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Friday, October 23, 2015

Physiotherapy and PROCEDURE: Traction- manual and mechanical




DEFINITION/DESCRIPTION:
The application of a longitudinal force resulting in separation of joint surfaces that may be sustained, continuous, intermittent or rhythmic; vertical, horizontal or angled.
Cervical spine starting weight 2-3kg up to 5kg
                        absolute maximum for cervical spine 10kg
Lumbar spine starting weight 13kg up to maximum of 20kg

CONTRAINDICATIONS:
-           pain associated with disturbances of reflex activity, muscle power or sensation due to nerve root compression
-           disturbances of bladder or bowel function
-           perinea anesthesia
-           compression of neurological structures
-           arterial compression
-           vertigo
-           hyper mobility syndromes involving spine and sacroiliac joints
-           trauma e.g. fractures, dislocations & spondylolysis
-           infections
-           inflammatory disease e.g. rheumatoid arthritis
-           metabolic bone disease e.g. osteoporosis
-           tumors
-           developmental anomalies

HAZARDS/COMPLICATIONS.PRECAUTIONS:
-           strength & safety of pull must be assessed by palpation between interspinous processes and assessment of the passive physiological intervertebral movements (PPIVMS)
-           progression by increasing weight or time
-           increased pain or complete cessation of pain
-           visual disturbances

INFECTION CONTROL:
-           appropriate hand hygiene
-           appropriate protection of halter/belts if used

manual

mechanical


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