La tracción torácica se puede lograr utilizando el método de “tracción lumbar combinada con tracción cervical”, como una sola intervención (Thoracic Traction Can Be Achieved Using “Combined Lumbar Traction with Cervical Traction” Method - as One Intervention)

Autores/as

  • Mahoma Al-Qudah Universidad Mutah - Facultad de Ciencias del Deporte - Departamento de Rehabilitación Deportiva https://orcid.org/0009-0000-6139-542X
  • Mohannad Al-Zughilat Universidad Mutah - Facultad de Ciencias del Deporte - Departamento de Rehabilitación Deportiva https://orcid.org/0000-0001-9641-7852
  • Alaa Akel departamento de cirugía especial, facultad de medicina, universidad de Mutah, Karak, Jordania. https://orcid.org/0000-0002-4078-1281
  • Suhaib Moselei Departamento de Ortopedia, Facultad de Medicina - Universidad Mutah https://orcid.org/0000-0002-7608-8163
  • Mahmud alkhasawneh Departamento de Radiología - Facultad de Medicina Universidad Mutah _ Jordania

DOI:

https://doi.org/10.47197/retos.v53.102640

Palabras clave:

Combined Lumbar Traction with Cervical Traction Method, Thoracic Traction, Intervertebral Spaces.

Resumen

Antecedentes: La literatura científica carece por completo de una descripción morfológica completa y clara de los cambios en las vértebras torácicas (TV) bajo el efecto de la tracción torácica completa (TT), debido a la ausencia de cualquier método directo que pueda lograr la tracción torácica completa como existe en Vértebras lumbares (LV) y vértebras cervicales (CV). Por lo tanto, es necesario crear un método que pueda lograr la tracción torácica completa para obtener una descripción morfológica científica clara de los cambios en los espacios intervertebrales (IS) en las vértebras torácicas: alturas anterior, posterior y central, y también la relación anterior/posterior (relación A/p).Objetivo: identificar el efecto morfológico inmediato del método "Tracción Lumbar Combinada con Tracción Cervical" -como una sola intervención (CLTCT) en los Espacios Intervertebrales torácicos anteriores entre trece niveles neurológicos torácicos: C7-T1, T1-T2, T2-T3, T3- T4, T4-T5, T5-T6, T6-T7, T7-T8, T8-T9, T9-T10, T10-T11, T11-T12, T12-L1, utilizando imágenes de rayos X.Metodología: Se eligieron al azar diez voluntarios varones sanos (edad media = 23 ± 2,63) que se habían acostado sobre el tablero de la máquina de rayos X en posición supina, con las piernas y las manos extendidas; luego, después de dos minutos de relajación; se realizó el primer registro de la vista anterior, como medición previa, luego realizaron el método combinado de tracción lumbar con tracción cervical: [tracción cervical sostenida mecánica (MSCT) a través del dispositivo médico de tracción cervical portátil no metálico (Ospine-NTD-500) desde la posición supina, luego, inmediatamente se aplicó una flexión de cadera (HF) con tracción lumbar posicional sostenida (PSLT), luego se extrajo y giró manualmente la cadera como sobretracción lumbar manual (MLOT), después de mantener esta posición durante diez minutos continuos; el segundo registro de vista anterior se realizó como medición posterior. Las mediciones previas y posteriores se compararon y analizaron utilizando el sistema SPSS. Los resultados indicaron que hubo diferencias estadísticamente significativas entre las mediciones previas y posteriores a favor de las mediciones posteriores en términos de todos los IS torácicos anteriores. Conclusión: El método CLTCT puede lograr significativamente un TT completo y logra la Terapia de Descompresión Espinal Completa (WSDT). Recomendaciones: publicar el método CLTCT para realizar tracción torácica y realizar más investigaciones similares para detectar, describir y medir otros cambios morfológicos potenciales en el IS torácico utilizando otros equipos de diagnóstico radiológico disponibles para obtener una descripción completa del IS utilizando una máquina de resonancia magnética o tomografía computarizada.

Palabras clave: Método Combinado de Tracción Lumbar con Tracción Cervical, Tracción Torácica, Espacios Intervertebrales.

