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Rehabilitation Practice and Science

Translated Title

腰椎牽引對第一級腰椎滑脫病患之療效

Abstract

The purpose of this study was to evaluate the effect of lumbar traction on the management of grade I L-spine spondylolisthesis. 45 patients diagnosed as grade I L-spine spondylolisthesis by x-ray were studied and divided into two groups. 19 patients as control group, received short wave diathermy and William's flexion exercise, five times per week for 2 months' period. 26 patients as experimental group, in addition to receive the same programs as the control group, the intermittent lumbar traction with 1/3-5/12 body weight was prescribed.The assessments were taken at initial (before treatment), 2 weeks and 2 months after treatment. 8 variables were evaluated : PI : Pain Visual Analong Scale (0-10 points), P2: Interference in the function of ADL (0-3 points), P3 : Interference in the function of Work (0-3 points), P4 : Manual muscle power grade of ankle dorsiflexor (0-5points), P5 : Manual muscle power grade of ankle plantaflexor (0-5 points), P6 : The ability of walking on heel (0-2 points), P7 : the ability of walking on toe (0-2 point), P8 : The degrees of Straight Leg Raising Test (0-90 degrees). There were statistically significant improvements in pain scale(Pl), Interference in the function of ADL (P2) & work (P3) and the degrees of SLRT (P8) within the control group, 2 weeks & 2 months after treatment as compared to initial state. It also occurred in all 8 variables within the experimental group. 2 weeks & 2 months after treatment as compared to initial state. Comparing the two groups at 2 weeks & 2 months after treatment, the experimental group got more significant improvements than control in pain scale (PI), Interference in the function of ADL (P2) & work (P3), ability of walking on heel (P6) and the degrees of SLRT (P8) It was also noted that pain scale (PI) had highly strong correlation (r＞0.8) with interference in the function of ADL (P2) & work (P3). After treatment, the correlation decreased. It implied that pain relief may play a role in functional performance and as a goal in the management of those patients. It was suggested that suitable lumbar traction can be added as a good modality to heat & exercise therapy in the management of patient with grade I L-spine spondylolisthesis.

Language

Traditional Chinese

First Page

79

Last Page

88

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