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© 2005 Cervical Traction Chapter 17
© 2005 Cervical Traction Tension must overcome weight of skull –Approximately 8.1% of total body weight –14 pounds Tension: Supine and Seated –Supine: Approximately 7% of body weight (10 lbs) –Reclined: Approximately 20% of body weight (24 lbs) Treatment Time –Depends on the pathology –Approximately 5 to 20 –Use comfort as a guide
© 2005 Indications Degenerative disc disease Nerve root compression Disc herniation Muscle spasm Osteoarthritis or facet joint inflammation Capsulitis of vertebral joints Pathology of anterior or posterior longitudinal ligaments
© 2005 Contraindications Pain of unknown origin Acute injury Unstable spinal segments Cancer, meningitis, or other spinal cord/ vertebrae disease Vertebral fracture Extruded disc fragments
© 2005 Mechanical Traction Wall or door-mounted traction –Sitting or Prone –Uses water bags, sand bags, or weight plates
© 2005 Mechanical Traction Mandibular-occipital harness –Places pressure on the TMJ which may cause discomfort Occipital harness –Forcse on skull’s occipital bone –Can be used to place spine in varying degress
© 2005 Mechanical Traction Application Assess body weight Remove material that may interfere with halter Adjust halter accordingly –Bilateral = midline of body Secure and connect halter Align angle of pull to correspond with the specific pathology Give patient Safety Switch Explain treatment
© 2005 Initiation of Treatment Set controls to zero and turn on unit Remove slack Adjust Ratio –Normally 3:1 or 4:1 Tension –Approximately 10 pounds or 7% of body weight –First exposure use lower tension Duration –Corresponding to pathology
© 2005 Termination of Treatment Tension –Gradually reduce over 3 or 4 cycles –Gain slack and turn unit OFF Remove halter from unit and patient Patient remains in position for 5 minutes after the treatment
© 2005 Manual Traction Changes in tension, angle of pull, and duration are more easily adjusted when compared to mechanical traction Nondominant hand cradles the occiput Dominant hand under nondominant –Pulls using bodyweight Can be administered in sustained or intermittent modes
© 2005 Lumbar Traction Chapter 17. © 2005 Lumbar Traction Cervical vs. Lumbar –Similar: separating the vertebrae –Difference: Friction, muscle, soft tissue.
Lumbar Traction Chapter 17. Lumbar Traction Comparison: Cervical and Lumbar Traction Similar Separating the vertebrae Difference: Friction, muscle,
Traction Cervical & Lumbar. Traction Application of a longitudinal force to the spine & associated structure Can be applied with continuous or intermittent.
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