IPHREHAB : CERVICAL TRACTION TREATMENT

IPHREHAB


Cervical Treatment Set-up

• Neck – placed in 25-30° flexion
• Straightens normal lordosis of C-spine
• Must have at least 15° flexion to separate facet joint surfaces
• Body must be in straight alignment
• Be aware that C-spine traction can cause residual lumbar n. root pain if improperly set up.
• Duration – 10-20 minutes most common

CERVICAL TREATMENT WITH TRACTION MACHINE

• Remove any jewelry, glasses, or clothing that may interfere
• Lay supine, place pillows, etc. under knees
• Secure halter to cervical region placing pressure on occipital process & chin (minor amount)
• Align unit for 25-30° of neck flexion 
• Remove any slack in pulley cable
• On:Off sequence 3:1 or 4:1 ratio

General Technique for Applying Cervical Tx

• Saunders

– Saunders or similar traction devices utilize a sliding track, with placement of the head on a pad on the carriage to decrease the tension load necessary to produce a traction force by eliminating most of the friction

– Stabilization is provided by a head strap and posterior pads that are tightened against the occiput and the mastoid processes 

Cervical Treatment 

Following treatment, gradually reduce tension & gain slack

Have patient remain in position for a few minutes after treatment 

Effectiveness of Cervical Traction

Cervical traction has been linked to 5 mechanical factors

Position of the neck

Force of applied traction

Duration of traction

Angle of pull

Position of patient