俯臥持續式骨盆牽引對於坐骨神經痛治療之研究

Sustained Pelvic Traction with Prone Position in the Treatment of Sciatica

楊百嘉(Baii-Jia Yang) ； 李思慧(Si-Huei Lee) ； 陳耘生(Yun-Sheng Chen)

《台灣復健醫學雜誌》 32卷1期 (2004/03) Pp. 25-31

https://doi.org/10.6315/2004.32(1)04

摘要

躺臥間歇式或持續式骨盆牽引治療坐骨神經痛之方式，是廣為復健科所應用的。但是有些嚴重坐骨神經痛引起背痛的病人，無法接受躺臥式骨盆牽引治療，卻希望以非手術方式治療，乃採用俯臥式骨盆牽引。俯臥持續式骨盆牽引治療以三分之一體重的拉力，每天4次，每次15分鐘之方式，治療嚴重坐骨神經痛的病人。結果顯示，本研究共14位病人,其視覺比對疼痛指數由9.53±0.88分降低至3.64±2.60分；直腿抬高角度由54.2±23.0度提升至82.5±9.3度；行動指數也改善。本研究發現，有些嚴重坐骨神經痛合併背痛的病人，在無法躺臥的情況下，以俯臥式骨盆牽引治療是一種不錯的選擇。此外本研究有2位患者由於牽引效果不佳，乃改以手術治療。由以上俯臥持續式骨盆牽引的結果，可提供坐骨神經痛另一治療方式之選擇。

關鍵字

脊椎牽引 ； 持續式骨盆牽引 ； 坐骨神經痛 ； 椎間盤凸出

並列摘要

Sciatica due to herniated disc or degenerative disc disease is one of the most common problems in modern society. Management of the pain and disability with supine intermittent or sustained pelvic traction has long been used. However, some patients with severe back and referred leg pain cannot tolerate traction in a supine position. In this study, we applied sustained prone position pelvic traction to 14 patients with severe back and referred leg pain who were unable to tolerate supine position traction. Magnetic resonance imaging and electromyography studies revealed positive findings. Sustained prone position pelvic traction was set with one third of the patients’ body weight for 15 minutes per session, 4 times per day. Most patients had a successful outcome. Which included marked reductions in the Visual Analogue Scale, an increased angle of straight leg raising and improvements in mobility. We conclude that prone pelvic traction may be an alternative management strategy for sciatica.

並列關鍵字

spinal traction ； sustained pelvic traction ； sciatica ； disc herniation