Neurológia pre prax 1/2013

Pathophysiology of trunk muscles or cycling as a potential risk factor after surgery for lumbar intervertebral disc herniation?

Neurosurgeon is confronted in his daily clinical work with patiens after surgery for lumbar disc herniation asking frequently about the suitability of bicycling for them. The submitted text describes some frequent factors leading to spine problems on the basis of anatomical and pathophysiological aspects, points to the mistakes most frequently encountered in non medical perception of the problem and diagnostic – therapeutic process and points to risk factors. Adequate function of muscular spinal supportive corset should be considered the most importament prevention of spondylogenic problems. When observing the rule,, stretching of contracted, reinforcing of weakened,, bicycling can be recommmended as beneficial for health to patiens after lumbar disc herniation surgery. Successful rehabilitation respecting three months time interval after surgery is a necessary condition. Supervision by a specialist in sport medicine in recommended for active bikers after lumbar disc herniation surgery.

Keywords: body muscles, position of pelvis, cycling, back pain, lumbar intervertebral disc herniation, prevention.