Effects of Manual Lumbar and Prone Traction in Patients With Low Back Pain

Study Overview
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Brief Summary
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The study determined the effects of manual Lumbar traction and prone traction on some clinical variables of patients with long standing low back pain.

Detailed Description
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Traction therapy has been used in the management of low back pain (LBP) especially None Specific Low Back Pain. There are several recommendations on how lumbar traction should be performed, but the type of technique to be applied differs among the sources. Prone traction adapted from inversion therapy which is a form of gravitational traction has been reported to be effective in ameliorating disabilities of patients with low back pain as well reduce pain intensity. Manual lumbar traction is performed by the therapist, pulling at the patient's ankles and has been reported to be effective in relieving pain and reducing disability of patient with None Specific Low Back Pain (NSLBP). Documented evidences on the efficacy of traction in non-specific low back pain are still inconclusive. While manual lumbar traction seems more commonly used, probably owing to its positional advantage, its relative effectiveness compared with manual prone traction is still unknown, hence this study. Therefore, the aim of this study was to examine the efficacy of manual lumbar traction and prone traction on pain intensity, disability, spinal range of motion and quality of life in patients with None Specific Low Back Pain.

Official Title
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Effects of Manual Lumbar and Prone Traction on Clinical Variables in Patients With Non-specific Low Back Pain: A Randomized Control Study

Conditions
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Non-specific Low Back Pain

Intervention / Treatment
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* Other: Manual lumbar traction
* Other: Prone traction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants diagnosed with Non-Specific Low Back Pain of not less than 3 months duration who were referred by a physician. Participants between the ages of 40 years and older. Exclusion Criteria: Low back pain patients with specific pathology, such as systemic inflammatory diseases, pregnancy, fractures of the spine, tumors, infections. Participants with pathology affecting the trunk or upper and lower extremities

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The group underwent manual lumbar traction with the patient lying prone on a couch using a manual technique by pulling from the ankles of the patient. Manual traction was performed by the therapist, pulling at the patient's ankles.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: manual Lumbar Traction<br>The subjects consist of 25 patients with chronic low back pain. They underwent a manual lumbar traction with Physiotherapist pulling the patients while lying prone on a couch | Other: Manual lumbar traction<br>* Patient in the group were treated with manual traction<br>|
| Experimental: Prone traction<br>This group consist of patients with non specific chronic low back pain that were put on prone traction. | Other: Prone traction<br>* Patient in the group were placed on prone traction<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue scale | It measure pain intensity: 0 which is no pain to 10 which is excruciating pain | Change is being assessed at the Baseline, 3rd week and 6th week of treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Roland Morris low back pain Disability questionnaire | It measures the disability of the patients from 0, no disability to 24 which is the greatest disability | Change is being assessed at the Baseline, 3rd week and 6th week of treatment | 
| Goniometer | It measures spinal flexibility in degree. The flexibility may start from 0 degree and the maximum depends on the flexibility of each participants | Change is being assessed at the Baseline, 3rd week and 6th week of treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prone Traction, Manual Lumbar Traction, Pain Intensity, Low back pain, Disability