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Le podcast décrit la décompression neurovertébrale, un traitement non invasif pour les maux de dos chroniques, les hernies discales et autres problèmes de colonne vertébrale. La […]

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Introduction

La décompression neurovertébrale, une approche thérapeutique non invasive pour le traitement des douleurs dorsales et des troubles discaux, a suscité un intérêt croissant dans la communauté médicale. Cette page est dédiée à présenter une série d’études cliniques et de recherches scientifiques qui évaluent l’efficacité et la sécurité de cette méthode. L’objectif est de fournir aux patients, aux professionnels de santé et aux chercheurs une vue d’ensemble des résultats obtenus à travers diverses études, offrant ainsi une base solide pour comprendre l’impact et l’importance de la décompression neurovertébrale dans le traitement des affections de la colonne vertébrale. En explorant ces études, nous souhaitons éclairer les mécanismes par lesquels cette thérapie agit et souligner son potentiel en tant qu’option de traitement viable pour ceux qui souffrent de douleurs chroniques et de problèmes discaux.

 

BMC Musculoskelet Disord. 2010 Jul 8. 1471-2474-11-155.

Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study. Apfel CC, Cakmakkaya OS, Martin W, Richmond C, Macario A, George E, Schaefer M, Pergolizzi JV.

OUTCOME: Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height. The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height. A randomized controlled trial is needed to confirm these promising results. 

Cette étude a montré que la décompression spinale non chirurgicale était associée à une réduction de la douleur et à une augmentation de la hauteur du disque. Elle suggère que la réduction de la douleur pourrait être médiée, au moins en partie, par une restauration de la hauteur du disque.

Archives of Physical Medicine (Vol. 89, Issue 2, Pages 269-274, February 2008)

Outcomes after a Prone Lumbar Traction Protocol for Patients with Activity limiting Low Back Pain: A prospective Case Series Study, Archives of Physical Medicine. Paul Beattie, PhD, PT , OCS, Roger M. Nelson, PhD, PT Lori A. Michner, PhD,PT,ATC, SCS, Joseph Cammarata, DC , Jonathan Donley, DPT

OUTCOME: On the 180-day follow up, patients reported significantly improved pain after 16-24 daily VAX-D treatment sessions.

Les patients ont signalé une amélioration significative de la douleur après 16 à 24 séances de traitement VAX-D.

 

Journal of Medicine. September 2008

Prospective Evaluation of the Efficacy of Spinal Decompression via the DRX9000 for Chronic Low Back Pain. John B. Leslie, MD, MBA; Joseph V. Pergolizzi, MD; Alex Macario, MD, MBA; Christian C. Apfel, MD, PhD; Darren Clair, MD; Charlotte Richmond, PhD; Frank Florio, DC; Martin Auster, MD, MBA

OUTCOME: Of the patients completing the full 6-week course of spinal decompression, 16 of 18 reported improvement in pain. Patients also reported having better daily activity function as measured by the Oswestry Disability Index.

Sur les patients ayant terminé le cours complet de 6 semaines de décompression spinale, 16 sur 18 ont signalé une amélioration de la douleur.

 

American Society of Anesthesiologists. October 2006

Motorized Spinal Decompression for Chronic Discogcnic Low Back Pain: Chart review of 100 patients. Alex Macario, MD, MBA; Sunil J. Panchal, MD; Charlotte Richmond, PhD; Joseph V. Pergolizzi, Jr., MD

OUTCOME: Patients reported a mean 90% improvement in back pain and better function as measured by activities of daily living. On a 0 to 10 scale (O=Not satisfied 10=Very satisfied)

Les patients ont rapporté une amélioration moyenne de 90% de la douleur du dos.

 

Journal of Orthopedic & Sports Physical Therapy (Vol. 35.No. 1 January 2005)

Short and Long-term Outcomes following Treatment with the VAX-D Protocol for Patients with Chronic, Activity- Limiting Low Back Pain P.F. Beattie, PT,PhD, OCS; R. Nelson MS, PhD; L. Michener, PT, PhD; J. Cammaratta, BS, DC; J. Donelly.

