Effect of Three Dimensional Mechanical Traction on Functional Outcomes in Patients with Discogenic Sciatica | ||||
| The Medical Journal of Cairo University | ||||
| Volume 92, Issue 09, September 2024, Page 661-665 PDF (87.55 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2024.389764 | ||||
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| Author | ||||
| MOHAMMAD S. BADAWY, Ph.D.* and KHALED H. YOISEF, M.Sc.* HOSSAM M. ALSAID, Ph.D.*; HANAA R.S. SOLTAN, M.Sc.*; HANAN A. AMER, M.D.**; | ||||
| The Department of Physical Therapy for Neurology and Neurosurgery*, Faculty of Physical Therapy, Cairo University and Department of Neurology**, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Abstract Background: Sciatica is a common form of neuropathic pain affecting 5% of people. It is not a disease, but a group of symptoms caused by pressure on the spinal nerves. A goniome-ter is a device used in physical therapy to measure joint range of motion (ROM). The Numerical Rating Scale (NRS) is a simple, easily understood pain intensity measure. The Oswestry Disa-bility Index (ODI) is a self-reported outcome measure for low back pain. Mechanical traction is a treatment method for spinal pain syndromes, although scientific evidence is contradictory. Aim of Study: To examine the effect of specific three-di-mensional traction on functional outcomes in patients with dis-cogenic sciatica. Material and Methods: Thirty patients diagnosed as dis-cogenic sciatica were recruited and assigned randomly to two groups of equal size: The study group (A) and the control group (B). The study group (A) received three-dimensional lum-bar mechanical traction, while the control group (B) received non-specific lumbar traction. Both groups received traction for 15 minutes at the session. The treatment lasted for four con-secutive weeks, three times per week. All patients assessed by NRS, ODI and measuring hip flexion ROM by goniometer. Results: Within groups comparisons, there was a statisti-cally significant reduction in Numerical Rating Scale (NRS), Oswestry Disability Index (ODI) and increase inhip flexion ROM when comparing pre- and post-treatment conditions (p=0.001). Comparison between groups post treatment re-vealed non significant difference in ODI, NRS and hip flexion ROM between study and control groups (p>0.05). Conclusion: There was no significant difference between effect of three dimensional lumbar mechanical traction and traditional nonspecific mechanical traction on functional out-comes in patients with discogenic sciatica and both methods were effective. | ||||
| Keywords | ||||
| 3D Lumbar traction; Discogenic sciatica; Lum-bar traction; Straight leg raising | ||||
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