Podcast
Questions and Answers
What should be done before cleaning the traction unit?
What should be done before cleaning the traction unit?
During traction treatment, which button is used to adjust the patient’s position or harness?
During traction treatment, which button is used to adjust the patient’s position or harness?
For cervical traction, what is the recommended tension range based on body weight?
For cervical traction, what is the recommended tension range based on body weight?
What is the correct angle for upper cervical region adjustment during traction setup?
What is the correct angle for upper cervical region adjustment during traction setup?
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What maintenance procedure is recommended annually for the traction unit?
What maintenance procedure is recommended annually for the traction unit?
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What is a physiological effect of traction that enhances movement functionality?
What is a physiological effect of traction that enhances movement functionality?
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Which type of traction involves a steady application of force without variations?
Which type of traction involves a steady application of force without variations?
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Which condition is NOT an indication for the use of traction?
Which condition is NOT an indication for the use of traction?
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Which of the following represents a common contraindication for the application of traction?
Which of the following represents a common contraindication for the application of traction?
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What is a common purpose of traction in a non-invasive treatment setting?
What is a common purpose of traction in a non-invasive treatment setting?
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What phase of traction involves a gradual increase in tension?
What phase of traction involves a gradual increase in tension?
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Which traction type alternates between maximum and minimum tension levels?
Which traction type alternates between maximum and minimum tension levels?
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Which of the following is a physiological effect of traction that supports blood flow?
Which of the following is a physiological effect of traction that supports blood flow?
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Which of the following conditions necessitates caution when using traction?
Which of the following conditions necessitates caution when using traction?
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What must be ensured before applying traction to a patient?
What must be ensured before applying traction to a patient?
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What is the primary goal of traction in spinal therapy?
What is the primary goal of traction in spinal therapy?
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What distinguishes mechanical traction from manual traction?
What distinguishes mechanical traction from manual traction?
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Which method of traction involves the application of force through devices?
Which method of traction involves the application of force through devices?
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How does traction primarily benefit spinal health?
How does traction primarily benefit spinal health?
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What types of force can be applied during traction?
What types of force can be applied during traction?
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What is a potential outcome of successful traction therapy?
What is a potential outcome of successful traction therapy?
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Which of the following accurately describes the mechanism of action of traction?
Which of the following accurately describes the mechanism of action of traction?
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Study Notes
Introduction
- Traction is a decompression therapy that aims to alleviate pain, reduce spinal compression, and improve spinal health.
- Two types of traction exist: mechanical and manual.
- Mechanical traction uses devices to stretch the spine and muscles.
- Manual traction uses specialized therapists to stretch the spine and muscles.
Clinical Efficacy of Mechanical Traction
- A meta-analysis explored the clinical effect of mechanical traction on lumbar disc herniation (LDH).
- Mechanical traction reduced pain (measured by VAS) and disability (measured by ODI) compared to conventional physical therapy.
- No significant improvement was found in spinal motion with traction.
- Traction can be used alongside other physical therapy treatments.
Cervical Radiculopathy & Traction Therapy
- Cervical traction (CT) is a frequently used treatment for cervical radiculopathy (CR).
- A systematic review and meta-analysis of randomized controlled trials examined the effectiveness of adding traction to physical therapy for CR.
- Mechanical and manual traction showed significant short and intermediate-term pain reduction but lesser effects on function/disability.
Mechanism of Action
- Traction creates a distraction force that decompresses spinal structures and relieves pressure.
- The force can be static or intermittent, with adjustable tension, duration, and frequency.
- Traction aims to restore proper spinal alignment, increase intervertebral space, reduce nerve compression, improve circulation, and accelerate healing.
- Physiological effects include pain relief, improved spinal mobility, enhanced circulation, reduced nerve irritation, and non-invasive treatment options.
Common Terms
- Progressive Traction: Tension increases gradually.
- Regressive Traction: Tension decreases gradually.
- Static Traction: Steady traction applied for a set duration.
- Intermittent Traction: Alternating between maximum and minimum tension levels.
- Cyclic Traction: Continuous repetition of progressive and regressive phases.
Indication
- Protruding, bulging, or herniated disc
- Degenerative disc disease
- Posterior facet syndrome
- Radicular pain
- Spinal root impingement
- Hypomobility
- Joint pain
- Discogenic pain
Contraindication
- Structural disease (secondary to tumor or infection)
- Vascular compromise
- Acute strains, sprains, and inflammation
- Joint instability of the spine
- Pregnancy
- Osteoporosis
- Hiatus hernia
- Cardiac or pulmonary problems
- Claustrophobia
Patient Preparation
- Ensure the patient interrupt switch is connected and functional.
- Position the patient on a suitable traction table.
- Fit the traction harness correctly.
- Attach the accessory clip to the harness.
- Explain the use of the patient interrupt switch.
Operating Controls - Home Screen
- Displays traction meter, time remaining, treatment status.
- Offers progressive, traction, and regressive settings.
- Provides minimum and maximum traction levels.
- Includes rest time and hold time options.
- Presents clinical resources.
- Features stop, pause, and start buttons.
Adjusting Traction During Treatment
- Use the pause button to adjust patient position or harness.
- Press stop or the patient interrupt switch to end treatment immediately.
- Adjust traction parameters through the touch screen during the session.
Maintenance (Cleaning - Calibration)
- Disconnect the unit from power before cleaning.
- Clean with a lint-free cloth moistened with water and mild antibacterial soap.
- For more sterile cleaning, use an antimicrobial cleaner.
- Clean the touch screen with a soft damp cloth; avoid alcohol or chlorine-based solvents.
- Annual factory calibration is required.
- A quarterly preventive maintenance schedule is recommended.
Practical Application (Traction Set Up)
- Determine body weight: 7%-10% for cervical traction.
- Adjust neck flexion: 10 degrees (upper); 15 degrees (middle); 20 degrees (lower).
- Remove eyeglasses and any other cervical region items.
Patient Experience
- Traction therapy typically involves a stretching sensation.
- Patients often describe a feeling of relaxation.
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Description
This quiz explores traction therapy, its types, and clinical effectiveness in treating conditions like lumbar disc herniation and cervical radiculopathy. You'll learn about mechanical versus manual traction methods and their role in pain relief and spinal health. Test your knowledge on how traction integrates with physical therapy.