Efficacy of traction for nonspecific low back pain: 12-week and 6-month results of a randomized clinical trial
A randomized clinical trial. To assess the efficacy of motorized continuous traction for low back pain. The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings. Patients with...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 1997-12, Vol.22 (23), p.2756-2762 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | BEURSKENS, A. J DE VET, H. C KÖKE, A. J REGTOP, W VAN DER HEIJDEN, G. J LINDEMAN, E KNIPSCHILD, P. G |
| description | A randomized clinical trial.
To assess the efficacy of motorized continuous traction for low back pain.
The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings.
Patients with at least 6 weeks of nonspecific low back pain were selected. High-dose traction was compared with sham (or low-dose) traction. Sham traction was given with a specially developed brace that becomes tighter in the back during traction. This was experienced as if real traction were exerted. The patients and the outcome assessor were unaware of treatment allocation. Outcome measures were: patient's global perceived effect, severity of main complaints, functional status, pain, range of motion, work absence, and medical treatment. Results for the outcome measures at 12 weeks and 6 months after randomization are presented.
One hundred and fifty-one patients were randomly allocated to one of the two treatment methods. Intention-to-treat analysis of the 12-week and 6-month results showed no statistically significant differences between the groups on all outcome measures: all 95% confidence intervals included the value zero. The number of patients lost to follow-up study was very low. Other analyses showed the same results.
Most common flaws of earlier studies on traction therapy could be overcome. This trial did not support the claim that traction is efficacious for patients with low back pain. |
| doi_str_mv | 10.1097/00007632-199712010-00011 |
| format | Article |
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To assess the efficacy of motorized continuous traction for low back pain.
The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings.
Patients with at least 6 weeks of nonspecific low back pain were selected. High-dose traction was compared with sham (or low-dose) traction. Sham traction was given with a specially developed brace that becomes tighter in the back during traction. This was experienced as if real traction were exerted. The patients and the outcome assessor were unaware of treatment allocation. Outcome measures were: patient's global perceived effect, severity of main complaints, functional status, pain, range of motion, work absence, and medical treatment. Results for the outcome measures at 12 weeks and 6 months after randomization are presented.
One hundred and fifty-one patients were randomly allocated to one of the two treatment methods. Intention-to-treat analysis of the 12-week and 6-month results showed no statistically significant differences between the groups on all outcome measures: all 95% confidence intervals included the value zero. The number of patients lost to follow-up study was very low. Other analyses showed the same results.
Most common flaws of earlier studies on traction therapy could be overcome. This trial did not support the claim that traction is efficacious for patients with low back pain.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-199712010-00011</identifier><identifier>PMID: 9431610</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Adult ; Biological and medical sciences ; Diseases of the osteoarticular system. Orthopedic treatment ; Double-Blind Method ; Female ; Follow-Up Studies ; Humans ; Low Back Pain - physiopathology ; Low Back Pain - therapy ; Lumbar Vertebrae - physiopathology ; Male ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Traction - instrumentation ; Traction - methods ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 1997-12, Vol.22 (23), p.2756-2762</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c284t-7c295ca14860a1092b10e3ccbfde50f76b931e662c1047b27bd660e4fb9407203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2088568$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9431610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BEURSKENS, A. J</creatorcontrib><creatorcontrib>DE VET, H. C</creatorcontrib><creatorcontrib>KÖKE, A. J</creatorcontrib><creatorcontrib>REGTOP, W</creatorcontrib><creatorcontrib>VAN DER HEIJDEN, G. J</creatorcontrib><creatorcontrib>LINDEMAN, E</creatorcontrib><creatorcontrib>KNIPSCHILD, P. G</creatorcontrib><title>Efficacy of traction for nonspecific low back pain: 12-week and 6-month results of a randomized clinical trial</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A randomized clinical trial.
To assess the efficacy of motorized continuous traction for low back pain.
The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings.
Patients with at least 6 weeks of nonspecific low back pain were selected. High-dose traction was compared with sham (or low-dose) traction. Sham traction was given with a specially developed brace that becomes tighter in the back during traction. This was experienced as if real traction were exerted. The patients and the outcome assessor were unaware of treatment allocation. Outcome measures were: patient's global perceived effect, severity of main complaints, functional status, pain, range of motion, work absence, and medical treatment. Results for the outcome measures at 12 weeks and 6 months after randomization are presented.
