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The aim of this study is to compare two levels (high and low forces) of short term lumbar traction on pain and functional tests of the lower limbs in a specific population of patients presenting with acute lumbar sciatica secondary to disc herniation. The investigators hypothesize that, in this particular medical condition, high level of lumbar traction might be more effective than low level lumbar traction in decreasing the pain associated with acute sciatica.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LT10 | Experimental | Long duration (30 minutes) traction sessions of "low force" (10% of body weight) for 2 weeks (5 sessions/week). |
|
| LT50 | Experimental | Long duration (30 minutes) traction sessions of "high force" (50% of body weight) for 2 weeks (5 sessions/week). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Traction sessions | Procedure |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in radicular pain graduated from 0 to 100 mm | Measurement of radicular pain using a visual analogue scale (VAS) At baseline (day 0 - D0) as well as at day 14 (D14) (end of treatment) and day 28 (D28) (after 2 weeks follow-up). |
| Measure | Description | Time Frame |
|---|---|---|
| Global mobility of the lumbar-pelvic spine evaluated using the finger to toe test (FTT, in cm) | At baseline (day 0 - D0) as well as at day 14 (D14) (end of treatment) and day 28 (D28) (after 2 weeks follow-up). | |
| Lumbar spine mobility (in mm) assessed with the Schöber-Macrae's test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Eve ISNER-HOROBETI, MD | Institut Universitaire de Réadaptation Clémenceau - Hôpitaux Universitaires de Strasbourg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Médecine Physique et de Réadaptation, Hôpital de Hautepierre, Hôpitaux Universitaires | Strasbourg | 67098 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27838140 | Result | Isner-Horobeti ME, Dufour SP, Schaeffer M, Sauleau E, Vautravers P, Lecocq J, Dupeyron A. High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial. J Manipulative Physiol Ther. 2016 Nov-Dec;39(9):645-654. doi: 10.1016/j.jmpt.2016.09.006. Epub 2016 Nov 9. |
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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| At baseline (day 0 - D0) as well as at day 14 (D14) (end of treatment) and day 28 (D28) (after 2 weeks follow-up). |
| Signs of nerve root compression evaluation assessed by the SLRT and EIFEL score | At baseline (day 0 - D0) as well as at day 14 (D14) (end of treatment) and day 28 (D28) (after 2 weeks follow-up). |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |