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    Cervical & Lumbar Traction

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    venkata ramakrishnaiah
    Cervical and lumbar traction are physiotherapy treatments that apply distraction forces to the cervical and lumbar vertebrae. Cervical traction is delivered via motorized units, weights, gravity, or manually, while lumbar traction uses similar methods. Both treatments aim to relieve pressure on disks and nerves by elongating the spine, with typical durations of 10-25 minutes depending on the indication. Contraindications include acute injuries, unstable spines, and certain diseases. Precautions involve monitoring symptoms and immediately stopping if pain increases.

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    Cervical & Lumbar Traction

    Uploaded by

    venkata ramakrishnaiah
    71 views12 pages
    Cervical and lumbar traction are physiotherapy treatments that apply distraction forces to the cervical and lumbar vertebrae. Cervical traction is delivered via motorized units, weights, gravity, or manually, while lumbar traction uses similar methods. Both treatments aim to relieve pressure on disks and nerves by elongating the spine, with typical durations of 10-25 minutes depending on the indication. Contraindications include acute injuries, unstable spines, and certain diseases. Precautions involve monitoring symptoms and immediately stopping if pain increases.

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    Cervical and lumbar traction are physiotherapy treatments that apply distraction forces to the cervical and lumbar vertebrae. Cervical traction is delivered via motorized units, weights, gravity, or manually, while lumbar traction uses similar methods. Both treatments aim to relieve pressure on disks and nerves by elongating the spine, with typical durations of 10-25 minutes depending on the indication. Contraindications include acute injuries, unstable spines, and certain diseases. Precautions involve monitoring symptoms and immediately stopping if pain increases.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    71 views12 pages

    Cervical & Lumbar Traction

    Uploaded by

    venkata ramakrishnaiah
    Cervical and lumbar traction are physiotherapy treatments that apply distraction forces to the cervical and lumbar vertebrae. Cervical traction is delivered via motorized units, weights, gravity, or manually, while lumbar traction uses similar methods. Both treatments aim to relieve pressure on disks and nerves by elongating the spine, with typical durations of 10-25 minutes depending on the indication. Contraindications include acute injuries, unstable spines, and certain diseases. Precautions involve monitoring symptoms and immediately stopping if pain increases.

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    CERVICAL & LUMBAR TRACTION

    DR VVR CHOUDHARY
    MPT-ORTHO,MSc –Psychology
    SENIOR PHYSIOTHERAPIST
    Description
    • Cervical traction distracts the cervical vertebrae and
    can be applied continuously or intermittently.
    • This traction can be delivered by way of a motorized
    unit,weights, gravity, or manually by the clinician.
    • Lumbar traction distracts the lumbar and possibly the
    • lower thoracic vertebrae. Using a motorized unit
    • (shown above), lumbar traction can be applied
    continuously or intermittently. Lumbar traction can
    also be applied manually by the clinician, by weights,
    or by gravity
    • (autotraction).
    Primary Effects
    CERVICAL TRACTION :-
    • Elongation of the cervical vertebrae, relieving
    pressure on the intervertebral disks and
    assisting in the reabsorption of the nucleus
    pulposus that places pressure on cervical
    nerve roots
    • Relieves pressure on the spinal nerve roots
    caused by narrowing of the intervertebral
    foramen
    • Reduces pressure on the facet joints
    • Elongates cervical musculature
    LUMBAR TRACTION :
    • Elongation of the lumbar vertebrae, relieving
    pressure on the intervertebral disks.
    • Aids in the reabsorption of the nucleus
    pulposus.
    • Relieves pressure on the spinal nerve roots
    caused by narrowing of the intervertebral
    foramen
    • Reduces pressure on the facet joints
    Indications
    CERVICAL
    • Degenerative disk diseases
    • Herniated or protruding intervertebral disk
    • Nerve root compression/radicular pain and associated
    muscle spasm
    • Osteoarthritis or facet joint inflammation
    • Facet joint pathology limiting range of motion including
    hypomobile facet joints
    • Capsulitis of the vertebral joints
    • Pathology of the anterior or posterior longitudinal
    Ligaments
    • Cervical muscle spasm
    Lumbar :
    • Nerve root compression
    • Radicular pain
    • Herniated or protruding intervertebral disk
    • Degenerative disk disease
    • Lumbar muscle spasm
    • Osteoarthritis or facet joint inflammation
    • Facet joint pathology including hypomobile
    facet joints
    Contraindications
    CERVICAL TRACTION:-
    • Acute injury
    • Unstable spine
    • Diseases affecting the vertebrae or spinal cord,including
    cancer and meningitis
    • Vertebral fractures
    • Extruded disk fragmentation
    • Spinal cord compression
    • Positive vertebral artery test
    • Conditions in which vertebral flexion and/or extension is
    contraindicated
    • Osteoporosis
    • Rheumatoid arthritis
    • Conditions that worsen after traction treatments or motion
    Lumbar traction:-
    • Acute injury
    • Unstable spinal segments
    • Cancer, meningitis, or other diseases affecting the
    spinal cord or vertebrae
    • Extruded disk fragmentation
    • Advanced disk degeneration or advanced
    Herniation
    • Spinal cord compression
    • Rheumatoid arthritis
    • Conditions that worsen after treatment
    TREATMENT DURATION
    CERVICAL TRACTION & Lumbar traction: :
    • Facet joint pathology: 25 min
    • Degenerative disk disease: 10 min
    • Disk protrusion: 8–10 min
    • Muscle spasm: 20 min
    • (Approximate treatment durations)
    Precautions
    CERVICAL TRACTION:
    • Cervical traction should never be attempted in
    traumatic conditions that have not been evaluated
    to rule out a fracture or dislocation.
    • The patient must be closely monitored throughout
    the treatment, and the treatment should be
    immediately discontinued if symptoms increase or if
    pain or paresthesia is experienced.
    • Improper extension traction can result in a rupture
    of the cervical esophagus.
    • Excessive duration and/or traction weight can
    • cause thrombosis of the internal jugular vein
    • Low tension should be used when hypermobility
    is present (check with a physician prior to
    treatment).
    • Only sustained or continuous traction should be
    used when motion is contraindicated.
    • Mandibular-occipital harnesses should not be
    used if the patient is suffering from TM JOINT
    pathology.
    Lumbar traction
    • Monitor the patient closely during the
    treatment.
    • Discontinue use if symptoms increase.
    • Low-tension traction should be used if
    ligamentous damage is suspected.
    • Use only sustained or continuous traction if
    lumbar motion is contraindicated.

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