Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled trial.

BACKGROUND Spinal decompression therapy (SDT) has recently been used as a conservative treatment for lumbar disc prolapse (LDP). The effectiveness of SDT when compared with other conservative techniques with a well-designed randomized controlled trials is lacking. OBJECTIVE To find the efficacy of SDT and core stabilization exercises (CSE) on pain and functional disability in individuals with chronic LDP, and to compare with CSE alone. METHODS This single blind randomized controlled trial included thirty-one participants with a mean age of 38.68 ± 8.79 having chronic LDP with or without radiating symptoms were included in the study. The study group received SDT with CSE and control group received CSE alone along with interferential therapy for both groups. Pain and disability were estimated by Numerical Rating Scale (NRS) and Modified Oswestry Questionnaire (mOQ). RESULTS The results demonstrated significant within-group improvements in all outcomes in both groups, the mean differences between pre to post intervention in SDT with CSE group were (NRS: 4.75, t= 12.81, p⩽ 0.001) and (mOQ: 45.13, t= 29.34, p⩽ 0.001), while in CSE group (NRS: 2.60, t= 13.67, p⩽ 0.001) and (mOQ: 27.67, t= 24.52, p⩽ 0.001). CONCLUSIONS A combination of SDT with CSE has proven to be more significant when compared with CSE alone to reduce pain and disability in subjects with chronic LDP.

[1]  M. Salavati,et al.  Effect of spinal stabilization exercise on dynamic postural control and visual dependency in subjects with chronic non-specific low back pain. , 2016, Journal of bodywork and movement therapies.

[2]  S. Ganiyu,et al.  Effects of acupuncture, core-stability exercises, and treadmill walking exercises in treating a patient with postsurgical lumbar disc herniation: a clinical case report. , 2015, Journal of acupuncture and meridian studies.

[3]  Gak Hwangbo,et al.  Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation , 2015, Journal of physical therapy science.

[4]  R. Liebano,et al.  Efficacy of the addition of interferential current to Pilates method in patients with low back pain: a protocol of a randomized controlled trial , 2014, BMC Musculoskeletal Disorders.

[5]  S. Rajasekaran,et al.  Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients. , 2014, The spine journal : official journal of the North American Spine Society.

[6]  A. Emasithi,et al.  Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability , 2013, Patient preference and adherence.

[7]  J. Brumitt,et al.  Core Stabilization Exercise Prescription, Part 2 , 2013, Sports health.

[8]  Steven P. Cohen,et al.  An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. , 2013, Pain physician.

[9]  A. Macario,et al.  Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study , 2010, BMC musculoskeletal disorders.

[10]  Ramprasad Muthukrishnan,et al.  The differential effects of core stabilization exercise regime and conventional physiotherapy regime on postural control parameters during perturbation in patients with movement and control impairment chronic low back pain , 2010, Sports medicine, arthroscopy, rehabilitation, therapy & technology : SMARTT.

[11]  J. Grauer,et al.  Contemporary management of symptomatic lumbar disc herniations. , 2010, The Orthopedic clinics of North America.

[12]  S. May,et al.  Stabilisation exercises for low back pain: a systematic review , 2008 .

[13]  Dong Hwan Yun,et al.  Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation , 2008 .

[14]  L. Michener,et al.  Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study. , 2008, Archives of physical medicine and rehabilitation.

[15]  Brett Hanscom,et al.  Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort. , 2006, JAMA.

[16]  Paul W Hodges,et al.  The lumbar multifidus: does the evidence support clinical beliefs? , 2006, Manual therapy.

[17]  A. Macario,et al.  Systematic Literature Review of Spinal Decompression Via Motorized Traction for Chronic Discogenic Low Back Pain , 2006, Pain practice : the official journal of World Institute of Pain.

[18]  P. Aggarwal,et al.  Lumbar disc excision through fenestration , 2006 .

[19]  A. Macario,et al.  Treatment of 94 Outpatients With Chronic Discogenic Low Back Pain with the DRX9000: A Retrospective Chart Review , 2008, Pain practice : the official journal of World Institute of Pain.

[20]  S. Weinstein,et al.  Evidence-informed management of chronic low back pain with lumbar stabilization exercises. , 2008, The spine journal : official journal of the North American Spine Society.

[21]  A. Macario,et al.  Prospective Evaluation of the Efficacy of Spinal Decompression via the DRX9000 for Chronic Low Back Pain , 2008 .