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Effect of lumbar traction on discogenic low back pain using variable forces.
Zahra Masood1, Atif Ahmed Khan1, Aisha Ayyub2
1Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Okara, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|March 23, 2022
Summary
High-force lumbar traction significantly improved pain and functional disability in patients with discogenic low back pain. This treatment, combined with hot packs and exercises, offers a viable option for managing this condition.
Area of Science:
- Physical Medicine and Rehabilitation
- Orthopedics
- Pain Management
Background:
- Discogenic low back pain is a prevalent condition causing significant disability.
- Variable traction forces are explored as a treatment modality for low back pain.
Purpose of the Study:
- To investigate the impact of variable traction forces on discogenic low back pain.
- To compare the effectiveness of high-force versus low-force lumbar traction.
Main Methods:
- An experimental study involving 30 patients with low back pain.
- Randomization into two groups: high-force traction + hot pack + exercises vs. low-force traction + hot pack + exercises.
- Outcomes measured using Modified Oswestry Disability Index and Visual Analogue Scale over 9 sessions.
Main Results:
- Both high-force and low-force traction groups showed significant pain improvement (p<0.05).
- High-force lumbar traction led to greater improvement in disability scores compared to low-force traction (p<0.05).
- Younger age was associated with better treatment outcomes (p<0.05).
Conclusions:
- Variable force lumbar traction is effective in alleviating pain associated with discogenic low back pain.
- High-force lumbar traction demonstrates superior efficacy in reducing functional disability in these patients.

