Disability in patients with prolapsed intervertebral disc in lumbar region

Lumbar disc herniation is one of the most common spinal degenerative disorders which lead to low back pain (LBP) and radicular leg pain.(Yang H et al. 2015) Lumbar disc prolapse is a disease most common between 30 and 50 years of age, with a male preponderance, as well as an association with repeated mechanical forces and smoking. It may occur at any level, but 95% occur at L4/5 or L5/S.Therefore, the present study will be done to find the level of association of disability in PIVD and NON-PIVD subjects in the Indian population.This was a cross sectional study conducted on 300 subjects (150 PIVD/150 Non-PIVD) 25-50 years old. The sociodemographic data was taken and disability was measured by OLBPDQ- Oswestry low back pain disability questionnaire. The disability mean(SD) value of PIVD subjects was 23.93(6.01) and without PIVD 7.61(4.04) on OLBPDQ scale. That shows the level of disability was more within the PIVD subjects and the p-value is <0.001*. We also compared the each component of the OLBPDQ between the PIVD and non-PIVD groups. Components 1,2,3,4,5,6,7,8,9 and 10 represent subjective pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, travelling and work, respectively. All components 1,2,3,4,5,6,7,8,9 and 10 were found to have statistically significant difference at p>0.05.On the basis of all 10 components of OLBPDQ we can said that PIVD is affect every aspect of human life. Oswestry Low Back Disability Index (OLBDI) results in PIVD subjects clear an increased risk of physical disability, thereby exposing subjects with PIVD to several other consequences of disability. Therefore, the complete physical health assessment and treatment forsubjects with PIVD should be considered and they should receive proper guidance.