ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ ĐAU DÂY THẦN KINH TỌA DO THOÁI HÓA CỘT SỐNG BẰNG MỘT SỐ PHƯƠNG PHÁP VẬT LÍ TRỊ LIỆU - PHỤC HỒI CHỨC NĂNG

Abstract

Objective: To evaluate the therapeutic and functional recovery effectiveness of physical therapy methods in patients with sciatic nerve pain caused by spinal degeneration. Methods: A prospective study employing a pre–post comparison design was conducted on 50 patients diagnosed with sciatic nerve pain due to spinal degeneration, who received either outpatient or day inpatient treatment in 2024. Data collected included the Visual Analogue Scale (VAS), lumbar spine flexibility measured by the Schober test, Valleix points, the hand-to-floor test, and the Lasegue test. Results: After 15 days of treatment, the proportion of patients with severe pain decreased from 56% to 0%, and the mean VAS score declined from 6.5 to 4.1. The proportion of patients with poor spinal flexibility decreased from 80% to 30%, while 16% achieved good flexibility. Patients presenting with four Valleix pain points decreased from 40% to 0%, whereas those with one pain point increased to 36%. The mean hand-to-floor distance improved from 25.0 cm to 14.2 cm. According to the Lasegue test, the proportion of patients with good outcomes rose from 12% to 80%, and the mean Lasegue angle increased from 65.6° to 76.7° after treatment. Conclusion: Pain intensity, range of motion, and clinical symptoms in patients with sciatic nerve pain due to spinal degeneration were significantly improved after 15 days of treatment with physical therapy and rehabilitation methods.