患者特异性三维腰椎牵引对腰椎间盘突出症患者疼痛和功能障碍的影响。

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

作者信息

Asiri F, Tedla J S, D Alshahrani M S, Ahmed I, Reddy R S, Gular K

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia.

出版信息

Niger J Clin Pract. 2020 Apr;23(4):498-502. doi: 10.4103/njcp.njcp_285_19.

Abstract

BACKGROUND

Prolapsed lumbar intervertebral disc is one of the most prevalent causes of low back pain and traction is one of the most common physical therapy treatments offered to affected patients. Advancements in traction equipment are needed to ensure their effectiveness in clinical situations.

AIMS

The objective of the study was to find out the effect of patient-specific three-dimensional lumbar traction on pain and functional disability in individuals with lumbar intervertebral disc prolapse.

SUBJECTS AND METHODS

Original article and Experimental design. Twenty-five participants (age range: 34-67 years) diagnosed with lumbar intervertebral disc prolapse were included in this study. Patient-specific three-dimensional lumbar traction was given as three sessions per week for the duration of one month. All participants completed a 10-cm visual analog pain scale and pain pressure threshold to assess pain and the Oswestry disability index to assess the functional disability.

RESULTS

On pre to post interventions, a significant change in mean values were found for visual analog scale pain score, pain pressure threshold, and Oswestry disability index (P < 0.001). The pain intensity was reduced from 8.5 to 3.2, pain pressure threshold increased from 0.7 to 1.6 kg/cm, and functional disability was reduced from 53.5% to 31.3%.

CONCLUSION

Twelve sessions of patient-specific three-dimensional lumbar traction promoted a reduction in pain and improvement in functional disability among subjects with lumbar intervertebral disc prolapse.

摘要

背景

腰椎间盘突出症是导致腰痛的最常见原因之一,牵引是为受影响患者提供的最常见物理治疗方法之一。需要改进牵引设备以确保其在临床情况下的有效性。

目的

本研究的目的是了解针对个体的三维腰椎牵引对腰椎间盘突出症患者疼痛和功能障碍的影响。

对象与方法

原始文章及实验设计。本研究纳入了25名被诊断为腰椎间盘突出症的参与者(年龄范围:34 - 67岁)。针对个体的三维腰椎牵引每周进行3次,持续1个月。所有参与者完成10厘米视觉模拟疼痛量表和疼痛压力阈值以评估疼痛,并完成奥斯维斯特功能障碍指数以评估功能障碍。

结果

干预前后,视觉模拟量表疼痛评分、疼痛压力阈值和奥斯维斯特功能障碍指数的平均值有显著变化(P < 0.001)。疼痛强度从8.5降至3.2,疼痛压力阈值从0.7千克/平方厘米增至1.6千克/平方厘米,功能障碍从53.5%降至31.3%。

结论

12次针对个体的三维腰椎牵引可减轻腰椎间盘突出症患者的疼痛并改善其功能障碍。

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