Non-surgical Spinal Decompression Research Articles

Comparison of the clinical effect of cervical spondylotic suspension traction with sitting position and non-surgical spinal decompression system traction in the treatment of cervical spondylotic radiculopathy.

Comparison of the clinical effect of cervical spondylotic suspension traction with sitting position and non-surgical spinal decompression system traction in the treatment of cervical spondylotic radiculopathy.

Impact of Non-surgical Spinal Decompression Combined Protocol on a Lumbar Disc Herniation Predisposing the Patient to Surgical Intervention - A Case Study

Impact of Non-surgical Spinal Decompression Combined Protocol on a Lumbar Disc Herniation Predisposing the Patient to Surgical Intervention - A Case Study

Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial

BackgroundLumbar radiculopathy is an extensively common complaint reported by patients of low back pain (LBP), resulting in several impairments. A comparatively novel technique, non-surgical spinal decompression (NSD), is introduced, which uses a sensitive computerized feedback mechanism and decompresses the spinal nerve roots through segmental distraction. The objective of this study was to determine the effects of NSD therapy in addition to routine physical therapy on pain, lumbar range of motion (ROM), functional disability, back muscle endurance (BME), and quality of life (QOL) in patients with lumbar radiculopathy.MethodsA total of sixty patients with lumbar radiculopathy were randomly allocated into two groups, an experimental (n = 30) and a control (n = 30) group, through a computer-generated random number table. Baseline values were recorded before providing any treatment by using a visual analogue scale (VAS), Urdu version of Oswestry disability index (ODI-U), modified-modified Schober’s test (MMST), prone isometric chest raise test, and Short Form 36-Item Survey (SF-36) for measuring the pain at rest, functional disability, lumbar ROM, BME, and QOL, respectively. All patients received twelve treatment sessions over 4 weeks, and then all outcome measures were again recorded.ResultsBy using the ANCOVA test, a statistically significant (p < 0.05) between-group improvement was observed in VAS, ODI-U, BME, lumbar ROM, role physical (RP), and bodily pain (BP) domains of SF-36, which was in favour of NSD therapy group. The between-group difference was 1.07 ± 0.32 cm (p < .001) for VAS, 5.65 ± 1.48 points (p < .001) for ODI-U, 13.93 ± 5.85 s (p = 0.002) for BME, 2.62 ± 0.27 cm (p < .001) for lumbar flexion, 0.96 ± 0.28 (p < .001) for lumbar extension, 5.77 ± 2.39 (p = 0.019) for RP and 6.33 ± 2.52 (p = 0.016) for BP domain of SF-36. For these outcomes, a medium to large effect size (d = 0.61–2.47, 95% CI: 0.09–3.14) was observed.ConclusionIt was concluded that a combination of non-surgical spinal decompression therapy with routine physical therapy is more effective, statistically and clinically, than routine physical therapy alone in terms of improving pain, lumbar range of motion, back muscle endurance, functional disability, and physical role domain of quality of life, in patients with lumbar radiculopathy, following 4 weeks of treatment.Trial registrationWHO Iranian registry of clinical trials (IRCT20190717044238N1) Dated: 23.12.2019.

Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study

Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment.Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14&lt;sup&gt;th&lt;/sup&gt; to August 25&lt;sup&gt;th&lt;/sup&gt;, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0.Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample &lt;i&gt;t&lt;/i&gt; test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B.Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.

Impact of nonsurgical spinal decompression on paraspinal muscle morphology and mechanical properties in young adults with low back pain.

ObjectiveThe mechanism underlying the benefit of nonsurgical spinal decompression (NSSD) on low back pain is unclear. This study was performed to investigate the immediate impact of NSSD on the mechanical properties and morphology of the paraspinal muscles.MethodsParticipants with low back pain were recruited. NSSD therapy was provided on one occasion. A myotonometer was placed perpendicularly on the skin surface over the paraspinal muscle at the level of L3/L4 to measure the mechanical muscle properties. The multifidus thickness was measured using B-mode ultrasound and defined as the distance between the transverse process and subcutaneous tissue fascia. The difference between before and after NSSD was analyzed by a paired t-test.ResultsThirty participants (mean age, 20.9 ± 0.8 years; 9 male, 21 female) were recruited. No significant difference was observed in the muscle mechanical properties or morphology between before and after the intervention.ConclusionsNSSD intervention did not induce immediate changes in the paraspinal muscle mechanical properties or multifidus thickness in young adults with low back pain. NSSD might produce benefits by stimulating mechanical receptors rather than inducing morphological changes or mechanical property alterations of the muscle fibers. These parameters may not be suitable outcome measures for NSSD intervention.

