Many Peng friends who suffer from long-term low back pain will mention a necessary method of self-exercise: hanging horizontal bar .
So is this widely circulated method really reliable?
What are the precautions when hanging the horizontal bar?
Training treatment of lumbar disc herniation 9
Training treatment of lumbar disc herniation is a common method for conservative treatment of lumbar disc herniation.
The main principle is to use traction force and reaction force to increase the intervertebral space by pulling the lumbar spine vertebral space , forming a negative pressure state in the intervertebral disc, alleviating the compression and stimulation of the nerve roots by nucleus pulposus .
Secondly, lumbar traction can also pull the intervertebral foramen, joint capsule and related ligaments to reduce the stimulation of these structures to neural tissue .
In addition, lumbar traction can also make the lumbar back muscles stretch and relax , alleviating the pain caused by muscle spasm .
There is no clear evidence to support the therapeutic effect of "hanging horizontal bars"
Although "hanging horizontal bars" have similar principles to lumbar traction, the two cannot be completely equated.
First of all, the plan for lumbar traction treatment needs to be formulated by , a physician with professional qualification.
traction position, weight, duration, course and real-time adjustment of the traction plan requires " personalized customization " according to different patients and conditions.
or more aspects cannot be achieved by a simple "suspended horizontal bar" action, so its effect will naturally be greatly reduced.
Take the traction duration as an example. Generally, the duration of a single traction treatment is usually 20 to 30 minutes. It is estimated that few people can hold the horizontal bar for so long!
Even with regular lumbar traction treatment, there are still some uncertain aspects in the treatment effect of lumbar disc herniation.
In 2013, Wegner Inge and other scholars reviewed and analyzed 32 RCTht studies involving 2762 low back pain patients:
results indicate that traction treatment has almost no effect on the pain intensity, functional status, overall improvement and return to work in low back pain patients with .
020, Cheng Yu-Hsuan and other scholars conducted a systematic review and meta-analysis of 7 studies involving 403 patients with lumbar disc herniation :
Conclusion mentioned that lumbar traction can relieve pain in the short term and improve function and , but in long-term observation, it was found that there is no sufficient evidence to support lumbar traction can cause the shrinkage of intervertebral disc herniation.
Therefore, the effect of "hanging horizontal bar" as the "simplified version" of the lumbar traction is even more inaccurate.
Notes on "hanging horizontal bars"
Although it may not necessarily have a definite effect, many patients with low back pain still want to "hang" their lumbar spine when they encounter suitable equipment.
Then when we are hanging a horizontal bar, we must pay attention to the following aspects:
First of all, patients with lumbar disc herniation with detached and free are not suitable for hanging horizontal bar , because traction cannot retract the nucleus pulposus of the distal or free disc, but may increase the risk of nerve damage .
Secondly, patients with lumbar disc herniation mainly include middle-aged and elderly . Middle-aged and elderly people should ensure that someone is accompanied and protected when hanging horizontal bars.
is mainly to prevent the occurrence of unexpected situations such as shoulder joint damage caused by weak upper limb strength, vertebral traction fracture caused by osteoporosis , etc.
Finally, practice hanging horizontal bars should be as much as possible , step by step.
horizontal bar should not be too high. You should slow down when lowering the bar to prevent adverse consequences such as compression fracture of the vertebral body or worsening disc herniation due to physical weakness, accidental fall or sudden down the bar.
reference materials in this article are as follows:
[1] Li Rongji, Qin Xiaojun, Wen Guanghao. Research progress in traction treatment of lumbar disc herniation [J].Volkswagen Technology , 2022, 24(01):111-114+96.
[2] Wegner, I, Widyahening, IS, van Tulder, MW, et al. Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev. 2013; (8): CD003010. doi: 10.1002/14651858.CD003010.pub5.
[3] Cheng, YH, Hsu, CY, Lin, YN. The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. CLIN REHABIL. 2019; 34 (1): 13-22. doi: 10.1177/0269215519872528.
