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Detensor Spine Decompression Treatment Clinical Trials

Some clinical trials with the group of 10 patients

A study on the treatment of ten patients suffering from different diseases of the spine and the musculoskeletal system was observed at the health care center in the community of central Karelia. The patients were using a previously unknown treatment system for the spine. The patients ranged from 41 to 76 years of age and some were working and others were retired. Spinal ailments ranged from 10 to 40 years in duration. The patients had received individual surgical treatments, physical therapy and other aids but were unable to relieve their symptoms. The tested spinal treatment was able to help some of the patients for only a short time.

Spinal diseases are extremely frequent in Finland. They are the cause of many subjective complaints, economical losses and require extensive work in health care. Spinal patients return to their physicians over and over again. In many cases rest, medication, and physical therapy can only bring temporary relief from their complaints. Even early sickness retirement does not solve the problems

The German spinal extension treatment system (the Detensor) was tested successfully in many European countries and also Russia and the USA. Orthopedists and sports physicians are interested in this system. The most comprehensive clinical tests to date had been conducted by the department of orthopedics at the Golden Buehl Hospital in Villingen Germany. More than 800 patients suffering from different spinal diseases were treated in the years 1982 to 1987. More than 80% of these patients experienced considerable relief of their back complaints. There were no contraindications found with this system.

The Functional Principles of the Treatment System

The spinal system consists of a specially designed mattress. The Detensor for sleep at night and a therapy mat of a similar kind for daytime use. The surface of the Detensor consists of an elastic lamella. A heart shaped lamella is located in the lumbar region from which the remaining lamellas are directed cranially and caudally. The patient reclining on the Detensor deflects the lamellas by the body weight causing a mild traction of the spine and soft tissues of the back during several hours of sleep. The vertebral bodies of the spine reach an optimal physiological position improving the metabolism of the disks. The traction force by the lamella averages 5% of the body weight. The traction force of the mat designated for use during the daytime reaches up to 18% of body weight. It is recommended to use the mat 2-3 times daily for approximately 40 minutes each session. The Detensor and the mat are available in three grades of hardness according to size and weight of the patient. A specific gymnastics program was developed to support this treatment system.

Test Subjects and Test Procedures

We tested the system at the health care center, knowingly, without the use of a greater number of test subjects for the investigation. We were trying to determine how this treatment system may be useful to practicing physicians with patients who treated problem cases in diseases of the back and musculoskeletal system. Two spinal treatments systems were placed at our disposal by the inventor of this method, (Mr. Kurt L. Kienlein) and were used for the clinical tests. We conducted these clinical tests on ten selected problem cases in a period of 10 months. The test subjects were made up of seven males and three females ranging from 41-76 years of age. Six of which were able to work and four were in retirement.

They were patients with chronic back pain and other symptoms pertaining to a disease in the musculoskeletal system and had undergone psychiatric examinations and treatments in the last 10-40 years. Also treatments by orthosis were attempted, however, without a permanent solution. One patient had undergone two surgeries and another declined the recommended surgery.

The patients were examined at the beginning and at the end of the tests by a practicing physician and a therapy gymnast. The length of the test period was set at 6-10 weeks. The test subjects slept on the treatment mat, (the Detensor) during the night and used the treatment mat during the day according to the gymnastic program. Our aim was to allow the participants of the clinical test to otherwise lead a normal life. Other Physical therapies were not administered during the test period. The test subjects were given precise written instructions for the application and conduct. Furthermore, we controlled the correct positioning of the Detensor and in compliance with the instructions by means of house calls. We controlled the conduct of the tests by the patients visiting our practice and if required, by telephone.

Results

A study on the treatment of ten patients suffering from different diseases of the spine and the musculoskeletal system was observed at the health care center in the community of central Karelia. The patients were using a previously unknown treatment system for the spine. The patients ranged from 41 to 76 years of age and some were working and others were retired. Spinal ailments ranged from 10 to 40 years in duration. The patients had received individual surgical treatments, physical therapy and other aids but were unable to relieve their symptoms. The tested spinal treatment was able to help some of the patients for only a short time.

Spinal diseases are extremely frequent in Finland. They are the cause of many subjective complaints, economical losses and require extensive work in health care. Spinal patients return to their physicians over and over again. In many cases rest, medication, and physical therapy can only bring temporary relief from their complaints. Even early sickness retirement does not solve the problems.

The German spinal extension treatment system (the Detensor) was tested successfully in many European countries and also Russia and the USA. Orthopedists and sports physicians are interested in this system. The most comprehensive clinical tests to date had been conducted by the department of orthopedics at the Golden Buehl Hospital in Villingen Germany. More than 800 patients suffering from different spinal diseases were treated in the years 1982 to 1987. More than 80% of these patients experienced considerable relief of their back complaints. There were no contraindications found with this system.