Effect of non-surgical spinal decompression therapy on walking duration in subjects with lumbar radiculopathy: A randomized controlled trial

Background: Lumbar radiculopathy is a prevalent complaint (12–40%) made by subjects with low back pain. It causes various functional limitations such as gait deviations and reduction of walking duration. Non-surgical spinal decompression therapy (DTS) is a relatively newer technology that has changed the management of lumbar radiculopathy. It has been found to relieve pain, improve neurologic symptoms, improve disk height, and reduce intervertebral pressures in various spinal pathologies. There are relatively few studies that have tried to focus on the effect of DTS on walking duration, though. Objectives: The objectives of the study were to evaluate the effect of non-surgical DTS on walking duration in subjects with lumbar radiculopathy. Materials and Methods: A randomized controlled trial using a random number generator was done with 80 subjects having lumbar radiculopathy. Forty subjects were included in each group. The experimental received 20 sessions of DTS, transcutaneous electrical nerve stimulation, hot water fomentation, core stabilization exercises, and lower extremity strengthening exercises. The control group received the same intervention except DTS. Results: Both groups showed improvements in the walking duration post-intervention (P < 0.001). However, the experimental group better improvement than the control group (P < 0.001). Conclusion: DTS is effective in improving walking duration in subjects with lumbar radiculopathy.

Spinal decompression therapy as an alternative modality for management of low back pain and radicular pain caused by lumbar disc herniation or protrusion

BackgroundRecent studies have suggested that motorized nonsurgical spinal decompression AQ5 can reduce chronic low back pain (LBP) due to lumbar disc herniation or protrusion.AimThe purpose of this study was to evaluate the efficacy of motorized nonsurgical spinal decompression by the DRX9000 device in the reduction of LBP and radicular pain caused by lumbar disc herniation or protrusion and whether it correlated with MRI changes in disc height or not.Patients and methodsThis study was carried out on 73 patients with chronic LBP attributed to disc protrusion selected from outpatients of rheumatology and rehabilitation clinics at Abdul Latif Jameel Hospital for Medical Rehabilitation, Jeddah, Saudi Arabia; these patients were divided into two groups. The first group comprised 39 patients who underwent a 6-week treatment protocol of motorized nonsurgical spinal decompression via the DRX9000, and the other group comprising 34 patients underwent a 6-week physiotherapy with deep heat modalities and ordinary traction; pain assessment using a visual analog scale with MRI was carried out before and after treatment. Paired t-test or linear regression was used, as appropriate, with P less than 0.05 considered to be statistically significant.ResultsThe main outcomes were a significant improvement in LBP in both groups using visual analog scale, but radicular pain and disc height using MRI were significantly improved in group 1 compared with group 2.ConclusionsThe study concluded that nonsurgical spinal decompression was associated with a reduction in back pain and radicular pain and with an increase in disc height and can be used as an alternative modality for discogenic LBP.

A Case Series of Non-Surgical Spinal Decompression as an Adjunct to Routine Physiotherapy Management of Patients with Chronic Mechanical Low Back Pain

A Case Series of Non-Surgical Spinal Decompression as an Adjunct to Routine Physiotherapy Management of Patients with Chronic Mechanical Low Back Pain

A nonoperative spinal decompression system combined with foramen injections to treat lumbar intervertebral disc herniation

