Review Article
Volume 12 Issue 12 - 2021
Rehabilitation Treatment Protocol in Spinal Conditions
Zakkan Martínez Lara1, Pavel Yosvany Suárez Guevara2 and Tahuser Martínez Lara3*
1Comprehensive General Medicine of CUBAZALUD, Diploma in Intensive Care, Master in Traumatological Emergencies, Instructor Teacher, Peru
2Integral General Medicine of the Elpidio Berovides Polyclinic, Finlay-Albarrán Faculty, University of Medical Sciences of Havana, Cuba
3Physical Medicine and Rehabilitation of the International Orthopedic Scientific Complex "Frank País", Finlay-Albarrán Faculty, University of Medical Sciences of Havana, Cuba
*Corresponding Author: Tahuser Martínez Lara, Physical Medicine and Rehabilitation of the International Orthopedic Scientific Complex "Frank País", Finlay-Albarrán Faculty, University of Medical Sciences of Havana, Cuba.
Received: September 13, 2021; Published: November 29, 2021


Introduction: The processes that determine low back pain have notable effects on health spending and occupational medicine. This is due to the fact that lumbar pain pathology is the main cause of disability in the working population under 45 years of age, and the third cause of physical deterioration in those over 45 years of age. The physiotherapeutic approach has proven to be a non-surgical intervention method, which provides great benefits for the prevention of patients diagnosed with lumbar disc herniation, spondylolysis and spondylolisthesis. Objective: To establish the guide for the pre and post-operative rehabilitation treatment that will be applied to patients with spinal conditions: lumbar disc herniation, spondylolysis and spondylolisthesis. Methods: An electronic and library search of national and foreign medical journals indexed in Scielo, Imbiomed, Pubmed, Web of Science, and Evidence-Based Physiotherapy (PEDro) that had been published for less than 5 years was carried out. The search strategy was developed in the period of July and September 2021. Conclusion: The application of a rehabilitation protocol for patients in the pre and post-operative period of spinal disorders contributes to the improvement of the prognosis and quality of life of these patients. It is imperative to be able to find more effective and less expensive ways to include the person in their activities of daily life with the least functional limitation possible, to achieve greater success after surgery and reduce both hospital costs and rehabilitation time.

Keywords: Spinal Disorders; Physiotherapy; Lumbar Disc Herniation; Spondylolysis and Spondylolysis; Rehabilitation Treatment


  1. Moncer R., et al. “Cross-sectional study of low-back pain (LBP) in children and adolescents: Prevalence and risk factor RSS”. Annals of Physical and Rehabilitation Medicine 59 (2016): 96.
  2. Montelongo Pérez J. “Scientific evidence of the physiotherapeutic approach in lumbar spondylolisthesis” (2016).
  3. Traeger AC., et al. “Care for low back pain: can health systems deliver?” Bulletin of the World Health Organization 6 (2019): 423-433.
  4. Reyes-Sánchez A., et al. “Results in the surgical treatment of lumbar disc herniation, report at seven years of follow-up”. Acta Ortopédica Mexicana 5 (2019): 319-324.
  5. Marchand A-A., et al. “Current Practices in Lumbar Surgery Perioperative Rehabilitation: A Scoping Review”. Journal of Manipulative and Physiological Therapeutics 9 (2016): 668-692.
  6. Valdés Hidalgo N., et al. “Are herniated discs a scourge of modernity or a mitigable ailment? Case study in the province of Cienfuegos”. University and Society Magazine2 (2016): 132-136.
  7. Sonnenholzner E and Sieh T. “Bridges and barriers: physiotherapy and the physiotherapist’s experience of treating musculoskeletal disorders in western Ecuador. A qualitative study” (2017).
  8. Mera LRL., et al. “General considerations about lumbar disc hernias: Occupational therapy”. Domain of Sciences3 (2016): 175-186.
  9. Peña Martínez L J. “Bibliographic research: physiotherapeutic management in people with lumbar disc herniation” (2020).
  10. Manual Therapies. [Manual Therapies. com] (2010).
  11. Porter AST. “Spondylolisthesis”. In: Giangarra CE, Manske RC, eds. Clinical Orthopedic Rehabilitation: A Team Approach. 4th Philadelphia, PA: Elsevier, chapter 80 (2018).
  12. Williams KD. “Spondylolisthesis”. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopedics. 13th Philadelphia, PA: Elsevier, chapter 40 (2017).
  13. Rodríguez VB., et al. “Pulsed electromagnetic fields in the treatment of lumbar disc herniation pain”. Revista Cubana de Medicina Física y Rehabilitación 3 (2019): 1-13.
  14. Ezzati K., et al. “The beneficial effects of high-intensity laser therapy and co-interventions on musculoskeletal pain management: a systematic review”. Journal of Lasers in Medical Sciences 1 (2020): 81-90.
  15. Sayilir S and Yildizgoren MT. “The medium-term effects of diadynamic currents in chronic low back pain tens versus diadynamic currents: A randomized, follow-up study”. Complementary Therapies in Clinical Practice 29 (2017): 16-19.
  16. Sudhir A and Perina D. “Musculoskeletal back pain”. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th Philadelphia, PA: Elsevier, chapter 47 (2018).
Citation: : Tahuser Martínez Lara., et al. “Rehabilitation Treatment Protocol in Spinal Conditions”. EC Orthopaedics 12.12 (2021): 46-56.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 23, 2022.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.