Horseman Ian, Morningstar Mark W
Private Practice of Chiropractic, Peterborough, Ontario, Canada.
J Chiropr Med. 2008 Dec;7(4):140-5. doi: 10.1016/j.jcm.2008.08.001.
Although spinal decompression therapy has been touted as an effective treatment of disk pathologies, there is little existing research that specifically uses disk parameters as an outcome measure after a course of spinal decompression therapy. Our study presents multidimensional outcomes after a structured protocol of multimodal chiropractic rehabilitation and uses a radiographic parameter of disk disease as an indication of the effects of a vibration traction decompression-type table.
Patients selected for this retrospective cohort reported a medical history of lumbar herniated or bulging disk verified by previous magnetic resonance imaging/computed tomography, history of paresthesia in one or both lower extremities, pain level reported as a minimum of 8/10, and/or history of sciatica or other radicular pain finding.
A total of 6 patients' outcomes are reported in this study. All patients received a multimodal spinal rehabilitation treatment with vibration traction therapy. Positive and statistically significant outcomes were obtained in radiographic disk height, functional rating index, numeric pain rating, spirometry, and patient height. All patients achieved improved outcomes after treatment.
The multidimensional outcomes reported here were achieved after a structured protocol of multimodal chiropractic rehabilitation. It is unknown which, if any, of these procedures were responsible for the observed improvements.
尽管脊柱减压疗法一直被吹捧为治疗椎间盘病变的有效方法，但目前很少有研究专门将椎间盘参数作为脊柱减压治疗疗程后的疗效指标。我们的研究展示了多模式整脊康复结构化方案后的多维疗效，并使用椎间盘疾病的影像学参数来表明振动牵引减压型治疗床的效果。
入选本回顾性队列研究的患者报告有腰椎间盘突出或膨出病史，经先前的磁共振成像/计算机断层扫描证实，有一侧或双侧下肢感觉异常病史，疼痛程度报告至少为8/10，和/或有坐骨神经痛或其他神经根性疼痛病史。
本研究报告了6例患者的结果。所有患者均接受了包括振动牵引疗法在内的多模式脊柱康复治疗。在椎间盘高度、功能评定指数、数字疼痛评分、肺活量测定和患者身高方面均获得了积极且具有统计学意义的结果。所有患者治疗后均取得了改善。
这里报告的多维疗效是在多模式整脊康复结构化方案后取得的。尚不清楚这些程序中哪些（如果有的话）导致了观察到的改善。
