Traction

The effects of axial loading on the morphometric and T2 characteristics of lumbar discs in relation to disc degeneration

Clinical Biomechanics Volume 83, March 2021, 105291 Clinical Biomechanics VahidAbdollah Highlights • Effects of disc compression and traction measured using geometric and T2 centroids. • The largest responses to loading were observed at the lower lumbar levels. • The magnitude of responses to loading were associated with severity of disc degeneration. • T2 disc centroid, […]

Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-analysis

Carla Vanti, PT, MSc, OMPT Physical Therapy, pzaa231, https://doi.org/10.1093/ptj/pzaa231 Published: 31 December 2020 Abstract Objective Lumbar radiculopathy is a pain syndrome caused by compression/irritation of the lumbar nerve root(s). Traction is a well-known and commonly used conservative treatment for lumbar radiculopathy, although its effectiveness is disputed. The purpose of this systematic review and meta-analysis of […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

Non-surgical treatments for patients with radicular pain from lumbosacral disc herniation

The Spine Journal Available online 12 June 2019 Jung HwanLee MD, PhD. Abstract Background Context Lumbosacral disc herniation (LDH) is one of the most frequent musculoskeletal diseases causative of sick leave in the workplace and morbidity in daily activities. Non-surgical managements are considered as first line treatment before surgical treatment. Purpose This clinical practice guideline […]

Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study

Musculoskeletal Science & Practice June 2017 Volume 29, Pages 78–83 Daniel H.K. Chow, PhD Highlights Mechanical effects of traction on lumbar discs was evaluated using MRI. Horizontal traction using 42% of body weight was associated with an increased disc height of lower lumbar discs. Horizontal traction also resulted in reduced lordosis and change in tilt angle. The […]

Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk

J Phys Ther Sci. 2016 Nov;28(11):3125-3130. Epub 2016 Nov 29. Kang JI1, Jeong DK1, Choi H2. Author information Abstract [Purpose] This study was conducted to clarify the difference in therapeutic effects between traction and decompression therapies, and their clinical therapeutic significance. [Subjects and Methods] The subjects were 31 patients aged 35 to 50 years who had […]

The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back and Leg Pain: A Randomized Trial

Authors: Anne Thackeray, PT, PhD, MPH Abstract Study Design Randomized clinical trial. Background The recommended initial management strategy for these patients with low back pain and signs of nerve root compression is conservative treatment but there is little evidence to guide the most appropriate management strategy. Preliminary research suggests a treatment protocol of mechanical traction […]

Lumbar Traction For Managing Low Back Pain: A Survey Of Physical Therapists In The United States

Authors: Timothy J. Madson, PT, MS Study Design Cross-sectional survey. Objectives To examine how many physical therapists use traction, the patients for whom traction is used, the preferred delivery modes/parameters of traction, the supplemental interventions used with traction, and whether professional characteristics influence traction usage. Background Several systematic reviews and clinical guidelines have questioned the […]

Lumbar Traction for Managing Low Back Pain: A Survey of Physical Therapists in the United States

Authors: Timothy J. Madson, PT, MS Study Design Cross sectional survey. Objectives To examine how many physical therapists (PTs) use traction, patients for whom traction is used, preferred delivery modes/parameters, supplemental interventions, and whether professional characteristics influence traction usage. Background Several systematic reviews and clinical guidelines question traction’s effectiveness for managing low back pain (LBP), […]

Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation

Journal of Physical Therapy Science Vol. 27 (2015) No. 2 February p. 481-Jioun Choi [Purpose] The purpose of this study was to identify how spinal decompression therapy and general traction therapy influence the pain, disability, and straight leg raise (SLR) ability of patients with intervertebral disc herniation. [Subjects] The subjects were 30 patients with chronic […]

Clinician proficiency in delivering manual treatment for neck pain within specified force ranges

