MECHANICAL TRACTION FOR LUMBAR RADICULAR PAIN: SUPINE OR PRONE? A RANDOMIZED CONTROLLED TRIAL

ABSTRACTOBJECTIVETo compare the effects of mechanical lumbar traction either in the supine or prone position with conventional physical therapy(PT) in patients with chronic low back pain(LBP) and lumbosacral nerve root involvement in terms of disability, pain, and mobility.DESIGNParticipants(n=125) were randomly assingned to receive 15 sessions of PT with additional mechanical lumbar traction either in the supine position(supine traction group), or in the prone position(prone traction group), or only PT without traction(PT only group).Patients were assessed at baseline and at the end of the PT sessions in terms of disability, pain, and mobility.Disability was assessed using the modified Oswesty Disability Index(ODI); pain was assessed using a visual analogue scale (VAS); and lumbar mobility was assessed using the modified lumbar Schober test (mLST).RESULTS118 patients completed the trial.All groups improved significantly in the ODI, VAS, and mLST(P<.05 in the between-group analysis improvements of odi and vas were found significantly better prone traction group compared with pt only p=".031" .006 respectively position to other modalities resulted larger immediate terms pain disability results suggest that when using might be first-choice.further research is needed confirm benefits lumbar position. objective compare effects mechanical either supine or conventional physical therapy patients chronic low back lumbosacral nerve root involvement mobility. design participants randomly assingned receive sessions additional without assessed at baseline end mobility.disability was modified oswesty index a visual analogue scale mobility schober test completed trial.all groups improved mlst conclusion addition address correspondence to: meral bilgilisoy filiz antalya training hospital varlik mahallesi kazim karabekir cad. so turkey. e-mail: mbilgilisoy there no competing interest. funding received for our study. copyright wolters kluwer health inc. all rights reserved.>

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