J Orthop Sports Phys Ther. 2016 Mar;46(3):155-6. doi: 10.2519/jospt.2016.0501.
Summary evidence concludes that mechanical lumbar traction is not effective for treating acute or chronic nonspecific low back pain (LBP). However, many physical therapists continue to use it, primarily as an additional modality. Indeed, expert clinical opinion, theoretical models, and some research evidence suggest that certain patients with LBP respond positively to traction. A study published in the March 2016 issue of JOSPT investigates the effectiveness of traction in prone as an adjunct to an extension-oriented exercise program in patients with LBP and leg pain and explores whether a previously identified set of patient characteristics is associated with better outcomes from traction. In this Perspectives for Practice, the authors explain the impact of their findings for clinicians treating these patients.
综合证据表明，机械腰椎牵引对于治疗急性或慢性非特异性下腰痛（LBP）无效。然而，许多物理治疗师仍在继续使用它，主要是作为一种附加的治疗方式。事实上，专家临床意见、理论模型和一些研究证据表明，某些 LBP 患者对牵引有积极的反应。发表在 2016 年 3 月 JOSPT 杂志上的一项研究调查了在 LBP 和腿痛患者中，作为伸展导向运动方案的附加治疗，使用俯卧位牵引的效果，并探讨了之前确定的一组患者特征是否与牵引的更好效果相关。在本期实践视角中，作者解释了他们的研究结果对治疗这些患者的临床医生的影响。