Objective To observe the clinical efficacy and safety of non-surgical spinal decompression combined with intervertebral foramen injection in the treatment of lumbar intervertebral disc herniation. Methods Ninety-six patients were randomly divided into a control group, a decompression group, an injection group and a combined group. All of the subjects were given loxoprofen sodium and chestnut seed extract. The decompression group was treated with non-operative spinal decompression. The injection group received intervertebral foramen injections. The combined group received both treatments. Pain perceptions, quality of life perceptions and lumbar dysfunction were observed before the treatment, and 2 days, 1 month, 6 months and 12 months afterward. Results There were no significant differences among the groups in average pain perceptions quantified using a visual analogue scale (VAS) before the treatment. The average scores on a 36-item short-form health survey, the Oswestry disability index and a Japanese Orthopedic Association instrument also were not significantly different. All of those indicators had improved significantly in the decompression, injection and combined groups at 1, 6 and 12 months after the treatment, but the combined group′s average indicators were all significantly better than the other groups′ averages at the same time points. All of the significant improvements in the combined group′s averages occurred in the first month after the combined treatment. Conclusion Non-operative spinal decompression has a synergistic effect with intervertebral foramen injection in treating patients with lumbar disc herniation. Their combined effect is better than either treatment alone. Their combined effect is lasting, safe and has few complication risks. It is worthy of clinical application. Key words: Lumbar disc herniation; Spinal decompression systems; Foramen; Inflammation; Pain

The effect of non-surgical spinal decompression on the paraspinal muscles of persons with lumbar disc herniation

Objective To explore the effect of non-surgical spinal decompression (SDS) on the surface electromyogram signals from the paraspinal muscles of patients with lumbar disc herniation (LDH). Methods Twelve patients diagnosed with L4-5 LDH were recruited and randomly divided into an SDS group and a control group, each of 6 according to their order of admission. The SDS group received spinal decompression, while the control group was given lumbar traction. The average surface electromyogram signals (AEMGs) were recorded before, during and after the treatment. Results Before the treatment, the AEMG values collected from the left and right erector spinae and multifidus of the SDS group were already significantly different from those of the control group. During the treatment, the AEMG values collected from the right erector spinae and multifidus of the SDS group remained significantly different from those of the control group. After the treatment, the AEMG values were still significantly different. Conclusions SDS relieves tension and fatigue of the paraspinal muscles better than lumbar traction. Key words: Spinal decompression; Lumbar discs; Hernia; Paraspinal muscles; Surface electromyography

Non-surgical spinal decompression system versus conventional traction device for treating lumbar disc herniation through surface electromyography

Non-surgical spinal decompression system versus conventional traction device for treating lumbar disc herniation through surface electromyography

Regression of lumbar disc herniation by physiotherapy. Does non-surgical spinal decompression therapy make a difference? Double-blind randomized controlled trial.

The aim of the study determining whether or not Non-invasive Spinal Decompression Therapy (NSDT) was effective in resorption of herniation, increasing disc height in patients with lumbar disc herniation (LHNP). A total of twenty patients diagnosed as LHNP and suffering from pain at least 8 weeks were enrolled to the study. Patients were allocated in study (SG) and control groups (CG) randomly. Both groups received combination of electrotherapy, deep friction massage and stabilization exercise for fifteen session. SG received additionally NSDT different from CG. Numeric Anolog Scale, Straight leg raise test, Oswestry Disability Index (ODI) were applied at baseline and after treatment. Disc height and herniation thickness were measured on Magnetic Resonance Imagination which performed at baseline and three months after therapy. Both treatments had positive effect for improving pain, functional restoration and reduction in thickness of herniation. Although reduction of herniation size was higher in SG than CG, no significant differences were found between groups and any superiority to each other (p> 0.05). This study showed that patients with LHNP received physiotherapy had improvement based on clinical and radiologic evidence. NSDT can be used as assistive agent for other physiotherapy methods in treatment of lumbar disc herniation.

Non-surgical Spinal Decompression an Effective Physiotherapy Modality for Neck and Back Pain

Background: Non-surgical spinal decompression is a novel physiotherapy that improves on conventional traction by adding computer technology and it is commonly used along with other physiotherapy modalities.

Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized-controlled trial.

