• citations in SCIndeks: 0
  • citations in CrossRef:0
  • citations in Google Scholar:[]
  • visits in previous 30 days:15
  • full-text downloads in 30 days:12


article: 2 from 7  
Back back to result list
2019, vol. 16, iss. 1, pp. 9-13
Effect of non-surgical decompression in patients with lumbar herniated disk
Zavod za fizikalnu medicinu i rehabilitaciju 'Dr Miroslav Zotović' Banja Luka, Republika Srpska, Bosna i Hercegovina
Objective. Back pain caused by lumbar herniated disc has a great medical and socioeconomic significance. The question of optimal treatment of patients with a lumbar herniated disc is still controversial. The aim of this study is to examine the effect of intermittent lumbar spine traction on the functional status of these patients. Methods. A prospective study was followed by 90 patients with chronic back pain caused by lumbar discus hernias, both sexes, an average age of 48.26±11.60 years. Group A consisted of patients who performed ambulatory physical treatment without balneotherapy and intermittent lumbar traction. In group B patients had the same procedures like patients from group A, with balneotherapy but without intermittent traction, while in group C all patients had all of the above therapeutic modalities. All patients performed a ten-day rehabilitation treatment. Monitoring parameters were: VAS, Schober index and Oswestry index. Statistics analysis was done by SPSS version 19.0 by Wilcoxon-Mann-Whitney and Kruskal-Wallis test. Value of p>0.05 was considered as statistical significant. Results. There was no statistically significant difference in the indicated parameter between groups. An analysis of the parameters monitored in all three groups of patients found a statistically significant improvement over the baseline (p<0.05), but this difference between the groups did not reach statistical significance (p>0.05). Conclusion. The application of ten-day rehabilitation treatment, in the form of kinesiotherapy, electrotherapy and work therapy, is effective in patients with lumbar disc hernias. Reliable evidence of the superiority of lumbar application in relation to other applied rehabilitation interventions was not found.
*** (2001) Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation for low back pain. Phys Ther, 81: 1641-74
Andersson, G.B. (1999) Epidemiological features of chronic low-back pain. Lancet, 354(9178): 581-585
Atlas, S.J., Nardin, R.A. (2003) Evaluation and treatment of low back pain: An evidence-based approach to clinical care. Muscle & Nerve, 27(3): 265-284
Bachmann, S., Oesch, P. (2013) Physiotherapie und Rehabilitation bei unspezifischen Kreuzschmerzen. Therapeutische Umschau, 70(9): 543-548
Bender, T., Karagulle, Z., Balint, G.P., Gutenbrunner, C., Balint, P.V., Sukenik, S. (2005) Hydrotherapy, balneotherapy, and spa treatment in pain management. Rheumatology International, 25(3): 220-224
Choi, G., Raiturker, P.P., Kim, M., Chung, D.J., Chae, Y., Lee, S. (2005) The Effect of Early Isolated Lumbar Extension Exercise Program for Patients with Herniated Disc Undergoing Lumbar Discectomy. Neurosurgery, 57(4): 764-772
Chow, D.H.K., Yuen, E.M.K., Xiao, L., Leung, M.C.P. (2017) Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study. Musculoskeletal Science and Practice, (29): 78-83
Constant, F., Collin, J.F., Guillemni, F., Boulange, M. (1995) Effectiveness of spa therapy in chronic low back pain; a randomized clinical trial. J Rheumatol, 22: 1315-20
da Silva, M.C., Fassa, A.G., Valle, N.C. (2004) Chronic low back pain in a Southern Brazilian adult population: prevalence and associated factors. Cad Saude Publica, 20: 377-85
Demirel, A., Yorubulut, M., Ergun, N. (2017) Regression of lumbar disc herniation by physiotherapy. Does non-surgical spinal decompression therapy make a difference? Double-blind randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 30(5): 1015-1022
Dogan, M., Sahin, O., Elden, H., Hayta, E., Kaptanoglu, E. (2011) Additional Therapeutic Effect of Balneotherapy in Low Back Pain. Southern Medical Journal, 104(8): 574-578
Ebadi, S., Henschke, N., Nakhostin, A.N., Fallah, E., van Tulder, M.W. (2014) Therapeutic ultrasound for chronic low-back pain. Cochrane Database of Systematic Reviews
Gladwell, P. W., Badlan, K., Cramp, F., Palmer, S. (2015) Direct and Indirect Benefits Reported by Users of Transcutaneous Electrical Nerve Stimulation for Chronic Musculoskeletal Pain: Qualitative Exploration Using Patient Interviews. Physical Therapy, 95(11): 1518-1528
