Evidens för traktions- och träningsbehandling vid lumbalt diskbråck: Litteraturstudie
Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Patients with herniated disc in the lumbar spine are commonly treated in physiotherapy-clinics. The patients are initially treated most conservatively, including traction and exercise.The purpose of this literature review is to examine the scientific evidence for traction and exercise treatments effectiveness on pain, function and herniated disc size in lumbar disc herniation.The literature searches were performed in following databases: PubMed, Ebsco Host, SweMed, the Cochrane Collaboration and Scopus. The included studies were published in English between 1994 and 2014. The assessment of the scientific evidence was made according to the guidelines of the SBU.Ten studies evaluated effect of traction on pain and function. The scientific evidence for this treatment was rated as moderately strong. Seven studies evaluated the effect of traction on the size of disc herniation. The scientific evidence for this treatmant is limited. Five studies evaluated the effect of physical exercise treatment on pain and function. The scientific evidens for this treatment is insufficient. The scientific evidence is difficult to evaluate when the studies are heterogeneous with respect to the treatment design and control intervention. However, there is scientific evidence on traction´s efficacy in reducing pain and improving function. Physical exercises as treatment lacks evidence. There are few studies evaluating physical exercises at the lumbar disc herniation. Further research is needed to determine what kind of traction therapy and what kind of physical exercises that gives positive effect.
Place, publisher, year, edition, pages
2015. , 136 p.
Medicine, Lumbar disc herniation, lumbar spine, traction, exercise, overview
Medicin, Diskbråck, ländrygg, traktion, träning, översikt
IdentifiersURN: urn:nbn:se:ltu:diva-44511Local ID: 24f23477-222e-409f-a81e-bc9cbae9fc0dOAI: oai:DiVA.org:ltu-44511DiVA: diva2:1017790
Subject / course
Student thesis, at least 15 credits
Physiotherapy, master's level
Validerat; 20150608 (global_studentproject_submitter)2016-10-042016-10-04Bibliographically approved