Comparison of Early Postoperative Mobilization and Electrical Stimulation-Supported Rehabilitation on Functional Recovery After Lumbar Disc Herniation Surgery: A Prospective Randomized Controlled Trial
American Journal of Physical Medicine and Rehabilitation, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1097/phm.0000000000003177
- Dergi Adı: American Journal of Physical Medicine and Rehabilitation
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, SportDiscus, Academic Search Ultimate (EBSCO)
- Anahtar Kelimeler: Early Mobilization, Electrical Stimulation, Lumbar Disc Herniation, Postoperative Rehabilitation, Randomized Controlled Trial
- İstanbul Medipol Üniversitesi Adresli: Evet
Özet
Objective: – To compare early mobilization alone versus early mobilization combined with electrical stimulation on functional recovery, pain, and mobility after lumbar disc herniation surgery. Design: – Prospective, two-arm, parallel-group randomized controlled trial. Methods: – Sixty adults undergoing primary single-level lumbar discectomy were randomized to early mobilization alone (n=30) or early mobilization combined with NMES/TENS (n=30). Sessions were delivered three times weekly for 5 weeks. Outcomes included the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), Timed Up and Go test (TUG), 10-Meter Walk Test (10MWT), and Manual Muscle Testing (MMT). Results: – Significant time × group interactions favored the combined group for ODI (F(1, 58)=7.55, P=0.008, η²P=0.115), VAS (F(1, 58)=74.53, P <0.001, η²P=0.562), TUG (F(1, 58)=27.89, P <0.001, η²P=0.325), 10MWT (F(1, 58)=26.71, P <0.001, η²P=0.315), and MMT (F(1, 58)=15.33, P <0.001, η²P=0.209). The combined intervention produced greater improvements, especially in pain. Conclusion: – Adding electrical stimulation to early mobilization significantly enhances early functional recovery, reduces pain, and improves mobility and strength after lumbar disc herniation surgery. This low-cost adjunct can be readily integrated into routine rehabilitation.