The Effects of Lumbar Traction in Lumbar Discal Hernia: A Single Case Study
DOI:
https://doi.org/10.53555/nnmhs.v6i10.914Keywords:
Traction, Physiotherapy, Pain, Quality of LifeAbstract
Introduction
People have always had back pain. Back pain was described in the distant past in old texts from 1500 BC. The word sciatica has been used since Ancient Greek times and Hippocrates (460-370 BC) described “sciatic” pain as mainly affecting men aged 40-60 years (Allan and Waddell, 1989).
Purpose of the study
This is a single case study about whereas the mechanical effects of lumbar traction are well substantiated.
Methods
We have used the intermittent variable of the traction. We used a Platinum 3D traction table.MRI of the lumbar spine of the patient was recorded before and after. Pain intensity was rated on VAS, TSK questionnaire andSEC.
Discussion
Based on the findings of this single case, further study is needed to determine optimal treatment duration, frequency, and mode of administering lumbar traction. In this case, there was a real change in the discs after the treatment with problems that were the fear of movement and of course, the patient was experiencing the movement schemes that were connected with the pathology. Exercises are necessary to have a good situation for everyday life.
Conclusions
Horizontal traction was evidently effective in increasing the disc height of lower lumbar levels, particularly in the posterior regions of the discs. The situation of the hernia is really changed in nearly 12-15 treatment sessions. A rehabilitation program cannot be seen as a stand-alone system, but as a whole and the scope is to have a full rehabilitation of the patient.
References
Adams, M. A, and Roughley, P. J. (2006). What is intervertebral disc degeneration, and what causes it? Spine, 31(18):2151–61
Allan, D. B, and Waddell, G. (1989). A historical perspective on low back pain and disability. ActaOrthopaedicaScandinavica. Supplementum, 234:1–23.
Bono, C. M., Wisneski, R., and Garfin, S. R. (2006). Lumbar Disc Herniations. In Herkowitz, H. N., Garfin, S. R., Eismont, F. J., Bell, G. R., and Balderston, R. A., editors, Rothman-Simeone The Spine, volume II, chapter 59, pages 979–80. Saunders, Philadelphia, 5th edition.
Björck-van Dijken, C., Fjellman-Wiklund, A., and Hildingsson, C. (2008). Low back pain, lifestyle factors, and physical activity: a population-based study. Journal of Rehabilitation Medicine, 40(10):864–9.
Brisby, H., Byröd, G., Olmarker, K., Miller, V.M., Aoki, Y., and Rydevik, B. (2000). Nitric oxide as a mediator of nucleus pulposus-induced effects on spinal nerve roots. Journal of Orthopaedic Research, 18(5):815–20.
Cyriax I: Textbook of Orthopedic Medicine, Volume I: Diagnosis of Soft Tissue Lesions, London: Bailliere Tindall,
Chan, S. C., Ferguson, S. J., and Gantenbein-Ritter, B. (2011). The effects of dynamic loading on the intervertebral disc. European Spine Journal, 20(11):1796–812.
Cailliet R: Low Back Pain Syndrome, Philadelphia: F.A. Davis Company, 1988
Coldish CD: Lumbar traction. In: Tollison CD, Kriegel ML (eds), Interdisciplinary Rehabilitation of Low Back Pain, pp 305-32 1. Baltimore: Williams &Wilkins, 1989
Estlander, A. M., Vanharanta, H., Moneta, G. B., and Kaivanto, K. (1994). Anthropometric variables, self-efficacy beliefs, and pain and disability ratings on the isokinetic performance of low back pain patients. Spine, 19(8):941–7.
Fardon, D. F, and Milette, P. C. (2001). Nomenclature and classification of lumbar disc pathology. Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine, 26(5): E93–E113.
Gupta RC, Ramarao MS: Epidurography in a reduction of lumbar disc prolapse by traction. Arch Phys Med Rehabil59: 322-327, 1978
Mixter, W. J, and Barr, J. S. (1934). Rupture of the intervertebral disc with involvement of the spine canal. New England Surgical Society, 211(5):210–5.
Rydevik, B., Brown, M. D., and Lundborg, G. (1984). Pathoanatomy and pathophysiology of nerve root compression. Spine, 9(1):7–15.
Saunders HD, Saunders R: Evaluation, Treatment, and Prevention of Musculoskeletal Disorders, Bloomington, MN: Educational Opportunities, 1993
Twomey LT: Sustained lumbar traction: An experimental study of long spine segments. Spine 10: 146- 149,1985
Colchis SC, Strohm BR: Effects of intermittent traction on the separation of lumbar vertebrae. Arch Phys Med Rehabil50: 25 1-258, 1969
Mathews A: Dynamic discography: A study of lumbar traction. Ann Phys Med 9:275-279, 1968
Handa, T., Ishihara, H., Ohshima, H., Osada, R., Tsuji, H., and Obata, K. (1997).Effects of hydrostatic pressure on matrix synthesis and matrix metalloproteinase production in the human lumbar intervertebral disc. Spine, 22(10):1085–91.
Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., Woolf, A., Vos, T., and Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. Arthritis and Rheumatism, 64(6):2028–37.
Kayama, S., Konno, S., Olmarker, K., Yabuki, S., and Kikuchi, S. (1996). The incision of the annulus fibrosis induces nerve root morphologic, vascular, and functional changes. An experimental study. Spine, 21(22):2539–43.
Olmarker, K., Nordborg, C., Larsson, K., and Rydevik, B. (1996). Ultrastructural changes in spinal nerve roots induced by autologous nucleus pulposus. Spine,21(4):411–4.
Olmarker, K., Rydevik, B., and Nordborg, C. (1993). Autologous nucleus pulposusinduces neurophysiologic and histologic changes in porcine cauda equina nerveroots. Spine, 18(11):1425–32.
Vlaeyen, J., Kole-Snijders, A., Rotteveel, A., Ruesink, R., and Heuts, P. (1995a). The role of fear of movement/ (re)injury in pain disability. Journal of Occupational Rehabilitation, 5(4):235–51.
Vroomen, P. C., de Krom, M. C., Wilmink, J. T., Kester, A. D., and Knottnerus, J. A. (2002). Diagnostic value of history and physical examination in patients suspected of lumbosacral nerve root compression. Journal of Neurology Neurosurgery and Psychiatry, 72(5):630–4.
Weber, H., Holme, I., and Amlie, E. (1993). The natural course of acute sciatica with nerve root symptoms in a double-blind placebo-controlled trial evaluating the effect of piroxicam. Spine, 18(11):1433–8.
Worden RE, Humphrey TL: Effect of spinal traction on the length of the body. Arch Phys Med Rehabil45:3 18-320, 1964
White, A. A, and Panjabi, M. M. (1978). Clinical Biomechanics of the Spine. J. B. Lippincott Company, Philadelphia, Pa.
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