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• W2034291509 abstract "Objective To determine the prevalence of patient‐reported recovery from motor or sensory deficits over 2 years of follow‐up after acute symptomatic lumbar disk herniation and to identify predictors of perceived recovery. Design A prospective inception cohort. Setting An outpatient spine clinic. Patients Consecutive adults with lumbosacral radicular syndrome (onset ≤12 weeks) due to symptomatic lumbar disk herniation, confirmed by magnetic resonance imaging: 95 patients with a baseline motor deficit by physical examination and 59 patients with a baseline sensory deficit by physical examination. Methods The patients received individualized nonsurgical treatment or, in a minority of cases, surgical treatment. All of the patients underwent a standardized baseline neurologic examination, including motor and sensory testing. Patients with a motor or sensory deficit at the baseline examination reported on whether they perceived persisting weakness or sensory deficits at 1‐ and 2‐year follow‐up. We calculated the 1‐ and 2‐year prevalence of patient‐reported persisting weakness or sensory deficits. We examined factors associated with perceived recovery from motor or sensory deficits by using bivariate analyses and multivariate logistic regression. Results Among patients with a baseline motor deficit, the prevalence of patient‐reported continuing weakness was 38% at 1 year and 25% at 2 years. Among patients with a baseline sensory deficit, the prevalence of patient‐reported continuing sensory deficits was 53% at 1 year and 47% at 2 years. A positive straight leg raise test (odds ratio [OR] 0.26 [95% confidence interval (CI) 0.08‐0.83]) and opioid use (OR 0.24 [95% CI 0.06‐0.83]) were independently and negatively predictive of patient‐reported motor recovery. Female gender was independently and negatively predictive of patient‐reported sensory recovery (OR 0.20 [95% CI 0.04‐0.99]). Conclusions Patient‐reported recovery from motor deficits after lumbar disk herniation occurs for 75% of patients over 2 years, but recovery from sensory deficits over this time frame occurs in only 53% of patients. A positive straight‐leg raise test and female gender may predict poor recovery from motor and sensory deficits, respectively." @default.
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• W2034291509 date "2012-11-13" @default.
• W2034291509 modified "2023-09-30" @default.
• W2034291509 title "Predictors of Patient-Reported Recovery From Motor or Sensory Deficits Two Years After Acute Symptomatic Lumbar Disk Herniation" @default.
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• W2034291509 doi "https://doi.org/10.1016/j.pmrj.2012.08.023" @default.
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