The Effects of Lumbar Traction in Lumbar Discal Hernia: A Single Case Study

S. Bushati, A. Erindi
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Abstract

Introduction   People have always had back pain. Back pain was described in the distant past in old texts from 1500 BC. The word sciatica has been used since Ancient Greek times and Hippocrates (460-370 BC) described “sciatic” pain as mainly affecting men aged 40-60 years (Allan and Waddell, 1989).   Purpose of the study   This is a single case study about whereas the mechanical effects of lumbar traction are well substantiated.   Methods   We have used the intermittent variable of the traction. We used a Platinum 3D traction table.MRI of the lumbar spine of the patient was recorded before and after. Pain intensity was rated on VAS, TSK questionnaire andSEC.   Discussion   Based on the findings of this single case, further study is needed to determine optimal treatment duration, frequency, and mode of administering lumbar traction. In this case, there was a real change in the discs after the treatment with problems that were the fear of movement and of course, the patient was experiencing the movement schemes that were connected with the pathology. Exercises are necessary to have a good situation for everyday life.    Conclusions   Horizontal traction was evidently effective in increasing the disc height of lower lumbar levels, particularly in the posterior regions of the discs. The situation of the hernia is really changed in nearly 12-15 treatment sessions. A rehabilitation program cannot be seen as a stand-alone system, but as a whole and the scope is to have a full rehabilitation of the patient.      
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腰椎牵引治疗腰椎间盘突出症的效果:一例个案研究
人们一直都有背痛。在遥远的过去,公元前1500年的古老文献中描述了背痛。“坐骨神经痛”一词从古希腊时代就开始使用,希波克拉底(公元前460-370年)描述“坐骨神经痛”主要影响40-60岁的男性(Allan和Waddell, 1989)。研究目的:这是一项关于腰椎牵引的机械效应的单一病例研究。方法采用牵引力间断变量。我们使用了铂金3D牵引台。前后分别记录患者腰椎MRI。采用VAS、TSK问卷和sec评定疼痛强度。基于这一病例的发现,需要进一步的研究来确定最佳的治疗时间、频率和腰椎牵引的方式。在这种情况下,椎间盘在治疗后发生了真正的变化这些问题是害怕运动当然,病人正在经历与病理相关的运动方案。锻炼对于有一个好的生活状态是必要的。结论水平牵引对提高腰椎下节段的椎间盘高度有明显效果,特别是对椎间盘后段。疝气的情况在近12-15次治疗中得到了真正的改变。一个康复计划不能被看作是一个独立的系统,而是作为一个整体和范围是有一个病人的全面康复。
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