Effect of Three Dimensional Mechanical Traction on Functional Outcomes in Patients with Discogenic Sciatica
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- Category: Vol. 92, September 2024
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Effect of Three Dimensional Mechanical Traction on Functional Outcomes in Patients with Discogenic Sciatica, HOSSAM M. ALSAID, HANAA R.S. SOLTAN, HANAN A. AMER, MOHAMMAD S. BADAWY and KHALED H. YOISEF
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.