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Cervical Traction

Cervical Traction. Chapter 17. Cervical Traction. Tension must overcome weight of skull Approximately 8.1% of total body weight 14 pounds Tension: Supine and Seated Supine: Approximately 7% of body weight (10 lbs) Reclined: Approximately 20% of body weight (24 lbs) Treatment Time

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Cervical Traction

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  1. Cervical Traction Chapter 17

  2. Cervical Traction • Tension must overcome weight of skull • Approximately 8.1% of total body weight • 14 pounds • Tension: Supine and Seated • Supine: Approximately 7% of body weight (10 lbs) • Reclined: Approximately 20% of body weight (24 lbs) • Treatment Time • Depends on the pathology • Approximately 5 to 20 • Use comfort as a guide

  3. Indications • Degenerative disc disease • Nerve root compression • Disc herniation • Muscle spasm • Osteoarthritis or facet joint inflammation • Capsulitis of vertebral joints • Pathology of anterior or posterior longitudinal ligaments

  4. Contraindications • Pain of unknown origin • Acute injury • Unstable spinal segments • Cancer, meningitis, or other spinal cord/ vertebrae disease • Vertebral fracture • Extruded disc fragments

  5. Wall or door-mounted traction Sitting or Prone Uses water bags, sand bags, or weight plates Mechanical Traction

  6. Mandibular-occipital harness Places pressure on the TMJ which may cause discomfort Occipital harness Force placed on occipital bone Can be used to place spine in various positions Mechanical Traction

  7. Mechanical Traction Application • Assess body weight • Remove material that may interfere with halter • Adjust halter accordingly • Bilateral = midline of body • Secure and connect halter • Align angle of pull to correspond with the specific pathology • Give patient Safety Switch • Explain treatment

  8. Initiation of Treatment • Set controls to zero and turn on unit • Remove slack • Adjust Ratio • Normally 3:1 or 4:1 • Tension • Approximately 10 pounds or 7% of body weight • First exposure use lower tension • Duration • Corresponding to pathology

  9. Termination of Treatment • Tension • Gradually reduce over 3 or 4 cycles • Gain slack and turn unit OFF • Remove halter from unit and patient • Patient remains in position for 5 minutes after the treatment

  10. Manual Traction • Changes in tension, angle of pull, and duration are more easily adjusted when compared to mechanical traction • Nondominant hand cradles the occiput • Dominant hand under nondominant • Pull using bodyweight • Can be administered sustained or intermittent

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