Clinical trial NCT05518552: Effects of Manual Lumbar and Prone Traction in Patients With Low Back Pain
Official title: Effects of Manual Lumbar and Prone Traction on Clinical Variables in Patients With Non-specific Low Back Pain: A Randomized Control Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Non-specific Low Back Pain
Keywords: Manual Lumbar Traction
Prone Traction
Pain Intensity
Low back pain
Disability
Lead sponsor: Obafemi Awolowo University
Sponsor class: OTHER
First posted: 2022-08-26
Enrollment: 25
Sex: ALL
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention 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.
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Visual Analogue scale
timeFrame: Change is being assessed at the Baseline, 3rd week and 6th week of treatment
Secondary outcomes:
measure: Roland Morris low back pain Disability questionnaire
timeFrame: Change is being assessed at the Baseline, 3rd week and 6th week of treatment
measure: Goniometer
timeFrame: Change is being assessed at the Baseline, 3rd week and 6th week of treatment
Other outcomes:
Locations:
city: Ile Ife
country: Nigeria
facility: Obafemi Awolowo University
state: Osun
Study officials:
affiliation: Obafemi Awolowo University Ile Ife
name: Adesola O Ojoawo, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ostelo RW, de Vet HC, Knol DL, van den Brandt PA. 24-item Roland-Morris Disability Questionnaire was preferred out of six functional status questionnaires for post-lumbar disc surgery. J Clin Epidemiol. 2004 Mar;57(3):268-76. doi: 10.1016/j.jclinepi.2003.09.005.
citation: Ozaktay AC, Cavanaugh JM, Asik I, DeLeo JA, Weinstein JN. Dorsal root sensitivity to interleukin-1 beta, interleukin-6 and tumor necrosis factor in rats. Eur Spine J. 2002 Oct;11(5):467-75. doi: 10.1007/s00586-002-0430-x. Epub 2002 Jun 4.