الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Lumbar disc herniation (LDH) is one of the most common medical problems and causes a significant disability. Lumbar traction was a preferred method for treating LDH but the evidence of lumbar traction is still controversial. Purpose: To investigate the effect of side lying lumbar traction and Supine lumbar traction in treatment of Lumbar disc herniation (LDH). Design: two Experimental design Pretest – Posttest Randomized controlled trial Methodology: Forty-seven patients of LDH with unilateral sciatica randomly assigned into side lying lumbar traction group, supine lying lumbar traction group, and conventional physical therapy group. Their age ranged from 30-50 years old and body mass index (BMI) from 22- 32kg/m2.All patients received conventional physical therapy (hot pack- lumbar strengthening exercise and stretching exercise for back muscles) 3 sessions per week for 12 weeks. The patients were evaluated by Visual Analogue Scale (VAS) for (back –leg) pain, Oswestry Disability Index (ODI), H reflex Latency, L4/L5, L5/S1 herniated disc index. The evaluation was before and after intervention. Results: There was statistically significant difference for side lying traction in VAS (back-leg), ODI score and L5/S1 disc index after 12 weeks of treatment (p > 0.05). There was statistically significant difference for both traction groups in L4/L5 disc index. There wasn’t statistically significant among three groups in H reflex latency. There were statistically significant after treatment in VAS (back-leg), ODI and H reflex latency, in all groups (p < 0.0001) and in L4/L5, L5/S1disc index for both traction groups. Conclusion: Side lying traction was more effective in reducing pain back and leg, ODI score and L5/S1 disc index than other groups.Adding side lying and supine lying traction to conventional physical therapy were more effective in reducing low back pain, sciatica, improving functional activities and regression of herniated disc size. |