Mechanical traction, indications, contraindications and therapeutic effects

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Scott Giles NPTE review book , v2009 page 213- 214

Traction therapeutic effect

joint distraction, soft tissue stretching, reduction of disk protrusion

Traction therapeutic effect

Muscle relaxation, joint mobility

Traction indications

nerve impingement, herniated or protruding disc

Traction indications

subacute joint inflammation, spondylolisthesis

Traction indications

joint hypomobility, paraspinal muscle spasm

Traction indications

degenerative joint disease, osteophyte formation

Traction contraindications

when motion is contraindicated, joint instability

Traction contraindications

tumor, pregnancy

Traction contraindications

acute inflammatory response, acute pain

Traction contraindications

osteoporosis, fracture

Cervical traction

25° - 35° of neck flexion or in sitting position

Cervical traction

start with 10 - 15 lbs force and progress to 7% of patient's body weight as tolerated for separation of the vertebrae

Lumbar traction

application can be in supine or prone

Lumbar traction

25 lbs - 50 lbs recommended when initiating treatment

Lumbar traction

force up to 50% of patient's body weight is required for actual separation of the vertebrae

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