One hundred and fifty-one patients were randomly allocated to one of the two treatment methods. Intention-to-treat analysis of the 12-week and 6-month results showed no statistically significant differences between the groups on all outcome measures: all 95% confidence intervals included the value zero. The number of patients lost to follow-up study was very low. Other analyses showed the same results.
Most common flaws of earlier studies on traction therapy could be overcome. This trial did not support the claim that traction is efficacious for patients with low back pain.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Low Back Pain - physiopathology</subject><subject>Low Back Pain - therapy</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Traction - instrumentation</subject><subject>Traction - methods</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEFr3DAQhUVJ2GzS_oSCDiU3pTOSLVm9lSVNCoFc0rORZYmqsaWN5CVsfn2V7nbnMjDvzRvmI4Qi3CBo9RVqKSk4Q60VckBgdYL4gayx5R1DbPUZWYOQnPFGyAtyWcqfapEC9YqsdCNQIqxJvPU-WGP3NHm6ZGOXkCL1KdOYYtk6G6pMp_RKB2Of6daE-I0iZ6_OPVMTRyrZnOLym2ZXdtNS3mMMzVVJc3hzI7VTiPXAVMODmT6Sc2-m4j4d-xX59eP2aXPPHh7vfm6-PzDLu2ZhynLdWoNNJ8HUh_mA4IS1gx9dC17JQQt0UnKL0KiBq2GUElzjB92A4iCuyPUhd5vTy86VpZ9DsW6aTHRpV3qlW4ROqmrsDkabUynZ-X6bw2zyvkfo31H3_1H3J9T9P9R19fPxxm6Y3XhaPLKt-pejbkoF4CsUG8rJxqHrWtmJvwr1hWA</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>BEURSKENS, A. J</creator><creator>DE VET, H. C</creator><creator>KÖKE, A. 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Diet therapy and various other treatments (general aspects)</topic><topic>Traction - instrumentation</topic><topic>Traction - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BEURSKENS, A. J</creatorcontrib><creatorcontrib>DE VET, H. C</creatorcontrib><creatorcontrib>KÖKE, A. J</creatorcontrib><creatorcontrib>REGTOP, W</creatorcontrib><creatorcontrib>VAN DER HEIJDEN, G. J</creatorcontrib><creatorcontrib>LINDEMAN, E</creatorcontrib><creatorcontrib>KNIPSCHILD, P. 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G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of traction for nonspecific low back pain: 12-week and 6-month results of a randomized clinical trial</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>22</volume><issue>23</issue><spage>2756</spage><epage>2762</epage><pages>2756-2762</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A randomized clinical trial.
To assess the efficacy of motorized continuous traction for low back pain.
The available studies on the efficacy of lumbar traction do not allow clear conclusions because of severe methodologic flaws. The current trial aimed to overcome these shortcomings.
Patients with at least 6 weeks of nonspecific low back pain were selected. High-dose traction was compared with sham (or low-dose) traction. Sham traction was given with a specially developed brace that becomes tighter in the back during traction. This was experienced as if real traction were exerted. The patients and the outcome assessor were unaware of treatment allocation. Outcome measures were: patient's global perceived effect, severity of main complaints, functional status, pain, range of motion, work absence, and medical treatment. Results for the outcome measures at 12 weeks and 6 months after randomization are presented.
One hundred and fifty-one patients were randomly allocated to one of the two treatment methods. Intention-to-treat analysis of the 12-week and 6-month results showed no statistically significant differences between the groups on all outcome measures: all 95% confidence intervals included the value zero. The number of patients lost to follow-up study was very low. Other analyses showed the same results.
Most common flaws of earlier studies on traction therapy could be overcome. This trial did not support the claim that traction is efficacious for patients with low back pain.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>9431610</pmid><doi>10.1097/00007632-199712010-00011</doi><tpages>7</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 1997-12, Vol.22 (23), p.2756-2762 |
| issn | 0362-2436 1528-1159 |
| language | eng |
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| subjects | Adult Biological and medical sciences Diseases of the osteoarticular system. Orthopedic treatment Double-Blind Method Female Follow-Up Studies Humans Low Back Pain - physiopathology Low Back Pain - therapy Lumbar Vertebrae - physiopathology Male Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Traction - instrumentation Traction - methods Treatment Outcome |
| title | Efficacy of traction for nonspecific low back pain: 12-week and 6-month results of a randomized clinical trial |
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