Efficacy of Prone Lumbar Traction on Chronic Discogenic Low Back Pain and Disability

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 ۱۲۴ subjects with chronic low back pain (LBP) and evidence of a degenerative and/or herniated inter-vertebral disk at ۱ or more levels of the lumbar spine, who have not our exclusion criteria. There was A ۴-week course of lumbar traction, prone or supine in case and control groups consecutively, consisting of six ۳۰-minute sessions every other days, followed by four ۳۰-minute sessions every ۳ days. The numeric Visual pain rating scale and the Oswestry Disability Index (ODI) were completed at pre-intervention and discharge (within ۲ weeks of the last visit). Results: A total of ۱۲۴ subjects completed the treatment protocol. We noted significant improvements for all post-intervention outcome scores when compared with pre-intervention scores (P<۰.۰۱). Also found significant difference between ۲ groups in favor of prone traction (P<۰.۰۱) Discussion: Traction applied in the prone position for ۴ 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.

کلیدواژه ها:

Back pain ، Decompression ، Inter-vertebral disk