Physiotherapy and PROCEDURE: Traction- manual and mechanical

Procedure of 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