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7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation, Annual Assembly of the German and the Austrian Society of Physical Medicine and Rehabilitation

Austrian Society of Physical Medicine and Rehabilitation

26.-29.10.2011, Salzburg, Österreich

Changes of the intervertebral disc under traction therapy with the GammaSwing device

Meeting Abstract

  • author Andrea Klauser - Department of Radiology, Innsbruck Medical University, Innsbruck, Austria
  • author Ralph Faschingbauer - Department of Radiology, Innsbruck Medical University, Innsbruck, Austria
  • author Josef Gasser - Department of Radiology, Innsbruck Medical University, Innsbruck, Austria
  • author Ferdinand Gundolf - Orthopedic specialist, Kufstein, Austria
  • corresponding author presenting/speaker Erich Mur - University Clinic for Internal Medicine, Physical Medicine, Innsbruck, Austria; Institute for Orthopedic Physiotherapy, UMIT, Hall in Tirol, Austria

7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation. Salzburg, 26.-29.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11esm215

DOI: 10.3205/11esm215, URN: urn:nbn:de:0183-11esm2154

Veröffentlicht: 24. Oktober 2011

© 2011 Klauser et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Traction therapy is widely used for the treatment of symptoms caused by low back pain. The therapeutic device “GammaSwing” is a traction system, developed by the Austrian orthopaedist Dr. Ferdinand Gundolf, which allows patients to be pulled up to a free-hanging position using slings which are fixed to the lower legs. During therapy a swinging movement with a frequency of up to 100 oscillations per minute can be applied in any chosen position. The aim of this retrospective study was to determine alterations of the intervertebral discs during a series of traction therapies with the GammaSwing device in patients with vertebral complaints, in particular low back pain, and to correlate them with the clinical course of the disease.

Materials/Methods: MR and CT images taken before and after a treatment series with the GammaSwing device were independently assessed by two experienced radiologists regarding degenerative changes in the intervertebral discs and classified with a scoring system. Thereafter these results were correlated with the clinical routine parameters (numerical pain scale, measure according to Schober and finger-floor distance, patient satisfaction with the treatment, and adverse side effects).

Results: A total of 28 patients (16 males, 12 females; age between 28 and 69; mean value 50.5 years) with vertebral complaints, particularly low back pain, who underwent a therapy series with the GammaSwing device were included in the study. The MR and CT images revealed significant changes (p < 0.01) in the morphology of the intervertebral discs as well as in the affection of the nerve roots. Assessment of the clinical parameters revealed a marked improvement, in particular in pain arising from the vertebral column.

Conclusion: The radiologically determined changes of the intervertebral discs and the nerve roots observed in the course of a dynamic traction treatment with the GammaSwing device suggest that by this treatment not only beneficial clinical effects, but also favourable changes of the vertebral structures can be achieved. On the basis of these results it appears to be meaningful to perform a treatment series with dynamic traction therapy in patients with low back pain.