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应用前凸曲线控制牵引后患者的功能变化及腰椎间盘的形态学变化:一项双盲随机对照研究

Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study.

作者信息

Lee Chang-Hyung, Heo Sung Jin, Park So Hyun, Jeong Hee Seok, Kim Soo-Yeon

机构信息

Rehabilitation Medicine, Pusan National University School of Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.

Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.

出版信息

Medicina (Kaunas). 2019 Dec 19;56(1):4. doi: 10.3390/medicina56010004.


DOI:10.3390/medicina56010004
PMID:31861714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7023456/
Abstract

Lumbar traction is widely used as a non-operative treatment for lumbar intervertebral disc disease. The effect of traditional traction (TT) using linear-type traction devices remains controversial for various reasons, including technical limitations. Thus, the purpose of this study was to compare the effects of the newly developed lumbar lordotic curve-controlled traction (L-LCCT) and TT on functional changes in patients and morphological changes in the vertebral disc. A total of 40 patients with lumbar intervertebral disc disease at the L4/5 or L5/S1 level as confirmed by magnetic resonance imaging were recruited and divided into two groups (L-LCCT or TT). The comprehensive health status changes of the patients were recorded using pain and functional scores (the visual analogue scale, the Oswestry Disability Index, and the Roland-Morris Disability Questionnaire) and morphological changes (in the lumbar central canal area) before and after traction treatment. Pain scores were significantly decreased after traction in both groups ( < 0.05). However, functional scores and morphological changes improved significantly after treatment in the L-LCCT group only ( < 0.05). We suggest that L-LCCT is a viable option for resolving the technical limitations of TT by maintaining the lumbar lordotic curve in patients with lumbar intervertebral disc disease.

摘要

腰椎牵引作为腰椎间盘疾病的一种非手术治疗方法被广泛应用。由于包括技术限制在内的各种原因,使用线性牵引装置的传统牵引(TT)的效果仍存在争议。因此,本研究的目的是比较新开发的腰椎前凸曲线控制牵引(L-LCCT)和TT对患者功能变化及椎间盘形态变化的影响。通过磁共振成像确诊为L4/5或L5/S1水平腰椎间盘疾病的40例患者被招募并分为两组(L-LCCT组或TT组)。使用疼痛和功能评分(视觉模拟量表、Oswestry功能障碍指数和罗兰-莫里斯功能障碍问卷)以及牵引治疗前后的形态变化(腰椎中央管区域)记录患者的综合健康状况变化。两组牵引后疼痛评分均显著降低(<0.05)。然而,仅L-LCCT组治疗后功能评分和形态变化有显著改善(<0.05)。我们认为,L-LCCT通过维持腰椎间盘疾病患者的腰椎前凸曲线,是解决TT技术限制的一个可行选择。

相似文献

[1]
Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study.

Medicina (Kaunas). 2019-12-19

[2]
The Functional and Morphological Changes of the Cervical Intervertebral Disc after Applying Lordotic Curve Controlled Traction: A Double-Blind Randomized Controlled Study.

Int J Environ Res Public Health. 2019-6-19

[3]
The Real Time Geometric Effect of a Lordotic Curve-Controlled Spinal Traction Device: A Randomized Cross Over Study.

Healthcare (Basel). 2021-1-27

[4]
Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial.

Disabil Rehabil. 2012-1-23

[5]
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Eur Spine J. 2015-6

[6]
Effects of patient-specific three-dimensional lumbar traction on pain and functional disability in patients with lumbar intervertebral disc prolapse.

Niger J Clin Pract. 2020-4

[7]
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Eur Spine J. 2009-5-31

[8]
Age-related differences in the response of the L5-S1 intervertebral disc to spinal traction.

Musculoskelet Sci Pract. 2017-6-9

[9]
Association between intervertebral disc degeneration and the Oswestry Disability Index.

J Back Musculoskelet Rehabil. 2017

[10]
Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging: A single arm clinical trial.

J Back Musculoskelet Rehabil. 2017

引用本文的文献

[1]
Reliability of the Biomechanical Assessment of the Sagittal Lumbar Spine and Pelvis on Radiographs Used in Clinical Practice: A Systematic Review of the Literature.

J Clin Med. 2024-8-8

[2]
Can the Mismatch of Measured Pelvic Morphology vs. Lumbar Lordosis Predict Chronic Low Back Pain Patients?

J Clin Med. 2024-4-10

[3]
Non-Surgical Approaches to the Management of Lumbar Disc Herniation Associated with Radiculopathy: A Narrative Review.

J Clin Med. 2024-2-8

[4]
Computational modeling of posteroanterior lumbar traction by an automated massage bed: predicting intervertebral disc stresses and deformation.

Front Rehabil Sci. 2022-8-1

[5]
Mechanical Changes of the Lumbar Intervertebral Space and Lordotic Angle Caused by Posterior-to-Anterior Traction Using a Spinal Thermal Massage Device in Healthy People.

Healthcare (Basel). 2021-7-15

[6]
Use of a Spinal Traction Device during Work Shift in Assembly Line Workers.

Int J Environ Res Public Health. 2021-7-20

本文引用的文献

[1]
The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis.

Clin Rehabil. 2019-8-28

[2]
The Functional and Morphological Changes of the Cervical Intervertebral Disc after Applying Lordotic Curve Controlled Traction: A Double-Blind Randomized Controlled Study.

Int J Environ Res Public Health. 2019-6-19

[3]
Lumbar mechanical traction: a biomechanical assessment of change at the lumbar spine.

BMC Musculoskelet Disord. 2019-4-9

[4]
Biomechanics of the osteoporotic spine, pain, and principles of training.

Arch Orthop Trauma Surg. 2017-5

[5]
PREPARE: Pre-surgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial protocol.

BMC Musculoskelet Disord. 2016-7-11

[6]
Roland-Morris Disability Questionnaire and Oswestry Disability Index: Which Has Better Measurement Properties for Measuring Physical Functioning in Nonspecific Low Back Pain? Systematic Review and Meta-Analysis.

Phys Ther. 2016-10

[7]
The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back Pain and Leg Pain: A Randomized Trial.

J Orthop Sports Phys Ther. 2016-1-26

[8]
MRI evaluation of lumbar disc degenerative disease.

J Clin Diagn Res. 2015-4

[9]
Effectiveness of a new navigable percutaneous disc decompression device (L'DISQ) in patients with lumbar discogenic pain.

Pain Med. 2015-2

[10]
Traction for low-back pain with or without sciatica.

Cochrane Database Syst Rev. 2013-8-19

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