Multidisciplinary Conservative Treatment Outcomes of in-Patient Physiotherapy Set-Up Among Patients with Lumbar Disc Herniation in Dhaka City, Bangladesh: A Retrospective, Cross-Sectional Study

Md Shahadat Hossain,1,* Sapia Akter,1,* Mustafa Amimul Ehsan Siddique,2 Md Kaoser Bin Siddique,3 G M Reza,1 Foisal Mohammad Mosiul Alom,4 Mohammad Ali,5 Md. Obayadur Rahman Noman,6 M Mazibar Rahman,2 Md. Shofiqul Islam,6 K M Amran Hossain7,* 1Bangladesh Institute of Manual Therapy & Research, Dhaka, Bangladesh; 2Department of Statistics, Jahangirnagar University, Dhaka, Bangladesh; 3Department of Research, Planning & Development, Grand Health Sector, TMSS, Bogura, Bangladesh; 4Department of Physiotherapy, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh; 5Department of Physiotherapy and Rehabilitation, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh; 6Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh; 7Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology (JUST), Jashore, Bangladesh*These authors contributed equally to this workCorrespondence: K M Amran Hossain, Department of Physiotherapy & Rehabilitation, Jashore University of Science & Technology (JUST), Jashore, 7408, Bangladesh, Tel +8801735661492, Email kma.hossain@just.edu.bdBackground: The study aimed to determine the outcome of Multidisciplinary physiotherapist-led conservative treatment of lumbar disc herniation at an in-patient set-up of a specialized spine center in Dhaka, Bangladesh.Methods: This was a retrospective cross-sectional study of 228 cases completing treatment and follow-up sessions. The outcome was evaluated as pain at rest and five different functional positions, neurological recovery, and Magnetic resonance imaging (MRI) changes during discharge and follow-up.Results: 80.3% had a complete recovery with a typical motor and sensory status, no limitations in straight leg raise (SLR), no cauda equina symptom (CES), and no or < 3 pain during more than 30 minutes of daily living activities. Statistically significant changes were noted at all outcome measures at the follow-up ...