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. Continous traction applies a sustained constant force of traction/ distraction applied to cervical or lumbar areas for a time no longer than twenty minutes. Intermittent traction alternates by applying and releasing traction to the area.
INDICATIONS FOR USE:

Nerve root impingement
Subacute joint pain
Degeneratrive 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 increase pain should be felt
Make sure patient is not experiencing symptoms of dizziness or nausea after treatment.

COMMENTS:

Moist heat used to increase muscle relaxation
Patient positioned supine/ prone and patient's comfort determines choice of position
Lumbar traction usually started fifty percent patient's body weight unless indicated other wise
Cervical traction usually started at twelve to fifteen pounds unless indicated other wise

TRACTION TECHNIQUE DEPENDS UPON:

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