OUTCOME: Significant improvements were reported in a sample of 118 patients with unfavorable prognosis due to chronic low back pain.

Des améliorations significatives ont été signalées chez 118 patients souffrant de douleurs lombaires chroniques.

 

Journal of Neurological Research (Vol. 26, April 2004)

Efficacy of Vertebral Axial Decompression on Chronic Low Back Pain: Study of Dosage Regimen. Dr. Gustava Ramos, MD.

OUTCOME: This 142 patient study showed 76% achieved remission of pain with 18 treatment sessions, versus 43% remission with 9 treatments. Except in emergent conditions, VAX-D should be utilized before surgery is undertaken. Success correlates with number of sessions administered.

Cette étude de 142 patients a montré que 76% ont atteint une rémission de la douleur avec 18 séances de traitement.

 

Orthopedic Technology Review. 2003; 6 (5)

Spinal Decompression. By Thomas A. Gionis, MD, JD, MBA, MHA, FICS, FRCS, and Eric Groteke, DC, CCIC

OUTCOME: Results showed that 86% of the 219 patients who completed the therapy reported immediate resolution of symptoms, while 84% remained pain-free 90 days post-treatment. Physical examination findings showed improvement in 92% of the 219 patients, and remained intact in 89% of these patients 90 days after treatment.

86% des 219 patients ayant terminé la thérapie ont signalé une résolution immédiate des symptômes.

 

Anesthesiology News, (Vol. 29, No. 3 March 2003)

VAX-D reduces Chronic Discogenic Low Back Pain. Robert H. Odell, M.D., PhD., Daniel Boudreau, D.O.

OUTCOME: Four years after VAX-D, Patients show a sustained 86% reduction in pain; 91% of patients resumed their normal activities.

Quatre ans après le VAX-D, les patients montrent une réduction soutenue de 86% de la douleur.

 

Journal of Neurological Research (Vol. 23, No. 7 October 2001)

Dermatomal Somatosensory Evoked Potential Demonstration of Nerve Root Decompression after VAX-D Therapy. William Naguszewski, MD; Earl Gose, PhD.

OUTCOME: Of the study group, 77% reported pain reduction with successful decompression of the nerve roots at multiple Levels.

77% du groupe d’étude ont signalé une réduction de la douleur avec une décompression réussie des racines nerveuses.

 

Neurological Research Journal (Vol. 23, p. 780-784, October 2001)

A prospective randomized Controlled Study of VAX-D and TENS for the treatment of Chronic Low Back Pain. Eugene Sherry, MD, FRACS; Peter Kitchener, MD, FRANZCR; Russell Smart, MB, ChB

OUTCOME: VAX-D Treatment obtained a statistically significant reduction in pain and improvement in functional outcome in patients with disc-related chronic low back pain. TENS treatment recorded 0% improvement, while VAX-D treatment yielded a success rate of 68.4%.

Le traitement VAX-D a obtenu une réduction statistiquement significative de la douleur et une amélioration des résultats fonctionnels chez les patients souffrant de lombalgie chronique liée au disque. Le traitement TENS a enregistré une amélioration de 0 %, tandis que le traitement VAX-D a donné un taux de réussite de 68,4 %.

 

Canadian Journal of Clinical Medicine (Vol. 6, No. 1 January 1999)

An Overview of Vertebral Axial Decompression. Frank Tilaro, M.D.

OUTCOME: Average pain reduction in patients after VAX-D treatment was 77%.

La réduction moyenne de la douleur chez les patients après le traitement VAX-D était de 77%.

 

Canadian Journal of Clinical Medicine (Vol. 5, No. 1, January 1998)

The Effects of VAX-D on Sensory Nerve Dysfunction in patients with Low Back pain and Radiculopathy. Frank Tilaro, MD: Dennis Miscovich, MD.

OUTCOME: VAX-D is significantly capable of influencing sensory nerve Dysfunction associated with compressive radiculopathy. Complete remission was achieved by 64% of the study group.