Abstract. Background: Scientific literature is completely devoid of full and clear morphological description of changes in Thoracic Vertebrae (TV) under the effect of full Thoracic Traction (TT), because of the absence of any direct method that can achieve full TT as it exists in Lumbar vertebrae (LV) and Cervical vertebrae (CV). Therefore, it is necessary to create a method that can achieve full TT in order to obtain a clear scientific morphological description of changes in Intervertebral Spaces (IS) at TV: anterior, posterior and central heights, and also anterior/ posterior ratio (A/p) ratio. Objective: to identify the immediate morphological effect of "Combined Lumbar Traction with Cervical Traction" method -as one intervention (CLTCT) on anterior thoracic IS among thirteen thoracic neurological levels: C7-T1, T1-T2, T2-T3, T3-T4, T4-T5, T5-T6, T6-T7, T7-T8, T8-T9, T9-T10, T10-T11, T11-T12, T12-L1,using X-ray images.Methodology:Ten healthy male volunteers randomly were chosen (mean age=23 ±2.63) had lied down on the X-ray machine board from supine position, legs and hands were extended; then after two minutes relaxing; the first anterior view recording was done- as pre measurement, then they conducted CLTCT Method: [Mechanical Sustained Cervical Traction (MSCT) via the medical nonmetallic portable cervical traction devise (Ospine–NTD-500) from Supine position, then immediately a Positional Sustained Lumbar Traction (PSLT) Hip Flexion (HF)] was applied, then the hip was manually extra pulled and rotated as Manual Lumbar Over Traction (MLOT), after holding this position for ten continues minutes; the second anterior view record was done as post measurement. Pre and post measurements were compared and analyzed using the SPSS system. Results indicated that there were statistically significant differences between the pre and post measurements in favor of the post measurements in terms of all the anterior thoracic IS. Conclusion: CLTCT method can significantly achieve full TT, and achieves Whole Spinal Decompression Therapy (WSDT). Recommendations: to publish CLTCT method for performing thoracic traction, and to conduct further similar researches to detect, describe and measure other potential morphological changes in thoracic IS using other available radiologic diagnostic equipment to obtain full description of IS using MRI or CT-scanning machine.

Keywords: Combined Lumbar Traction with Cervical Traction Method, Thoracic Traction, Intervertebral Spaces.

Citas

Al-Jazzazi, S. (2021). Effect Of Cupping Massage and Modified Spinal Decompression Therapy With Exercise Therapy in Neck Radiculopathy Syndrome. Turkish Journal of Computer and Mathematics Education (TURCOMAT), 12(7), 340-348https://turcomat.org/index.php/turkbilmat/article/view/2587

Al-Qudah, M. K., & Al-Jazzazi, S. A. (2021). Impact Of Cupping Massage and Modified Spinal Decompression Therapy With Core Stabilization Exercise In Lumbar Bulging Disc Management. Psychology and education, 58(3), 1978-1986.‏

http://psychologyandeducation.net/pae/index.php/pae/article/view/4163/3702

Al-Qudah, M. K. (2021). Impact of combined lumbar traction with cervical traction in chronic lumbar disc herni-ation. Turkish Journal of Computer and Mathematics Education, 12(6), 1124-1131.‏https://turcomat.org/index.php/turkbilmat/article/view/2430

Al-Qudah, M., &Hani, B. (2013). Effect of therapeutic exercises in the rehabilitation of chronic cartilage hernia. Journal of Studies (Derasat) of the University of Jordan, 40, Educational Sciences, Supplement (4) June.https://archives.ju.edu.jo/index.php/edu/article/view/4688

AngelLopez-Minarro, P., &AlacidCarceles, F. (2010). Functional kyphosis and lumbar kyphosis in adolescent padd-lers. RETOS-NUEVAS TENDENCIAS EN EDUCACION FISICA DEPORTEY RECREACION, (17), 5-9.‏

https://www.researchgate.net/publication/41208045_Cifosis_funcional_y_actitud_cifotica_lumbar_en_piraguistas_adolescentes

