Effect of Pelvic Traction in the Management of PLID Patient: A Randomized Controlled Trial
Abstract
Background: Pelvic traction is a form of physical therapy that is used to treat pain and discomfort in the lower back, hips, and legs that is commonly related with back problems. Traction is a term that describes a series of mechanisms that help to stabilize bones, immobilize them, and relieve pressure on the skeletal system. Lumbar traction has been used since prehistoric time for spinal disorders. Objective: To observe the effect of pelvic traction in the management of PLID patient. Method: A randomized controlled trial was carried out in the department of Physical Medicine & Rehabilitation of Dhaka Medical College Hospital, Dhaka, Bangladesh. A total number of 70 patients with PLID fulfilling the selection criteria were taken as study population. They were divided into two groups named as study group 35 patients (Group A) and control group 35 patients (Group B). Group A patients were treated with pelvic traction and Group B without pelvic traction. Pelvic traction was given at continuous mode, with one-third of body weight of the patient and 20 minutes in each session on daily basis for 2 weeks period. Patients were followed up to 6 weeks. Results: Majority of the patients were in 41-50 years age group, 16 (45.7%) in group A and 14 (40.0%) group B and male
was predominant than female. In group A, most of the patients were housewife which was 9 (25.7%) and in group B most of the patients were in services which was 12(34.3%). Most of the patients came from middle class, 19 (54.3%) in group A and 20 (57.1%) group B. The mean (±SD) duration of pain was 33.4±12.3 days and 37.0±16.0 days in group A and group B (p=0.297). LBP with radiation to leg found in most cases in both groups which was 20(57.1%) and 24(68.6%) in group A and group B respectively (p=0.182). Majority of patients got relieve while resting, 30(85.7%) and 32 (91.4%) in group A and B respectively (p=0.452). Pain was severe in 24 (68.6%) cases of group B and 14 (40.0%) cases of group A (p=0.056). Prolonged working (30.4%) and leaning forward (30.4%) were the main aggravating factors in group A whereas leaning forward (20.7%) were the main aggravating factors in group B. The mean score of Schober’s test before treatment was 3.8±0.7 in group A and 3.6±0.7 in group B
(p=0.418). The mean score after 2 weeks was 4.8±0.8 and 4.5±0.6 (p=0.082), after 4 weeks 5.2±0.8 and 4.7±0.7 (p=0.012) and after 6 weeks 5.8 ± 0.9 and 5.3 ± 0.8 (p=0.015). The mean score of VAS before treatment was 8.6±1.1 and 8.9±0.9 (p=0.302). After 2 weeks, the score was 5.8±1.1 and 6.4±1.1 (p=0.022), after 4 weeks 3.3±0.9 and 4.3±1.1 (p=0.001) and after 6 weeks was 1.4±1.5 and 2.9±1.4 (p=0.001).Conclusion: This study was done on a small, selected admitted patients in physical medicine and rehabilitation department of Dhaka Medical College Hospital. The results of this study showed that Pelvic traction reduces pain in patients with PLID by reduction of VAS score and increment of Schober’s test score.
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References
- Perry M, Prolapsed Lumbar Disc, m.Laserspineinstitute.com/mobile/backproblem/prolapseddisc/lumbar
- Akbar A, Mahar A. Lumbar disc prolapse: management and outcome analysis of 96 surgically treated patients. J Pak Med Assoc. 2002;52(2):62-5.
- Shakoor MA, Hassan SA, Moyeenuzzman M, Dev AK. Treatment with shortwave diathermy chronic low back pain. Journal of Chittagong
- Medical College Teachers’ Association, 2010; 21(1): 40-4.
- Logue VL. Treatment of lumbar disc prolapsed, Post Graduate Medical Journal 1953,234-42.
- Ahmed MS, Shakoor MA, Khan AA; Evaluation of the effects of shortwave diathermy in patients with chronic low back pain, Bangladesh Med Res Counc Bull 2009; 35: 18-20.Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine 1995;20:1878-1883
- Pellecchia G L; limbar traction : a review of the literature, JPSPT, November 1994,vol 20,No-5
- Saunders H D. Lumbar Traction, The Journal of Orthopaedic and Sports Physical therapy, Summer 1979, Vol. 1, No. 1, 36-45
- Harte AA, Baxter GD, Gracey JH, The effectiveness of motorised lumbar traction in the management of LBP with lumbo sacral nerve
- root involvement: a feasibility study. BMC Musculoskeletal Disorders 2007.
- Vander-Heijden GJMG, Beurskens AJHM, Dirx MJM, Bouter LM, Lindeman E. Efficacy of Lumbar traction: a randomized clinical trial.
- Physiotherapy. 1995;81(1):39-35
- Moyeenuzzaman M. A study of patients with low back pain attending Physical Medicine Department of IPGM & R [Dissertation]. BCPS,
- Dhaka. 1992
- Hasan MA, Rahim MA, Siddiq MAB, Hossain MS, Taslim A, Paul S, Barua A, Hassn MMU, Islam MN, Haq SA. Study of spectrum of rheumatic diseases in the department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, Bangladesh. Journal of Chittagong Medical
- College Teachers’ Association, 2009; 20(1): 6- 11.
- Cailliet R. Spine disorders and deformities. In: Kottke FJ, Lehmann FJ, eds. Krusen’s Handbook of Physical Medicine and Rehabilitation. 4th ed.Philadelphia: W.B. Sunders; 1990: pp.792-809
- Borman P, Keskin D. Bodur H. The efficacy of lumbar traction in the management of patients with low back pain. Rheumatol Int 2003; 23:82–86
- Kelsey JL, Githens PB, White AA, Holford TR, Walter SD, O'Connor T, Ostfeld AM, Weil U, Southwick WO, Calogero JA. An epidemiologic study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc. Journal of Orthopaedic Research 1984;2:61-66
- Seidler A, Bolm-Audorff U, Siol T, Henkel N, Fuchs C, Schug H, Leheta F, Marquardt G, Schmitt E, Ulrich PT. Occupational risk factors for symptomatic lumbar disc herniation; a casecontrol study. Occupational and Environmental Medicine 2003;60:821-830
- Seidler A, Bolm-Audorff U, Siol T, Henkel N, Fuchs C, Schug H, Leheta F, Marquardt G, Schmitt E, Ulrich PT. Occupational risk factors for symptomatic lumbar disc herniation; a casecontrol study. Occupational and Environmental Medicine 2003;60:821-830
- Waddell G, McCulloch JA, Kummel ED, Venner RM. Nonorganic physical signs in lowback pain. Spine 1980;5:117-125
- Mundt DJ, Kelsey JL, Golden AL, Pastides H, Berg AT, Sklar J, Hosea T, Panjabi MM. An epidemiologic study of non-occupational lifting as a risk factor for herniated lumbar intervertebral disc. Spine 1993;18:595-602
- Helia–Vaara M. Body height, obesity, and risk of herniated lumbar intervertebral disc. Spine 1987;12:469-472
- Vander-Heijden GJMG, Beurskens AJHM, Dirx MJM, Bouter LM, Lindeman E. Efficacy of Lumbar traction: a randomized clinical trial. Physiotherapy. 1995;81(1):39-35
Published 20-09-2021
Keywords
- Pelvic traction,
- PLID,
- LBP
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