VAX-D est significativement capable d’influencer le dysfonctionnement du nerf sensoriel associé à la radiculopathie compressive. Une rémission complète a été obtenue par 64 % du groupe d’étude.

 

Journal Of Neuroimaging. April 1998, volume 8 / number 2

MRI Evidence of Non-Surgical Mechanical Reduction, Rehydration, and Repair of the Herniated Lumbar Disc.

OUTCOME: Serial MRI of 20 patients treated with the decompression table shows in our study up to 90% reduction of subligamentous nucleus herniation in 10 of 14. Some re-hydration occurs detected by T2 and proton density signal increase. Torn annulus repair is seen in all.

L’IRM en série de 20 patients traités avec la table de décompression montre dans notre étude jusqu’à 90 % de réduction de la hernie du noyau sous-ligamentaire chez 10 sur 14. Une certaine réhydratation est détectée par T2 et l’augmentation du signal de densité de protons. La réparation de l’anneau déchiré est visible dans tous.

 

Journal of Neurological research (Vol. 20, No. 3 April 1998)

Vertebral Axial Decompression Therapy of pain associated with Herniated or Degenerative Discs or Facet Syndrome: An outcome Study. Earl Gose, PhD; William Naguszewski, MD.

OUTCOME: in 778 cases, VAX-D achieved a success rate of 71%. The authors consider VAX_D to be a primary modality for low back pain for lumbar herniations, degenerative discs, facet arthropathy, and decreased spinal mobility.

Dans 778 cas, VAX-D a atteint un taux de réussite de 71 %. Les auteurs considèrent VAX_D comme une modalité principale pour les lombalgies liées aux hernies lombaires, aux disques dégénératifs, à l’arthropathie facettaire et à la diminution de la mobilité vertébrale.

 

American Journal of Pain Management Vol. 7 No. 2 April 1997

Decompression, Reduction, and Stabilization of the Lumbar Spine: A Cost-Effective Treatment for Lumbosacral Pain. C. Norman Shealy, MD, PhD, and Vera Borgmeyer, RN, MA.

OUTCOME: Eighty-six percent of ruptured intervertebral disc (RID) patients achieved ‘good’ (50-89% improvement) to ‘excellent’ (90-100% improvement) results with decompression. Sciatica and back pain were relieved. Of the facet arthrosis patients, 75% obtained ‘good’ to ‘excellent’ results with decompression.

Quatre-vingt-six pour cent des patients ayant subi une rupture de disque intervertébral (RID) ont obtenu des résultats « bons » (amélioration de 50 à 89 %) à « excellents » (amélioration de 90 à 100 %) avec la décompression. La sciatique et les maux de dos ont été soulagés. Parmi les patients atteints d’arthrose facettaire, 75 % ont obtenu des résultats « bons » à « excellents » avec décompression.

 

Journal of Neurosurgery (Vol. 81: No. 3, 1994)

Effects of Vertebral Axial Decompression on Intradiscal Pressure. Gustavo Ramos, MD; William Martin, MD.

OUTCOME: VAX-D creates a negative pressure force as low as –160 mmHg.

VAX-D crée une force de pression négative aussi faible que –160 mmHg.

 

Quelques études plus récentes (2015 à 2023)

1. Camacho E, Aquaroli R, Marchi L, Oliveira L, Amaral R. Conservative Treatment of Pain and Disability due to Spinal Degenerative Changes using Controlled Biofeedback Decompression Mechanical Axial Traction. J Spine. 2015;4(252):2. https://personalinjurydoctorgroup.com/wp-content/uploads/2022/04/SpineMed.pdf 
Outcome: This non-invasive treatment significantly improved clinical outcomes in patients with cervical or lumbar axial pain and radiculopathy, indicating its effectiveness and safety as an alternative therapy.
Ce traitement non invasif a amélioré de manière significative les résultats cliniques chez les patients souffrant de douleurs axiales cervicales ou lombaires et de radiculopathie, indiquant son efficacité et sa sécurité en tant que thérapie alternative.
 
