Thoracic Traction Can Be Achieved Using “Combined Lumbar Traction with Cervical Traction” Method - as One Intervention

Authors

DOI:

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

Keywords:

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

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.

References

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

Downloads

Published

2024-04-01

How to Cite

Al-Qudah, M., Al-Zughilat, M., Akel, A., Moseley, S., & Alkhasawneh, M. . (2024). 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

Issue

Section

Original Research Article