Physical therapy on low back pain and sciatica. An attempt at evaluation.

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    • "In two controlled studies in patients with lumbagosciatica and disc herniation, conventional traction (Tru Trac) was not found to be superior to placebo treatment (Lidstrom & Zachrisson 1970, Weber 1973). These studies have either shown poor results of treatment or positive effects that were of limited or marginal significance in most cases. "
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    ABSTRACT: In this controlled prospective study of the Auto-traction method for the treatment of lumbago-sciatica, 82 patients were randomly allocated to either treatment with Auto-traction for up to three 1-hour sessions in 1 week, or they were given a corset and advised to rest. The orthopaedic surgeons participating in the study worked at six different hospitals and all had limited experience of the Auto-traction method obtained during a 1-week course. All patients were clinically evaluated by an independent observer who also performed the follow-up examinations 1 and 3 weeks after the treatment sessions. In addition a 3-month follow-up was performed by letter. The Auto-traction method gave prompt relief of pain and a normalizing of the SLR test more often than treatment with only a corset and rest. The difference between the two treatment groups was statistically significant. The immediate difference noted between the treatment groups had decreased slightly at 3 weeks but was still statistically significant at this time.
    Acta Orthopaedica Scandinavica 11/1980; 51(5):791-8. DOI:10.3109/17453678008990875
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    ABSTRACT: Two groups of patients with 'low back pain', comparable regarding sex, age and diagnosis, all hospitalized at the Hospital for Rheumatology, Kristiansand, for a period of 4-6 weeks, were treated as follows: Group I (209 (180) patients): Education program combined with practise of exercises and correct use of the back. Group II (190 (153) patients): Usual physiotherapeutic treatment methods (individual or group exercises in the charge of a physiotherapist). Further, both groups received similar swimming pool exercises and electrotherapy. Group I was studied on the basis of a questionnaire completed by patients before beginning the education program and both groups were studied on a similar basis after 12 months. Results are extracted from these questionnaires. In spite of various and extensive previous treatment (Table I), not many patients in group I had received information prior to the education program. Significantly more patients in group I than in group II stated that they had received tuition at our hospital (p less than 0.01) (Table II). Group I seemed to practise self-care more than group II and was statistically in less need of physiotherapy during the year after leaving the hospital (p less than 0.05). This seems to be beneficial for the patients and of economic importance for society at large. We conclude that education is important and has to be organized in the form of special lessons.
    Scandinavian Journal of Rheumatology 02/1981; 10(4):318-20. DOI:10.3109/03009748109095323 · 2.61 Impact Factor
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