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Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

  • Received : 2017.01.05
  • Accepted : 2017.02.21
  • Published : 2017.03.31

Abstract

The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion. Participants were randomly assigned to an experimental treatment or sham group. 67 participants received sidelying manual lumbar traction while the other 67 participants received a sham treatment. Pre and post treatment NPRS values for the painful active lumbar motion were recorded for each group. There was a statistically significant improvement (P=0.00) for decreased pain intensity during active lumbar motion in the experimental group as compared to the sham treatment group. The average percent decrease in numeric pain rating scale (NPRS) values was 52.1% for the experimental treatment group and 8.1% for the sham group. The results of the study suggest that side-lying manual lumbar traction can improve painful lumbar motion in patients with LDD.

Keywords

References

  1. Miller JA, Schmatz BS, Schultz AB. Lumbar Disc Degeneration With Age, Sex, and Spine Level in 600 Autopsy Specimens. Spine. 1988 ; 13(2): 173. https://doi.org/10.1097/00007632-198802000-00008
  2. Macedo LG, Latimer J, Maher CG, Hodges PW, Nicholas M, Tonkin L, et al. Motor control or graded activity exercises for chronic low back pain? A randomised controlled trial. BMC Musculoskeletal Disorders BMC Musculoskelet Disord. 2008; 9(1): 65. https://doi.org/10.1186/1471-2474-9-65
  3. Sahu R. Non-drug non-invasive treatment in the management of low back pain. Annals of Medical and Health Sciences Research Ann Med Health Sci Res. 2014; 4(5): 780. https://doi.org/10.4103/2141-9248.141565
  4. Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S. Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Spine. 2008; 8(1):213-25. https://doi.org/10.1016/j.spinee.2007.10.023
  5. Kaltenborn FM, Evjenth O. Manual mobilization of the joints: joint examination and basic treatment. Oslo, Norway : Norli ; Minneapolis, Minn : Distributed by OPTP. 2012.
  6. Maitland GD, Hengeveld E, Banks K, English K. Maitland's vertebral manipulation. Edinburgh: Elsevier Butterworth-Heinemann, 2005.
  7. Lederman E. Fundamentals of manual therapy: physiology, neurology, and psychology. New York: Churchill Livingstone. 1997.
  8. Creighton D, Gruca M, Marsh D, Murphy N. A comparison of two non-thrust mobilization techniques applied to the C7 segment in patients with restricted and painful cervical rotation. J Man Manip Ther. 2014; 22(4): 206-12. https://doi.org/10.1179/2042618614Y.0000000077
  9. Bourdillon JF, Day EA. Spinal Manipulation. 4th ed. London: Appleton & Lange. 1987.
  10. Ernst E. Prospective Investigations into the Safety of Spinal Manipulation. J Pain Symptom Manage. 2001; 21(3): 238-42. https://doi.org/10.1016/S0885-3924(00)00262-1
  11. Stevinson C, Ernst E. Risks associated with spinal manipulation. Am J Med. 2002; 112(7):566-71. https://doi.org/10.1016/S0002-9343(02)01068-9
  12. Morandi X, Riffaud L, Houedakor J, Amlashi SF, Brassier G, Gallien P. Caudal spinal cord ischemia after lumbar vertebral manipulation. Joint Bone Spine. 2004; 71(4): 334-7. https://doi.org/10.1016/S1297-319X(03)00154-4
  13. Miyazaki M, Hong SW, Yoon SH, Zou J, Tow B, Alanay A, Abitbol JJ, Wang JC. Kinematic analysis of the relationship between the grade of disc degeneration and motion unit of the cervical spine. Spine 2008; 33(2): 187-93 https://doi.org/10.1097/BRS.0b013e3181604501
  14. Kirkaldy-Willis WH, Bernard TN. Managing low back pain. New York: Churchill Living stone. 1999.
  15. Tanaka N, An HS, Lim T-H, Fujiwara A, Jeon C-H, Haughton VM. The relationship between disc degeneration and flexibility of the lumbar spine. Spine. 2001; 1(1): 47-56. https://doi.org/10.1016/S1529-9430(01)00006-7
  16. Murata M, Morio Y, Kuranobu K. Lumbar disc degeneration and segmental instability: a comparison of magnetic resonance images and plain radiographs of patients with low back pain. Arch Orthop Trauma Surg. 1994; 113(6): 297-301. https://doi.org/10.1007/BF00426175
  17. Adams MA, May S, Freeman BJC, Morrison HP, Dolan P. Effects of Backward Bending on Lumbar Intervertebral Discs. Spine. 2000; 25(4): 431-8. https://doi.org/10.1097/00007632-200002150-00007
  18. Schepper EITD, Damen J, Meurs JBJV, Ginai AZ, Popham M, Hofman A, et al. The Association Between Lumbar Disc Degeneration and Low Back Pain. Spine. 2010; 35(5): 531-6 https://doi.org/10.1097/BRS.0b013e3181aa5b33
  19. Luoma K, Riihimaki H, Luukkonen R, Raininko R, Viikari-Juntura E, Lamminen A. Low Back Pain in Relation to Lumbar Disc Degeneration. Spine. 2000; 25(4): 487-92. https://doi.org/10.1097/00007632-200002150-00016
  20. Madson TJ, Hollman JH. Lumbar Traction for Managing Low Back Pain: A Survey of Physical Therapists in the United States. J Orthop Sports Phys Ther. 2015; 45(8): 586-95. https://doi.org/10.2519/jospt.2015.6036
  21. Scand J, Ljunggren A, Larsen S. Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Rehabil Med. 1984; 16(3): 117-24.
  22. Clarke J, Tulder MV, Blomberg S, Vet HD, Heijden GVD, Bronfort G. Traction for Low Back Pain With or Without Sciatica: An Updated Systematic Review Within the Framework of the Cochrane Collaboration. Spine. 2006; 31(14): 1591-9. https://doi.org/10.1097/01.brs.0000222043.09835.72
  23. Saunders D. Lumbar Traction. J Orthop Spine Phys Ther. 1979; 36-45
  24. Rehab Measures - Numeric Pain Rating Scale [Internet]. The Rehabilitation Measures Database. 1995. Retrieved from: http://www.rehabmeasures.org/lists/rehabmeasures/dispform.aspx?id=891http://www.rehabmeasures. org/Lists/RehabMeasures/DispForm.aspx?ID=891
  25. Krauss J, Evjenth O, Creighton D. TSM Translatoric Spinal Manipulation. A Lakeview Media LLC Publication, 2006.
  26. Fujiwara A, Lim T-H, An HS, Tanaka N, Jeon C-H, Andersson GBJ, et al. The Effect of Disc Degeneration and Facet Joint Osteoarthritis on the Segmental Flexibility of the Lumbar Spine. Spine. 2000; 25(23): 3036-44. https://doi.org/10.1097/00007632-200012010-00011