This study aims to compare the efficiency of conventional motorized traction (CMT) with non-surgical spinal decompression (NSD) using the DRX9000™ device in patients with low back pain associated with lumbar disc herniation (LDH). Between March 2009 and September 2009, a total of 48 patients (29 females, 19 males; mean age 43.1±9.8 years; range, 18 to 65 years) were randomized into two groups. The first group (n=24) underwent CMT and the second group (n=24) underwent NSD for a total of 20 sessions over six weeks. The patients were evaluated before and after the treatment. Pain was assessed using the Visual Analog Scale (VAS), functional status using the Oswestry Disability Index (ODI), quality of life using the Short Form-36 (SF-36), state of depression mood using the Beck Depression Inventory (BDI), and the global assessment of the illness using the Patient's Global Assessment of Response to Therapy (PGART) and Investigator's Global Assessment of Response to Therapy (IGART) scales. There was no significant difference in the evaluation outcomes before the treatment between the groups. However, a statistically significant decline was found in the VAS, ODI, and BDI scores after the treatment in both groups (all p<0.001). Except for two subgroups, no significant changes were observed in the SF-36 form. Assessment of "marked improvement" was globally most frequently reported one in both groups. No significant difference was observed in the evaluation outcomes after treatment between the groups. Our study results show that both CMT and NSD are effective methods in pain management and functional status and depressive mood improvement in patients with LDH, and NSD is not superior to CMT in terms of pain, functionality, depression and quality of life.

Nonsurgical spinal decompression and common cervical traction compared

Objective To compare the effects of nonsurgical spinal decompression system (SDS) cervical traction and common cervical traction using surface electromyography (sEMG).Methods Twenty-two volunteers' sEMG signals were recorded before,during and after two modes of cervical traction:the conventional traction in sitting and SDS traction in supine.The interval between the two modes of traction was no shorter than 24 hours.The mean and peak amplitudes of their sEMG signals were observed before,during and after traction.The sEMG signals of the posterior cervical muscle while sitting or lying were compared at different stages of the traction.Results There was no statistically significant difference in sEMG signals between the subjects' right and left posterior cervical muscles.The sEMG signals decreased significantly during both traction trials.With common cervical traction the mean and peak amplitudes of the left posterior cervical muscle pre-and post-traction were higher than during traction,and the same as that of the right posterior cervical muscle.In the SDS trials the sEMG signals during traction and post-traction were significantly lower than those pre-traction.After traction the sEMG signals while sitting (common cervical traction) were significantly higher than those post-traction while lying (SDS cervical traction),and the sEMG signals post-traction while either lying or sitting were stronger than during traction while lying.The post-traction signals in sitting were stronger than those in lying.Conclusions Both nonsurgical SDS and common cervical traction can relax the posterior cervical muscles.The effect of nonsurgical SDS was better than that of common cervical traction. Key words: Spinal decompression; Cervical traction; Surface electromyography; Posterior cervical muscles

Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.

BackgroundBecause previous studies have suggested that motorized non-surgical spinal decompression can reduce chronic low back pain (LBP) due to disc degeneration (discogenic low back pain) and disc herniation, it has accordingly been hypothesized that the reduction of pressure on affected discs will facilitate their regeneration. The goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on computed tomography (CT) scans.MethodsA retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal decompression via the DRX9000 with CT scans before and after treatment. The main outcomes were changes in pain as measured on a verbal rating scale from 0 to 10 during a flexion-extension range of motion evaluation and changes in disc height as measured on CT scans. Paired t-test or linear regression was used as appropriate with p < 0.05 considered to be statistically significant.ResultsWe identified 30 patients with lumbar disc herniation with an average age of 65 years, body mass index of 29 kg/m2, 21 females and 9 males, and an average duration of LBP of 12.5 weeks. During treatment, low back pain decreased from 6.2 (SD 2.2) to 1.6 (2.3, p < 0.001) and disc height increased from 7.5 (1.7) mm to 8.8 (1.7) mm (p < 0.001). Increase in disc height and reduction in pain were significantly correlated (r = 0.36, p = 0.044).ConclusionsNon-surgical spinal decompression was associated with a reduction in pain and an increase in disc height. The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height. A randomized controlled trial is needed to confirm these promising results.Clinical trial registration numberNCT00828880

Pilot: Effectiveness and safety of non-surgical spinal decompression

Pilot: Effectiveness and safety of non-surgical spinal decompression

Poster 55: Pilot: Effectiveness and Safety of Nonsurgical Spinal Decompression

Poster 55: Pilot: Effectiveness and Safety of Nonsurgical Spinal Decompression

716: Pilot: Effectiveness & Safety of Non-Surgical Spinal Decompression

716: Pilot: Effectiveness & Safety of Non-Surgical Spinal Decompression

716. Pilot: Effectiveness &amp; Safety of Non-Surgical Spinal Decompression

716. Pilot: Effectiveness &amp; Safety of Non-Surgical Spinal Decompression