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mod16 traction

traction

QuestionAnswer
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.
Created by: micah10
 

 



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