Efficacy of side lying traction versus supine lying traction in treatment of lumbar disc herniation: A randomized controlled trial

Peter Ramzy Naguib; Mohsen Mohamed El Sayyad; Hassan Hussein Ahmed; Ahmed Ibrahim El Erian; Yasser Ramzy Lasheen

doi:10.53730/ijhs.v6nS6.10120

Authors

Peter Ramzy Naguib Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Mohsen Mohamed El Sayyad Professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Hassan Hussein Ahmed Professor of Orthopedic Surgery, Orthopedic Surgery Department, Faculty of Medicine, Benha University, Egypt
Ahmed Ibrahim El Erian Assistant professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Egypt.
Yasser Ramzy Lasheen Assistant professor of Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University, Egypt

Keywords:

lumbar disc herniation, sciatica, side lying lumbar traction, supine lumbar traction

Abstract

Objective: To investigate the effect of side lying lumbar traction and Supine lumbar traction in treatment of Lumbar disc herniation (LDH). Design: Two Experimental design Pretest – Posttest control group. Subjects: Forty-seven patients of LDH with unilateral sciatica randomly assigned into side lying traction group, supine lying traction group, and control group. Intervention: control group received conventional physical therapy (hot pack- lumbar strengthening exercise and stretching exercise). Side lying group received side lying traction beside conventional physical therapy and supine lying traction group received supine lying traction beside conventional physical therapy. The treatment was 3 sessions per week for 12 weeks. Outcome measurement: The patients were evaluated by Visual Analogue Scale (VAS) for (back – leg) pain, Oswestry Disability Index (ODI), H reflex Latency, L4/L5, L5/S1 herniated disc index. The evaluation was before and after intervention. Results: There was statistically significant difference for side lying traction in VAS (back-leg), ODI score and L5/S1 disc index after 12 weeks of treatment (p > 0.05). There was statistically significant difference for both traction groups in L4/L5 disc index. There wasn’t statistically significant among three groups in H reflex latency.

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