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Therapies and Modalities

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. Continuous traction applies a sustained constant force of traction/distraction applied to cervical or lumbar areas for a time no longer than 15 minutes. Intermittent traction alternates by applying and releasing traction to the area.

Indications for use:

  • Nerve root impingement
  • Subacute joint pain
  • Degenerative 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 increased pain should be felt
  • Make sure patient is not experiencing symptoms of dizziness or nausea after treatment

Comments:

  • Cervical traction usually started at twelve to fifteen pounds unless indicated otherwise.

Traction Technique Depends on:

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