Mechanical Traction Therapy PDF

From Theory to Practice Implementing Mechanical Traction in Therapy Presented by: Hussain Mosa Khabrani, PT,MSc Almaha Khalid Alzahrani, PT MSc.  TABLE OF CONTENTS 01 02 03 INTRODUCTION MECHANISM OF COMMON TERMS...

From Theory to Practice Implementing Mechanical Traction in Therapy Presented by: Hussain Mosa Khabrani, PT,MSc Almaha Khalid Alzahrani, PT MSc.  TABLE OF CONTENTS 01 02 03 INTRODUCTION MECHANISM OF COMMON TERMS ACTION 04 05 06 INDICATION CONTRAINDICATION PATIENT PREPARATION  TABLE OF CONTENTS 07 08 OPERATING CONTROLS ADJUSTING TRACTION - HOME SCREEN DURING TREATMENT 09 10 MAINTENANCE (CLEANING PRACTICAL APPLICATION - CALIBRATION) 01 INTRODUCTION  INTRODUCTION TRACTION TYPES OF TRACTION Traction is a form of decompression therapy, Mechanical Traction aim to: It is treatment technique that uses devices work by stretching the spinal vertebrae and muscle. alleviating pain reducing compression on spinal structures improving overall spinal health. Manual Traction it is techniques applied by specialized Physiotherapist to stretch the spinal vertebrae and muscles.  INTRODUCTION Evedince-based Practice: Lumbar Region  INTRODUCTION Evedince-based Practice: Cervical Region 02 MECHANISM OF ACTION MECHANISM OF ACTION  MECHANISM OF ACTION Traction operates on the principle of creating a distraction force that aids in decompressing spinal structures and relieving pressure on the affected area. Various types of traction can be applied through mechanical devices or manual techniques, depending on the specific condition being treated. The force applied during traction can be either static or intermittent, with varying degrees of tension, duration, and frequency tailored to individual patient needs. By elongating the spine, traction control aims to restore proper alignment, increase intervertebral space, reduce nerve compression, improve circulation, and promote healing. MECHANISM OF ACTION Physiological Effect of Traction: Pain Relief Improved Spinal Mobility Enhanced Circulation Decompression of Spinal Structures Reduced Nerve Irritation Non-Invasive Treatment Option 03 COMMON TERMS  COMMON TERMS Terms 1 2 3 4 5 Progressive Regressive Intermittent Static Traction Cyclic Traction Traction Traction Traction Alternating Continuous A phase where A phase where Steady traction between repetition of tension gradually tension gradually applied for a set maximum and progressive and increases decreases duration minimum tension regressive phases levels 04 INDICATION  INDICATION Protruding, bulging, or Degenerative disc Posterior facet Radicular pain herniated disc disease syndrome Spinal root Hypomobility Joint pain Discogenic pain impingement 05 CONTRA- INDICATION  CONTRAINDICATION Structural disease Vascular compromise Acute strains, sprains, Joint instability of the secondary to tumor or and inflammation spine infection Pregnancy, Osteoporosis Hiatus hernia Cardiac or pulmonary Claustrophobia problems 06 PATIENT PREPARATION  PATIENT PREPARATION 1. Ensure the Patient Interrupt Switch is connected and functioning 2. Position the patient on an appropriate Chattanooga Traction table 3. Fit the traction harness according to manufacturer instructions 4. Attach the Accessory Clip to the harness connection point 5. Give the Patient Interrupt Switch to the patient and explain its use 07 OPERATING CONTROLS - HOME SCREEN  OPERATIONG CONTROLS Home Screen The Touch Screen User Interface displays: Traction Meter Time Remaining Treatment Status Progressive, TX (Traction), and Regressive settings Rest Time and Hold Time Minimum and Maximum Traction Levels Clinical Resources button Stop, Pause, and Start buttons 08 ADJUSTING TRACTION DURING TREATMENT  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 Traction parameters can be adjusted during the session using the touch screen interface 09 MAINTENANCE (CLEANING - CALIBRATION)  MAINTENANCE (CLEANING - CALIBRATION) Cleaning Disconnect the unit from power before cleaning Use a clean, lint-free cloth moistened with water and mild antibacterial soap For more sterile cleaning, use an antimicrobial cleaner Do not submerge the unit in water Clean the touch screen with a soft damp cloth, avoiding alcohol or chlorine- based solvents  MAINTENANCE (CLEANING - CALIBRATION) Calibration Annual factory calibration is required The unit should be sent to the factory or a certified Field Service Technician for calibration A quarterly Preventive Maintenance Schedule is recommended to ensure proper functioning and longevity of the unit 10 PRACTICAL APPLICATION  TRACTION SET UP (1) Determine body weight. Tension should be up to 7% - 10% of body weight for cervical. (2) Determine the amount of neck flexion that is necessary and adjust the traction machine accordingly: Upper cervical region = 10 degrees (slide stand in upper most position) Middle cervical region = 15 degrees (slide stand in middle position) Lower cervical region = 20 degrees (slide stand in lower most position) (3) Remove eyeglasses, and anything else in the cervical region.  TRACTION SET UP WHAT DOES TRACTION THERAPY FEEL LIKE? Stretching Sensation. Relaxing. TRACTION SET UP TRACTION SET UP  REFERENCES Romeo A, Vanti C, Boldrini V, Ruggeri M, Guccione AA, Pillastrini P, Bertozzi L. Cervical Radiculopathy: Effectiveness of Adding Traction to Physical Therapy-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phys Ther. 2018 Apr 1;98(4):231-242. doi: 10.1093/physth/pzy001. Erratum in: Phys Ther. 2018 Aug 1;98(8):727. doi: 10.1093/ptj/pzy064. PMID: 29315428. Stochkendahl MJ, Kjaer P, Hartvigsen J, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J 2018; 27: 60-75. Van Wambeke P, Desomer A, Ailliet L, et al. Summary:Low back pain and radicular pain: assessment and management. KCE report 287Cs. Brussels: Belgian Health Care Knowledge Centre (KCE), 2017. Wang W, Long F, Wu X, Li S, Lin J. Clinical Efficacy of Mechanical Traction as Physical Therapy for Lumbar Disc Herniation: A Meta- Analysis. Comput Math Methods Med. 2022 Jun 21;2022:5670303. doi: 10.1155/2022/5670303. PMID: 35774300; PMCID: PMC9239808. Chattanooga user manual ISO 13485 certified, Model 4759 THANKS Do you have any questions?