当前位置： SCI文献检索 > PHYSIOTHERAPY THEORY AND PRACTICE期刊下所有文献 > Lumbar extension exercises in conjunction with mechanical traction for the management of a patient with a lumbar herniated disc.

Lumbar extension exercises in conjunction with mechanical traction for the management of a patient with a lumbar herniated disc.

Abstract：

:Low back pain resulting from lumbar disc herniation is a common reason for referral for physical therapy. There is no evidence to support the management of lumbar disc herniation and derangement using mechanical traction combined with lumbar extension exercises. Therefore, the purpose of this case report was to describe and discuss the use of mechanical traction in conjunction with lumbar extension exercises for a patient with a lumbar herniated disc. The patient was a 49-year-old male referred to physical therapy with a medical diagnosis of a lumbar herniated disc at L5-S1 with compression of the L5 nerve root confirmed by MRI. The patient's chief complaint was pain over the left lumbosacral and central lumbar region with radiating pain into the left buttock accompanied by numbness and tingling in the left lower leg and foot. The patient was seen for a total of 14 visits. The first 5 days (2 weeks) of therapy consisted of lumbar extension exercises. For the following nine visits (over a 3-week period), mechanical traction was added as an adjunct to the extension exercises. Outcome measures included the Oswestry Disability Questionnaire, Back Pain Function Scale (BPFS), and the Numeric Pain Rating Scale (NPRS). Results from initial evaluation to discharge (Oswestry: 36% to 0%; BPFS: 33/60 to 57/60; NPRS: 7/10 to 0/10) demonstrated that the patient no longer experienced low back pain and improved in terms of functional status and pain-related disability. The patient no longer complained of numbness and tingling in the left lower extremity and the goals for the patient had been attained. The data from this case report suggests lumbar extension exercises in conjunction with mechanical traction facilitated the patient's improvement in pain and return to prior level of function.

journal_name

Physiother Theory Pract

journal_title

Physiotherapy theory and practice

authors

Gagne AR,Hasson SM

doi

10.3109/09593980903051495

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

256-66

issue

eissn

0959-3985

issn

1532-5040

journal_volume

pub_type

杂志文章

在线工具

Lumbar extension exercises in conjunction with mechanical traction for the management of a patient with a lumbar herniated disc.