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Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study.

Abstract：

OBJECTIVE:To determine outcomes after administration of a prone lumbar traction protocol. DESIGN:Prospective, longitudinal, case series. SETTING:Suburban, chiropractic practice. PARTICIPANTS:A total of 296 subjects with low back pain (LBP) and evidence of a degenerative and/or herniated intervertebral disk at 1 or more levels of the lumbar spine. We excluded patients involved in litigation and those receiving workers' compensation. INTERVENTION:An 8-week course of prone lumbar traction, using the vertebral axial decompression (VAX-D) system, consisting of five 30-minute sessions a week for 4 weeks, followed by one 30-minute session a week for 4 additional weeks. MAIN OUTCOME MEASURES:The numeric pain rating scale and the Roland-Morris Disability Questionnaire (RMDQ) were completed at preintervention, discharge (within 2 weeks of the last visit), and at 30 days and 180 days after discharge. Intention-to-treat strategies were used to account for those subjects lost to follow-up. RESULTS:A total of 250 (84.4%) subjects completed the treatment protocol. On the 30-day follow-up, 247 (83.4%) subjects were available; on the 180-day follow-up, data were available for 241 (81.4%) subjects. We noted significant improvements for all postintervention outcome scores when compared with preintervention scores (P<.01). CONCLUSIONS:Traction applied in the prone position using the VAX-D for 8 weeks was associated with improvements in pain intensity and RMDQ scores at discharge, and at 30 and 180 days after discharge in a sample of patients with activity-limiting LBP. Causal relationships between these outcomes and the intervention should not be made until further study is performed using randomized comparison groups.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Beattie PF,Nelson RM,Michener LA,Cammarata J,Donley J

doi

10.1016/j.apmr.2007.06.778

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

269-74

issue

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(07)01669-3

journal_volume

pub_type

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Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study.