Monday, March 18, 2019

PT Modalities - Spinal Traction

Effects of Spinal Traction:
  • Joint Distraction
  • Reduction of disc protrusion
  • Soft tissue stretching
  • Muscle relaxation
  • Joint Mobilization
  • Patient immobilization 

Indications (when a therapist will use spinal traction):
  • Disc Bulge or herniation
  • Nerve Root impingement
  • Joint hypomobility
  • Subacute joint inflammation
  • Paraspinal muscle spasm

Contraindications (when a therapist should NOT use spinal traction):
  • Where motion is contraindicated
  • With acute injury or inflammation
  • Joint hypermobility or instability
  • Peripheralization of symptoms with traction
  • uncrontrolled hypertension

Precautions (when to be careful and monitor use of use of spinal traction)
  • Structural diseases or conditions affecting the spine (tumor, infection, rheumatoid arthritis, osteoporosis or prolonged steroid use)
  • When pressure of the belt may be hazardous (pregnancy, hiatal hernia, vascular compromise or osteoporosis)
  • Displacement of annular fragments
  • Medial disc protrusion
  • severe pain fully relieved by traction
  • claustrophobia
  • patients who cannot tolerate prone or supine position
  • disorientation
  • TMJ problems (search post TMJ disorder for more information on this pathology!)
  • Dentures.

Adverse Effects of Spinal Traction:
  • Prior symptoms may increase by the application of lumbar traction exceeding 50% of the patient's total body weight or by the application of cervical traction exceeding 50% of the patient's head.

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