Browsing by Subject "traction therapy"

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    A comparison of inverted spinal traction and conventional traction in the treatment of lumbar disc herniations
    (Taylor and Francis Inc., 2000) Güevenol K.; Tüzün Ç.; Peker Ö.; Göktay Y.
    The purpose of this investigation of lumbar disc herniation patients was to compare the efficacy of the inversion spinal traction and the conventional mechanical spinal traction on several clinical parameters and computed tomography. This investigation consisted of 29 patients with low back pain and sciatica due to lumbar disc herniation. Patients were randomly assigned into two groups: an inversion spinal traction that was applied to 15 patients, and a conventional traction that was applied to 14 patients for ten sessions. The efficacy of the treatments was evaluated based upon clinical parameters before, immediately after, and three months after the treatment. Computed tomographic (CT) investigation was done before and immediately after the treatment. Both methods of traction were found to be clinically effective. Although there was no statistically significant difference between the two groups based upon the clinical parameters, CT findings of the conventional traction group tended to show more improved parameters than the inverted spinal traction group. Reasons for better results of the conventional traction are discussed and the necessity for further investigations on this topic is emphasized.
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    Comparison of 3 Physical Therapy Modalities For Acute Pain in Lumbar Disc Herniation Measured by Clinical Evaluation and Magnetic Resonance Imaging
    (2008) Unlu Z.; Tasci S.; Tarhan S.; Pabuscu Y.; Islak S.
    Objective: This study measures and compares the outcome of traction, ultrasound, and low-power laser (LPL) therapies by using magnetic resonance imaging and clinical parameters in patients presenting with acute leg pain and low back pain caused by lumbar disc herniation (LDH). Methods: A total of 60 patients were enrolled in this study and randomly assigned into 1 of 3 groups equally according to the therapies applied, either with traction, ultrasound, or LPL. Treatment consisted of 15 sessions over a period of 3 weeks. Magnetic resonance imaging examinations were done before and immediately after the treatment. Physical examination of the lumbar spine, severity of pain, functional disability by Roland Disability Questionnaire, and Modified Oswestry Disability Questionnaire were assessed at baseline, immediately after, and at 1 and 3 months after treatment. Results: There were significant reductions in pain and disability scores between baseline and follow-up periods, but there was not a significant difference between the 3 treatment groups at any of the 4 interview times. There were significant reductions of size of the herniated mass on magnetic resonance imaging after treatment, but no differences between groups. Conclusions: This study showed that traction, ultrasound, and LPL therapies were all effective in the treatment of this group of patients with acute LDH. These results suggest that conservative measures such as traction, laser, and ultrasound treatments might have an important role in the treatment of acute LDH. © 2008 National University of Health Sciences.
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    Displacement and stress distribution of Kilroy spring and nickel-titanium closed-coil spring during traction of palatally impacted canine: A 3-dimensional finite element analysis
    (Blackwell Publishing Ltd, 2020) Lena Sezici Y.; Gediz M.; Akış A.A.; Sarı G.; Duran G.S.; Dindaroğlu F.
    Objective: To compare the stress distribution and initial displacements during traction of palatally impacted canine between Kilroy and nickel-titanium (NiTi) closed-coil springs by means of the finite element analysis. Setting and Sample Population: A finite element method analysis of two traction methods for a maxillary impacted canine. Materials and Methods: The corresponding periodontal ligaments (PDLs), brackets, molar tubes and a 0.019 × 0.025-in base stainless-steel (SS) wire were modelled and imported to ANSYS SpaceClaim version 2020 R1. Traction was simulated under two different set-ups with equal force magnitude (60 g); (1) the Kilroy spring, which is made of 0.016-inch SS, and (2) the NiTi closed -coil spring. Von Mises stress distributions and initial displacements of the maxillary teeth were analysed. Results: In both mechanics, while the highest stress was seen on the impacted canine (Kilroy, 10.41 kPa; NiTi closed-coil, 5.27 kPa), the stress distribution decreased as the distance from the impacted canine increased. The Kilroy spring showed a greater total displacement (465.60 μm) on the impacted canine. The higher stresses on the adjacent lateral (5.29 kPa) and premolar (6.41 kPa) occurred with the Kilroy spring. Conclusions: The Kilroy spring yielded higher stresses than the NiTi closed-coil spring on the impacted canine and the adjacent teeth. The difference between distribution of the stresses over the impacted canine induced greater displacement with the Kilroy spring, particularly in the vertical direction. © 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd