Gose E E, Naguszewski W K, Naguszewski R K
Department of Bioengineering, University of Illinois at Chicago, USA.
Neurol Res. 1998 Apr;20(3):186-90. doi: 10.1080/01616412.1998.11740504.
The outcomes of vertebral axial decompression (VAX-D) therapy for patients with low back pain from various causes are reported. Data was collected from twenty-two medical centers for patients who received VAX-D therapy for low back pain, which was sometimes accompanied by referred leg pain. Only patients who received at least ten sessions and had a diagnosis of herniated disc, degenerative disc, or facet syndrome, which were confirmed by diagnostic imaging, were included in this study; a total of 778 cases. The average time between the initial onset of symptoms and the beginning of this therapy was 40 months, and it was four months or more in 83% of the cases. The data contained the patients' quantitative assessments of their own pain, mobility, and ability to carry out the usual 'activities of daily living'. The treatment was successful in 71% of the 778 cases, when success was defined as a reduction in pain to 0 or 1, on a 0 to 5 scale. Improvements in mobility and activities of daily living correlated strongly with pain reduction. The causes of back pain and their relationship to this therapy are also discussed.
报告了针对各种原因引起的腰痛患者进行椎体轴向减压(VAX-D)治疗的结果。数据收集自22个医疗中心,这些中心的患者接受了VAX-D治疗以缓解腰痛,有时还伴有腿部牵涉痛。本研究仅纳入了接受至少十次治疗且经诊断性影像学证实患有椎间盘突出、椎间盘退变或小关节综合征的患者;共计778例。症状初次发作至开始该治疗的平均时间为40个月,83%的病例为4个月或更长时间。数据包含患者对自身疼痛、活动能力以及进行日常“生活活动”能力的定量评估。当成功定义为疼痛在0至5分的量表上降至0或1分时,778例病例中有71%治疗成功。活动能力和日常生活活动的改善与疼痛减轻密切相关。还讨论了背痛的原因及其与该治疗的关系。