Tag: Traction

Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS

Andrzej Myśliwiec, Edward Saulicz

Andrzej Myśliwiec, Edward Saulicz – Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS. Fizjoterapia Polska 2010; 10(3); 211-221

Abstract
Background. Neck pain is one of the most common causes of reduced overall well-being. The aim of this thesis is to present changes in the sensation of neck pain following a traction and TENS treatment. Materials and methods. The subjects of this study were 45 patients aged 21-66 years suffering from neck pain. They were treated using the Saunders traction device and TENS. The treatment was performed in three experimental groups. Saunders traction was used in the first group, TENS in the second group and the last group received a combination of both these treatments. Results. The patients’ subjective assessment of pain intensity in the Laitinen scale showed a reduction of pain in all groups characterized by a decrease of pain intensity from moderate to mild. The most pronounced therapeutic effect was achieved in the group which received a combination of traction and TENS. Conclusions. The Saunders traction device combined with TENS produced the most marked and lasting decrease in pain arising from the cervical spine. The greatest improvement was observed after the first session. Improved well-being was also noticed at the end of the treatment.
Key words:
cervical spine, traction, TENS
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Prone Versus Supine Traction in Treatment of Cervical Disc Bulge: A Randomized Controlled Trial

Ahmed Aboulfotouh Elsayed Abdallah, Wadida Hassan Abdelkader, Rania Nagy Karkousha, Hatem M. El Azizi

Ahmed Aboulfotouh Elsayed Abdallah, Wadida Hassan Abdelkader, Rania Nagy Karkousha, Hatem M. El Azizi – Prone Versus Supine Traction in Treatment of Cervical Disc Bulge: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 158-163

Abstract
Background. Disc bulge could lead to compression on adjacent nerve root causing neurological deficits. The purpose of this study is to compare between the effect of prone traction versus supine traction on the neck function and on the size of disc bulge in patients with cervical disc bulge.
Methods. Randomized controlled clinical trial design, 45 patients diagnosed with cervical disc bulge at C5-C6 and /or C6-C7 levels, their ages ranged from 40 to 50 years and were randomly distributed into three equal groups (A, B and C), the three groups received conventional physical therapy for cervical disc bulge, for (group B) traction from prone position was added and for (group C) traction from supine position was added. All participants received 3 sessions per week for one month. The assessment done before and after one month of treatment using neck disability index for neck function disability while size of disc bulge was assessed by using magnetic resonance image.
Results. A statistical significant decrease in the neck disability index scores of the three groups post treatment in comparison with that of pretreatment with high statistical significant decrease in the scores of group B and C post treatment in comparison with that of group A, while there was no statistical significant difference between group B and C in post treatment scores. There were no statistical significant differences between the post treatment measures in comparison with that of the pretreatment for the three groups regarding disc bulge size.
Conclusions. Adding cervical traction to the conventional physical therapy program for cervical disc bulge at C5-6 and /or C6-7 levels can yield more increase in the neck function compared with conventional physical therapy only, while the position of the patient during traction has no effect on the outcome measures.
Key words:
Traction, Cervical disc, Neck disability index
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