Related Experiment Video
Updated: May 5, 2026
10:09
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
4.0K
Knowledge, attitudes, and practices regarding lumbar disc herniation among diagnosed patients
Ruijun Xu1, Mingliang Ning2, Ronghua Yu1
1Department of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in Public Health
|July 11, 2025
Summary
Patients with lumbar disc herniation (LDH) have low knowledge but positive attitudes and practices. Enhancing patient education on LDH can improve self-management and reduce disability.
Area of Science:
- Medical Research
- Patient Education
- Spinal Health
Background:
- Lumbar disc herniation (LDH) significantly impacts patient quality of life.
- Understanding patient knowledge, attitudes, and practices (KAP) is crucial for effective management of LDH.
Purpose of the Study:
- To investigate the KAP of patients diagnosed with lumbar disc herniation (LDH).
- To explore the relationships between knowledge, attitude, practice, and disability in LDH patients.
Main Methods:
- A cross-sectional study involving 395 patients with LDH.
- Data collected via questionnaires assessing KAP and Oswestry Disability Index (ODI).
- Structural Equation Modeling used to analyze relationships between variables.
Main Results:
- Patients exhibited inadequate knowledge (mean score 14.91/22) but positive attitudes (39.26/50) and practices (39.48/55).
- Knowledge directly influenced attitude and practice; attitude directly influenced practice.
- Knowledge also indirectly impacted practice through attitude.
Conclusions:
- LDH patients show a gap in knowledge despite positive attitudes and practices.
- Improving patient education to enhance knowledge is recommended to foster better attitudes and self-management.
- Targeted educational interventions may help reduce disability associated with LDH.
Related Concept Videos
01:29Herniated Intervertebral Disc l: Introduction
44
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
44
01:27Degenerative Disc Disease I: Introduction
29
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
29
01:23Degenerative Disc Disease ll: Pathophysiology
34
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
34