Spine J. 2014 Oct 22. pii: S1529-9430(14)01609-X. doi: 10.1016/j.spinee.2014.10.016. [Epub ahead of print] Clinician proficiency in delivering manual treatment for neck pain within specified force ranges. Gudavalli MR1, Vining RD2, Salsbury SA2, Corber LG2, Long CR2, Patwardhan AG3, Goertz CM2. Abstract BACKGROUND CONTEXT: Neck pain is a common musculoskeletal complaint responsive to manual therapies. Doctors […]

Multimodal Treatment Program Comparing 2 Different Traction Approaches for Patients With Discogenic Cervical Radiculopathy

Multimodal Treatment Program Comparing 2 Different Traction Approaches for Patients With Discogenic Cervical Radiculopathy: A Randomized Controlled Trial Ibrahim M. Moustafa, PT, PhD Journal of Chiropractic Medicine Volume 13, Issue 3, September 2014, Pages 157–167 Abstract Objective The purpose of this study was to investigate the immediate and long-term effects of a 1-year multimodal program […]

The best evidence in back and neck pain care – CBRG QuickDecks – Slide Shows

CBRG QuickDecks is a set of the summary slides describing findings from systematic reviews published by the Cochrane Back Review Group (CBRG). These summaries provide clinicians and researchers with a snapshot of evidence on various treatment and prevention measures for back and neck pain. Below you will find the summaries organized by intervention type (pharmacological/surgical/ […]

The Effects of Manual Therapy Using Joint Mobilization and Flexion-distraction Techniques on Chronic Low Back Pain and Disc Heights

J Phys Ther Sci. 2014 Aug;26(8):1259-62. doi: 10.1589/jpts.26.1259. Epub 2014 Aug 30. The Effects of Manual Therapy Using Joint Mobilization and Flexion-distraction Techniques on Chronic Low Back Pain and Disc Heights. Choi J1, Hwangbo G2, Park J3, Lee S3. Abstract [Purpose] The purpose of this study was to examine the effects of manual therapy using […]

Spinal traction promotes molecular transportation in a simulated degenerative intervertebral disc model

Spine (Phila Pa 1976). 2014 Apr 20;39(9):E550-6. doi: 10.1097/BRS.0000000000000269. Kuo YW1, Hsu YC, Chuang IT, Chao PH, Wang JL. Abstract STUDY DESIGN: Biomechanical experiment using an in situ porcine model. OBJECTIVE: To find the effect of traction treatment on annulus microstructure, molecular convection, and cell viability of degraded discs. SUMMARY OF BACKGROUND DATA: Spinal traction […]

An ICON Overview on Physical Modalities for Neck Pain and Associated Disorders

Graham N, et al. Open Orthop J. 2013 Sep 20;7:440-60. Abstract INTRODUCTION: Neck pain is common, can be disabling and is costly to society. Physical modalities are often included in neck rehabilitation programs. Interventions may include thermal, electrotherapy, ultrasound, mechanical traction, laser and acupuncture. Definitive knowledge regarding optimal modalities and dosage for neck pain management […]

Intradiscal Pressure Changes during Manual Cervical Distraction

A Cadaveric Study Gudavalli MR, et al. Evid Based Complement Alternat Med. 2013;2013:954134. doi: 10.1155/2013/954134. Epub 2013 Aug 20. Abstract The objective of this study was to measure intradiscal pressure (IDP) changes in the lower cervical spine during a manual cervical distraction (MCD) procedure. Incisions were made anteriorly, and pressure transducers were inserted into each […]

Traction for low-back pain with or without sciatica

These findings indicate that traction, either alone or in combination with other treatments, has little or no impact on pain intensity, functional status, global improvement and return to work among people with LBP.

Traction for low-back pain with or without sciatica

Cochrane Database Syst Rev. 2013 Aug 19;8:CD003010. doi: 10.1002/14651858.CD003010.pub5. Traction for low-back pain with or without sciatica. Wegner I Astract BACKGROUND: Traction has been used to treat low-back pain (LBP), often in combination with other treatments. We included both manual and machine-delivered traction in this review. This is an update of a Cochrane review first published […]