Article Text

Download PDFPDF

  1. Tamas Gati1,
  2. Agota Kulisch2,
  3. Éva Czímer3,
  4. Györgyi Cserháti4,
  5. Judit Fehér5,
  6. Mihály Oláh5,
  7. Zsuzsanna Mándó2,
  8. Tamas Bender1
  1. 1Polyclinic of The Hospitaller Brothers of St John of God, Budapest, Hungary
  2. 2St. Andrew Hospital for Rheumatic Diseases, Hévíz, Hungary
  3. 3Sóstógyógyfürdő, Nyíregyháza, Hungary
  4. 4Kenézy Gyula Hospital and Clinic (Debrecen), Debrecen, Hungary
  5. 5Hungarospa Hajdúszoboszló Private Limited Company, Hajdúszoboszló, Hungary


Background: Chronic low back pain established for more than 3 months is one of the most common problems in the world. The prevalence could reach the 33%.

Objectives: To investigate the effects of underwater traction therapy on chronic low back pain.

The primary objective was to prove the hypothesis that underwater traction therapy has favourable effect of LBP using the change in the clinical parameters. Our secondary objective was to evaluate whether it also leads to the improvement in the quality of life.

Methods: A prospective, multicenter, comparative (intervention arm vs. control arm), randomized follow-up study.

Participants aged between 18 and 85 years with more than 3 months low back pain and selected from outpatient clinics.

The participants were randomized to three groups: underwater weight bath traction therapy, weight bath and non-steroidal anti-inflammatory drugs (NSAIDs) medication and only non-steroidal anti-inflammatory drugs (NSAIDs) medication.

During the traction therapy ankle weights were used.

The following parameters were measured before, right after, and nine weeks after the three-week therapy: level of low back pain in rest, level during activity tested using the Visual Analog Scale (VAS); specific questionnaire on back pain (Oswerty); questionnaire on quality of life (EuroQual-5D) and clinical parameters.

Results: 141 participants aged 57.67 (±13.04) years. All of the investigated parameters improved significantly (p<0.001) in the underwater weight bath traction therapy groups by the end of the treatment compared to the base period, and this improvement was persistent during the follow-up period. There were no significant changes in the measured parameters in the control group except for the Oswestry Disability Index, which may also be the result of that group receiving pain-relieving drug therapy.

Conclusion: Based on our results, underwater weight bath traction therapy, might have favourable impact on the clinical parameters and quality of life of patients suffering from chronic low back pain.

References: [1] Alrwaily M, Almutiri M, Schneider M. Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropr Man Therap. 2018 Sep 17;26:35. doi: 10.1186/s12998-018-0205-z. eCollection 2018. Review. PubMed PMID: 30237870; PubMed Central PMCID: PMC6139896.

[2] Kurutz M, Oroszváry L. Finite element analysis of weightbath hydrotraction treatment of degenerated lumbar spine segments in elastic phase. J Biomech. 2010 Feb 10;43(3):433-41. doi: 10.1016/j.jbiomech.2009.10.004. Epub 2009 Nov 1. PubMed PMID: 19883918.

[3] Oláh M, Molnár L, Dobai J, Oláh C, Fehér J, Bender T. The effects of weightbath traction hydrotherapy as a component of complex physical therapy in disorders of the cervical and lumbar spine: a controlled pilot study with follow-up. Rheumatol Int. 2008 Jun;28(8):749-56. doi: 10.1007/s00296-008-0522-y. Epub 2008 Jan 12. PubMed PMID: 18193231.

Disclosure of Interests: None declared

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.