요부 디스크 탈출의 감압치료 효과
Effects of Decompression Therapy for the Treatment of a Herniated Lumbar Disc
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Background: Traction has often been utilized to treat patients with a herniated lumbar disc. Currently, the most advanced type of traction therapy is non-surgical spinal decompression. Therefore, this study was conducted to evaluate the effectiveness of decompression therapy in patients with a herniated lumbar disc based on clinical findings and symptoms. Methods: Sixty patients with herniated lumbar discs were included in this study. The patients were randomly divided into two groups, a decompression group (n = 30) and a traction group (n = 30). To evaluate the impact of decompression and traction therapy on the herniated disc, the clinical symptoms for each group were evaluated prior to and after treatment using the visual analogue scale (VAS), straight leg raising (SLR), the herniation index, and the disc height. Results: The VAS score was significantly lower in the decompression group (2.0 ± 0.2) than the traction group (3.9 ± 0.2) following treatment. In addition, the SLR angle was significantly higher in the decompression group (79 ± 1.5) than the traction group (63.3 ± 1.9). The herniation index was significantly lower in the decompression group (217.6 ± 19.1) than the traction group (259.5 ± 16.4). Finally, the disc height was not significant differences between pre-treatment and follow-up in two groups. Conclusions: The results of this study suggest that decompression therapy for the treatment of patients suffering from a herniated lumbar disc has an effect on the pain, SLR, and herniation indices, not disc heights. (Korean J Pain 2008; 21: 143-149)
Abstract
Background: Traction has often been utilized to treat patients with a herniated lumbar disc. Currently, the most advanced type of traction therapy is non-surgical spinal decompression. Therefore, this study was conducted to evaluate the effectiveness of decompression therapy in patients with a herniated lumbar disc based on clinical findings and symptoms. Methods: Sixty patients with herniated lumbar discs were included in this study. The patients were randomly divided into two groups, a decompression group (n = 30) and a traction group (n = 30). To evaluate the impact of decompression and traction therapy on the herniated disc, the clinical symptoms for each group were evaluated prior to and after treatment using the visual analogue scale (VAS), straight leg raising (SLR), the herniation index, and the disc height. Results: The VAS score was significantly lower in the decompression group (2.0 ± 0.2) than the traction group (3.9 ± 0.2) following treatment. In addition, the SLR angle was significantly higher in the decompression group (79 ± 1.5) than the traction group (63.3 ± 1.9). The herniation index was significantly lower in the decompression group (217.6 ± 19.1) than the traction group (259.5 ± 16.4). Finally, the disc height was not significant differences between pre-treatment and follow-up in two groups. Conclusions: The results of this study suggest that decompression therapy for the treatment of patients suffering from a herniated lumbar disc has an effect on the pain, SLR, and herniation indices, not disc heights. (Korean J Pain 2008; 21: 143-149)
참고문헌 (24)
- Rubin DI, "Epidemiology and risk factors for spine pain", Neurol Clin, 25, pp.353~71 (2007)
- Wheeler AH, "Chronic lumbar spine and radicular pain: pathophysiology and treatment", Curr Pain Headache Rep, 6, pp.97~105. (2002)
- Frymoyer JW, "An overview of the incidences and costs of low back pain", Orthop Clin North Am, 22, pp.263~71 (1991)
- Gunzburg R, "A cadaveric study comparing discography, magnetic resonance imaging, histology, and mechanical behavior of the human lumbar disc", Spine, 17, pp.417~26 (1992)
- Lebkowski WJ, "Lumbar intervertebral herniation. The composition of free sequesters-a morphologic study", Chir Narzadow Ruchu Ortop Pol, 67, pp.405~8 (2002)
- Adams MA, "What is intervertebral disc degeneration, and what causes it?", Spine, 31, pp.2151~61 (2006)
- Fast A, "Low back disorders: conservative management", Arch Phys Med Rehabil, 69, pp.880~91 (1988)
- Stakey C, "Therapeutic modalities. 3rd", pp.352~ (2004), Philadelphia, Pennsylvania, F. A. Davis
- Andersson GB, "Intervertebral disc pressures during traction", Scand J Rehabil Med, 9, pp.88~91 (1983)
- Ramos G, "Effects of vertebral axial decompression on intradiscal pressure", J Neurosurg, 81, pp.350~3 (1994)
- 김용익, "대한통증학회지에 게재된 논문들에서 사용된통증 측정 방법에 대한 분석", The Korean Journal of Pain, 16(1), pp.33~36 (2003), 대한통증학회
- Fagerlund MK, "Size of lumbar disc hernias measured using computed tomography and related to sciatic symptoms", Acta Radiol, 31, pp.555~8 (1990)
- Inoue H, "Radiographic evaluation of the lumbosacral disc height", Skeletal Radiol, 28, pp.638~43 (1999)
- Saunders HD, "Use of spinal traction in the treatment of neck and back conditions", Clin Orthop Relat Res, 179, pp.31~8 (1983)
- Pal B, "A controlled trial of continous lumbar traction in the treatment of back pain and sciatica", Br J Rheumatol, 25, pp.181~3 (1986)
- Kawakami M, "Experimental lumbar radiculopathy. Immunohistochemical and quantitative demonstrations of pain induced by lumbar nerve root irritation of the rat", Spine, 19, pp.1780~94 (1994)
- Smith SA, "Straight leg raising. Anatomical effects on the spinal nerve root without and with fusion", Spine, 18, pp.992~9 (1993)
- Osti OL, "1990 Volvo Award in experimental studies. Anulus tears and intervertebral disc degeneration. An experimental study using an animal model", Spine, 15, pp.762~7 (1990)
- Onel D, "Computed tomographic investigation of the effect of traction on lumbar disc herniations", Spine, 14, pp.82~90 (1989)
- Grönblad M, "A controlled immunohistochemical study of inflammatory cells in disc herniation tissue", Spine, 19, pp.2744~51 (1994)
- 황병문, "요추 추간판 탈출증과 척주관 협착에 의한 통증 치료에 Triamcinolone 시술 횟수와 용량에 따른 경막외 스테로이드 주입법의 효과 비교", 대한통증학회지, 19(1), pp.72~76 (2006), 대한통증학회
- Ozturk B, "Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation", Rheumatol Int, 26, pp.622~6 (2006)
- Gose EE, "Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study", Neurol Res, 20, pp.186~90 (1998)
- Holodny AI, "Does a herniated nucleus pulposus contribute significantly to a decrease in height of the intervertebral disc? Quantitative Volumetric MRI", Neuroradiology, 42, pp.451~4 (2000)