Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation

Jioun Choi, Sangyong Lee, Gak Hwangbo, Jioun Choi, Sangyong Lee, Gak Hwangbo

Abstract

[Purpose] The purpose of this study was to identify how spinal decompression therapy and general traction therapy influence the pain, disability, and straight leg raise (SLR) ability of patients with intervertebral disc herniation. [Subjects] The subjects were 30 patients with chronic lumbar pain who were divided into a spinal decompression therapy group (SDTG, n=15), and a general traction therapy group (GTTG, n=15). [Methods] The SDTG used a spinal decompression device, and the GTTG used a lumbar traction device. Both groups received conservative physical therapy three times a week for four weeks. A visual analog scale (VAS) was used to measure the degree of pain the patients with chronic lumbar pain. The Oswestry Disability Index (ODI) was used to measure the degree of functional disability. A goniometer was used to measure the patients' SLR ability. [Results] Both SDTG and GTTG showed statistically significant decreases in VAS and ODI scores and a statistically significant increase in SLR angle. A comparison of the two groups found no statistically significant differences. [Conclusion] Spinal decompression therapy and general traction therapy are effective at improving the pain, disability, and SLR of patients with intervertebral disc herniation. Thus, selective treatment may be required.

Keywords: Pain; Spinal decompression therapy; Straight leg raise.

References

    1. Spangfort EV: The lumbar disc herniation. A computer-aided analysis of 2,504 operations. Acta Orthop Scand Suppl, 1972, 142: 1–95.
    1. Adams MA, Freeman BJ, Morrison HP, et al. : Mechanical initiation of intervertebral disc degeneration. Spine, 2000, 25: 1625–1636.
    1. Jung OH: The effects of traditional physical therapy on pain reduction and depression level of patients with chronic low back pain. 2000. Dan-kook University, Dissertation of master’s degree, 2000.
    1. Macario A, Pergolizzi JV: Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Pract, 2006, 6: 171–178.
    1. Kosteljanetz M, Bang F, Schmidt-Olsen S: The clinical significance of straight-leg raising (Lasègue’s sign) in the diagnosis of prolapsed lumbar disc. Interobserver variation and correlation with surgical finding. Spine, 1988, 13: 393–395.
    1. Ramos G, Martin W: Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg, 1994, 81: 350–353.
    1. Borman P, Keskin D, Bodur H: The efficacy of lumbar traction in the management of patients with low back pain. Rheumatol Int, 2003, 23: 82–86.
    1. Meszaros TF, Olson R, Kulig K, et al. : Effect of 10%, 30%, and 60% body weight traction on the straight leg raise test of symptomatic patients with low back pain. J Orthop Sports Phys Ther, 2000, 30: 595–601.
    1. Gose EE, Naguszewski WK, Naguszewski RK: Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. Neurol Res, 1998, 20: 186–190.
    1. Gionis TA, Groteke E: Spinal decompression. Ortho Tech Rev, 2003, 5: 36–39.
    1. Yang HS: The effects of lumbar traction and decompression traction on HIVD patients. Dan-kook University, Dissertation of master’s degree, 2008.
    1. Kang DY: The effects of spinal decompression therapy and manual therapy on the pain, flexibility and muscle activity in patient with herniated intervertebral lumbar disc. Korea University, Dissertation of master’s degree, 2011.
    1. Lee Y, Lee CR, Cho M: Effect of decompression therapy combined with joint mobilization on patients with lumbar herniated nucleus pulposus. J Phys Ther Sci, 2012, 24: 829–832.

Source: PubMed

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