Effects of flexion-distraction manipulation therapy on pain and disability in
patients with lumbar spinal stenosis |
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Authors: | Jioun Choi Sangyong Lee Chunbae Jeon |
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Institution: | 1) Department of Physical Therapy, Graduate School of Physical Therapy, Daegu University, Republic of Korea;2) Department of Physical Therapy, Youngdong University, Republic of Korea;3) Department of Physical Therapy, The Most Holy Trinity Hospital, Republic of Korea |
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Abstract: | Purpose] This study examined the effects of flexion-distraction manipulation therapy on
pain and disability in patients with lumbar spinal stenosis. Subjects] Thirty patients
with lumbar spinal stenosis were divided into two groups: a conservative treatment group
(n=15) and a flexion-distraction manipulation group
(n=15). Methods] The conservative treatment group received conservative
physical therapy, and the flexion-distraction group received both conservative physical
therapy and flexion-distraction manipulation therapy. Both groups received treatment 3
times a week for 6 weeks. The Visual Analog Scale was used to measure pain intensity, and
the Oswestry Disability Index was used to evaluate the level of disability caused by the
pain. Results] The Visual Analog Scale scores for pain were significantly decreased in
both groups. In the between-group comparison, the decrease in pain was more significant in
the flexion-distraction group. According to the Oswestry Disability Index, the level of
disability was significantly decreased in both groups, but the decrease was more
significant in the flexion-distraction group. Conclusion] Flexion-distraction
manipulation appears to be an effective intervention for pain and disability among
patients with lumbar spinal stenosis.Key words: Spinal stenosis, Flexion-distraction manipulation, Disability |
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