgica. 1978;42(3-4):189-198
  19. Vander-Heijden GJMG, Beurskens AJHM, Dirx MJM, Bouter LM, Lindeman E. Efficacy of Lumbar traction: a randomized clinical trial. Physiotherapy. 1995;81(1): 39-35
  20. Waddell G, McCulloch JA, Kummel ED, Venner RM. Nonorganic physical signs in low-back pain. Spine 1980;5:117-125.

Corresponding Author

Dr Ripon Kumer Saha

Assistant Professor, Department of Physical Medicine and Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh