Efficacy of traction for nonspecific low back pain. 12-week and 6-month results of a randomized clinical trial.

Abstract:

STUDY DESIGN:A randomized clinical trial. OBJECTIVES:To assess the efficacy of motorized continuous traction for low back pain. SUMMARY OF BACKGROUND DATA:The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings. METHODS:Patients with at least 6 weeks of nonspecific low back pain were selected. High-dose traction was compared with sham (or low-dose) traction. Sham traction was given with a specially developed brace that becomes tighter in the back during traction. This was experienced as if real traction were exerted. The patients and the outcome assessor were unaware of treatment allocation. Outcome measures were: patient's global perceived effect, severity of main complaints, functional status, pain, range of motion, work absence, and medical treatment. Results for the outcome measures at 12 weeks and 6 months after randomization are presented. RESULTS:One hundred and fifty-one patients were randomly allocated to one of the two treatment methods. Intention-to-treat analysis of the 12-week and 6-month results showed no statistically significant differences between the groups on all outcome measures: all 95% confidence intervals included the value zero. The number of patients lost to follow-up study was very low. Other analyses showed the same results. CONCLUSIONS:Most common flaws of earlier studies on traction therapy could be overcome. This trial did not support the claim that traction is efficacious for patients with low back pain.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Beurskens AJ,de Vet HC,Köke AJ,Regtop W,van der Heijden GJ,Lindeman E,Knipschild PG

doi

10.1097/00007632-199712010-00011

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

2756-62

issue

23

eissn

0362-2436

issn

1528-1159

journal_volume

22

pub_type

临床试验,杂志文章,多中心研究,随机对照试验

相关文献

SPINE文献大全
  • Postoperative Paralysis From Thoracic Ossification of Posterior Longitudinal Ligament Surgery Risk Factor of Neurologic Injury: Nationwide Multiinstitution Survey.

    abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:The purpose of this study was to examine the factors of postoperative paralysis in patients who have undergone thoracic ossification of posterior longitudinal ligament (OPLL) surgery. SUMMARY OF BACKGROUND DATA:A higher percentage of thoracic OPLL patients expe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001585

    authors: Ito Z,Matsuyama Y,Ando M,Kawabata S,Kanchiku T,Kida K,Fujiwara Y,Yamada K,Yamamoto N,Kobayashi S,Saito T,Wada K,Tadokoro N,Takahashi M,Satomi K,Shinomiya K,Tani T

    更新日期:2016-10-01 00:00:00

  • Secondary prevention of low-back pain. A clinical trial.

    abstract::A clinical trial, aimed at secondary prevention of low-back pain, was performed in 142 hospital employees reporting at least three annual episodes of this condition. Participants were randomly assigned to one of three groups: a calisthenics program (CAL) for 3 months with biweekly sessions of flexion exercises, a back...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199012000-00015

    authors: Donchin M,Woolf O,Kaplan L,Floman Y

    更新日期:1990-12-01 00:00:00

  • The use of thoracoscopy in the management of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Retrospective case cohort series. OBJECTIVE:To analyze the outcomes of thoracoscopy in the surgical treatment of adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Traditionally, progressive idiopathic scoliosis has been treated surgically with either an open posterior, anterior, or combined sur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815a51e3

    authors: Norton RP,Patel D,Kurd MF,Picetti GD,Vaccaro AR

    更新日期:2007-11-15 00:00:00

  • Effect of physiological loads on cortical and traditional pedicle screw fixation.

    abstract:STUDY DESIGN:Human cadaveric biomechanical study. OBJECTIVE:To determine the fixation strength of laterally directed, cortical pedicle screws under physiological loads. SUMMARY OF BACKGROUND DATA:Lateral trajectory cortical pedicle screws have been described as a means of obtaining improved fixation while minimizing ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000553

    authors: Baluch DA,Patel AA,Lullo B,Havey RM,Voronov LI,Nguyen NL,Carandang G,Ghanayem AJ,Patwardhan AG

    更新日期:2014-10-15 00:00:00

  • The use of fibrin sealant to reduce blood loss during Cotrel-Dubousset instrumentation for idiopathic scoliosis.

    abstract::The increased complexity of Cotrel-Dubousset instrumentation has, as an unexpected side effect, a potential increase in blood loss. A prospective randomized study was undertaken to test the hypothesis that application of a fibrin sealant to exposed cancellous bone can significantly reduce blood loss during Cotrel-Dubo...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199009000-00014

    authors: Tredwell SJ,Sawatzky B

    更新日期:1990-09-01 00:00:00

  • Global Spinal Alignment in Patients With Cervical Spondylotic Myelopathy.

    abstract:STUDY DESIGN:A prospective radiographic analysis of cervical spondylotic myelopathy (CSM). OBJECTIVE:The aim of this study was to clarify the pathophysiology of CSM, and use the characteristic of global spinal alignment for determining the surgical strategy. SUMMARY OF BACKGROUND DATA:Radiographic evaluation of CSM, ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002253

    authors: Yoshida G,Alzakri A,Pointillart V,Boissiere L,Obeid I,Matsuyama Y,Vital JM,Gille O

    更新日期:2018-02-01 00:00:00

  • Spine update. Impaired cognitive functioning after whiplash injury of the cervical spine.

    abstract::To enhance the awareness of physicians treating whiplash patients, findings from previous research regarding cognitive functioning of these patients are discussed and recommendations for assessment provided. Cognitive disturbances (i.e., deficient attentional functioning and impairment of memory) are frequent complain...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199602010-00029

    authors: Radanov BP,Dvorak J

    更新日期:1996-02-01 00:00:00

  • Gender difference in association between low back pain and metabolic syndrome: locomotive syndrome and health outcome in Aizu cohort study (LOHAS).

    abstract:STUDY DESIGN:Cross-sectional survey. OBJECTIVE.: To investigate the relationship between low back pain (LBP) and metabolic syndrome (Mets) in community-based Japanese subjects. SUMMARY OF BACKGROUND DATA.: Relatively few reports have demonstrated a relationship between general pain and Mets, and none have addressed the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31824231b8

    authors: Ono R,Yamazaki S,Takegami M,Otani K,Sekiguchi M,Onishi Y,Hayashino Y,Kikuchi S,Konno S,Fukuhara S

    更新日期:2012-06-01 00:00:00

  • Magnetic resonance imaging in cadaver dogs with metallic vertebral implants at 3 Tesla: evaluation of the WARP-turbo spin echo sequence.

    abstract:STUDY DESIGN:Laboratory investigation, ex vivo. OBJECTIVE:Postoperative complications are common after spinal implantation procedures, and magnetic resonance imaging (MRI) would be the ideal modality to image these patients. Unfortunately, the implants cause artifacts that can render MRI nondiagnostic. The WARP-turbo ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a58b14

    authors: Griffin JF 4th,Archambault NS,Mankin JM,Wall CR,Thompson JA,Padua A Jr,Purdy D,Kerwin SC

    更新日期:2013-11-15 00:00:00

  • Regional Myosin heavy chain distribution in selected paraspinal muscles.

    abstract:STUDY DESIGN:Cross-sectional study with repeated measures design. OBJECTIVE:To compare the myosin heavy-chain isoform distribution within and between paraspinal muscles and to test the theory that fiber-type gradients exist as a function of paraspinal muscle depth. SUMMARY OF BACKGROUND DATA:There is still uncertaint...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181bfcd98

    authors: Regev GJ,Kim CW,Thacker BE,Tomiya A,Garfin SR,Ward SR,Lieber RL

    更新日期:2010-06-01 00:00:00

  • Quadriparesis and spinal cord stimulation: case report.

    abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the occurrence of a rare complication following revision of a spinal cord stimulator. SUMMARY OF BACKGROUND DATA:Puncture of the dura with placement of an electrode within the spinal cord has not been reported as a complication of spinal cord stimulation. METHODS:A patie...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e31814541dc

    authors: Meyer SC,Swartz K,Johnson JP

    更新日期:2007-09-01 00:00:00

  • Minimal Clinically Important Difference in Quality of Life for Patients With Low Back Pain.

    abstract:STUDY DESIGN:Multicenter, prospective, cohort study. OBJECTIVE:To estimate the Minimal Clinically Important Difference (MCID) for the physical (PCS) and mental (MCS) component summaries of Short Form SF-12 (SF-12), in patients with low back pain (LBP). SUMMARY OF BACKGROUND DATA:Quality of life is one of the core dom...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000002298

    authors: Díaz-Arribas MJ,Fernández-Serrano M,Royuela A,Kovacs FM,Gallego-Izquierdo T,Ramos-Sánchez M,Llorca-Palomera R,Pardo-Hervás P,Martín-Pariente OS

    更新日期:2017-12-15 00:00:00

  • Stretching in the rehabilitation of low-back pain patients.

