The Controversy over Traction for Neck and Low Back Pain

Saunders, Hollie

doi:10.1016/s0031-9406(05)65530-7

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…Those theories include unloading of spinal components, reduction of dural adhesions, decreased pressure within the intervertebral discs, and relief of compression within the central foramina. 2,3,5,19,20,30,36,39,[42][43][44][45]51 However, much of the research reported in this area has involved the lumbar disc. 36,39,44,42 Recently, the reduction of cervical HD during mechanical traction sessions was reported.…”

Section: Discussionmentioning

confidence: 99%

“…Systematic reviews pertaining to the treatment of neck pain or radiculopathy with ICT have reported that the literature is inconclusive due to methodological errors in the few randomized studies available. 47,50 Despite this lack of evidence, ICT has long been a mainstay of treatment for radiculopathy attributed to HD 5,8,20,30,[42][43][44][45]47,50 and may be a useful intervention for CCM attributed to HD.…”

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confidence: 99%

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Intermittent Cervical Traction and Thoracic Manipulation for Management of Mild Cervical Compressive Myelopathy Attributed to Cervical Herniated Disc: A Case Series

Browder¹,

Erhard²,

Piva³

2004

J Orthop Sports Phys Ther

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3Study Design: Case series. Objective: To describe the management of 7 patients with grade 1 cervical compressive myelopathy attributed to herniated disc using intermittent cervical traction and manipulation of the thoracic spine. Background: Intermittent cervical traction has been indicated for the treatment of patients with herniated disc and has been suggested to be helpful for patients with cervical compressive myelopathy. Manipulation of the thoracic spine has been utilized to safely improve active range of motion and decrease pain in patients with neck pain. Methods and Measures: Seven women with neck pain, 35 to 45 years of age, were identified as having signs and symptoms consistent with grade 1 cervical compressive myelopathy. Symptom duration ranged from less than 1 week to 52 weeks. All patients were treated with intermittent cervical traction and thoracic manipulation for a median of 9 sessions (range, 2-12 sessions) over a median of 56 days (range, 14-146 days). Numeric Pain Rating Scale and Functional Rating Index scores served as the primary outcome measures. Results: The median decrease in pain scores was 5 (range, 2-8) from a baseline of 6 (range, 4-8), and median improvement in Functional Rating Index scores was 26% (range, 10%-50%) from a baseline of 44% (range, 35%-71%). Dizziness was eliminated in 3 out of 4 patients and chronic headache symptoms were improved in 3 out of 3 patients. There were no adverse events or outcomes. Conclusions: Intermittent cervical traction and manipulation of the thoracic spine seem useful for the reduction of pain scores and level of disability in patients with mild cervical compressive myelopathy attributed to herniated disc. A thorough neurological screening exam is recommended prior to mechanical treatment of the cervical spine.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Intermittent Cervical Traction and Thoracic Manipulation for Management of Mild Cervical Compressive Myelopathy Attributed to Cervical Herniated Disc: A Case Series

Browder¹,

Erhard²,

Piva³

2004

J Orthop Sports Phys Ther

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“…Just like any therapeutic procedure, the mechanical traction of the lumbar spine has specific indications and contraindications for its implementation. The most frequently mentioned in the literature contraindications are [20,36,37,38]:…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Increasing volume of intervertebral foramen. This is another effect of mechanical traction of the spine that can have a direct impact on the therapeutic effect [36,37,40,41,43. This increases the amount of space in which there are, among others, nervous tissue, and consequently may reduce or eliminate the irritation of the nerve roots.…”

Section: Postulated Effects Of Mechanical Tractionmentioning

confidence: 99%

Proposition of patient stratification and parameter setting for mechanical traction in patients with LBP

Dylewski¹,

Dylewska²,

Kasprzak³

et al. 2020

J Educ Health Sport

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Mechanical traction of the lumbar spine remains a procedure very willingly used by therapists in many countries of the world, despite at least equivocal scientific evidence. One of the problems reducing its effectiveness is the problem with the selection of patients for therapy as well as selecting the therapeutic goals and treatment parameters for the patient in an individualized and, at the same time, repeatable manner. In this work, the authors presented such a model developed as part of Research and Development works carried out at the Leśny Dom Seniora in Piastów. Streszczenie: Trakcja mechaniczna kręgosłupa lędźwiowego pozostaje zabiegiem bardzo chętnie stosowanym przez terapeutów w wielu krajach świata, pomimo co najmniej niejednoznacznych dowodów naukowych. Jednym z problemów zmniejszających jej skuteczność jest problem zarówno z doborem pacjentów do terapii, jak i celu terapeutycznego i parametrów zabiegowych do pacjenta w sposób zindywidualizowany, a jednocześnie powtarzalny. W niniejszej pracy autorzy przedstawili taki model wypracowany w ramach prac Badawczo-Rozwojowych prowadzonych w Leśnym Domu Seniora w Piastowie.

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“…This can lead to a release of muscle tension and increased blood circulation in the cervical region. [7][8][9] Traction is also assumed to stimulate the large afferent fibers of muscles and joints that presynaptically reduces pain fiber transmission at the spinal cord level. 10 This could ultimately lead to a decrease in pain in the neck region.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial on the efficacy of intermittent cervical traction for patients with chronic neck pain

Chiu

Walther-Zhang

et al. 2011

Clin Rehabil

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The Controversy over Traction for Neck and Low Back Pain

Cited by 8 publications

References 16 publications

Intermittent Cervical Traction and Thoracic Manipulation for Management of Mild Cervical Compressive Myelopathy Attributed to Cervical Herniated Disc: A Case Series

Intermittent Cervical Traction and Thoracic Manipulation for Management of Mild Cervical Compressive Myelopathy Attributed to Cervical Herniated Disc: A Case Series

Proposition of patient stratification and parameter setting for mechanical traction in patients with LBP

A randomized controlled trial on the efficacy of intermittent cervical traction for patients with chronic neck pain

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