Mellan 60 och 80 procent av befolkningen i västvärlden kommer någon gång att drabbas av ländryggssmärta. Av sjukpenningkostnaderna står ryggvärk för den enskilt största diagnosen. Målet med denna litteraturstudie var att undersöka om traktion har någon effekt vid utstrålande smärta från ländryggen. Artiklar från de senaste 20 åren söktes i databaserna Medline, Cinahl, Amed, Cochrane, PEDro och PubMed. 19 studier inkluderades i studien.

ABSTRACTBackground: Most cases of lumbar disc herniation are asymptomatic. When symptomatic, LDH may cause a significant physical and mental distress. Initially, most patients are treated conservative but sometimes operations may be required.Aim: The aim of this study was to provide a review of the scientific basis of physiotherapy, including behavioural therapy, as a treatment to lumbar disc herniation regarding pain, function and the size of disc herniation in people suffering from lumbar disc herniation.Method: Four databases were used in the searches of literature. Assessment of the validity of the studies was done with the PEDro-scale and valuation of evidence rate was made according to guidelines made by the Swedish Council on Health Technology Assessment (SBU).Result: Nine RCT-studies were included with a total of 713 participants. The scientific basis is moderate to support a pain reduction and limited regarding improvement of physical function when it comes to physical exercises, including MDT.