Cargando…

Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study

Background and Objectives: Lumbar traction is widely used as a non-operative treatment for lumbar intervertebral disc disease. The effect of traditional traction (TT) using linear-type traction devices remains controversial for various reasons, including technical limitations. Thus, the purpose of t...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Chang-Hyung, Heo, Sung Jin, Park, So Hyun, Jeong, Hee Seok, Kim, Soo-Yeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023456/
https://www.ncbi.nlm.nih.gov/pubmed/31861714
http://dx.doi.org/10.3390/medicina56010004
_version_ 1783498254201126912
author Lee, Chang-Hyung
Heo, Sung Jin
Park, So Hyun
Jeong, Hee Seok
Kim, Soo-Yeon
author_facet Lee, Chang-Hyung
Heo, Sung Jin
Park, So Hyun
Jeong, Hee Seok
Kim, Soo-Yeon
author_sort Lee, Chang-Hyung
collection PubMed
description Background and Objectives: Lumbar traction is widely used as a non-operative treatment for lumbar intervertebral disc disease. The effect of traditional traction (TT) using linear-type traction devices remains controversial for various reasons, including technical limitations. Thus, the purpose of this study was to compare the effects of the newly developed lumbar lordotic curve-controlled traction (L-LCCT) and TT on functional changes in patients and morphological changes in the vertebral disc. Materials and Methods: A total of 40 patients with lumbar intervertebral disc disease at the L4/5 or L5/S1 level as confirmed by magnetic resonance imaging were recruited and divided into two groups (L-LCCT or TT). The comprehensive health status changes of the patients were recorded using pain and functional scores (the visual analogue scale, the Oswestry Disability Index, and the Roland–Morris Disability Questionnaire) and morphological changes (in the lumbar central canal area) before and after traction treatment. Results: Pain scores were significantly decreased after traction in both groups (p < 0.05). However, functional scores and morphological changes improved significantly after treatment in the L-LCCT group only (p < 0.05). Conclusions: We suggest that L-LCCT is a viable option for resolving the technical limitations of TT by maintaining the lumbar lordotic curve in patients with lumbar intervertebral disc disease.
format Online
Article
Text
id pubmed-7023456
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-70234562020-03-12 Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study Lee, Chang-Hyung Heo, Sung Jin Park, So Hyun Jeong, Hee Seok Kim, Soo-Yeon Medicina (Kaunas) Article Background and Objectives: Lumbar traction is widely used as a non-operative treatment for lumbar intervertebral disc disease. The effect of traditional traction (TT) using linear-type traction devices remains controversial for various reasons, including technical limitations. Thus, the purpose of this study was to compare the effects of the newly developed lumbar lordotic curve-controlled traction (L-LCCT) and TT on functional changes in patients and morphological changes in the vertebral disc. Materials and Methods: A total of 40 patients with lumbar intervertebral disc disease at the L4/5 or L5/S1 level as confirmed by magnetic resonance imaging were recruited and divided into two groups (L-LCCT or TT). The comprehensive health status changes of the patients were recorded using pain and functional scores (the visual analogue scale, the Oswestry Disability Index, and the Roland–Morris Disability Questionnaire) and morphological changes (in the lumbar central canal area) before and after traction treatment. Results: Pain scores were significantly decreased after traction in both groups (p < 0.05). However, functional scores and morphological changes improved significantly after treatment in the L-LCCT group only (p < 0.05). Conclusions: We suggest that L-LCCT is a viable option for resolving the technical limitations of TT by maintaining the lumbar lordotic curve in patients with lumbar intervertebral disc disease. MDPI 2019-12-19 /pmc/articles/PMC7023456/ /pubmed/31861714 http://dx.doi.org/10.3390/medicina56010004 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Chang-Hyung
Heo, Sung Jin
Park, So Hyun
Jeong, Hee Seok
Kim, Soo-Yeon
Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title_full Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title_fullStr Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title_full_unstemmed Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title_short Functional Changes in Patients and Morphological Changes in the Lumbar Intervertebral Disc after Applying Lordotic Curve-Controlled Traction: A Double-Blind Randomized Controlled Study
title_sort functional changes in patients and morphological changes in the lumbar intervertebral disc after applying lordotic curve-controlled traction: a double-blind randomized controlled study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023456/
https://www.ncbi.nlm.nih.gov/pubmed/31861714
http://dx.doi.org/10.3390/medicina56010004
work_keys_str_mv AT leechanghyung functionalchangesinpatientsandmorphologicalchangesinthelumbarintervertebraldiscafterapplyinglordoticcurvecontrolledtractionadoubleblindrandomizedcontrolledstudy
AT heosungjin functionalchangesinpatientsandmorphologicalchangesinthelumbarintervertebraldiscafterapplyinglordoticcurvecontrolledtractionadoubleblindrandomizedcontrolledstudy
AT parksohyun functionalchangesinpatientsandmorphologicalchangesinthelumbarintervertebraldiscafterapplyinglordoticcurvecontrolledtractionadoubleblindrandomizedcontrolledstudy
AT jeongheeseok functionalchangesinpatientsandmorphologicalchangesinthelumbarintervertebraldiscafterapplyinglordoticcurvecontrolledtractionadoubleblindrandomizedcontrolledstudy
AT kimsooyeon functionalchangesinpatientsandmorphologicalchangesinthelumbarintervertebraldiscafterapplyinglordoticcurvecontrolledtractionadoubleblindrandomizedcontrolledstudy