2. Arumugam N, Midha D. Efficacy of Spinal Decompression Therapy in Individuals with Lumbar Disc Herniation-A Randomized Controlled Trial. Published online 2022. Accessed November 13, 2023. https://files.btlnet.com/corp/documents/04e9bbab-2050-4302-b63d-b7df86ac18e1/Physicalmedicine-22-131_1679994148_original.pdf
Outcome: The study demonstrated that spinal decompression therapy, combined with conventional therapy and lumbar stability exercises, significantly improved disability and pain scores in patients with lumbar disc herniation, with the experimental group showing approximately 15% better outcomes in disability and pain reduction compared to the control group.
L’étude a démontré que la thérapie de décompression vertébrale, combinée à une thérapie conventionnelle et à des exercices de stabilité lombaire, améliorait considérablement les scores d’invalidité et de douleur chez les patients présentant une hernie discale lombaire, le groupe expérimental montrant environ 15 % de meilleurs résultats en matière d’invalidité et de réduction de la douleur par rapport au groupe témoin. 
 
3. Carmona YC, Martin AT. Impact of Spinal Decompression Therapy on Disability, Pain and Mental Health in Patients with Lumbar Disc Herniation. Spine Res. 2023;9(1):001. http://files.btlnet.com/corp/documents/abbf364d-bace-4c89-85dc-7e4a76c64a76/impact-of-spinal-decompression-therapy-on-disability-pain-and-mental-health-in-patients-with-lumbar-disc-herniation_1689251742_original.pdf
Outcome: Non-invasive spinal decompression therapy significantly improved pain, disability, and mental health in patients with lumbar disc herniation, with notable improvements in depression severity, pain perception, and disability after six treatment sessions.
La thérapie non invasive de décompression vertébrale a amélioré de manière significative la douleur, le handicap et la santé mentale des patients présentant une hernie discale lombaire, avec des améliorations notables de la gravité de la dépression, de la perception de la douleur et du handicap après six séances de traitement.
 
4. Fidelis OP. Modified orthopedic traction system for cervical and lower limb rehabilitation. Journal of Back and Musculoskeletal Rehabilitation. 2022;35(5):1161-1167. https://content.iospress.com/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr210302
Outcome: This study presents the development and testing of a functional, easy-to-install two-way orthopedic traction system for both hospital and home use, designed to accommodate cervical and lower limb rehabilitation, potentially reducing medical costs and providing emotional and psychological benefits of home care.
Cette étude présente le développement et les tests d’un système de traction orthopédique bidirectionnel fonctionnel et facile à installer pour un usage hospitalier et domestique, conçu pour s’adapter à la réadaptation cervicale et des membres inférieurs, réduisant potentiellement les coûts médicaux et offrant des avantages émotionnels et psychologiques à domicile. 
 
5. Soual N, Gaudy S. Non Surgical Disc Decompression & Clinical Efficacy. MOJ Orthop Rheumatol. 2017;8(1):00299. https://www.spinemed.com/wp-content/uploads/2021/01/MOJOR-08-00299-SpineMED.pdf
Outcome: This study demonstrates a significant improvement in pain reduction and patient satisfaction, with most patients experiencing a notable decrease in pain levels and a high rate of satisfaction post-treatment.
Cette étude démontre une amélioration significative de la réduction de la douleur et de la satisfaction des patients, la plupart des patients connaissant une diminution notable des niveaux de douleur et un taux de satisfaction élevé après le traitement.
 
6. Junior AEA, Carbinatto FM, Rodrigues TZ, Garcia V, Canelada ACN. Outcomes of Non-Surgical Spinal Decompression Therapy in Patients with a Herniated Disc Across Different Age Groups. J Nov Physiother. 2023;13(565):2. https://www2.ifsc.usp.br/portal-ifsc/wp-content/uploads/2023/03/SEM-FIBROMIALGIA-42-MESES.pdf
Outcome: The results point to a reduction of over 90% for the improvement of the evaluated conditions of pain, quality of life, sleep, anxiety and depression.
Les résultats indiquent une réduction de plus de 90% pour l’amélioration des conditions évaluées de douleur, de qualité de vie, de sommeil, d’anxiété et de dépression.
 