Hakkinen, A., Ylinen, J., Kautiinen, H., Airaksinen, O., Herno, A., Tarvainen, U., i dr. (2003) Pain, trunk muscle strenght, spine mobility and disability following lumbar disc surgery. J Rehabil Med, 35: 236-40
Hazime, F.A., de Freitas, D.G., Monteiro, R.L., Maretto, R.L., Carvalho, A., Hasue, R.H., João, S.M.A. (2015) Analgesic efficacy of cerebral and peripheral electrical stimulation in chronic nonspecific low back pain: a randomized, double-blind, factorial clinical trial. BMC Musculoskeletal Disorders, 16(1):
Henchoz, Y., de Goumoëns, P., Norberg, M., Paillex, R., So, A.K. L. (2010) Role of Physical Exercise in Low Back Pain Rehabilitation. Spine, 35(12): 1192-1199
Karimi, N., Akbarov, P., Rahnama, L. (2017) Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging: A single arm clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 30(2): 247-253
Koes, B.W., van Tulder, M.W., Thomas, S. (2006) Diagnosis and treatment of low back pain. BMJ, 332(7555): 1430-1434
Kulisch, A., Bender, T., Németh, A., Szekeres, L. (2009) Effect of thermal water and adjunctive electrotherapy on chronic low back pain: A double-blind, randomized, follow-up study. Journal of Rehabilitation Medicine, 41(1): 73-79
Kulisch, A., Bender, T., Németh, A., Szekeres, L. (2009) Effect of thermal water and adjunctive electrotherapy on chronic low back pain: A double-blind, randomized, follow-up study. Journal of Rehabilitation Medicine, 41(1): 73-79
Kuzdzal, A., Magon, G. (2007) Rehabilitation after surgical tretment of lumbar disci herniation: Overview of clinical studies and suggestions of menagement. Med Rehabil, 11: 6-12
Madson, T.J., Hollman, J.H. (2015) Lumbar Traction for Managing Low Back Pain: A Survey of Physical Therapists in the United States. Journal of Orthopaedic & Sports Physical Therapy, 45(8): 586-595
Pittler, M. H., Karagülle, M. Z., Karagülle, M., Ernst, E. (2006) Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials. Rheumatology, 45(7): 880-884
Pivec, R., Minshall, M.E., Mistry, J.B., Chughtai, M., Elmallah, R.K., Mont, M.A. (2015) Decreased opioid utilization and cost at one year in chronic low back pain patients treated with transcutaneous electric nerve stimulation (TENS). Surg Technol Int, 27: 268-74
Searle, A., Spink, M., Ho, A., Chuter, V. (2015) Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clinical Rehabilitation, 29(12): 1155-1167
Stranjalis, G., Tsamandouraki, K., Sakas, D.E., Alamanos, Y. (2004) Low Back Pain in a Representative Sample of Greek Population: analysis according to personal and socioeconomic characteristics. Spine, 29(12): 1355-1360
Stuber, K.J., Bruno, P., Sajko, S., Hayden, J.A. (2014) Core stability exercises for low back pain in athletes: a systematic review of the literature. Clinical Journal of Sport Medicine, 24(6): 448-456
Sukenik, S., Flusser, D., Abu-Shakra, M. (1999) The role of spa therapy in various rheumatic diseases. Rheumatic Disease Clinics of North America, 25(4): 883-897
Thackeray, A., Fritz, J.M., Childs, J.D., Brennan, G.P. (2016) The Effectiveness of Mechanical Traction Among Subgroups of Patients With Low Back Pain and Leg Pain: A Randomized Trial. Journal of Orthopaedic & Sports Physical Therapy, 46(3): 144-154
Tousignant-Laflamme, Y., Laroche, C., Beaulieu, C., Bouchard, A., Boucher, S., Michaud-Létourneau, M. (2017) A randomized trial to determine the duration of analgesia following a 15- and a 30-minute application of acupuncture-like TENS on patients with chronic low back pain. Physiotherapy Theory and Practice, 33(5): 361-369
van Tulder, M., Koes, B., Bombardier, C. (2002) Low back pain. Best Practice & Research Clinical Rheumatology, 16(5): 761-775
van Tulder, M.W., Koes, B.W., Bouter, L.M. (1997) Conservative Treatment of Acute and Chronic Nonspecific Low Back Pain. Spine, 22(18): 2128-2156
Verhagen, A., Bierma, Z.S., Lambeck, J., i dr. (2008) Balneotherapy for ostheoarthritis. A Cochrane review. J Rheumatol, 35: 1118-23
Walker, B.F., Muller, R., Grant, W.D. (2004) Low Back Pain in Australian Adults. Prevalence and Associated Disability. Journal of Manipulative and Physiological Therapeutics, 27(4): 238-244
Zentner, J., Schneider, B., Schramm, J. (1997) Efficacy of conservative treatment of lumbar disc herniation. J Neurosurg Sci, 41(3): 263-8


article language: Serbian
document type: Original Scientific Paper
DOI: 10.5937/pomc16-18490
published in SCIndeks: 14/02/2019

Related records

No related records