{"id":1355,"date":"2025-04-10T17:38:59","date_gmt":"2025-04-10T17:38:59","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1355"},"modified":"2025-04-10T17:38:59","modified_gmt":"2025-04-10T17:38:59","slug":"ijpr-2025-106","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-106","title":{"rendered":"IJPR.2025.106"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.13.1\/IJPR.2025.106.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol13_1.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 13; Issue 1 (February 2024)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 4840-4846<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2025.106<\/h3>\n<h3 style=\"text-align: justify;\">Lumbar Traction- Effect of Position on Vertebral Separation<\/h3>\n<p><strong>Josni Pandey<\/strong><\/p>\n<p style=\"text-align: justify;\">Professor, Department of Physiotherapy, Indian Institute of Health Education and Research, Patna, India. <strong>ORCiD:<\/strong> 0009-0009-2506-0257<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dr. Josni Pandey, Professor, Department of Physiotherapy, Indian Institute of Health Education and Research, Patna, India.\u00a0<strong>E-Mail:\u00a0<\/strong>josnipandey@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Aim:<\/strong> To investigate the effect of position of subject during lumbar traction on the amount of separation caused at three intervertebral segments, L3L4, L4L5 and L5S1. The three positions tested were supine, fowler\u2019s and prone.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and methods: <\/strong>45 healthy male volunteers in the age group 18 to 25 years were divided into three groups, supine, prone and fowler\u2019s. They were positioned in the required position for 15 minutes. Lumbar traction with a force equal to fifty percent of body weight was applied for 15 minutes and after releasing the traction force, the position of rest was maintained for 10 minutes. Lateral view radiograph was taken before and after each intervention. Each subject served as a control for self for one position.<\/p>\n<p style=\"text-align: justify;\"><strong>Results<\/strong>: All the three groups experienced intervertebral separations with traction as compared to the control, i.e. positioning only. Supine positioning during traction caused maximum posterior separation at L4L5 and maximum anterior separation at L5S1 while fowler\u2019s position caused maximum posterior separation at L5S1 level. No such pattern was observed with prone position. Moreover after releasing the traction force, the effect of separation was sustained at the segments that experienced maximum separation during traction.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>With proper positioning the effect of lumbar traction can be maximized to affect a particular intervertebral segment.<\/p>\n<p><strong>Key words<\/strong>: Lumbar Traction, intervertebral separation, Low back pain<\/p>\n<p style=\"text-align: justify;\">\u00a0<strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Hooker DS, Traction as a specialized modality; In Prentice WE; Therapeutic Modalities in Sports medicine, 1994, Third Edition, Mosby.<br \/>[2]. Vanti C, Saccardo K, Panizzolo A, Turone L, Guccione AA, Pillastrini P. The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis. Acta Orthop Traumatol Turc. 2023 Jan;57(1):3-16.<br \/>[3]. Studnicki, R., Szymczyk, P., Adamczewski, T., Studzi\u0144ska, K., Hansdorfer-Korzon, R., Silva, A. F., &amp; Kawczy\u0144ski, A. (2024). Manual traction is effective in alleviating lumbosacral spine pain: Evidence from a randomized controlled trial. Heliyon, 2024;10(10):e31013.<br \/>https:\/\/doi.org\/10.1016\/j.heliyon.2024.e31013<br \/>PMid:38799754 PMCid:PMC11126845<br \/>[4]. Wang, W., Long, F., Wu, X., Li, S., &amp; Lin, J. Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta-Analysis. Computational and mathematical methods in medicine, 2022;5670303.<br \/>https:\/\/doi.org\/10.1155\/2022\/5670303<br \/>PMid:35774300 PMCid:PMC9239808<br \/>[5]. Worden RE, Humprey TL; Effect of spinal traction on the length of the body. Arch. Phys Med Rehabilitation 45; 1964<br \/>[6]. Bridger RS, Ossey S, Fourie G; Effect of lumbar traction on stature; Spine, June 1990; 15(6).