Saturday, 5 December 2015

Assessment of dynamic traction therapy in lumbar disc herniation by clinical and magnetic resonance imaging outcomes


Introduction: “Dynamic traction therapy” (DTT) is a new standardized conservative treatment option in lumbar disc herniation. This study aimed to evaluate the therapeutic effect of DTT in lumbar disc herniation, by correlating both clinical and magnetic resonance imaging (MRI) outcomes.

Materials and methods: In a total of 27 patients (mean age 50.5±9.1), who underwent standardized DTT, MRI was performed before and after therapy and evaluated by two independent radiologists individually and blindly; both grading intervertebral discs according to Pfirrmann classification in terms of degeneration, morphology, localization and nerve root affectation. The effect of standardized DTT on painful herniated discs was correlated with numerical pain rating (NPR) scale from 0 to 10 and clinical outcome.

Results: Significant MRI changes were found in images after therapy compared to before therapy regarding morphology and nerve root affectation (p< 0.05), but disc degeneration grading showed only a tendency towards improvement (p> 0.05), interestingly showing a better disc hydration after therapy. Patients’ NPR decreased from a mean value of 10 to 1 after completed therapy, thus showing a significant change in pain (p< 0.001). Clinical outcome measurements improved significantly after therapy (P<0.001), however changes of MRI grading did not significantly correlate with pain rating and clinical outcome (p>0.05).

Conclusion: Lumbar disc herniation grading showed a positive correlation with patients’ decreased NPR after undergoing standardized DTT, therefore our preliminary results might impact in the therapeutic management of patients complaining of lumbar disc pathology, however further longitudinal studies are recommended.

Keywords Intervertebral disc herniation, traction therapy, Magnetic resonance imaging.

Click here to Download Full Paper
Flow Injection Analysis of Indigo Carmine Using Green Coconut

AD Publications is a rapidly growing academic publisher in the fields of Engineering, Medical-Health, Environmental Science and Agriculture Research. AD Publications is a registered organization broad-based open access and publishes most exciting researches with respect to the subjects of our journals. The Journals is being indexed and abstracted by all major global current awareness and alerting services. The organization aims at undertaking, co- coordinating and promoting research and development. It provides professional and academic guidance in the field of basic education, Higher Education as well in the Technical Education. Our Aims is to Promote and support, High Quality basic, Scientific Research and development in fields of Engineering, Medical-Health, Environmental Science and Agriculture Research and to Generate Public awareness, provide advice to scholar's researchers and communicate research outcomes.

Some Important Links About Research Journal International Journal Agriculture Journal Medical Journal Environmental Journal Engineering Journal


1 comment:

  1. Great, discovered your website whilst arbitrarily dealing with the web seeking some thing entertainment to examine. I an happy to find this fost very useful for me, as it contains lot of information
    humidity chamber manufacturer


Engineering Journal September 2021

Effect of Processing Method of Kidney Beans (Phaseolus Vulgaris) on Carcass Quality, Organ Weight and Organoleptic Properties of Broiler A...