DOI QR코드

DOI QR Code

The Effects of Spinal Decompression Therapy on Pain and Disability in Patients with Chronic Low Back Pain

  • Oh, Hyun-Ju (Department of Physical Therapy, Taegu Science University) ;
  • Jeon, Chun-Bae (Rehabilitation Center, The Most Holy Trinity Hospital) ;
  • Jeong, Mu-Geon (Department of Physical Therapy, Namsan Hospital) ;
  • Choi, Seok-Joo (Department of Physical Therapy, Taegu Science University)
  • Received : 2017.11.08
  • Accepted : 2017.12.15
  • Published : 2017.12.30

Abstract

Purpose: The purpose of this study was to examine the effects of spinal decompression therapy on pain and disability in patients with chronic low back pain. Methods: Twenty patients with chronic low back pain were divided into an experimental group (spinal decompression therapy, n=10) and a control group (conservative physical therapy, n=10). Both groups were treated three times a week over a four-week period. Results: The comparison of between-group changes post-treatment revealed statistically significant lower levels of pain and disability in the experimental group than the control group. The comparison of within each group changes before and after the treatment showed statistically significant declines in pain and disability indexes of both groups. Conclusion: Spinal decompression therapy may be an effective intervention for improving pain and disability in patients with chronic low back pain.

Keywords

References

  1. Huang Q, Zhang Y, Li D et al. The evaluation of chronic low back pain by determining the ratio of the lumbar multifidus muscle cross-sectional areas of the unaffected and affected sides. J Phys Ther Sci. 2014;26(10):1613-4. https://doi.org/10.1589/jpts.26.1613
  2. Hammer CJ. Chiropractic management and rehabilitation of a 38-yearold male with an L5-S1 disc herniation. J Chiropr Med. 2004;3(4):145-52. https://doi.org/10.1016/S0899-3467(07)60102-5
  3. Choi JO, Hwangbo G, Park J et al. 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; 26(8):159-62.
  4. Kim K, Lee KS, Choi SJ et al. Effect of manual therapy on pain and function of patients with chronic low back pain. J Kor Phys Ther. 2017;29(2):85-90. https://doi.org/10.18857/jkpt.2017.29.2.85
  5. Kwon WA, Lee SH, Lee JH. Effects of decompression therapy for 6 cases with lumbar herniated disc. J Aca Indu Tech. 2012;13(5):2133-41.
  6. Paul-Dauphin A, Guillemin F, Virion J et al. Bias and precision in visual analogue scales: a randomized controlled trial. Am J Epidemiol. 1999;150(10):1117-27. https://doi.org/10.1093/oxfordjournals.aje.a009937
  7. Scott J, Huskisson EC. Vertical or horizontal visual analogue scales. Ann Rheum Dis. 1979;38(6):560. https://doi.org/10.1136/ard.38.6.560
  8. Miller MD, Ferris DG. Measurement of subjective phenomena in primary care research: the visual analogue scale. Fam Pract Res J. 1993;13(1):15-24.
  9. Kim K, Lee KS, Choi SJ et al. Effects of manual on pain and function of patients with chronic low back pain. J Kor Phys Ther. 2017;29(2):85-90. https://doi.org/10.18857/jkpt.2017.29.2.85
  10. Lee HJ, Song JM. Mapping items of functioning questionnaires into the international classification of functioning, disability and health: Low back pain. J Kor Phys Ther. 2016;28(5):321-7. https://doi.org/10.18857/jkpt.2016.28.5.321
  11. Fairbank JCT, Pynsent PB. The Oswestry disability index. Spine. 2000;25(22):2940-53. https://doi.org/10.1097/00007632-200011150-00017
  12. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry low back pain disability questionnaire and the Quebec back pain disability scale. Phys Ther. 2001;81(2):776-88. https://doi.org/10.1093/ptj/81.2.776
  13. Huh KY. Effect of spinal decompression therapy compared with intermittent mechanical traction in lumbosacral disc herniation. Kyunghee University. Dissertation of Master's Degree. 2009.
  14. Gionis TA, Groteke E. Spinal decompression. Orthop Tech Rev. 2003;5(6):36-9.
  15. Gose EE, Naguszewski WK, Naguszewski RK. Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. Neurol Res. 1998;20(3):186-90. https://doi.org/10.1080/01616412.1998.11740504
  16. Onel D, Tuzlaci M, Sari H et al. Computed tomographic investigation of the effect of traction on lumbar disc herniations. Spine. 1989;14(1):82-90. https://doi.org/10.1097/00007632-198901000-00017
  17. Cox JM. Low back pain: Mechanism, diagnosis and treatment. 7th ed. Philadelphia, Lippincott Williams & Wilkins, 2012:167-8.
  18. Macario A, Pergolizzi JV. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Practice. 2006;6(3):171-8. https://doi.org/10.1111/j.1533-2500.2006.00082.x

Cited by

  1. 허리의 분절적 가동기법이 만성 허리통증 환자의 근육 특성과 안정성 한계에 미치는 영향 vol.8, pp.4, 2017, https://doi.org/10.15268/ksim.2020.8.4.191
  2. Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol vol.15, pp.1, 2017, https://doi.org/10.31616/asj.2019.0300