Aparecida da Silva, S., Ribeiro Neto, A., Sousa Barbosa, K. S., Mahler Pereira, A. B., Sada Salerno, B., Robison de Olivei-ra, J., ... &Bertoncello, D. (2024). Physical exercise reduces physical disability and psychological suffering in patients with chronic low back pain: a quasi-experimental study. Retos: NuevasPerspectivas de EducaciónFísica, Deporte y Rec-reación, (51).‏ 1293-1298. https://dialnet.unirioja.es/servlet/articulo?codigo=9208444

Apfel, C. C., Cakmakkaya, O. S., Martin, W., Richmond, C., Macario, A., George, E., Schaefer, M. & Pergolizzi, J. V. (2010). Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study. BMC musculoskeletal disorders, 11(1), 1-6.‏DOI: 10.1186/1471-2474-11-155

Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of physical therapy sci-ence, 27(2), 481-483.‏https://pubmed.ncbi.nlm.nih.gov/25729196/

Chow, D. H., Yuen, E. M., Xiao, L., & Leung, M. C. (2017). Mechanical effects of traction on lumbar intervertebral discs: a magnetic resonance imaging study. Musculoskeletal Science and Practice, 29, 78-83.‏https://doi.org/10.1016/j.msksp.2017.03.007

Chung, C. T., Tsai, S. W., Chen, C. J., Wu, T. C., Wang, D., Lan, H. C. H., & Wu, S. K. (2009). Comparison of the intervertebral disc spaces between axial and anterior lean cervical traction. European Spine Journal, 18, 1669-1676.‏doi: 10.1007/s00586-009-1072-z. Epub 2009 Jun 16.

Colombo, C., Salvioli, S., Gianola, S., Castellini, G., & Testa, M. (2020). Traction therapy for cervical radicular syndrome is statistically significant but not clinically relevant for pain relief. A systematic literture review with meta-analysis and trial sequential analysis. Journal of clinical medicine, 9(11), 3389.‏ https://doi.org/10.3390/jcm9113389.

Dychko, D., Dychko, E., Nekhanevych, O., Dychko, V., Klimenko, Y., Shaida, N., ... &Radziejowska, M. (2024). Reac-tive response of peripheral blood neutrophils of school-age adolescents with scoliosis. Retos: nuevas tendencias en edu-cación física, deporte y recreación, (51), 102-108.‏https://dialnet.unirioja.es/servlet/articulo?codigo=9118946

Gaowgzeh, R. A. M., Chevidikunnan, M. F., BinMulayh, E. A., & Khan, F. (2020). Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled tri-al. Journal of back and musculoskeletal rehabilitation, 33(2), 225-231.‏https://pubmed.ncbi.nlm.nih.gov/31282394/

Gudavalli, M. R., Potluri, T., Carandang, G., Havey, R. M., Voronov, L. I., Cox, J. M., ... & Goertz, C. (2013). Intra-discal pressure changes during manual cervical distraction: a cadaveric study. Evidence-based complementary and alternative medicine, 2013.‏

http:// doi.org/10.1155/2013/954134

Heneghan, N. R., Hall, A., Hollands, M., &Balanos, G. M. (2009). Stability and intra-tester reliability of an in vivo meas-urement of thoracic axial rotation using an innovative methodology. Manual Therapy, 14(4), 452-455.‏10.1016/j.math.2008.10.004

Heneghan, N. R., & Rushton, A. (2016). Understanding why the thoracic region is the ‘Cinderellaregion’ of the spine. Manual Therapy, 21, 274-276.‏

doi: 10.1016/j.math.2015.06.010. Epub 2015 Jul 9.

Hernández, JA, Espada Mateos, M., AbianVicen, J., &AbianVicen, P. (2019). Curvature of the spine in schoolchildren and the relationship between the weight of their backpacks and the degree of physical disability depending on sex.Retos. Nuevas tendencias en Educación Física, Deporte y Recreación2010, nº 17, pp. 5-9.

https://www.researchgate.net/publication/41208045_Cifosis_funcional_y_actitud_cifotica_lumbar_en_piraguistas_adolescentes

