Efficacy of Mechanical Traction and Spinal Decompression Treatments in Patients With Low Back Pain

Comparison of the Efficacy of Conventional Physiotherapy, Mechanical Traction and Spinal Decompression Treatments in Patients With Low Back Pain

Motorized traction and non-surgical spinal decompression treatments are relatively new treatments for which there is insufficient evidence in the literature. In this study investigators aimed to retrospectively compare the effectiveness of these treatments, which are in the field of their routine practice in their clinic.

Study Overview

• Status: Recruiting
• Conditions: Low Back Pain; Lumbar Disc Herniation; Physical Therapy; Lumbar Radiculopathy; Lumbar Disc Disease
• Intervention / Treatment: Procedure: Physical Therapy

Detailed Description

Low back pain is one of the leading causes of disability worldwide. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greater risk for low back pain. Anatomical structures that potentially nociceptive contributors to low back pain are intervertebral discs, facet joints, and vertebral end plates. It has been determined that nonsurgical treatments are clinically effective in reducing pain and functional improvement in patients with lumbar disc herniation. However, the level of evidence has generally not been highly evaluated, which can be attributed to the paucity of well designed randomized controlled trials. Despite moderate evidence, exercise and traction are recommended. In this study investigators aimed to retrospectively compare the effectiveness of these treatments, which are in the field of their routine practice in their clinic.

01.01.2019-10.11.2022. Investigators planned to examine the records of patients aged 20-75 years who underwent physical therapy with the diagnosis of lumbar discopathy in AFSU FTR Department Physical Therapy Unit. Investigators planned to examine the routine anamnesis examination, treatment card and control evaluation records of the patients made in the FTR outpatient clinic from the automation system of their hospital.

• Study Type: Observational
• Enrollment (Anticipated): 250

Contacts and Locations

Study Locations

• Turkey
  • Afyonkarahisar, Turkey, 03100
    • Recruiting
    • Sevda Adar

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 75 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Patients aged 20-75 who underwent physical therapy with the diagnosis of Lumbar discopathy in Afyonkarahisar Health Sciences University, Department of Physical Medicine and Rehabilitation Physical Therapy Unit between 01.01.2019-10.11.2022.

Description

Inclusion Criteria:

• Patients diagnosed with lumbar disc disorders
• Patients diagnosed with lumbar vertical hernia
• Aged 20-75 years

Exclusion Criteria:

• Patients treated for acute low back pain
• Patients with a history of lumbar surgery
• Patients with Spondylolisthesis or Spinal Stenosis
• Those with inflammatory rheumatic diseases (Ankylosing spondylitis, spondylarthropathy etc.)
• Patients with sequestered hernia
• Patients with insufficient data in the records

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Retrospective

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Conventional Physiotherapy; Treatment method using physical agents such as analgesic currents and superficial-deep heaters	Procedure: Physical Therapy; Therapy methods using physical agents in treatment
Mechanical Traction; It is a stretching process for the spine with a weight and pulling system for the spine.	Procedure: Physical Therapy; Therapy methods using physical agents in treatment
Nonsurgical Spinal Decompression; Non-surgical spinal decompression is a technique that uses a precision computerized mechanism and opens spinal nerve roots through segmental distraction.	Procedure: Physical Therapy; Therapy methods using physical agents in treatment

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Pain Scale (VAS)	Visual Pain Scale (VAS), which is easy to understand, apply and interpret, provides valid and reliable data in a short time, is the most used method in clinics. With a visual linear scale of 100 mm, the patient is told that there is no pain at the 0 point, and the most severe pain ever felt in life at the 100 point, and the patient is asked to put a mark on the point corresponding to his or her pain.	5 minutes
Oswestry Disability Index	The Oswestry Disability Index was first described in 1980. The questionnaire consists of 10 items addressing different aspects of the function. Each item was scored from 0 to 5, with higher values representing greater disability. The total score is multiplied by 2 and expressed as a percentage. Turkish validity and reliability have been demonstrated.	20 minutes

Collaborators and Investigators

• Sponsor: Afyonkarahisar Health Sciences University

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2022
• Primary Completion (Anticipated): January 15, 2023
• Study Completion (Anticipated): January 15, 2023

Study Registration Dates

• First Submitted: November 8, 2022
• First Submitted That Met QC Criteria: November 8, 2022
• First Posted (Actual): November 16, 2022

Study Record Updates

• Last Update Posted (Estimate): January 11, 2023
• Last Update Submitted That Met QC Criteria: January 9, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Pain; Neurologic Manifestations; Musculoskeletal Diseases; Neuromuscular Diseases; Peripheral Nervous System Diseases; Pathological Conditions, Anatomical; Spinal Diseases; Bone Diseases; Hernia; Back Pain; Low Back Pain; Intervertebral Disc Displacement; Radiculopathy
• Other Study ID Numbers: SALBP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No