title: Outcomes and adverse events from physiotherapy functional restoration for lumbar disc herniation with associated radiculopathy.
abstract: OBJECTIVE
  To report the outcomes and adverse events of people diagnosed with lumbar disc herniation with associated radiculopathy (LDHR) who were treated with a physiotherapy functional restoration programme.
  
  
  METHODS
  Data on functional outcome (Oswestry score), work status, global rating of change, and adverse events were extracted from the files of all people with LDHR treated by three physiotherapists using functional restoration principles from 2001 to 2009.
  
  
  RESULTS
  Ninety-five participants were included. The Oswestry score reduced by a mean of 15.9 (95% CI, 11.8-20.1) points between baseline and discharge following a mean (SD) of 8.7 (9.4) months of treatment. The proportion of participants working full-time increased from 37% to 67% between baseline and discharge (p < 0.001). Eighty per cent of participants reported overall improvement between baseline and discharge on the global rating of change scale (p < 0.001). Minor adverse events were reported by eight (8%) participants, while one (1%) participant developed adhesive capsulitis.
  
  
  CONCLUSIONS
  People with LDHR who undertook a physiotherapy functional restoration programme achieved significant improvements in Oswestry disability scores, work status, and global rating of change, with few adverse events reported. A randomised controlled trial is warranted to determine the efficacy of functional restoration for people with this condition.
authors.affiliation: Musculoskeletal Research Centre and School of Physiotherapy, La Trobe University, Kingsbury Drive, Bundoora, 3086 Australia. andrewhahne@gmail.com
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Hahne
authors.forename: Jon J
authors.initials: JJ
authors.lastname: Ford
authors.forename: Rana S
authors.initials: RS
authors.lastname: Hinman
authors.forename: Nicholas F
authors.initials: NF
authors.lastname: Taylor
authors.forename: Luke D
authors.initials: LD
authors.lastname: Surkitt
authors.forename: Adam G
authors.initials: AG
authors.lastname: Walters
authors.forename: Joan M
authors.initials: JM
authors.lastname: McMeeken
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000534:rehabilitation*; D016014:Linear Models; D008159:Lumbar Vertebrae; D008297:Male; D026741:Physical Therapy Modalities / Q000009:adverse effects; D011843:Radiculopathy / Q000534:rehabilitation; D012189:Retrospective Studies; D016896:Treatment Outcome