<br \/>https:\/\/doi.org\/10.1097\/00007632-199006000-00017<br \/>PMid:2402690<br \/>[7]. Twomey LT: Sustained lumbar traction: An experimental study of long spine segments, Spine 1985;10.<br \/>https:\/\/doi.org\/10.1097\/00007632-198503000-00006<br \/>PMid:4002038<br \/>[8]. Colachis SC, Strohm BR; Effects of intermittent traction on the separation of lumbar vertebrae Arch, Phys Med. Rehabilitation 1969;50:251-258.<br \/>[9]. Onel D, Tuxlci M, Sari H, etal; Computed Tomographic Investigation of the effect of traction on lumbar disc herniations; Spine 1989;14:82-90.<br \/>https:\/\/doi.org\/10.1097\/00007632-198901000-00017<br \/>PMid:2913674<br \/>[10]. Komori 4, Shinomiya K, Nakai O, etal; The Natural history of Herniated Nucleus pulpous with radiculopathy. Spine 1996;21:225-229.<br \/>https:\/\/doi.org\/10.1097\/00007632-199601150-00013<br \/>PMid:8720408<br \/>[11]. Mathews JA; Dynamic discography, A study of lumbar Traction. Ann Phys Med IX 1968;(7):265-279.<br \/>https:\/\/doi.org\/10.1093\/rheumatology\/9.7.275<br \/>PMid:5676680<br \/>[12]. Gupta RC, Ramarao MS. Epidurography in reduction of lumbar disc prolapse by traction, Arch Phys Med Rehabil, 1978;59:322-327.<br \/>[13]. Lawson GA &amp; Godfrey CM. A report on studies of spinal traction. Medical services J. of Canada, 1958;14:762-771.<br \/>[14]. James Cyriax. Textbook of Orthopaedic Medicine, Volume II, 11th edition, 1994, Bailliere Tindall.<br \/>[15]. Saunders HD, Use of spinal traction in the treatment of neck &amp; back conditions. Clinical Orthopeadics and Related Research, 1983;179:31-38.<br \/>https:\/\/doi.org\/10.1097\/00003086-198310000-00006<br \/>[16]. Sheriff J; A flexible approach to traction, In Boyling J.D., Palastanga N; Grieve&#8217;s modern manual therapy, The vertebral column, 2nd edition, 1994, Churchill Livingstone<br \/>[17]. Weatherall VF; Comparison of electromyographic activity in normal lumbar sacrospinalis musculature during static pelvic traction in two different positions. JOSPT, 1989;8:382-390.<br \/>https:\/\/doi.org\/10.2519\/jospt.1987.8.8.382<br \/>PMid:18797039<br \/>[18]. Reilley JP, Gersten JW, Clinkingbeard JR; Effect of pelvi-femoral position on vertebral separation produced by lumbar traction. Physical therapy, Feb.1981.<br \/>[19]. Farfan HF, Mechanical disorders of the low back, Lea and Febiger, Pheladelphia, 1973, Clinical Biomechanics, 1994;9(1).<br \/>[20]. Bryan GJ; Diagnostic Radiography, International Student Edition, IV Edition, 1993, Churchill Livingstone.<br \/>[21]. Lee RYW, Evans J.H.; Loads in lumbar spine during traction therapy; Aus. J. of physiotherapy 2001;47:102-108.<br \/>https:\/\/doi.org\/10.1016\/S0004-9514(14)60301-9<br \/>PMid:11552865<br \/>[22]. Catherine Hinterbuchner; Traction, In Basmajian J. V., Manipulation, Traction and Massage, 3rd Edition, 1981, Williams &amp; Wilkins.<br \/>[23]. Bogduk N., Twomey LT.; The ligaments of the lumbar spine, In Clinical Anatomy of the lumbar spine; 1991, Churchill Livingston.<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Josni Pandey. Lumbar Traction- Effect of Position on Vertebral Separation. Int J Physiother Res 2025;13(1):4840-4846. DOI: 10.16965\/ijpr.2025.106 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 13; Issue 1 (February 2024) Page No.: 4840-4846 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2025.106 Lumbar Traction- Effect of Position on Vertebral Separation Josni Pandey Professor, Department of Physiotherapy, Indian Institute of Health Education and Research, Patna, India. ORCiD: 0009-0009-2506-0257 Corresponding Author: Dr. Josni Pandey, Professor, Department of Physiotherapy, Indian Institute of Health Education and<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-106\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1355","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1355"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=1355"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1355\/revisions"}],"predecessor-version":[{"id":1357,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1355\/revisions\/1357"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=1355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}