Published 20-09-2021
Keywords
- Pelvic traction,
- PLID,
- LBP
Copyright (c) 2021 The Planet
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
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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