International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Effect of Physiotherapy on Pain, Functional Independence, Quality of Life, and Radiological Findings in Patients with Prolapsed Intervertebral Disc With and Without Scoliosis: A Prospective Case Series

Author(s) Dr. Akanksha Nagar, Vipul Sood, Stuti Mittal, Jaspreet Singh Vij
Country India
Abstract Background: Lumbar prolapsed intervertebral disc (PIVD) is an important cause of low back pain, functional limitation, and reduced quality of life among young adults. Sedentary lifestyle, prolonged sitting, poor posture, and altered spinal biomechanics may increase susceptibility to lumbar spine dysfunction in younger populations. Associated scoliosis may further influence spinal loading, postural balance, and rehabilitation outcomes.
Objective: To evaluate the effect of conservative physiotherapy rehabilitation on pain intensity, functional independence, quality of life, and MRI-correlated clinical findings in young individuals with lumbar prolapsed intervertebral disc with and without scoliosis.
Methods: A prospective case series was conducted on five participants diagnosed with lumbar prolapsed intervertebral disc with and without scoliosis. Baseline assessment included clinical examination, magnetic resonance imaging (MRI), Numerical Pain Rating Scale (NPRS), Functional Independence Measure (FIM), and EQ-5D-5L questionnaire. Participants underwent a four-week supervised physiotherapy rehabilitation program consisting of Transcutaneous Electrical Nerve Stimulation (TENS), McKenzie extension exercises, lumbar stabilization exercises, stretching exercises, postural correction, ergonomic education, and functional rehabilitation. Descriptive analysis was performed using pre- and post-treatment comparisons.
Results: All participants demonstrated clinically meaningful improvement following physiotherapy rehabilitation. Mean NPRS scores improved from 8.0 ± 0.7 at baseline to 3.6 ± 1.1 following intervention. Mean FIM scores improved from 91.4 ± 3.0 to 113.2 ± 3.8, whereas EQ-5D-5L scores demonstrated substantial improvement in perceived quality of life. Participants presenting with scoliosis demonstrated comparatively greater baseline disability and slower rehabilitation progression; however, individualized rehabilitation resulted in improvement across all functional outcomes.
Conclusion: Conservative physiotherapy rehabilitation demonstrated beneficial effects in reducing pain intensity, improving functional independence, restoring mobility, and enhancing quality of life in young individuals with lumbar prolapsed intervertebral disc with and without scoliosis. Early rehabilitation emphasizing spinal stabilization, postural correction, ergonomic modification, and functional restoration may provide significant clinical benefit in young patients with lumbar spine dysfunction.
Keywords Lumbar disc prolapse, low back pain, scoliosis, rehabilitation, young adults
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-06-04
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E-ISSN 2582-2160
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