Assessment of variability in traction interventions for patients with low back pain: a systematic review

Chiropractic & Manual Therapies
Muhammad AlrwailyMichael Schneider

Abstract

Previous systematic reviews have concluded that lumbar traction is not effective for patients with low back pain (LBP), yet many clinicians continue to assert its clinical effectiveness. To systematically identify randomized controlled trials (RCTs) of traction and explore the variability of traction interventions used in each RCT. A literature search started in September 2016 to retrieve systematic reviews and individual RCTs of lumbar traction. The term "lumbar traction" and other key words were used in the following databases: Cochrane Registry, MEDLINE, EMBASE, and CINAHL. The retrieved systematic reviews were used to extract individual RCTs. The most current systematic review included RCTs from inception until August 2012. We performed an additional literature search to update this systematic review with newer RCTs published between September 2012 and December 2016. All of the identified RCTs were combined and summarized into a single evidence table. We identified a total of 37 traction RCTs that varied greatly in their method of traction intervention. The RCTs included several types of traction: mechanical (57%), auto-traction (16%), manual (10.8%), gravitational (8.1%) and aquatic (5.4%). There was also great variability...Continue Reading

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Citations

Mar 16, 2021·Archives of Physiotherapy·Carla VantiPaolo Pillastrini
Apr 1, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hideki TanabeUNKNOWN for Low back-pain Traction Therapy (LTT) Study
Jul 25, 2021·International Journal of Environmental Research and Public Health·Juan Rabal-PelayAna Vanessa Bataller-Cervero

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