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J Phys Ther Sci. 2015 Jun;27(6):1937-9. doi: 10.1589/jpts.27.1937. Epub 2015 Jun 30.

Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis.

Author information

1
Department of Physical Therapy, Graduate School of Physical Therapy, Daegu University, Republic of Korea.
2
Department of Physical Therapy, Youngdong University, Republic of Korea.
3
Department of Physical Therapy, The Most Holy Trinity Hospital, Republic of Korea.

Abstract

[Purpose] This study examined the effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. [Subjects] Thirty patients with lumbar spinal stenosis were divided into two groups: a conservative treatment group (n=15) and a flexion-distraction manipulation group (n=15). [Methods] The conservative treatment group received conservative physical therapy, and the flexion-distraction group received both conservative physical therapy and flexion-distraction manipulation therapy. Both groups received treatment 3 times a week for 6 weeks. The Visual Analog Scale was used to measure pain intensity, and the Oswestry Disability Index was used to evaluate the level of disability caused by the pain. [Results] The Visual Analog Scale scores for pain were significantly decreased in both groups. In the between-group comparison, the decrease in pain was more significant in the flexion-distraction group. According to the Oswestry Disability Index, the level of disability was significantly decreased in both groups, but the decrease was more significant in the flexion-distraction group. [Conclusion] Flexion-distraction manipulation appears to be an effective intervention for pain and disability among patients with lumbar spinal stenosis.

KEYWORDS:

Disability; Flexion-distraction manipulation; Spinal stenosis

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