Abstract

Summary This pilot study for a randomised clinical trial compares the effect of high-dose continuous lumbar traction and low-dose continuous lumbar traction on the magnitude and rate of recovery for patients with low back pain. A motorised traction force of 44% of the body weight was applied in the treatment group (n=13) and of 19% in the control group (n=12). Both groups were comparable before randomised treatment allocation. The patients were blinded successfully. The results for most outcome measures favoured high dose traction, treatment versus control group: 64% v 34% at five weeks, and 45% v 25% at nine weeks. These results are clinically substantial but do not reach statistical significance (95% confidence intervals include zero). Due to the small number of patients this study lacks power, therefore the 95% confidence intervals are very wide. With 50 patients in each group the 95% confidence intervals at five weeks would have excluded zero.

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