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TAMILVANAN MANI
Traction
Process of drawing, or pulling apart, of a
body segment
Mechanical Traction - using a traction
machine or ropes/ pulleys to apply a traction
force
Manual Traction - clinician positions patient
and applies traction force to joints of the
spine or extremities
Position of spine,
Amount of force, and
Length of time the
force is applied
Transient effect
effects occur,
traction should
be continued
viscoelastic properties
structures
Inversion traction
Level-specific
Unilateral leg pull
intervertebral
foramen
Achieved by flexing
upper hip and knee
and rotating
shoulders in
opposite directions
position
increases size of
lumbar intervertebral
foramen bilaterally
Separation of
spinous processes
Inversion Traction
Hang upside down
Lengthens spinal
column due to
stretch provided by
weight of trunk
Repeat inversion
2-3 times
Observe for signs of
vertigo, dizziness, or
nausea
maximum effect at a
specific spinal level
Lumbar spine flexed
using upper leg as
lever
Palpate interspinous
space
Upper spinous
process is where
maximum effect is
desired
In addition to thoracic
counter-traction
harness, strap is
placed through groin
and secured to table
Hold ankle and move
hip into 30o flexion and
15o abduction
Apply steady traction
force
segments
Non-slip traction harness stabilizes trunk
position
Allows for largest
intervertebral
foramen opening
before traction is
applied
Usually position of
choice whether
prone or supine
opening
Puts pressure on
disk nucleus to
move posterior
Other soft tissue
may also close
foramen opening
because bony
arches come closer
together
force is desired
Scoliosis,
Unilateral joint
dysfunction, or
Unilateral lumbar
muscle spasm
Traction Force
No lumbar vertebral separation will occur with
weight
Must use progressive steps to comfortably
reach therapeutic loads
Sustained Traction
Recommended for disk protrusion and
rupture
Treatment Duration
With suspected disk protrusions, total
10 minutes or less
Regressive mode
Decreases traction force in a pre-selected
number of steps
Patient comfort is primary consideration!
positions
Hand should cradle neck
contacting one mastoid
process
Other hand on chin
Gentle pull, < 20 pounds
Intermittent pull, 3 - 10 sec
Treatment time, 3 - 10 min
occiput
Intermittent pull
Forces up to 50 pounds
may produce increased
intervertebral separation.
> 20 pounds
Minimum of 7 seconds
Adequate rest time for
recovery
Inexpensive
employed
impingement
Disk herniation
Spondylolisthesis
Narrowing within
intervertebral foramen
Osteophyte formation
Degenerative joint
diseases
Subacute pain
Joint hypomobility
Discogenic pain
Muscle spasm or
guarding
Muscle strain
Spinal ligament or
capsular contractures
Improvement in
arterial, venous, and
lymphatic flow
Contraindications for
Spinal Traction
Acute sprains or
strains
Acute inflammation
Fractures
Vertebral joint
instability
Any condition in which
movement
exacerbates existing
problem
Bone diseases
Osteoporosis
Infections in bones or
joints
Vascular conditions
Pregnant females
Cardiac or pulmonary
problems