- 期刊
腰椎牽引對第一級腰椎滑脫病患之療效
The Effect of Lumbar Traction on the Management of Patient with Grade I L-Spine Spondylolisthesis
摘要
針對省彰復健科於78,79兩年間所收集第一級腰椎滑脫病患，隨機分入兩組，施予兩個月的物理治療。對照組19人，以短波及威廉氏彎曲運動治療，而實驗組26人，除上述治療外，再加上間斷式腰椎牽引 (牽引重量為體重1/3-5/12)。分別在治療前，治療後二星期及治療後二個星期後，以八個變項 [ 疼痛程度(Pl)，日常生活功能受影響程度(P2)，職業上功能受影響程度(P3)，踝關節背屈屈肌的肌力(P4)，踝關節蹠屈屈肌的肌力(P5)，以腳跟行走能力(P6)，以腳尖行走能力(P7)，被動式直腿抬高的角度(P8)﹞，加以評估。 結果，對照組Pl P2 P3 P8 等四項，而實驗組在所有八項，於治療二星期及二個月後，均比治療前呈現有顯著意義的進步。若以兩組比較而言，實驗組在Pl P2 P3 P6 P8等五項，共進步優於對照組，且呈現有意義的差異。本研究顯示，加上腰椎牽引對於第一級腰椎滑脫的症狀處理上，是一項有意義的治療方式。
並列摘要
The purpose of this study was to evaluate the effect of lumbar traction on the management of grade I L-spine spondylolisthesis. 45 patients diagnosed as grade I L-spine spondylolisthesis by x-ray were studied and divided into two groups. 19 patients as control group, received short wave diathermy and William's flexion exercise, five times per week for 2 months' period. 26 patients as experimental group, in addition to receive the same programs as the control group, the intermittent lumbar traction with 1/3-5/12 body weight was prescribed. The assessments were taken at initial (before treatment), 2 weeks and 2 months after treatment. 8 variables were evaluated : PI : Pain Visual Analong Scale (0-10 points), P2: Interference in the function of ADL (0-3 points), P3 : Interference in the function of Work (0-3 points), P4 : Manual muscle power grade of ankle dorsiflexor (0-5points), P5 : Manual muscle power grade of ankle plantaflexor (0-5 points), P6 : The ability of walking on heel (0-2 points), P7 : the ability of walking on toe (0-2 point), P8 : The degrees of Straight Leg Raising Test (0-90 degrees). There were statistically significant improvements in pain scale(Pl), Interference in the function of ADL (P2) & work (P3) and the degrees of SLRT (P8) within the control group, 2 weeks & 2 months after treatment as compared to initial state. It also occurred in all 8 variables within the experimental group. 2 weeks & 2 months after treatment as compared to initial state. Comparing the two groups at 2 weeks & 2 months after treatment, the experimental group got more significant improvements than control in pain scale (PI), Interference in the function of ADL (P2) & work (P3), ability of walking on heel (P6) and the degrees of SLRT (P8) It was also noted that pain scale (PI) had highly strong correlation (r＞0.8) with interference in the function of ADL (P2) & work (P3). After treatment, the correlation decreased. It implied that pain relief may play a role in functional performance and as a goal in the management of those patients. It was suggested that suitable lumbar traction can be added as a good modality to heat & exercise therapy in the management of patient with grade I L-spine spondylolisthesis.