Redcord Neurac therapy in the neurorehabilitation of patients with moderate and severe paresis after lumbar microdiscectomy

Abstract

It is well known that over 800,000 microdiscectomies are performed worldwide each year. A significant number of patients undergo surgical treatment only after a sufficiently long period of progression of neurological symptoms lasting months or even years. Consequently, patients with paresis, including plegia of the distal lower extremities, are frequently encountered. In many cases, these neurological deficits persist for several years, resulting in a poor prognosis for postoperative recovery of motor function, despite complete or substantial relief of pain syndrome after surgery. Standard treatment for such patients includes drug therapy, physiotherapy methods (electrostimulation, magnetic stimulation), exercise therapy, massage, etc.

One of the modern neurorehabilitation techniques is Redcord Neurac therapy - an innovative technology of neuromuscular activation. Neurac (Neuromuscular Activation) is a physical therapy technique that uses specific exercises and techniques to activate the nervous and muscular systems. This method is based on the interaction between the nervous and muscular systems, as well as the principles of functional training.

Objective: To study the immediate and long-term treatment outcomes in patients with paresis after lumbar microdiscectomy using the Redcord Neurac therapy technique.

Materials and methods: A study was conducted to evaluate the effectiveness of treatment in 38 patients with moderate or profound paresis after lumbar microdiscectomy in the period from 2022 to the first half of 2025, who underwent treatment at the Lamed Rehabilitation Clinic, Dnipro, Kyiv.

Results: There were 15 men and 23 women, the age of the patients ranged from 35 to 50 years (average 39.9 years), the duration of the disease was from 4 to 10 years. At the beginning of neurorehabilitation, all 38 (100%) patients had movement disorders and foot dysfunction during the Neurac test, whereas there were no movement disorders in the knee joint or thigh muscles. After a month of treatment, 76% (29 patients) demonstrated significant recovery of foot flexion or extension function, while 24% (9 patients) had no positive effect. After 6 months of neurorehabilitation, good outcomes were observed in (84%) 32 patients, whereas unsatisfactory results were reported in (16%) 6 patients.

Conclusions: Redcord Neurac therapy is a modern highly effective method of neurorehabilitation for patients with moderate and deep paresis after lumbar microdiscectomy. In combination with traditional rehabilitation methods, Redcord Neurac therapy allows to achieve 84% of positive results.