چکیده:
Objectives: To compare the outcomes of prone and supine lumbar traction in patients with chronic discogenic low back pain.
Methods: The test was prospective and randomized control trial. The structure of trial was Urban Physical Medicine and Rehabilitation clinic. Participants was included of A total of 124 subjects with chronic low back pain (LBP) and evidence of a degenerative and/or herniated inter-vertebral disk at 1 or more levels of the lumbar spine, who have not our exclusion criteria. There was A 4-week course of lumbar traction, prone or supine in case and control groups consecutively, consisting of six 30-minute sessions every other days, followed by four 30-minute sessions every 3 days. The numeric Visual pain rating scale and the Oswestry Disability Index (ODI) were completed at pre-intervention and discharge (within 2 weeks of the last visit).
Results: A total of 124 subjects completed the treatment protocol. We noted significant improvements for all post-intervention outcome scores when compared with pre-intervention scores (P<0.01). Also found significant difference between 2 groups in favor of prone traction (P<0.01)
Discussion: Traction applied in the prone position for 4 weeks was associated with improvements in pain intensity and ODI scores at discharge, in a sample of patients with activity limiting LBP. However, because we lacked a reasonable long time follow-up, we cannot imply a long lasting relationship between the traction and outcome, and a long time follow-up is suggested.
خلاصه ماشینی:
Efficacy of prone lumbar traction on chronic discogenic low back pain and disability Mahmoud Beyki; Mohsen Abedi Baghiatollah University of Medical Sciences, Tehran, Iran Farin Soleimani, MD.
1 University of Social Welfare and Rehabilitation Science, Tehran, Iran : To compare the outcomes of prone and supine lumbar traction in patients with chronic discogenic low back pain.
Participants: A total of 124 subjects with chronic low back pain (LBP) and evidence of a degenerative and/or herniated inter-vertebral disk at 1 or more levels of the lumbar spine, who have not our exclusion criteria.
Intervention: A 4-week course of lumbar traction, prone or supine in case and control groups consecutively, consisting of six 30-minute sessions every other days, followed by four 30-minute sessions every 3 days.
01)Conclusions: Traction applied in the prone position for 4 weeks was associated with improvements in pain intensity and ODI scores at discharge, in a sample of patients with activity limiting LBP.
(3,16-18) Material and Methods A prospective randomized trial was conducted on One hundred twenty four patients with chronic discogenic low back pain since March 2007 to June 2008 in a university affiliated spine clinic in Tehran, Iran.
Table 1: Prone & Supine Groups Characteristics Pre-intervention VAS was 6.
Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective, case series study.
The efficacy of lumbar traction in the management of patients with low back pain.