Traction

Traction is the application of a force or a system of forces to the spine in a way that separates the vertebrae and elongates the surrounding tissues. Continous traction applies a sustained constant force of traction/ distraction applied to cervical or lumbar areas for a time no longer than twenty minutes. Intermittent traction alternates by applying and releasing traction to the area.
INDICATIONS FOR USE:

  • Nerve root impingement
  • Subacute joint pain
  • Degeneratrive joint disease
  • Discogenic pain
  • Compression fracture
  • Joint hypomobility
  • Paraspinal muscle spasm

CONTRAINDICATIONS:

  • Local and systemic diseases
  • Acute inflammation
  • Hypermobility
  • Vascular conditions
  • Symptoms increase during traction
  • Osteoporosis
  • Pressure of lumbar and thoracic harnesses may be hazardous in pulmonary patients

PRECAUTIONS:

  • TMJ dysfunctions
  • Cancer
  • Elderly/ minors
  • Bone spurs
  • No increase pain should be felt
  • Make sure patient is not experiencing symptoms of dizziness or nausea after treatment.

COMMENTS:

  • Moist heat used to increase muscle relaxation
  • Patient positioned supine/ prone and patient's comfort determines choice of position
  • Lumbar traction usually started fifty percent patient's body weight unless indicated other wise
  • Cervical traction usually started at twelve to fifteen pounds unless indicated other wise

TRACTION TECHNIQUE DEPENDS UPON:

  • Distraction separation of bony surfaces
  • Stretching of soft tissue
  • Relaxation of skeletal muscles
  • Mobilization of joints

 

 

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