Evidence map›Paper›PMID 42113278›Full record

Trial reportInternational orthopaedics2026

Evaluation of a multifunctional traction device for lumbar disc herniation: a prospective randomized controlled study using magnetic resonance imaging and clinical assessment.

Puxin Yang, Yonglong Li, Xin Xing, Yanjiang Yang, Dongzheng Li, Xiaodong Cheng, Zhongzheng Wang, Yuchuan Wang, Wei Chen, Qi Zhang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Puxin YangThird Hospital of Hebei Medical University, Shijiazhuang, China.
Yonglong LiThird Hospital of Hebei Medical University, Shijiazhuang, China.
Xin XingThird Hospital of Hebei Medical University, Shijiazhuang, China.
Yanjiang YangThird Hospital of Hebei Medical University, Shijiazhuang, China.
Dongzheng LiThird Hospital of Hebei Medical University, Shijiazhuang, China.
Xiaodong ChengThird Hospital of Hebei Medical University, Shijiazhuang, China.
Zhongzheng WangThird Hospital of Hebei Medical University, Shijiazhuang, China.
Yuchuan WangThird Hospital of Hebei Medical University, Shijiazhuang, China.
Wei ChenThird Hospital of Hebei Medical University, Shijiazhuang, China. surgeonchenwei@126.com.
Qi ZhangThird Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional traction therapy for LDH is widely used but has inconsistent efficacy in relieving pain and restoring motor function. Therefore, we designed and evaluated MTD that combines traction and rotation.

methodsA prospective randomized controlled trial with a follow-up period from January 2022 to July 2024.Patients with LDH were randomly allocated to receive either treatment with a multifunctional traction device combining traction and twisting (MTD group), or conventional lumbar traction therapy (Control group). A total of 47 patients (MTD, n = 23; Control, n = 24) completed the study and were included in the final analysis. The major outcome was assessing changes from baseline to post-treatment in Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, Japanese Orthopaedic Association (JOA) scores and magnetic resonance imaging (MRI) evaluations.

resultsA total of 47 patients were included, with 23 in the MTD group and 24 in the control group. There were no specific differences between the two groups in terms of gender, age, height, weight, BMI, ODI, JOA or VAS scores at baseline date. Generalized estimating equation (GEE) analysis showed that ODI and VAS scores in the MTD group were lower compared to baseline (P < 0.05). MRI evaluation showed no notable differences between the groups in terms of Pfirrmann grading and disc protrusion severity (P > 0.05).

conclusionsThe MTD treatment is more effective in reducing low back pain and enhancing daily function than conventional treatment in patients with LDH.

trial registrationThis study has been registered in the Chinese Clinical Trial Registry (ChiCTR2100053940, https://www.chictr.org.cn ).

Indexed as

Intervertebral Disc DisplacementLumbar VertebraeTractionAdultDisability EvaluationFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPain MeasurementProspective StudiesTreatment OutcomeJapanese orthopaedic association scoreLow back painLumbar disc herniationMRI evaluationOswestry disability indexTraction therapyVisual analogue scale

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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.