Observation On The Curative Effect Of Core Stabilization Exercises On Rehabilitation Of Patients With Failed Back Surgery Syndrome

Objective:By comparing the effect of different length of time that patients with failed back surgery syndrome adhere to core stabilization exercises on the rehabilitation,how long the significant clinical curative effect would show up through core stabilization exercises will be identified,the necessity of long-term core stabilization exercises will be discussed and rehabilitation program for patients with failed back surgery syndrome will be proposed as a reference.Methods:Samples were collected from the orthopaedic outpatients from June to December in 2015 who were diagnosed as back disc herniation syndrome and were treated with back decompression fusion and internal fixation.However,there were sixty cases of failed back surgery syndrome after treatment.Patients with failed back surgery syndrome were randomly divided into three groups:twenty cases in three-month group(adhering to core stabilization exercises for three months),twenty cases in six-month group(adhering to core stabilization exercises for six months)and twenty cases in one-year group(adhering to core stabilization exercises for one year).We made a questionnaire on back instability and had a MRI examination of back to the patients before their exercises and at final follow-up.Also we utilized PACS to measure the cross-sectional areas of multifidus of pathological segment and recorded the change rate of the area of multifidus.VAS and ODI assessments were conducted in the following four periods of time,respectively before exercises,three months later,six months later and one year later.Then patients were taken the X-ray of the back hyperextension and flexion.Results:There was no difference among patients who met the inclusion criteria and completed one year of follow-up,compared with their own course of disease,age,weight and other basic data.There was no obvious statistical difference(P>0.05)among three groups of patients concerning VAS assessment,questionnaire on back instability at an earlier stage and ODI assessment before their exercises and at final follow-up.Scores of VAS and ODI assessments decreased significantly,compared with the scores before and after exercises.There was no noticeable improvement among patients of three-month group concerning scores of VAS and ODI assessments and a significant difference(P<0.05)compared with the other two groups.Compared with the three-month group,the VAS and ODI scores of the six-month group tended to decrease.And there is a difference(P<0.05)between one-year group and six-month group concerning the scores of VAS and ODI.There was no back instability on the iconography level in the following four periods of time,respectively before exercises,three months later,six months later and one year later.The change rate of the area of multifidus among three groups of patients was different,among which patients of three-month group increased least,patients of six-month group increased more than three-month group and patients of one-year group increased most.There was an obvious difference(P<0.05)concerning the results of three groups of patients with back instability at an earlier stage,among which patients of three-month group had back instability at an earlier stage most.Conclusion:1.It will help to alleviate the condition to the patients with failed back surgery syndrome adhering to prescribed core stabilization exercises for three months.2.It has a continuous effect on the rehabilitation to the patients with failed back surgery syndrome adhering to core stabilization exercises for one year.3.It is necessary for the patients with failed back surgery syndrome to adhere to long-term core stabilization exercises which have a certain significance for the prevention of back instability.