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Effectiveness of mechanical traction in supine versus prone lying position for lumbosacral radiculopathy. | LitMetric

Effectiveness of mechanical traction in supine versus prone lying position for lumbosacral radiculopathy.

Pak J Med Sci

Dr. Muhammad Sulman, MSPT-OMPT. Senior Lecturer, Department of Physiotherapy, University of Sialkot, Sialkot, Pakistan.

Published: January 2021

AI Article Synopsis

  • The study aimed to compare the effectiveness of mechanical traction for lumbosacral radiculopathy in two different lying positions: supine and prone.
  • Conducted at Ibn e Siena Hospital, 60 patients were divided into two groups, each receiving lumbar traction combined with conventional treatment, and evaluated at the beginning and after two weeks using standardized pain and disability scales.
  • The results showed that patients in the prone position experienced greater improvement in disability and pain levels compared to those in the supine position.

Article Abstract

Objectives: To determine the effectiveness of mechanical traction in supine versus prone lying position for lumbosacral radiculopathy.

Methods: A quasi experimental trial was conducted from April to September 2020 among sixty patients of chronic lumbosacral radiculopathy at Ibn e Siena Hospital, Multan. Participants were divided into two groups. Group-A (Supine) participants received lumbar traction in supine lying along with conventional treatment. Group-B (Prone) underwent the same treatment except the lumbar traction being applied in prone lying position. Participants were evaluated twice: at pre- treatment (week 0) and at the post treatment (week 2). Oswestry Disability Index and Numeric Pain Rating Scale were used as outcome measure. Data was analyzed on SPSS 23.

Results: The mean (±S.D) age of the patients was 39±5.7 vs. 40±5.3 years in supine vs. prone group respectively. Mean ODI score was 25.2±6.13 vs. 26.0±6.26 at the start of treatment in supine vs. prone position respectively while it was 19.45±7.12 vs. 11.05±4.40 at end of treatment in supine vs. prone position respectively. Mean NPRS score was 7.73±1.23 vs. 7.67±0.96 at start of treatment in supine vs. prone position respectively while it was 4.63±0.89 vs. 3.13±0.90 at the end of treatment in supine vs. prone position respectively.

Conclusion: Lumbar traction in prone lying position is more effective than lumbar traction in supine lying position for the treatment of chronic lumbosacral radiculopathy.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377889PMC
http://dx.doi.org/10.12669/pjms.37.5.4200DOI Listing

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