الفهرس 
Title : Efficacy Of Side Lying Traction Versus Supin Lying Traction In Treatment Of Lumbar Disc Herniation
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Abstract
Background: Lumbar disc herniation (LDH) is one of the most common medical
problems and causes a significant disability. Lumbar traction was a preferred method
for treating LDH but the evidence of lumbar traction is still controversial.
Purpose: To investigate the effect of side lying lumbar traction and Supine lumbar
traction in treatment of Lumbar disc herniation (LDH).
Design: two Experimental design Pretest – Posttest Randomized controlled trial
Methodology: Forty-seven patients of LDH with unilateral sciatica randomly
assigned into side lying lumbar traction group, supine lying lumbar traction group,
and conventional physical therapy group. Their age ranged from 30-50 years old and
body mass index (BMI) from 22- 32kg/m2.All patients received conventional physical
therapy (hot pack- lumbar strengthening exercise and stretching exercise for back
muscles) 3 sessions per week for 12 weeks. The patients were evaluated by Visual
Analogue Scale (VAS) for (back –leg) pain, Oswestry Disability Index (ODI), H
reflex Latency, L4/L5, L5/S1 herniated disc index. The evaluation was before and
after intervention.
Results: There was statistically significant difference for side lying traction in VAS
(back-leg), ODI score and L5/S1 disc index after 12 weeks of treatment (p > 0.05).
There was statistically significant difference for both traction groups in L4/L5 disc
index. There wasn’t statistically significant among three groups in H reflex latency.
There were statistically significant after treatment in VAS (back-leg), ODI and H
reflex latency, in all groups (p < 0.0001) and in L4/L5, L5/S1disc index for both
traction groups.
Conclusion: Side lying traction was more effective in reducing pain back and leg,
ODI score and L5/S1 disc index than other groups.Adding side lying and supine lying
traction to conventional physical therapy were more effective in reducing low back
pain, sciatica, improving functional activities and regression of herniated disc size.