    abstract::The major objective of this investigation was to study the effectiveness of the physical conditioning program used at the University of Miami Comprehensive Pain and Rehabilitation Center in restoring certain elements of the functional abilities of individuals suffering from chronic low-back pain and to evaluate the ef...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199203000-00012

    authors: Khalil TM,Asfour SS,Martinez LM,Waly SM,Rosomoff RS,Rosomoff HL

    更新日期:1992-03-01 00:00:00

  • A new approach to the failed, failed back syndrome.

    abstract::A new screening test and operative technique for the relief of intractable pain in the failed back syndrome has been devised and has yielded a 72% success rate on short-term follow-up (9--30 months) in 26 patients. This syndrome is thought to represent pain emanating from permanently damaged nerve roots and not from t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198007000-00011

    authors: Hoppenstein R

    更新日期:1980-07-01 00:00:00

  • Prospective radiographic and clinical outcomes of dual-rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis: comparison with single-rod constructs.

    abstract:STUDY DESIGN:Anterior single or dual-rod instrumentation may be performed for the treatment of main thoracic, thoracolumbar, or lumbar adolescent idiopathic scoliosis (AIS) curves. OBJECTIVE:To compare the results of anterior dual-rod instrumentation in single-major AIS curves with our previous experience using single...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000238966.75175.2b

    authors: Hurford RK Jr,Lenke LG,Lee SS,Cheng I,Sides B,Bridwell KH

    更新日期:2006-09-15 00:00:00

  • Prognostic Factors in the New Katagiri Scoring System After Palliative Surgery for Spinal Metastasis.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of the study was to examine survival after surgery for a metastatic spinal tumor using prognostic factors in the new Katagiri score. SUMMARY OF BACKGROUND DATA:Surgery for spinal metastasis can improve quality of life and facilitate treatment of the primary canc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003415

    authors: Kobayashi K,Ando K,Nakashima H,Sato K,Kanemura T,Yoshihara H,Hirasawa A,Kato F,Ishiguro N,Imagama S

    更新日期:2020-07-01 00:00:00

  • Low back pain in pediatric athletes with unilateral tracer uptake at the pars interarticularis on single photon emission computed tomography.

    abstract:STUDY DESIGN:Retrospective clinical study with radiographic and medical chart review. OBJECTIVE:To study the clinical characteristics and outcome of pediatric athletes with low back pain and unilateral tracer uptake on single photon emission computed tomography (SPECT) at the pars interarticularis but no defect on rad...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000209308.19642.96

    authors: Takemitsu M,El Rassi G,Woratanarat P,Shah SA

    更新日期:2006-04-15 00:00:00

  • Can we convert between outcome measures of disability for chronic low back pain?

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A range of patient-reported outcomes were used to measure disability due to low back pain. There is not a single back pain disability measurement commonly used in all randomized controlled trials. We report here our assessment as to whether different disability m...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000000866

    authors: Morris T,Hee SW,Stallard N,Underwood M,Patel S

    更新日期:2015-05-15 00:00:00

  • Lumbosacral stability of consolidated anteroposterior fusion after instrumentation removal determined by roentgen stereophotogrammetric analysis and direct surgical exploration.

    abstract:STUDY DESIGN:The intervertebral stability of bony consolidated anteroposterior lumbosacral spondylodesis is evaluated by roentgen stereophotogrammetric analysis and direct surgical exploration before and after removal of the internal fixator. OBJECTIVES:To determine the remaining in vivo stability of spinal arthrodesi...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200202010-00014

    authors: Pape D,Fritsch E,Kelm J,Müller K,Georg T,Kohn D,Adam F

    更新日期:2002-02-01 00:00:00

  • Basic fibroblast growth factor immunoreactivity in blood vessels and cells of disc herniations.

    abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199502000-00003

    authors: Tolonen J,Grönblad M,Virri J,Seitsalo S,Rytömaa T,Karaharju E

    更新日期:1995-02-01 00:00:00

  • Lymphangiomatosis of the spine: two cases requiring surgical intervention.

    abstract:STUDY DESIGN:Two cases of lymphangiomatosis of the spine are presented. OBJECTIVES:To report two cases of lymphangiomatosis of the spine requiring surgical intervention and to review the literature. SUMMARY OF BACKGROUND INFORMATION:Lymphangiomatosis is a rare childhood disease characterized by abnormal lymph tissue ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000042235.41817.04

    authors: Watkins RG 4th,Reynolds RA,McComb JG,Tolo VT

    更新日期:2003-02-01 00:00:00

  • Comparison between the outer table and intracortical methods of obtaining autogenous bone graft from the iliac crest.

