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mod16 traction
traction
Question | Answer |
---|---|
Traction | is a modality that applies mechanical forces to the body to separate joint surfaces and decrease pressure. |
The force can be applied | manually by the therapist or mechanically by a machine. |
Traction is indicated for | many diagnoses and allows for variation and adjustment of the established protocol based on individual patient need. |
Traction affects many of the bodyʼs systems and | requires ongoing monitoring and reassessment of treatment parameters. |
Mechanical traction, self-traction, manual traction, and positional traction are | commonly utilized techniques. |
Therapeutic Effects | joint distraction |
Therapeutic Effects | Soft tissue stretching |
Therapeutic Effects | Reduction of disk protrusion |
Therapeutic Effects | Muscle relaxation |
Therapeutic Effects | Joint mobility |
Indications | Nerve impingement |
Indications | Herniated or protruding disc |
Indications | Subacute joint inflammation |
Indications | Joint hypomobility |
Indications | Paraspinal muscle spasm |
Indications | Degenerative joint disease |
Indications | Osteophyte formation |
Contraindications | When motion is contraindicated |
Contraindications | Joint instability |
Contraindications | Tumor |
Contraindications | Pregnancy |
Contraindications | Acute inflammatory response |
Contraindications | Acute sprain |
Contraindications | Osteoporosis |
Contraindications | Fracture |
Mechanical traction can be performed to | the cervical or lumbar spine. |
All halters and belts should be secured | and the patient instructed in what to expect from treatment. |
The therapist should set the time of treatment, | force of pull, and determine static or intermittent control with hold and relax ratio settings. |
During treatment the patient should have the ability to | stop the machine and call for help. |
Treatment time varies based on diagnosis and therapeutic goals and falls between | five and 20 minutes. |
To initiate cervical traction the therapist should position the patient in | supine with approximately 25-35 degrees of neck flexion or in a sitting position. |
Cervical traction should start with a force between | 10-15 pounds and progress to 7% of the patientʼs body weight as tolerated for separation of the vertebrae. |
Application of lumbar traction should be | performed in supine or prone. |
The force of lumbar traction is dependent on the goals of treatment | and should be set with a force of less than half of the body weight for the initial treatment. |
Traction force of 25-50 pounds is recommended when | initiating mechanical lumbar traction. |
lumbar traction Force of up to 50% of the body weight is required for | actual separation of the vertebrae. |