{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T17:33:16Z","timestamp":1785864796497,"version":"3.56.0"},"reference-count":48,"publisher":"National University of Health Sciences","issue":"9","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","jmptonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Manipulative and Physiological Therapeutics"],"published-print":{"date-parts":[[2016,11]]},"DOI":"10.1016\/j.jmpt.2016.09.006","type":"journal-article","created":{"date-parts":[[2016,11,9]],"date-time":"2016-11-09T15:32:09Z","timestamp":1478705529000},"page":"645-654","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial"],"prefix":"10.67400","volume":"39","author":[{"given":"Marie-Eve","family":"Isner-Horobeti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane Pascal","family":"Dufour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Schaeffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Sauleau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Vautravers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jehan","family":"Lecocq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Dupeyron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"issue":"1","key":"10.1016\/j.jmpt.2016.09.006_bb0005","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s00586-010-1518-3","article-title":"A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain","volume":"20","author":"Van Middelkoop","year":"2011","journal-title":"Eur Spine J"},{"issue":"6","key":"10.1016\/j.jmpt.2016.09.006_bb0010","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.apmr.2004.11.040","article-title":"Current use of lumbar traction in the management of low back pain: results of a survey of physiotherapists in the United Kingdom","volume":"86","author":"Harte","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0015","first-page":"CD003010","article-title":"Traction for low-back pain with or without sciatica","volume":"8","author":"Wegner","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0020","unstructured":"Clarke JA, Van Tulder MW, Blomberg SE, et al. Traction for low-back pain with or without sciatica."},{"issue":"7","key":"10.1016\/j.jmpt.2016.09.006_bb0025","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1179\/016164101101199180","article-title":"A prospective randomized controlled study of VAX-D and TENS for the treatment of chronic low back pain","volume":"23","author":"Sherry","year":"2001","journal-title":"Neurol Res"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0030","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1054\/math.2000.0235","article-title":"Lumbar spine traction: evaluation of effects and recommended application for treatment","volume":"5","author":"Krause","year":"2000","journal-title":"Man Ther"},{"issue":"26","key":"10.1016\/j.jmpt.2016.09.006_bb0035","doi-asserted-by":"crossref","first-page":"E793","DOI":"10.1097\/BRS.0b013e31815d001a","article-title":"Is there a subgroup of patients with low back pain likely to benefit from mechanical traction? Results of a randomized clinical trial and subgrouping analysis","volume":"32","author":"Fritz","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0040","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/1471-2474-11-81","article-title":"A randomized clinical trial of the effectiveness of mechanical traction for sub-groups of patients with low back pain: study methods and rationale","volume":"11","author":"Fritz","year":"2010","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0045","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/00007632-198503000-00006","article-title":"Sustained lumbar traction. An experimental study of long spine segments","volume":"10","author":"Twomey","year":"1985","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"10.1016\/j.jmpt.2016.09.006_bb0050","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jmpt.2012.04.021","article-title":"Lumbar lordosis rehabilitation for pain and lumbar segmental motion in chronic mechanical low back pain: a randomized trial","volume":"35","author":"Diab","year":"2012","journal-title":"J Manip Physiol Ther"},{"issue":"1","key":"10.1016\/j.jmpt.2016.09.006_bb0055","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/00007632-198901000-00017","article-title":"Computed tomographic investigation of the effect of traction on lumbar disc herniations","volume":"14","author":"Onel","year":"1989","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"10.1016\/j.jmpt.2016.09.006_bb0060","doi-asserted-by":"crossref","first-page":"350","DOI":"10.3171\/jns.1994.81.3.0350","article-title":"Effects of vertebral axial decompression on intradiscal pressure","volume":"81","author":"Ramos","year":"1994","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0065","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1186\/1471-2474-11-155","article-title":"Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study","volume":"11","author":"Apfel","year":"2010","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0070","doi-asserted-by":"crossref","first-page":"213","DOI":"10.3233\/BMR-130372","article-title":"The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain: a randomized trial","volume":"26","author":"Diab","year":"2013","journal-title":"J Back Musculoskelet Rehabil"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0075","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1186\/1471-2474-12-170","article-title":"Neurophysiologic effects of spinal manipulation in patients with chronic low back pain","volume":"12","author":"Clark","year":"2011","journal-title":"BMC Musculoskelet Disord"},{"issue":"10","key":"10.1016\/j.jmpt.2016.09.006_bb0080","first-page":"167","article-title":"Traction therapy in sciatica due to disc prolapse (does traction treatment have any positive effect on patients suffering from sciatica caused by disc prolapse?)","volume":"23","author":"Weber","year":"1973","journal-title":"J Oslo City Hosp"},{"issue":"4","key":"10.1016\/j.jmpt.2016.09.006_bb0085","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1093\/rheumatology\/14.4.222","article-title":"Lumbar traction: a double-blind controlled study for sciatica","volume":"14","author":"Mathews","year":"1975","journal-title":"Rheumatol Rehabil"},{"issue":"8","key":"10.1016\/j.jmpt.2016.09.006_bb0090","first-page":"271","article-title":"Treatment of lumbar sciatica with or without neurological deficit using mechanical traction. A double-blind study","volume":"118","author":"Reust","year":"1988","journal-title":"Schweiz Med Wochenschr"},{"issue":"7889","key":"10.1016\/j.jmpt.2016.09.006_bb0095","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1016\/S0140-6736(74)90884-8","article-title":"Measurement of pain","volume":"2","author":"Huskisson","year":"1974","journal-title":"Lancet"},{"issue":"7-8","key":"10.1016\/j.jmpt.2016.09.006_bb0100","first-page":"61","article-title":"Traction therapy in patients with herniated lumbar intervertebral discs","volume":"34","author":"Weber","year":"1984","journal-title":"J Oslo City Hosp"},{"issue":"6","key":"10.1016\/j.jmpt.2016.09.006_bb0105","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1136\/ard.28.6.584","article-title":"Measurement of back movement","volume":"28","author":"Macrae","year":"1969","journal-title":"Ann Rheum Dis"},{"issue":"5","key":"10.1016\/j.jmpt.2016.09.006_bb0110","first-page":"335","article-title":"French validation of a disability rating scale for the evaluation of low back pain (EIFEL questionnaire)","volume":"60","author":"Coste","year":"1993","journal-title":"Rev Rhum Ed Fr"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0115","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1093\/rheumatology\/25.2.181","article-title":"A controlled trial of continuous lumbar traction in the treatment of back pain and sciatica","volume":"25","author":"Pal","year":"1986","journal-title":"Br J Rheumatol"},{"issue":"3","key":"10.1016\/j.jmpt.2016.09.006_bb0120","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jmpt.2008.02.001","article-title":"Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging","volume":"31","author":"Unlu","year":"2008","journal-title":"J Manip Physiol Ther"},{"issue":"7","key":"10.1016\/j.jmpt.2016.09.006_bb0125","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1007\/s00296-005-0035-x","article-title":"Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation","volume":"26","author":"Ozturk","year":"2006","journal-title":"Rheumatol Int"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0130","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.apmr.2007.06.778","article-title":"Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study","volume":"89","author":"Beattie","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0135","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1186\/1745-6215-15-437","article-title":"Comparison of posterior foraminotomy and anterior foraminotomy with fusion for treating spondylotic foraminal stenosis of the cervical spine: study protocol for a randomized controlled trial (ForaC)","volume":"15","author":"Tschugg","year":"2014","journal-title":"Trials"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0140","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/1471-2474-8-118","article-title":"The effectiveness of motorised lumbar traction in the management of LBP with lumbo sacral nerve root involvement: a feasibility study","volume":"8","author":"Harte","year":"2007","journal-title":"BMC Musculoskelet Disord"},{"issue":"23","key":"10.1016\/j.jmpt.2016.09.006_bb0145","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1097\/00007632-199712010-00011","article-title":"Efficacy of traction for nonspecific low back pain. 12-week and 6-month results of a randomized clinical trial","volume":"22","author":"Beurskens","year":"1997","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.jmpt.2016.09.006_bb0150","first-page":"377","article-title":"Autotraksjon for ischialgpasienter: En kontollert sammenlikning mellom effekten av Auto-traksjon-B og isometrische overlser ad modum Hume endall og enkins","volume":"45","author":"Bihaug","year":"1978","journal-title":"Fysioterapeuten"},{"issue":"3","key":"10.1016\/j.jmpt.2016.09.006_bb0155","doi-asserted-by":"crossref","first-page":"117","DOI":"10.2340\/1650197716117124","article-title":"Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs","volume":"16","author":"Ljunggren","year":"1984","journal-title":"Scand J Rehabil Med"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0160","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/ptj\/75.2.93","article-title":"The efficacy of traction for back and neck pain: a systematic, blinded review of randomized clinical trial methods","volume":"75","author":"Van Der Heijden","year":"1995","journal-title":"Phys Ther"},{"issue":"10","key":"10.1016\/j.jmpt.2016.09.006_bb0165","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1097\/00007632-199308000-00017","article-title":"Comparison of sacrospinalis myoelectric activity and pain levels in patients undergoing static and intermittent lumbar traction","volume":"18","author":"Letchuman","year":"1993","journal-title":"Spine (Phila Pa 