Efficacy of Mechanical Traction and Spinal Decompression Treatments in Patients With Low Back Pain

Motorized traction and non-surgical spinal decompression treatments are relatively new treatments for which there is insufficient evidence in the literature. In this study investigators aimed to retrospectively compare the effectiveness of these treatments, which are in the field of their routine practice in their clinic.

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Key information

Conditions

Low Back Pain Back Pain Bone Diseases Hernia Intervertebral Disc Displacement Intervertebral disc disease Lumbar Disc Disease Lumbar Disc Herniation Lumbar Radiculopathy Musculoskeletal Diseases Nervous System Diseases Neurologic Manifestations Neuromuscular Diseases Pain Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Peripheral Nervous System Diseases Physical Therapy Radiculopathy Signs and Symptoms Spinal Diseases

Age range

20 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Sevda Adar

Afyonkarahisar, 03100, Turkey (Türkiye)

About this study

Low back pain is one of the leading causes of disability worldwide. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greater risk for low back pain. Anatomical structures that potentially nociceptive contributors to low back pain are intervertebral discs, facet joints, and vertebral end plates. It has been determined that nonsurgical treatments are clinically effective in reducing pain and functional improvement in patients with lumbar disc herniation. However, the level of evidence has generally not been highly evaluated, which can be attributed to the paucity of well designed randomized controlled trials. Despite moderate evidence, exercise and traction are recommended. In this study investigators aimed to retrospectively compare the effectiveness of these treatments, which are in the field of their routine practice in their clinic.

01.01.2019-10.11.2022. Investigators planned to examine the records of patients aged 20-75 years who underwent physical therapy with the diagnosis of lumbar discopathy in AFSU FTR Department Physical Therapy Unit. Investigators planned to examine the routine anamnesis examination, treatment card and control evaluation records of the patients made in the FTR outpatient clinic from the automation system of their hospital.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients diagnosed with lumbar disc disorders
Patients diagnosed with lumbar vertical hernia
Aged 20-75 years

Exclusion criteria

Patients treated for acute low back pain
Patients with a history of lumbar surgery
Patients with Spondylolisthesis or Spinal Stenosis
Those with inflammatory rheumatic diseases (Ankylosing spondylitis, spondylarthropathy etc.)
Patients with sequestered hernia
Patients with insufficient data in the records

Treatment and study plan

physical therapy

Procedure

Therapy methods using physical agents in treatment

Primary outcomes

Visual Pain Scale (VAS)

Time frame: 5 minutes

Visual Pain Scale (VAS), which is easy to understand, apply and interpret, provides valid and reliable data in a short time, is the most used method in clinics. With a visual linear scale of 100 mm, the patient is told that there is no pain at the 0 point, and the most severe pain ever felt in life at the 100 point, and the patient is asked to put a mark on the point corresponding to his or her pain.
Oswestry Disability Index

Time frame: 20 minutes

The Oswestry Disability Index was first described in 1980. The questionnaire consists of 10 items addressing different aspects of the function. Each item was scored from 0 to 5, with higher values representing greater disability. The total score is multiplied by 2 and expressed as a percentage. Turkish validity and reliability have been demonstrated.

Sponsors and collaborators

Lead sponsor

Afyonkarahisar Health Sciences University

Other

Registry information

Official study title

Comparison of the Efficacy of Conventional Physiotherapy, Mechanical Traction and Spinal Decompression Treatments in Patients With Low Back Pain

Important dates

Study start: 2022
Primary completion: 2023
Study completion: 2023
First posted: Nov 16, 2022
Registry last updated: Feb 1, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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