Impact of Spinal Decompression on Pain in Patients With Chronic Lumbar Disc Prolapse

El-Gendy, Salwa R.

doi:10.15621/ijphy/2015/v2i5/78240

Cited by 2 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a few studies found no superiority of NSD therapy over conservative treatment methods [ 1 , 3 , 21 , 30 ]. In an RCT, Demirel and colleagues (2017) found that NSD therapy was not superior to conservative treatment (electrotherapy, deep friction massage, and exercise) in improving pain, function, and herniation thickness.…”

Section: Discussionmentioning

confidence: 99%

“…However, with recent advances, new technology has been developed, i.e. Non-surgical spinal decompression (NSD) therapy is used to overcome the drawbacks of traction and decompressing the spinal nerve roots non-surgically by using a sensitive computerized feedback mechanism [ 9 , 20 , 21 ]. This system is designed to provide a motorized segmental distraction for a specified time [ 22 ] which may induce physical changes to the disc [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…Unlike traction therapy, the NSD technique does not require setting the direction and traction force [ 24 ]. It was hypothesized that this technique may also widen the intervertebral space and minimize pressure on the discs by creating a negative pressure in the affected region [ 21 ]. It may also reposition the prolapsed disc and restore disc height which is thought to relieve chronic low back pain and other symptoms related to lumbar radiculopathy [ 21 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although some of the preliminary data from the literature supported NSD therapy and declared it more effective than conservative treatment methods [ 9 , 22 , 26 , 29 ], a few studies have found no superiority of NSD therapy over conservative treatments [ 21 , 30 ]. Meanwhile, some of the RCTs have confirmed the efficacy of NSD over ordinal traction [ 19 , 24 , 31 ] and declared that NSD is more effective than simple traction in terms of improving back pain, straight leg raise (SLR) [ 31 ], radicular pain, disc heights [ 19 ], and disc herniation index [ 24 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial

Amjad

Mohseni-Bandpei

Gilani

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Lumbar radiculopathy is an extensively common complaint reported by patients of low back pain (LBP), resulting in several impairments. A comparatively novel technique, non-surgical spinal decompression (NSD), is introduced, which uses a sensitive computerized feedback mechanism and decompresses the spinal nerve roots through segmental distraction. The objective of this study was to determine the effects of NSD therapy in addition to routine physical therapy on pain, lumbar range of motion (ROM), functional disability, back muscle endurance (BME), and quality of life (QOL) in patients with lumbar radiculopathy. Methods A total of sixty patients with lumbar radiculopathy were randomly allocated into two groups, an experimental (n = 30) and a control (n = 30) group, through a computer-generated random number table. Baseline values were recorded before providing any treatment by using a visual analogue scale (VAS), Urdu version of Oswestry disability index (ODI-U), modified-modified Schober’s test (MMST), prone isometric chest raise test, and Short Form 36-Item Survey (SF-36) for measuring the pain at rest, functional disability, lumbar ROM, BME, and QOL, respectively. All patients received twelve treatment sessions over 4 weeks, and then all outcome measures were again recorded. Results By using the ANCOVA test, a statistically significant (p < 0.05) between-group improvement was observed in VAS, ODI-U, BME, lumbar ROM, role physical (RP), and bodily pain (BP) domains of SF-36, which was in favour of NSD therapy group. The between-group difference was 1.07 ± 0.32 cm (p < .001) for VAS, 5.65 ± 1.48 points (p < .001) for ODI-U, 13.93 ± 5.85 s (p = 0.002) for BME, 2.62 ± 0.27 cm (p < .001) for lumbar flexion, 0.96 ± 0.28 (p < .001) for lumbar extension, 5.77 ± 2.39 (p = 0.019) for RP and 6.33 ± 2.52 (p = 0.016) for BP domain of SF-36. For these outcomes, a medium to large effect size (d = 0.61–2.47, 95% CI: 0.09–3.14) was observed. Conclusion It was concluded that a combination of non-surgical spinal decompression therapy with routine physical therapy is more effective, statistically and clinically, than routine physical therapy alone in terms of improving pain, lumbar range of motion, back muscle endurance, functional disability, and physical role domain of quality of life, in patients with lumbar radiculopathy, following 4 weeks of treatment. Trial registration WHO Iranian registry of clinical trials (IRCT20190717044238N1) Dated: 23.12.2019.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial

Amjad

Mohseni-Bandpei

Gilani

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…In another study including 219 patients with herniated or degenerative disc disease, the authors found that, using DRX9000 TM , spinal decompression relieved symptoms and restored mechanical function and normalized the range of motion in 86% of the patients who were previously thought to be surgical candidates. [14] In a randomized-controlled study conducted by El-Gendy, [35] experimental group received DRX9000 TM treatment, exercises, and ice packs, while the control group received only exercises and ice packs. The authors concluded that DRX9000 TM had an effect in pain reduction, although this effect was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%