    abstract:STUDY DESIGN:A prospective study in two groups of patients selected randomly. OBJECTIVES:To determine whether keeping the outer and inner cortices of the ilium intact, while obtaining bone graft, would result in reduced postoperative bleeding and less postoperative pain. SUMMARY OF BACKGROUND DATA:Donor site complica...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-200007010-00018

    authors: Mirovsky Y,Neuwirth MG

    更新日期:2000-07-01 00:00:00

  • Posterior extensive simultaneous multisegment decompression with posterolateral fusion for cervical myelopathy with cervical instability and kyphotic and/or S-shaped deformities.

    abstract::From June 1978 to May 1988, posterior decompression with posterolateral fusion was performed at Tenri Hospital on 63 cases of cervical myelopathy with instability and/or malalignment including kyphotic and/or S-shaped deformities. Among 46 cases followed up for more than 1 year, 41 cases (89.1%) improved; 21 cases (45...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198911000-00006

    authors: Miyazaki K,Tada K,Matsuda Y,Okuno M,Yasuda T,Murakami H

    更新日期:1989-11-01 00:00:00

  • Electromagnetic topographical technique of curve evaluation for adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Diagnostic testing. OBJECTIVE:The goal of this study is to measure the accuracy and reliability of the Orthoscan (Orthoscan Technologies, Inc.) and to determine whether it can be substituted for radiographs in the surveillance of adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:AIS is us...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000245924.82359.ab

    authors: Knott P,Mardjetko S,Nance D,Dunn M

    更新日期:2006-11-15 00:00:00

  • Accuracy of cervical pedicle screw placement using the funnel technique.

    abstract:STUDY DESIGN:This was a cadaver study assessing the accuracy of cervical pedicle screw placement. OBJECTIVE:To evaluate the accuracy of the funnel technique of screw placement. SUMMARY OF BACKGROUND DATA:Although excellent results have been reported in clinical studies, with no major neurovascular injuries, several c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200111150-00012

    authors: Karaikovic EE,Yingsakmongkol W,Gaines RW Jr

    更新日期:2001-11-15 00:00:00

  • Index level mobility after total lumbar disc replacement: is it beneficial or detrimental?

    abstract:STUDY DESIGN:Analysis of segmental and total lumbar range of motion (ROM) before and after total lumbar disc replacement. OBJECTIVE:To examine the relationship between absolute segmental and total lumbar ROM and evolution of ROM on clinical outcome. SUMMARY OF BACKGROUND DATA:At the moment, data are scarce with regar...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31819b213c

    authors: Cakir B,Schmidt R,Mattes T,Fraitzl CR,Reichel H,Käfer W

    更新日期:2009-04-20 00:00:00

  • Strategies for outcome research in spinal disorders. An introduction.

    abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199409151-00004

    authors: Liang MH,Andersson G,Bombardier C,Cherkin DC,Deyo RA,Keller RB,Lee CK,Lipscomb B,Shekelle P,Spratt KF

    更新日期:1994-09-15 00:00:00

  • Aseptic loosening of pedicle screw as a result of metal wear debris in a pediatric patient.

    abstract:STUDY DESIGN:This is a case report. OBJECTIVE:To report a case of soft-tissue reaction to wear debris and osteolysis around a pedicle screw after posterior spine fusion in a pediatric patient. SUMMARY OF BACKGROUND DATA:Posterior spine fusion with instrumentation is a standard procedure for stabilization and curve co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182793e51

    authors: Botolin S,Merritt C,Erickson M

    更新日期:2013-01-01 00:00:00

  • Intraoperative electrophysiological monitoring in spine surgery.

    abstract:STUDY DESIGN:Review of the literature with analysis of pooled data. OBJECTIVE:To assess common intraoperative neuromonitoring (IOM) changes that occur during the course of spinal surgery, potential causes of change, and determine appropriate responses. Further, there will be discussion of appropriate application of IO...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181f6f0d0

    authors: Malhotra NR,Shaffrey CI

    更新日期:2010-12-01 00:00:00

  • Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.

    abstract:STUDY DESIGN:Population-based, case-control and case-crossover study. OBJECTIVE:To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. SUMMARY OF BACKGROUND DATA:Chiropractic care is popular for neck...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181644600

    authors: Cassidy JD,Boyle E,Côté P,He Y,Hogg-Johnson S,Silver FL,Bondy SJ

    更新日期:2008-02-15 00:00:00