None listed
Conditions
Brief summary
this study was conducted to investigate the effects of lumbar extension traction on lumbar curve, pain and intervertebral movements in patients with chronic mechanical low back pain (CMLBP). Eighty patients selected had CMLBP with hypolordotic lumbar spine were assigned randomly into two groups of equal number (study and control). Both groups received stretching exercises and infrared radiation; additionally the study group received lumbar extension traction. Absolute rotatory angle (ARA), intervertebral movements, and visual analogue scale (VAS) were measured for all patients at three intervals. Results:The results revealed a statistically significant difference between groups at two follow-up time points adjusted to baseline value of outcome for translational and sagittal rotational movements of l3-L4,L4-L5,L5-S1, L2-L3(post treatment) and ARA (p<0.01) while there was no significant changes in pain(p=0.1&0.3) and L1-L2 (p=0.072&0.076),L2-L3(at follow up)(p=0.3),and at the same time there was no significant difference between the previous variables adjusted to the group baseline outcome interaction(p>0.01). Conclusion: It was concluded that lumbar extension traction is beneficial in improving the sagittal lumbar curve, pain, intervertebral movement in CMLBP.
Interventions
In this study 3-point bending traction was used, each subject lied in a supine position;, there is vertical load applied by a posterior padded strap between the upper torso and lower pelvis while the upper torso and femur were stabilized by other straps. The patients were having traction three times a week for ten weeks. The traction began at three minutes/session, increased one minute/session to 20minutes, at which time traction was applied for 20minutes/session
Stretching exercises were perfo
In this study 3-point bending traction was used, each subject lied in a supine position;, there is vertical load applied by a posterior padded strap between the upper torso and lower pelvis while the upper torso and femur were stabilized by other straps. The patients were having traction three times a week for ten weeks. The traction began at three minutes/session, increased one minute/session to 20minutes, at which time traction was applied for 20minutes/session Stretching exercises were performed for erector spine muscles and hamstring muscle holding each movement for 30 seconds. Each exercise was repeated 3 times. The stretching program was performed 3 times a week for 10 weeks. Application of infrared radiation (wave length 800-1000nm). The patient was assumed the prone lying position where the area to be treated (the paraspinal muscles of the back) was adequately exposed, supported and relaxed. The lamp was positioned at distance ranged from (50-75cm). The radiation strikes the surface at or near right angle to achieve maximum penetration. The duration of application was fifteen minutes per session 3 times a week for 10 weeks. The Visual Analog Scale (VAS) was used to assess each patient’s pain perception. all treatments were administered simultaneously over the10 weeks.
Sponsors
Aliaa Attiah Diab
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
40 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1-patients with chronic mechanical low back pain. Duration of symptoms more than 3 months to avoid acute stage of inflammation 2-with lumbar lordosis measured less than 40 degrees.
Exclusion criteria
lumbar spondylotic radiculopathy, lumbar disc. Spinal canal stenosis, rheumatoid arthritis, osteoprosis, inability to tolerate lumbar extension position, scoliotic deformity and any deformity of lower extremity that may interfere with global alignment.
Outcome results
None listed