Patient History

The table lists abbreviated patient histories without mentioning many interesting facts.
Hereby presented, more concise patient histories of a few cases:
Patient No. 2

A 76-year-old mentally alert female suffering from severe chronic back pain. 30 years ago, she fell from a high kitchen stool, hitting her coccyx on the back of the stool. There after she was continually exposed to spinal pain. In 1988 the pain became so severe that she was unable to leave her bed for most of the time. An x-ray of the lumbar spine showed severe osteoporosis and moderate scoliosis. L2 showed a wedge shaped deformity due to a fracture changing the lumbar lordosis to a kyphosis. Furthermore, the ventral displacement of L3 to L2 by 4mm, as well as the ventral displacement of L4 to L3 by 5mm. In April 1989, before the clinical tests, she experienced continuous back pain, neck pain and a severely affected gait capability. She was unable to shop and go about her daily duties. During the treatment period she was able to walk and shop again. She uses the Detensor steadily and feels well.

Patient No. 3

A 53-year-old farmer and carpenter. He had been suffering from back pain for a considerable amount of time and having used up his eligibility for sick leave he was denied an extension. In April of 1989, he experienced severe pain and forward bending of the spine was completely impossible. He also complained about his loss of sleep due to the pain. He telephoned after the first night of the clinical test. He explained that his feet were comfortably warm after having them feel ice cold for many years. His back, however, according to his opinion, remained without improvement. The treatment system did allow him to carry out his work on the farm during the month of May. He was also able to ride his tractor that month. At the final examination, his back was in a condition as severe as it was at the beginning of the clinical test but he was able to complete work for May. The only positive reaction to note was that his feet had remained warm. Later, he informed us that the condition of his back had become worse after discontinued use of the treatment system and without performing daily manual labor. The patient was then admitted to the charity hospital for invalids and was diagnosed with multiple lumbar disc degeneration. He finally received his sickness retirement pension.

Patient No. 10

A 63-year-old female suffering for 30 years from back pain which was especially severe in 1971 and radiated into the right leg. In 1972, her orthopedist diagnosed her condition as a right ischial syndrome as well as a piriformis syndrome. At that time a spondylolysis and a spondylolisthesis at L5 was determined by an x-ray. She received physical therapy and took a sick leave of absence for several weeks every year. In 1976 her back pain returned and became very severe. The ensuing myelography was found normal and she was prescribed physical therapy again. She continued to go about her daily duties. She developed asthma in the early 1980’s and began a sickness retirement in 1984. The back pain continued as well as the radiating pain into the right leg. She received physical therapy once or twice a year which brought temporary relief. An orthosis did not help, on the contrary, it increased the back pain. Thus, she was forced to continually take an analgesic medication. At the beginning of the clinical tests, she complained of continuous back pain radiating into her left leg. Her mobility was impaired and when flexing her back, she was only able to reach half way to the lower leg with her hands. When she was erect, she had to support herself on her thighs. Her left ATR (Achilles tendon reflex) was weak and a tactile sensation in the dermatome region of the L5 was weakened. 2 to 3 days after beginning the testing for the Detensor treatment, all of her back pain had vanished and remained so during the entire duration of the treatment.

Considerations
These clinical tests performed with the spinal traction treatment system on problematic, mainly chronically affected test subjects were conducted under normal living conditions. The clinical evaluation of the tests is based mainly on the conventional patient-physician relationship of the practicing physician. We take the liberty of recommending this interesting method of treatment as a research objective.
References
These clinical tests performed with the spinal traction treatment system on problematic, mainly chronically affected test subjects were conducted under normal living conditions. The clinical evaluation of the tests is based mainly on the conventional patient-physician relationship of the practicing physician. We take the liberty of recommending this interesting method of treatment as a research objective.
References
  1. Forster, P., Strauss J., The Detensor – An uncomplicated possibility for extension support, Orthopedic Technique, 1983, 5, pp. 69-71
  2. Laser, Th., The Functional Mattress Krankenpflege Jr., 1988 pp. 171-173
  3. Laser, Th., Spinal disk problems simply slept away! Medical Tribune, 1986 13, pp. 30-32
  4. Strauss, J., The extension support with the Detensor principle, 1987.
  5. Saloheima, E., Klaukka, T., Sievers, K., Duodecim 1989, 2, pp. 214-221

Authors:

  • Merja Karajalainen, Therapy Gymnast
  • Seppo Pddllchnen, General physician
  • Herman Aistrich, Physician, general practitioner
  • Health Care Center of Central Karelia, Kitee
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