The impact of manual spinal traction therapy on the pain and Oswestry disability index of patients with chronic back pain

Oh, Hyun-Ju; Choi, Seok-Joo; Lee, Sang-Yong; Choi, Jioun; Lee, Kwansub

doi:10.1589/jpts.30.1455

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…In most industrialized countries, lumbar traction is used routinely by outpatient rehabilitation providers. 14,15 Thus, there is a discordance between the lack of evidence-based recommendation and how lumbar traction is regarded in current clinical practice, which is explained by the great heterogeneity of practices and the methodological problems found in most clinical studies. 16 Believing in the beneficial effect of traction, we developed an external distraction device.…”

Section: Introductionmentioning

confidence: 99%

Relevance of a novel external dynamic distraction device for treating back pain

Zaïri

Moulart²,

Fontaine³

et al. 2020

Proc Inst Mech Eng H

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Low back pain is a common, expensive, and disabling condition in industrialized countries. There is still no consensus for its ideal management. Believing in the beneficial effect of traction, we developed a novel external dynamic distraction device. The purpose of this work was to demonstrate that external distraction allows limiting the pressure exerted in standing-up position on the lower intervertebral discs. Numerical and cadaveric studies were used as complementary approaches. Firstly, we implemented the device into a numerical model of a validated musculoskeletal software (Anybody Modeling System) and we calculated the lower disc pressure while traction forces were applied. Secondly, we performed an anatomical study using a non-formalin preserved cadaver placed in a sitting position. A pressure sensor was placed in the lower discs under fluoroscopic control through a Jamshidi needle. The intradiscal pressure was then measured continuously at rest while applying a traction force of 200 N. Both numerical and cadaveric studies demonstrated a decrease in intradiscal pressures after applying a traction force with the external device. Using the numerical model, we showed that tensile forces below 500 N in total were sufficient. The application of higher forces seems useless and potentially deleterious. External dynamic distraction device is able to significantly decrease the intradiscal pressure in a sitting or standing position. However, the therapeutic effects need to be proven using clinical studies.

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Section: Introductionmentioning

confidence: 99%

Relevance of a novel external dynamic distraction device for treating back pain

Zaïri

Moulart²,

Fontaine³

et al. 2020

Proc Inst Mech Eng H

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“…ODI was developed to evaluate the degree of loss of function in lower extremity pain. The aim of robotic rehabilitation is to reduce pain, strengthen weak muscles, stretch contracted muscles, reduce mechanical stress on the spinal structures and correct posture [23]. Hornby et al recorded significant improvements in the walking abilities of patients with spinal cord injuries after robotic rehabilitation in their study [9].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Patients Who Received Robotic Therapy after Spinal Cord Injuries

Baloğlu¹

2020

OJTR

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Background: This study aims to evaluate the effectiveness of the robotic device used in lower limb rehabilitation to reduce motor impairment and improve motor performance in patients with traumatic spinal injury. Methods: The data were obtained by retrospective analysis of patients who underwent lower extremity rehabilitation after traumatic spinal injury by robot-assisted rehabilitation in the hospital between December 2017 and December 2019. The results were statistically analyzed and shown as mean ± SD (min-max). Results: A total of 51 patients with mean age of 59.51 ± 8.2 (38-72) were admitted to the clinic. Mean ages of thirty-one male patients and twenty females patients were 58.74 ± 8.88 (38-77) and 60.7 ± 7.09 (44-72), respectively. Comparing ages in terms of gender, it was not statistically significant (p = 0.441). Body mass indexes of male patients were 32.84 ± 6.52 (20-48) and 31.4 ± 7.73 (18-48) for females. Body mass index of patients was not statistically significant in terms of their gender (p = 0.478). Oswestry disability index scores were 32.04 ± 10.74 (16-58) before treatment and 30.69 ± 10.31 (15-55) after treatment. Oswestry disability index values before and after robotic rehabilitation were statistically significant (p < 0.001). Significant improvement was observed in ASIA scale values after rehabilitation. Conclusions: The motor function gains obtained during the robot-assisted treatment of traumatic spinal injury patients showed robotic device was useful in the training program. Robotic rehabilitation was effective in the improvement of the lower extremities during motor examination.

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“…As many people spend most of the time sitting down in the workplace or home, bad alignment of sitting causes several problems such as bad support on muscles, ligaments, tendons and unhealthy spine [6]. There are several treatment methods for these abnormalities and depending on the severity, doctor advices to stay active and/or bed rest, prescribe medication [7], physical therapies [8], exercises [9], surgery [10], spinal traction therapy [11] etc. On the other hand, as a proactive practice, good sitting posture improves the body's circulatory and digestive system, increases self-confidence, decreases the risk of abnormal wearing of the joint surfaces, improves core and scapular strength etc [12].…”

Section: Introductionmentioning

confidence: 99%

Android Based Low Cost Sitting Posture Monitoring System

Nizam

Jinan

Aurthy

et al. 2020

2020 11th International Conference on Electrical and Computer Engineering (ICECE)

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Back pain is one of the leading causes of disabilityadjusted life year globally and the most common cause of low back pain is poor sitting posture. There are several actions that can be adopted proactively to avoid poor sitting posture induced back pain including behavioral change, regular exercise, and use of an ergonomic chair. However, these are either expensive and/or difficult to execute for prolonged periods. Sitting posture monitoring systems continuously observe the sitting pattern of a person in real-time and give feedback/alert poor sitting posture is observed. In this study, a real-time posture monitoring system has been designed and a functional prototype has been developed using simple electrical elements and an android application. Appropriate position of the sensor in the spine to measure the degree of bending and the threshold sensor values for good posture sittings have been determined based on the results from healthy volunteers of different ages and height. The android application continuously monitors the degree of bending and provides vibration when the bending reaches the threshold of bad posture or the duration of the sitting crosses the clinically recommended time limit to prevent prolonged sitting. Positive user feedback has been received in terms of comfortability, effectiveness, and satisfaction levels. The manufacturing cost of the developed monitoring system is minimal compared to the available expensive systems in the market and the cost would further go down if it is produced in bulk. This device efficiently monitors the sitting posture pattern to prevent back pain and within the affordable price range for the people from middle to under-developed countries.

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The impact of manual spinal traction therapy on the pain and Oswestry disability index of patients with chronic back pain

Cited by 3 publications

References 11 publications

Relevance of a novel external dynamic distraction device for treating back pain

Relevance of a novel external dynamic distraction device for treating back pain

Evaluation of Patients Who Received Robotic Therapy after Spinal Cord Injuries

Android Based Low Cost Sitting Posture Monitoring System

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