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May 13, 2026HealthcareOpen Access

Efficacy of Multimodal Rehabilitation Protocol with High-Force Machine Spinal Decompression Therapy in Chronic Low Back Pain with Sciatica Due to Lumbar Disc Herniation: A Pre–Post Observational Study

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Authors

BNBernard B. N. NadoSSSnježana Schuster

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Overview

Pre–post observational study shows pain reduction in adults with chronic lumbar radiculopathy, suggesting treatment benefits.

Key Points

  • This study aimed to assess changes in pain intensity following a multimodal therapy protocol for chronic lumbar radiculopathy.
  • Conducted a pre–post observational study with 234 adults experiencing chronic lumbar radiculopathy.
  • Participants received ten treatment sessions of combined modalities, including spinal decompression therapy, over five weeks.
  • Pain intensity was measured using a Visual Analog Scale (VAS) before and after treatment.
  • Significant reduction in pain intensity observed after treatment (mean reduction of 2.5 points, Wilcoxon W = 18,830, p < 0.001).
  • Pain reduction exceeded the minimal clinically important change, with a very large effect size (rank biserial correlation = 0.991).
  • Baseline pain and age were significant predictors of post-treatment pain intensity, showing independent influences.

Cite This Study

Nado et al. (2026) studied this question.

synapsesocial.com/papers/6a04153d79e20c90b444502ehttps://doi.org/10.3390/healthcare14101294
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