1976)"},{"issue":"8","key":"10.1016\/j.jmpt.2016.09.006_bb0170","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/0003-9993(93)90015-3","article-title":"Autotraction versus passive traction: an open controlled study in lumbar disc herniation","volume":"74","author":"Tesio","year":"1993","journal-title":"Arch Phys Med Rehabil"},{"issue":"3","key":"10.1016\/j.jmpt.2016.09.006_bb0175","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/095939800750036079","article-title":"A comparison of inverted spinal traction and conventional traction in the treatment of lumbar disc herniations","volume":"16","author":"G\u00fcvenol","year":"2000","journal-title":"Physiother Theory Pract"},{"issue":"17","key":"10.1016\/j.jmpt.2016.09.006_bb0180","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.3109\/09638288.2011.647231","article-title":"Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial","volume":"34","author":"Prasad","year":"2012","journal-title":"Disabil Rehabil"},{"issue":"1","key":"10.1016\/j.jmpt.2016.09.006_bb0185","doi-asserted-by":"crossref","first-page":"37","DOI":"10.2340\/165019771977197023742","article-title":"Physical therapy on low back pain and sciatica. An attempt at evaluation","volume":"2","author":"Lidstrom","year":"1970","journal-title":"Scand J Rehabil Med"},{"issue":"6","key":"10.1016\/j.jmpt.2016.09.006_bb0190","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1136\/ard.51.6.820","article-title":"Controlled trial of balneotherapy in treatment of low back pain","volume":"51","author":"Konrad","year":"1992","journal-title":"Ann Rheum Dis"},{"issue":"Suppl. 2","key":"10.1016\/j.jmpt.2016.09.006_bb0195","first-page":"S272","article-title":"Effectiveness of lumbar traction with routine conservative treatment in acute herniated disc syndrome","volume":"87","author":"Rattanatharn","year":"2004","journal-title":"J Med Assoc Thail"},{"issue":"15","key":"10.1016\/j.jmpt.2016.09.006_bb0200","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1097\/00007632-199908010-00012","article-title":"Randomized trial comparing interferential therapy with motorized lumbar traction and massage in the management of low back pain in a primary care setting","volume":"24","author":"Werners","year":"1999","journal-title":"Spine (Phila Pa 1976)"},{"issue":"2","key":"10.1016\/j.jmpt.2016.09.006_bb0205","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s00296-002-0249-0","article-title":"The efficacy of lumbar traction in the management of patients with low back pain","volume":"23","author":"Borman","year":"2003","journal-title":"Rheumatol Int"},{"issue":"6","key":"10.1016\/j.jmpt.2016.09.006_bb0210","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1016\/j.spinee.2007.07.398","article-title":"Stress in lumbar intervertebral discs during distraction: a cadaveric study","volume":"8","author":"Gay","year":"2008","journal-title":"Spine J"},{"issue":"5","key":"10.1016\/j.jmpt.2016.09.006_bb0215","doi-asserted-by":"crossref","first-page":"791","DOI":"10.3109\/17453678008990875","article-title":"Auto-traction for treatment of lumbago-sciatica. A multicentre controlled investigation","volume":"51","author":"Larsson","year":"1980","journal-title":"Acta Orthop Scand"},{"issue":"14","key":"10.1016\/j.jmpt.2016.09.006_bb0220","first-page":"1315","article-title":"Auto-traction","volume":"73","author":"Lind","year":"1974","journal-title":"Lakartidningen"},{"issue":"9","key":"10.1016\/j.jmpt.2016.09.006_bb0225","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1093\/rheumatology\/32.9.854","article-title":"Hospital treatment for low back pain","volume":"32","author":"Sweetman","year":"1993","journal-title":"Br J Rheumatol"},{"issue":"6","key":"10.1016\/j.jmpt.2016.09.006_bb0230","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1093\/rheumatology\/26.6.416","article-title":"Back pain and sciatica: controlled trials of manipulation, traction, sclerosant and epidural injections","volume":"26","author":"Mathews","year":"1987","journal-title":"Br J Rheumatol"},{"issue":"8229","key":"10.1016\/j.jmpt.2016.09.006_bb0235","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1016\/S0140-6736(81)92238-8","article-title":"Multicentre trial of physiotherapy in the management of sciatic symptoms","volume":"1","author":"Coxhead","year":"1981","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.jmpt.2016.09.006_bb0240","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1177\/0269215512446093","article-title":"Extension traction treatment for patients with discogenic lumbosacral radiculopathy: a randomized controlled trial","volume":"27","author":"Moustafa","year":"2012","journal-title":"Clin Rehabil"}],"container-title":["Journal of Manipulative and Physiological Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475416302287?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475416302287?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:56:23Z","timestamp":1784796983000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmpt.kglmeridian.com\/doi\/10.1016\/j.jmpt.2016.09.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["S0161475416302287"],"URL":"https:\/\/doi.org\/10.1016\/j.jmpt.2016.09.006","relation":{},"ISSN":["0161-4754"],"issn-type":[{"value":"0161-4754","type":"print"}],"subject":[],"published":{"date-parts":[[2016,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial","name":"articletitle","label":"Article Title"},{"value":"Journal of Manipulative and Physiological Therapeutics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmpt.2016.09.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"name":"copyright","label":"Copyright"}]}}