Department of Rehabilitation & physiotherapy, 260 Hospital the Chinese People's Liberation Army

[Leaderette] In 1994, Chinese People's Liberation Army 206 Hospital used the traditional traction bed to do a continually traction examination on some lumbar disc disease patients and made a great breakthrough. Its curative ratio is 1.11times higher than the traditional intermittent traction. But because of the limitation of medical device, environment and tuitions this kind of advanced continually traction treatment was taken the grand at the end. At the same time the cure standard theory, nucleus pulposus theory was still not put into practice. The reason of all these facts are because of they are all using the traditional traction bed which could not be taken to home not to say to be put on. Because of the limitation of traditional traction bed, it is very hard to complete the continually traction, there is nobody want to stay in bed for 24hours a day. It is no doubt that the herniated nucleus pulposus will be oppressed out again and again even through several long time traction. This text shows it is not enough to hold the theory and therapy only but to put the theory and therapy into practice. YOCBO's invention and value is based on this examination. It makes the patient wear the “traction bed” on lower back, changes the limitation of movement when doing traditional traction. The patient needn't lie down to do the supporting step which is very important for the cure of lumbar disc disease. YOCBO improves the traction effect into a breakthrough area. This is a treatment which could restore the normal lumbar disc function.

Research on Curative Effects of YOCOB

Traction in lower back is a kind of conservative efficient method for cure prolapse of lumbar intervertebral disc, and this treatment has been used broadly. In order to improve efficiency and deduct the treatment period, from the year 1995 to 1998, we took advantage of continually traction therapy of YOCBO in cure 30 cases of prolapse of lumbar intervertebral disc. We've got a better result, and reported as below.

Material & Methods

30 cases were observed, 12 males, 18 females, 26 to 65 years old with the average age 42.8. 10days-30years case history. 21 X ray and CT scan cases; 9 only X ray scan cases. 25 cases one side symptom; 5 cases two sides symptom. 3 cases herniated between L3-4; 21cases between L4-5; 6 cases between L5-S1. Patient lies down and uses YOCBO to do continually traction. Pay attendance to patient's body weight, health condition and age, the traction force is always 40%-50% of body weight, 40mins once, and five times per day. Do supporting localization after getting up. 20 days later we will see the result. There are 25 cases company with the magnetic and far-infrared treatment.

Compared case group. 15 males, 15 females. 22-65 years old with average age 42.9. 3days-30years history. 19 X ray and CT scan cases, 11 only X ray scan cases. 23 cases on side symptom; 7 cases two side symptom. 2 cases herniated between L3-4; 22cases between L4-5; 4 cases between L5-S1. Patient lies down and uses YOCBO to do continually traction. The traction force is always 40%-50% of body weight, 20mins once, and once per day, twelve times will be one treatment period. We will see the curative effect after two treatment period.

Standard of Curative Effect

Healed: Lumbar and crus hurts and numb are disappeared; no hurts when coughing; natural in backbone moving and normal in physical examination, the patient could go back to work.

Most effective: The hurts of lumbar and crus are more alleviated; legs pain is disappeared; basically normal in backbon and physical examination.

Effective: The hurts of lumbar and crus are alleviated; progressional in other body characteristic and physical examination.

None effective: There is none change in symptom or body characteristics after using YOCBO.

Result & Discussing

Result: The healed rate in the observed cases is 93.3%; the total effective rate is 96.7%; healing rate in compared cases is 26.7%; total effective rate is 93.3%. Statistically, it is X2=5.55, P<0.05 with the rate comparison between the two groups. This remarkable discrepancy shows that continually traction is much more effective than traditional traction. (To the subsidiary Chart)

Subsidiary Chart The Curative Effects of Two Kinds of Tractions. (Cases)

Group Healing Most Effective Effective None Effective

Observing Group (YOCBO) 22 5 3 0

Compared Group (traditional traction) 8 14 6 2

Discussions: Prolapse of lumbar intervertebral disc is caused of the nucleus pulposus oppresses the nerve root and venous plexus in the vertebral canal. So that there will come vein gores to prevent the circumfluence, then it will deteriorate anoxic symptom around never root in which way the lactic acid and pH indicator would get thicker and thicker. Through the acidic metabolized substances and inflammation and pain causing substances, the symptom would be deteriorated. Traction could widen the inter space between vertebras, so that to expand the intervertebral foramen and produce negative pressure which attracts unclues pulposus back and relieve the pressure on the nerve root. The negative pressure between the inter spaces could deduct the pressure inside, so that to meliorate the partial microcirculation and eliminate the stimulation caused by inflammation and pain causing substances. The research indicates that only if the patient's lumbar disc distance could be widened and got negative pressure, his nucleus pulposus will easily replace to obtain the curative effect. We think that the key point of widen inter space between vertebras is to reduce the anti force aroused by muscle spam around lower back and abdomen. The traditional traction could not relieve the muscle spam as for short of traction time and easily make the replaced nucleus pulposus herniated again on the nerve root and other soft tissues when stop doing traction. So, in short time traction treatment, the clinical manifestation of lumbar disc disease symptom will be deteriorated. Taking the traction treatment which using long cure process but with little traction force could reduce the muscle anti force and mostly widen the vertebra distance. The mostly widened vertebral distance could bring biggest negative pressure and replace the herniated nucleus pulposus. To avoid the second herniated of nucleus pulposus and symptom's deterioration after taking traction, supporting localization should be used continually. Supporting localization could give damaged annulus fibrosus enough time and condition to restore that keep the curative effect. Company with magnetic and far-infrared treatment, it will dredge bones and muscles, accelerate partial blood circulation, and increasing metabolize inflammation-causing substances to get a better curative effect and reduce the curative time. YOCBO is very easy to use, so it needn't to use the big size traction device, avoid the side toxic effect of medicine. YOCBO is worth to be recommended and used.

Professors suggestion: YOCBO obtains the real pathogeny, uses continually traction and supporting localization to cure lumbar disc disease. This kind of treatment is worthy to recommend to be used broadly to observe its curative effect.