Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Okara, Pakistan.
Department of Chemical Pathology, Bakhtawar Amin Medical and Dental College, Multan, Pakistan.
J Pak Med Assoc. 2022 Mar;72(3):483-486. doi: 10.47391/JPMA.453.
To determine the effect of variable traction forces on discogenic low back pain.
The experimental study was conducted at the Department of Physical Medicine and Rehabilitation at the Combined Military Hospital, Okara, Pakistan, from July to December 2018, and comprised patients of low back pain who were randomised into group 1 treated with high-force lumbar traction, hot pack and lumbar stabilisation exercises, and group 2 treated with low-force lumbar traction, hot pack and lumbar stabilisation exercises. There were a 3 sessions per week for 3 weeks for a total of 9 sessions. Modified Oswestry disability index and visual analogue scale were used to measure outcomes. Data was analysed using SPSS 20.
Of the 30 patients, there were 15(50%) in each of the two groups. There were 18(60%) females and 12(40%) males, with an overall mean age of 30±5.5 years. Also 18(60%) subjects were obese on the basis of body mass index.There was significant improvement in pain in both groups (p<0.05), while disability scores in group 1 showed more improvement compared to group 2 (p<0.05). Young age was significantly associated with better results (p<0.05).
Use of variable force lumbar traction improved pain in discogenic low back pain, while high-force lumbar traction also reduced functional disability.
探讨可变牵引力对椎间盘源性下腰痛的影响。
本实验于 2018 年 7 月至 12 月在巴基斯坦奥卡拉联合军事医院物理医学与康复科进行，选取下腰痛患者为研究对象，随机分为两组：第 1 组接受高力腰椎牵引、热包和腰椎稳定运动治疗，第 2 组接受低力腰椎牵引、热包和腰椎稳定运动治疗。每周 3 次，共 9 次。采用改良 Oswestry 残疾指数和视觉模拟评分法评估疗效。采用 SPSS 20 进行数据分析。
30 例患者中，每组 15 例（50%）。其中女性 18 例（60%），男性 12 例（40%），平均年龄 30±5.5 岁。根据体重指数，18 例（60%）患者肥胖。两组患者疼痛均明显改善（p<0.05），但第 1 组的残疾评分改善较第 2 组更明显（p<0.05）。年龄较轻与疗效较好显著相关（p<0.05）。
可变力腰椎牵引可改善椎间盘源性下腰痛的疼痛，高力腰椎牵引还可减轻功能障碍。
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