Cochrane · systematic review · CD003010

Traction for low‐back pain with or without sciatica

Wegner, I, Widyahening, IS, van Tulder, MW, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
20
current version
GRADE rated
8
No studies
12
Included studies
NR
No studies 12 · 60%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 4 · 20%High 4 · 20%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Traction compared with placebo, sham or no treatment for people with low‐back pain with and without sciatica

Population: people with low‐back pain with and without sciatica
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS (0‐100 mm).
Traction vs placebo, sham or no treatment
no estimate extracted1 study · 60 participantsModerate
Functional status Oswestry Disability Index or Roland Morris Disability Questionnaire.
Traction vs placebo, sham or no treatment
no estimate extractedNRNo studies
Global improvement
Traction vs placebo, sham or no treatment
no estimate extracted1 study · 81 participantsModerate
Return to work
Traction vs placebo, sham or no treatment
no estimate extractedNRNo studies
Adverse effects
Traction vs placebo, sham or no treatment
no estimate extractedNRNo studies

Physiotherapy with traction compared with physiotherapy without traction for people with low‐back pain with and without sciatica

Population: people with low‐back pain with and without sciatica
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS (0‐100 mm).
Physiotherapy with traction vs physiotherapy without traction
no estimate extracted1 study · 39 participantsHigh
Functional status Oswestry Disability Index or Roland Morris Disability Questionnaire.
Physiotherapy with traction vs physiotherapy without traction
no estimate extracted2 studies · 69 participantsHigh
Global improvement
Physiotherapy with traction vs physiotherapy without traction
no estimate extracted2 studies · 220 participantsHigh
Return to work
Physiotherapy with traction vs physiotherapy without traction
no estimate extractedNRNo studies
Adverse effects
Physiotherapy with traction vs physiotherapy without traction
no estimate extractedNRNo studies

Traction compared with another type of traction for people with low‐back pain with and without sciatica

Population: people with low‐back pain with and without sciatica
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS (0‐100 mm).
Traction vs another type of traction
no estimate extractedNRNo studies
Functional status Oswestry Disability Index or Roland Morris Disability Questionnaire.
Traction vs another type of traction
no estimate extractedNRNo studies
Global improvement
Traction vs another type of traction
no estimate extractedNRNo studies
Return to work
Traction vs another type of traction
no estimate extractedNRNo studies
Adverse effects
Traction vs another type of traction
no estimate extractedNRNo studies

Traction compared with any other treatment for people with low‐back pain with and without sciatica

Population: people with low‐back pain with and without sciatica
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS (0‐100 mm).
Traction vs any other treatment
no estimate extracted3 studies · 304 participantsModerate
Functional status Oswestry Disability Index or Roland Morris Disability Questionnaire.
Traction vs any other treatment
no estimate extracted3 studies · 350 participantsModerate
Global improvement
Traction vs any other treatment
no estimate extracted1 study · 42 participantsHigh
Return to work
Traction vs any other treatment
no estimate extractedNRNo studies
Adverse effects
Traction vs any other treatment
no estimate extractedNRNo studies