Lee, C. H., Heo, S. J., & Park, S. H. (2021, January). The real time geometric effect of a lordotic curve-controlled spinal traction device: A randomized cross over study. In Healthcare (Vol. 9, No. 2, p. 125). MDPI.‏ https:// doi.org/10.3390/healthcare9020125

Macario, A., Richmond, C., Auster, M., & Pergolizzi, J. V. (2008). Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review. Pain Practice, 8(1), 11-17.‏DOI: 10.1111/j.1533-2500.2007.00167.x

Owies, R. N., & Mujalli, M. F. (2018). The Effect of a Proposed Program of Therapeutic Exercises in the Treatment and Rehabilitation of Patients with Slipped Disc in the Lumbar Region. Jordanian Educational Journal, 3(2), 48-66.‏http://www.jaesjo.com/index.php/jaes/article/view/292

Reilly, J. P., Gersten, J. W., & Clinkingbeard, J. R. (1979). Effect of pelvic-femoral position on

vertebral separation produced by lumbar traction. Physical Therapy, 59(3), 282-286.‏

https://doi.org/10.1093/ptj/59.3.282

Rodacki, A. L. F., Weidle, C. M., Fowler, N. E., Rodacki, C. L. N., & Persch, L. N. (2007). Changes in stature during and after spinal traction in young male subjects. Brazilian Journal of Physical Therapy, 11, 63-71.‏https://doi.org/10.1590/S1413-35552007000100011

Romeo, A., Vanti, C., Boldrini, V., Ruggeri, M., Guccione, A. A., Pillastrini, P., & Bertozzi, L. (2018). Cervical radicu-lopathy: effectiveness of adding traction to physical therapy—a systematic review and meta-analysis of randomized con-trolled trials. Physical Therapy, 98(4), 231-242.‏

doi: 10.1093/physth/pzy001.

Sari, H., Akarirmak, Ü., Karacan, I., & Akman, H. (2003). Evaluation of effects of cervical traction on spinal structures by computerized tomography. Advances in physiotherapy, 5(3), 114-121.‏ DOI: 10.1080/14038190310016517

Saunders, H. D. (1979). Lumbar traction. Journal of Orthopaedic& Sports Physical Therapy, 1(1), 36-45..http://www.jaesjo.com/index.php/jaes/article/view/292

Sharrak, S., & Al Khalili, Y. (2019). Cervical disc herniation.‏ Last Update: August 28, 2023.https://www.ncbi.nlm.nih.gov/books/NBK546618/

Wong, A. M., Leong, C. P., & Chen, C. M. (1992). The traction angle and cervical intervertebral separation. Spine, 17(2), 136-138.‏doi: 10.1097/00007632-199202000-00003.

Willems, J. M., Jull, G. A., & Ng, J. F. (1996). An in vivo study of the primary and coupled rotations of the thoracic spine. Clinical Biomechanics, 11(6), 311-316.‏DOI: 10.1016/0268-0033(96)00017-4

Yoon, Y. S., Lee, J. H., Lee, M., Kim, K. E., Jang, H. Y., Lee, K. J., ... & Cho, I. Y. (2021, July). Mechanical changes of the lumbar intervertebral space and lordotic angle caused by posterior-to-anterior traction using a spinal thermal mas-sage device in healthy people. In Healthcare (Vol. 9, No. 7, p. 900). MDPI.‏. https://doi.org/10.3390/ healthcare9070900‏

Velez, A.J.G. (2019). Descripción del morfotipo raquídeo en diferentes posiciones en tenistas jóvenes. Retos: nuevas tenden-cias en educación física, deporte y recreación, (36), 174-184.

https://recyt.fecyt.es/index.php/retos/article/view/65707

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Publicado

2024-04-01

Cómo citar

Al-Qudah, M., Al-Zughilat, M., Akel, A., Moseley, S., & Alkhasawneh, M. . (2024). La tracción torácica se puede lograr utilizando el método de “tracción lumbar combinada con tracción cervical”, como una sola intervención (Thoracic Traction Can Be Achieved Using “Combined Lumbar Traction with Cervical Traction” Method - as One Intervention). Retos, 53, 681–690. https://doi.org/10.47197/retos.v53.102640

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Artículos de carácter científico: trabajos de investigaciones básicas y/o aplicadas