7. Jingtai S, Ximin H, Xiunan L, Xing P, Gaoying J. Short-term Effect of SpineMED Decompression System for Lumbar Disc Herniation. Accessed November 13, 2023. https://sciatica.clinic/wp-content/uploads/2022/04/SpineMed-2.pdf
Outcome: Spinal Decompression therapy is a safe, non-invasive, and effective treatment for lumbar disc herniation, showing significant pain reduction and improved function in patients, with a high rate of excellent and good outcomes and no observed complications.
La thérapie de décompression vertébrale est un traitement sûr, non invasif et efficace pour la hernie discale lombaire, montrant une réduction significative de la douleur et une amélioration de la fonction chez les patients, avec un taux élevé d’excellents et de bons résultats et aucune complication observée.
 
 
8. Grant WD, Saxton CE. Spinal Decompression: Measurement of Treatment Outcomes. Accessed November 13, 2023. https://www.spinemed.com/wp-content/uploads/2021/01/SpineMED-Outcome-Study.pdf
Outcome: Spinal decompression using a computerized decompression table significantly improved pain, activities of daily living, and functional status in patients with lumbar and cervical spine pain, regardless of post-surgical status or disc herniation/degeneration presence.
La décompression vertébrale à l’aide d’une table de décompression informatisée a amélioré de manière significative la douleur, les activités de la vie quotidienne et l’état fonctionnel chez les patients souffrant de douleurs lombaires et cervicales, quel que soit l’état post-chirurgical ou la hernie discale.
 
9. 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. 2020;34(1):13-22. doi:10.1177/0269215519872528
Outcome: This study concludes that mechanical traction is effective in alleviating low back pain in patients with herniated intervertebral disks, as evidenced by a systematic review and meta-analysis of relevant clinical data.
Cette étude conclut que la traction mécanique est efficace pour soulager les lombalgies chez les patients présentant une hernie discale intervertébrale, comme en témoigne une revue systématique et une méta-analyse des données cliniques pertinentes.
 
10. Wang Y, Dai G, Jiang L, Liao S. The incidence of regression after the non-surgical treatment of symptomatic lumbar disc herniation: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2020;21(1):530. doi:10.1186/s12891-020-03548-z
Outcome: The study concluded that non-surgical treatment of symptomatic lumbar disc herniation has a significant incidence of regression, suggesting it can be an effective alternative to surgery for some patients.

L’étude a conclu que le traitement non chirurgical de la hernie discale lombaire symptomatique présente une incidence significative de régression, ce qui suggère qu’il peut constituer une alternative efficace à la chirurgie pour certains patients.
 

 

Conclusion

Les études présentées sur cette page mettent en lumière l’efficacité significative de la décompression neurovertébrale dans le traitement de diverses conditions de la colonne vertébrale, notamment les douleurs lombaires chroniques et les troubles discaux. Ces recherches, menées par des experts dans des institutions médicales de renom, offrent une perspective encourageante sur les bénéfices de cette méthode thérapeutique. Elles soulignent non seulement la réduction de la douleur ressentie par les patients, mais aussi l’amélioration de leur qualité de vie. Ces résultats renforcent la position de la décompression neurovertébrale comme une option de traitement précieuse et méritent une attention continue de la part de la communauté médicale. En conclusion, cette compilation d’études est une ressource inestimable pour ceux qui cherchent à comprendre en profondeur les avantages et l’efficacité de la décompression neurovertébrale.

 

Découvrez des Solutions Avancées pour Votre Bien-être : Si vous cherchez à approfondir votre compréhension et à explorer des options de traitement innovantes pour les troubles liés aux hernies discales, nous vous invitons chaleureusement à visiter nos sites spécialisés : Décompression Neurovertébrale et Clinique TAGMED. Ces plateformes vous offrent une mine d’informations détaillées et des approches thérapeutiques personnalisées, conçues pour répondre spécifiquement à vos besoins. N’attendez plus pour prendre en main votre santé et découvrir des solutions adaptées à votre situation unique.

