EFFICACY OF TRACTION FOR NONSPECIFIC LOW-BACK-PAIN - A RANDOMIZED CLINICAL-TRIAL

被引:56
作者
BEURSKENS, AJ
DEVET, HC
KOKE, AJ
LINDEMAN, E
REGTOP, W
VANDERHEIJDEN, GJ
KNIPSCHILD, PG
机构
[1] UNIV LIMBURG HOSP,DEPT PHYSIOTHERAPY,MAASTRICHT,NETHERLANDS
[2] UNIV LIMBURG HOSP,DEPT REHABIL MED,MAASTRICHT,NETHERLANDS
[3] HOGESCH HEERLEN,DEPT PHYSIOTHERAPY,HEERLEN,NETHERLANDS
来源
LANCET | 1995年 / 346卷 / 8990期
关键词
D O I
10.1016/S0140-6736(95)91930-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Previous trials to assess the efficacy of lumbar traction for back pain have been methodologically flawed. To avoid these shortcomings, we conducted a randomised controlled trial in which high-dose traction was compared with sham traction. The sham traction was given with a specially developed brace that tightens in the back during traction. To the patient, the experience is that of traction. The patients and outcome assessor were blinded for the assigned treatment. 151 patients with at least six weeks of non-specific low back pain were randomised. Intention to treat analysis showed no differences between the groups on all outcome measures (patients' global perceived effect, severity of main complaints, functional status and pain); all 95% confidence intervals included the valve zero. The number of withdrawals from treatment, loss to follow-up, and protocol deviations was low. Consequently, the per-protocol analysis showed results similar to the intention to treat analysis. Subgroup analyses did not show any group for which traction might seem promising. Our data do not support the claim that traction is effective for patients with low back pain.
引用
收藏
页码:1596 / 1600
页数:5
相关论文
共 23 条
[1]  
BECKERMAN H, 1993, BRIT J GEN PRACT, V43, P73
[2]  
BEURSKENS AJHM, 1995, J MANIP PHYSIOL THER, V18, P141
[3]  
BRIDGER RS, 1990, SPINE, V156, P522
[4]  
COLACHIS SC, 1969, ARCH PHYS MED REHAB, V44, P251
[5]   PRACTICE VARIATIONS, TREATMENT FADS, RISING DISABILITY - DO WE NEED A NEW CLINICAL RESEARCH PARADIGM [J].
DEYO, RA .
SPINE, 1993, 18 (15) :2153-2162
[6]  
DEYO RA, 1983, SPINE, V11, P28
[7]  
EIE N, 1962, J OSLO CITY HOSP, V12, P4
[8]   BACK PAIN AND SCIATICA [J].
FRYMOYER, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (05) :291-300
[9]  
JUDOVICH B, 1957, AM J SURG, V93, P282
[10]  
JUDOVICH BD, 1955, JAMA-J AM MED ASSOC, V1596, P549