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Wegner et al (2013)
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Traction for low-back pain with or without sciatica
Slide2Traction for low-back pain with or without sciatica Wegner et al (2013)
Overview of the studyObjectives To assess the effects of traction compared to placebo, sham traction, reference treatments and no treatment in people with LBPMethods
Evidence current up to 24 August 2012 Participants: Adults (18 and older) treated
for LBP; in the acute, subacute or
chronic phases, with or without sciatica
Interventions: Any type of traction
Outcomes:
Primary outcomes: Pain intensity, back-pain-specific functional status,
global measure of improvement, return-to-work
Secondary outcomes: not specified
Slide332 trials (2762 participants)
Results & ConclusionsInterventions
Evidence
Quality
of evidence
Traction
Not effective for patients with acute, sub-acute or chronic pain with sciatica at short-term
Low to
Moderate
Little or no difference in effect compared to sham treatment for patients with chronic LBP without sciatica
at short-termModerateLittle or no difference in effect compared to placebo or other treatments for patients with mixed symptom patterns (acute, subacute, chronic LBP with/without sciatica) at both short and long-termLow to ModerateTraction & physiotherapyCompared to physiotherapy alone, no better results for pain, functional status or global improvement at short-termLow to Moderate
Traction for low-back pain with or without sciatica Wegner et al (2013)
Adverse events: Seven studies reported events, such as increased pain, aggravation of symptoms and anxiety during treatment
These
trials do not provide evidence that traction (either alone or in combination with other treatments) has a moderate or large effect on patients with LBP, with or without sciatica