Biomechanical analysis of two-step traction therapy in the lumbar spine

Park, Won Man; Kim, Kyung-Soo; Kim, Yoon Hyuk

doi:10.1016/j.math.2014.05.004

Cited by 23 publications

(11 citation statements)

References 46 publications

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“…Conversely, segmental traction decreases the stress placed onto the posterior fiber of the ring fiber and decreases the pressure placed on the disc. Therefore, it is recommended to carefully apply general traction to patients with intervertebral pathology [19].…”

Section: Discussionmentioning

confidence: 99%

Effect of nerve mobilization with intermittent cervical segment traction on pain, range of motion, endurance, and disability of cervical radiculopathy

Yao

Lee

et al. 2020

PTRS

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Objective: This study aimed to evaluate the effects of the Kaltenborn-Evjenth concept of nerve mobilization combined with intermittent cervical segment traction (ICST) on pain, Neck Disability Index (NDI) scores, range of motion (ROM) and endurance in persons with cervical radiculopathy (CR). Design: Two-group pretest-posttest design. Methods: Thirty subjects participated in this study and were randomly assigned to two groups. The ICST group (n=15) was performed simultaneously with nerve mobilization and cervical traction for the segment with cervical pain at the same time. The intermittent cervical total traction (ICTT) group (n=15) performed nerve mobilization and cervical traction for the whole cervical area at the same time. In this study, outcome measures such as the Visual Analog Scale (VAS), NDI, ROM, endurance (cranio-cervical flexion test), and passive intervertebral motion performed before and 4 weeks after the experiment were compared to investigate the effects of each intervention. Results: In both groups, there were significant differences in the VAS, NDI scores, and endurance, and there were significant differences between the two groups except for endurance (p<0.05). In the ICST group, significant differences were found in all ROM, and in the ICTT group, significant differences were found in only extension, and there were significant differences between the two groups (p<0.05). Conclusions: The ICST group showed more improvement than the ICTT group in pain, NDI scores and ROM. Moreover, our findings show that the ICST could be used as a new strategy for manual therapy in persons with CR.

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Section: Discussionmentioning

confidence: 99%

Effect of nerve mobilization with intermittent cervical segment traction on pain, range of motion, endurance, and disability of cervical radiculopathy

Yao

Lee

et al. 2020

PTRS

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“…Acupuncture can improve blood circulation and oxygen supply of the nerve roots and sciatic nerve [26], produce rapid analgesic effects [27, 28], and lower plasma adrenocorticotrophic hormone levels [29]. Regarding traction, it can increase disc space height, reduce nucleus pulposus pressure [30], decrease lumbar lordosis and tensile stress on the fibers of annulus fibrosus [31], and promote fluid exchange in disc [32]. In terms of Chinese herbs, it can relieve pain [33] and enhance nerve regeneration, nerve function restoration [34], and neuroprotection [35, 36].…”

Section: Discussionmentioning

confidence: 99%

Comparisons of the Effectiveness and Safety of Tuina, Acupuncture, Traction, and Chinese Herbs for Lumbar Disc Herniation: A Systematic Review and Network Meta-Analysis

Zhang

et al. 2019

Evidence-Based Complementary and Alternative Medicine

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Background. Tuina, acupuncture, traction, and Chinese herbs play an important role in the treatment of lumbar disc herniation. However, the comparative effectiveness and safety of the four commonly utilized treatment modalities are still unclear. Objective. To compare the effectiveness and safety of the four interventions for lumbar disc herniation. Methods. Randomized controlled trials comparing any two of the four interventions in the treatment of lumbar disc herniation were identified using the following databases: PubMed, the Cochrane Library, Embase, Web of Science, the China National Knowledge Infrastructure, Chinese Science and Technology Periodical Database, and Wanfang data, and network meta-analysis was performed using STATA 14.0. Results. One hundred and twenty-one studies involving a total of 13075 patients were included. In all the outcome measurements, traction demonstrated a worst effectiveness, and Tuina and acupuncture demonstrated a best effectiveness, but no significant differences were found between Tuina and acupuncture. Compared with Tuina or acupuncture, Chinese herbs showed a similar effectiveness in Visual Analogue Score and Japanese Orthopedic Association Scores, but an inferior effectiveness in invalid rate and cure rate. Conclusions. In the treatment of lumbar disc herniation, Tuina and acupuncture were superior to traction or Chinese herbs, and the effectiveness of traction was the worst. However, considering the limitations of this review, more high-quality trials, especially those comparing Chinese herbs with the other three interventions, should be carried out in the future to further confirm the current findings.

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“…2A ) that were modeled using viscoelastic materials. 8) The viscoelastic behavior of the model is explained in the following paragraph. 9 10) …”

Section: Methodsmentioning

confidence: 99%

“…Mechanical properties of the vertebrae, discs, and ligaments were gathered using the previous studies. 4 5 6 7 8 11 12) Vertebrae, intervertebral discs, and ligaments were considered as isotropic elastic material, viscoelastic material and isotropic elastic material, respectively. 9) …”

Section: Methodsmentioning

confidence: 99%

Effects of Different Angles of the Traction Table on Lumbar Spine Ligaments: A Finite Element Study

Farajpour

Jamshidi

2017

Clin Orthop Surg

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BackgroundThe traction bed is a noninvasive device for treating lower back pain caused by herniated intervertebral discs. In this study, we investigated the impact of the traction bed on the lower back as a means of increasing the disc height and creating a gap between facet joints.MethodsComputed tomography (CT) images were obtained from a female volunteer and a three-dimensional (3D) model was created using software package MIMICs 17.0. Afterwards, the 3D model was analyzed in an analytical software (Abaqus 6.14). The study was conducted under the following traction loads: 25%, 45%, 55%, and 85% of the whole body weight in different angles.ResultsResults indicated that the loading angle in the L3–4 area had 36.8%, 57.4%, 55.32%, 49.8%, and 52.15% effect on the anterior longitudinal ligament, posterior longitudinal ligament, intertransverse ligament, interspinous ligament, and supraspinous ligament, respectively. The respective values for the L4–5 area were 32.3%, 10.6%, 53.4%, 56.58%, and 57.35%. Also, the body weight had 63.2%, 42.6%, 44.68%, 50.2%, and 47.85% effect on the anterior longitudinal ligament, posterior longitudinal ligament, intertransverse ligament, interspinous ligament, and supraspinous ligament, respectively. The respective values for the L4–5 area were 67.7%, 89.4%, 46.6%, 43.42% and 42.65%. The authenticity of results was checked by comparing with the experimental data.ConclusionsThe results show that traction beds are highly effective for disc movement and lower back pain relief. Also, an optimal angle for traction can be obtained in a 3D model analysis using CT or magnetic resonance imaging images. The optimal angle would be different for different patients and thus should be determined based on the decreased height of the intervertebral disc, weight and height of patients.

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Biomechanical analysis of two-step traction therapy in the lumbar spine

Cited by 23 publications

References 46 publications

Effect of nerve mobilization with intermittent cervical segment traction on pain, range of motion, endurance, and disability of cervical radiculopathy

Effect of nerve mobilization with intermittent cervical segment traction on pain, range of motion, endurance, and disability of cervical radiculopathy

Comparisons of the Effectiveness and Safety of Tuina, Acupuncture, Traction, and Chinese Herbs for Lumbar Disc Herniation: A Systematic Review and Network Meta-Analysis

Effects of Different Angles of the Traction Table on Lumbar Spine Ligaments: A Finite Element Study

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