 

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FAQ

Décompression neurovertébrale

  • Quels sont les bienfaits immédiats après une séance de décompression?

    Un soulagement rapide de la douleur et une sensation de relâchement dans la zone affectée sont souvent ressentis.

  • Quels sont les résultats attendus après une séance de décompression?

    Les patients ressentent souvent une diminution immédiate de la douleur et une amélioration progressive de leur mobilité.

  • La décompression neurovertébrale est-elle douloureuse?

    Non, la plupart des patients trouvent le traitement confortable et relaxant.

  • Comment la décompression favorise-t-elle la guérison des disques?

    Elle améliore la circulation et permet aux disques de se réhydrater et de se régénérer.

  • Quels sont les avantages immédiats de la décompression neurovertébrale?

    Les patients ressentent souvent une réduction de la douleur et une amélioration immédiate de leur confort physique.

  • Quels sont les facteurs influençant le succès du traitement par décompression?

    La gravité de la condition, l’adhésion au protocole, et l’état de santé global du patient influencent le succès.

  • Quels sont les avantages de la décompression pour les personnes sédentaires?

    Elle corrige les déséquilibres liés à une position assise prolongée et améliore la posture.

  • La décompression neurovertébrale est-elle adaptée aux personnes âgées?

    Oui, elle est douce et efficace pour traiter les douleurs dorsales et cervicales chez les personnes âgées.

  • Quels sont les résultats attendus pour les personnes souffrant de bombements discaux?

    La décompression aide à rétracter les disques bombés, réduisant la pression et soulageant la douleur.

  • Quels examens sont nécessaires avant de commencer la décompression neurovertébrale?

    Une IRM ou une radiographie est généralement recommandée pour évaluer l’état de la colonne vertébrale.

  • Quels sont les bienfaits de la décompression pour les personnes âgées?

    Elle soulage les douleurs chroniques, améliore la mobilité, et prévient les complications liées à l’usure des disques.

  • La décompression neurovertébrale peut-elle prévenir les récidives de douleurs dorsales?

    Oui, en réduisant la pression sur les disques et les nerfs, elle aide à prévenir les récidives.

  • La décompression neurovertébrale est-elle adaptée pour les sportifs?

    Oui, elle aide à soulager les blessures sportives liées aux disques et à accélérer la récupération.

  • Quels sont les bienfaits de la décompression pour les douleurs cervicales?

    Elle soulage les tensions dans la région cervicale, réduisant les douleurs et améliorant la mobilité.

  • La décompression peut-elle aider les personnes souffrant de sténose spinale?

    Oui, elle aide à réduire la compression nerveuse causée par la sténose spinale, soulageant les douleurs et améliorant la mobilité.

  • Quels types de douleurs peuvent être soulagées par la décompression neurovertébrale?

    Elle soulage les douleurs liées aux hernies discales, aux sciatiques, aux bombements discaux, et aux compressions nerveuses.

  • Comment fonctionne la décompression neurovertébrale?

    Elle utilise une traction douce et contrôlée pour créer une pression négative dans les disques, permettant leur réhydratation et leur repositionnement.

  • Quels sont les bienfaits de la décompression neurovertébrale?

    Les bienfaits incluent une réduction de la douleur, une amélioration de la mobilité, et une diminution de l’inflammation des disques et des nerfs.

  • La décompression neurovertébrale peut-elle être utilisée après une chirurgie de la colonne?

    Oui, elle peut être utilisée pour améliorer les résultats post-chirurgicaux sous supervision médicale.

  • Quels types de patients peuvent bénéficier de la décompression neurovertébrale?

    Les patients souffrant de douleurs chroniques, de hernies discales, de sciatiques, ou de sténose spinale peuvent bénéficier de ce traitement.

Références

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