Evidence map›Paper›PMID 36939359›Full record

SynthesisActa orthopaedica et traumatologica turcica2023

The effects of the addition of mechanical traction to physical therapy on low back pain? A systematic review with meta-analysis.

Carla Vanti, Kevin Saccardo, Alice Panizzolo, Luca Turone, Andrew A Guccione, Paolo Pillastrini

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Acta orthopaedica et traumatologica turcica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06216288 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Effects of Combined Lumbar Traction and Repeated Back Extension Exercise on H-Reflex, Pain, and Disability in Patients With Lumbosacral Radiculopathy

TypeinterventionalSponsorCairo UniversityRan2024 to 2024Enrolled60ConditionsLumbosacral Radiculopathy, McKenzie Derangement SyndromeArmsRepeated back extension exercise (McKenzie), Mechanical traction
NCT06812338 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Different Positions During Traction on Pain, Function, and Range of Motion in Adults with Non-specific Low Back Pain

TypeinterventionalSponsorPrince Sattam Bin Abdulaziz UniversityRan2025 to 2025Enrolled30ConditionsNon-specific Low Back Pain, Lumbar TractionArmsmechanical traction
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Carla VantiDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Kevin SaccardoDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Alice PanizzoloDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Luca TuroneDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Andrew A GuccioneDepartment of Rehabilitation Science, College of Health and Human Services, George Mason University, Fairfax, USA.
Paolo PillastriniDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
University of Bologna · ITGeorge Mason University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) on the comparative effects of different types or parameters of lumbar traction in low back pain (LBP).

methodsCENTRAL, CINAHL, ISI Web of Science, PEDro, PubMed, and Scopus databases were searched from their inception to March 31, 2021. We considered all RCTs comparing different types or parameters of lumbar traction on adults who complained of LBP with or without lumbar radiculopathy (LR). Any restriction regarding publication time or language was applied. Two reviewers independently selected the studies, performed the quality assessment, and extracted the results. Meta-analysis employed a random-effects model.

resultsSixteen studies met the inclusion criteria for qualitative analysis, and five were pooled. Meta-analyses of results from five studies on LBP with LR showed no significant difference between diverse tractions modalities at short-term follow-up. Very low to low-quality evidence supports these results. High-force and low-force traction demonstrated clinically significant improvements in pain.

conclusionThe literature suggests the short-term effectiveness of traction on pain in LBP with LR, regardless of the type or the dosage employed. Different effects of traction other the mechanical ones can be hypothesized. This systematic review may be relevant for clinical practice due to the similar effects of different traction types or dosages. LEVEL OF EVIDENCE: Level I, Therapeutic Study.

Indexed as

Low Back PainRadiculopathyAdultHumansPain MeasurementPhysical Therapy ModalitiesTraction

Identifiers

PMID36939359
PMCPMC10151852
OpenAlexW4327746188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.