The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
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Effect of Lumbar HVLA Technique and Decompression Therapy for Lumbar Herniation Disk

허리뼈 도수교정과 감압치료가 허리뼈 사이원반 탈출증에 미치는 영향

  • Kang-O Oh (Dept. of Physical Therapy, Very Good Orthopaedic Neurologic Clinic)
  • 오강오 (참좋은정형외과신경과의원 물리치료실)
  • Received : 2024.07.18
  • Accepted : 2024.08.19
  • Published : 2024.08.30
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Abstract

PURPOSE: This study aimed to determine the changes in the lumbar herniation index, Oswestry disability index (ODI), visual analog scale (VAS), and lumbar flexion range of motion (ROM) following the application of high velocity- low amplitude (HVLA) technique and depression therapy in patients with lumbar herniation discs, and thus to provide a clinical basis for the treatment of lumbar herniation discs. METHODS: We included 45 patients with lumbar herniation discs who were assigned equally to three groups: HVLA technique, depression therapy, and control group. Three times a week for 4 weeks, conservative therapy plus Maitland's lumbar spine rotation technique was applied to the HVLA technique group for 30 min and conservative therapy plus decompression therapy for 30 min to the decompression therapy group, while only conservative therapy was applied to the control group. The lumbar herniation index and Korean version ODI were measured twice before starting and after completing the treatment. The VAS and lumbar flexion ROM were measured before and after each treatment session for twelve. The collected data were analyzed using SPSS software version 21.0. RESULTS: The lumbar herniation index was significantly lower in both the HVLA technique and decompression therapy groups compared to the control group, with decompression therapy being the most effective in reducing the lumbar herniation index. Significant improvements were observed in the ODI, VAS score, and lumbar flexion ROM across all three groups, with HVLA technique being the most effective. CONCLUSION: HVLA Techniqueand decompression therapy were more effective than conservative therapy in reducing the lumbar herniation index, ODI, and VAS scores, and in increasing lumbar flexion ROM. This suggests the importance of combining HVLA technique or decompression therapy along with conservative physical therapy for the effective treatment of lumbar herniation discs.

Keywords

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