Minutes Of Traction Research Articles

“EFFECT OF CERVICAL TRACTION IN THE NECK NEUTRAL, FLEXION AND EXTENSION ON AUTONOMIC FUNCTION: AN OBSERVATIONAL STUDY”

Cervical traction is a physical therapy procedure which is most frequently used for cervical spasm, neck pain, radiating pain to upper limb which are caused due to cervical disk lesions, cervical spondylosis, hypomobile facet joints, cervical muscular dysfunction and cervical facet joint lesions. This study aims to investigate the effect of cervical traction in the various neck positions i.e. neutral, flexion and extension position on autonomic function. 100 healthy young individual were randomly divided into three groups. Group A (n = 34) were applied cervical traction in neutral position, group B (n = 33) in flexion and group C (n=33) in extension. The mechanical continuous cervical traction applied with 10% body weights6. Assessments of pulse rate, respiratory rate, systolic blood pressure and diastolic blood pressure were performed before, during, and after 20 minutes of traction. Systolic blood pressure in intra group comparison was found significant for groups A and B, in Pre vs during, and Increase in respiratory rate was noted in pre vs during cervical traction for group A cervical traction evaluation. The study concludes that the systolic blood pressure and respiratory rate, increased during traction in individuals with neck flexion or neutral. The cervical traction given in flexion or extension can be applied for the cardiac patients although caution is necessary in such an intervention so as to not aggravate the symptoms.

The effect of tibio-femoral traction mobilization on passive knee flexion motion impairment and pain: a case series

The purpose of this case series was to explore the effects of tibio-femoral (TF) manual traction on pain and passive range of motion (PROM) in individuals with unilateral motion impairment and pain in knee flexion. Thirteen participants volunteered for the study. All participants received 6 minutes of TF traction mobilization applied at end-range passive knee flexion. PROM measurements were taken before the intervention and after 2, 4, and 6 minutes of TF joint traction. Pain was measured using a visual analog scale with the TF joint at rest, at end-range passive knee flexion, during the application of joint traction, and immediately post-treatment. There were significant differences in PROM after 2 and 4 minutes of traction, with no significance noted after 4 minutes. A significant change in knee flexion of 25.9°, which exceeded the MDC95, was found when comparing PROM measurements pre- to final intervention. While pain did not change significantly over time, pain levels did change significantly during each treatment session. Pain significantly increased when the participant's knee was passively flexed to end range; it was reduced, although not significantly, during traction mobilization; and it significantly decreased following traction. This case series supports TF joint traction as a means of stretching shortened articular and periarticular tissues without increasing reported levels of pain during or after treatment. In addition, this is the first study documenting the temporal aspects of treatment effectiveness in motion restoration.

Radiographic Analysis of Intervertebral Separation With a 0° and 30° Rope Angle Using the Saunders Cervical Traction Device

Radiographic analysis of cervical intervertebral separation, (IVS) while using the Saunders Cervical Traction Device (SCTD) (Chattanooga Corp., Chattanooga, TN) on a healthy population. To determine whether a rope angle of 0 degrees or 30 degrees achieves higher posterior and anterior IVS when using the SCTD. To our knowledge, research using a 0 degrees rope angle and the SCTD has not been documented. A convenience sample of 15 females and 5 males, with no history of cervical dysfunction, trauma, or pain, participated in the study. Static mechanical cervical traction, using the SCTD at a 0 degrees rope angle, was applied for 2 minutes using 11.34 kg (25 lb) of force. A cross-table lateral cervical spine radiograph was obtained before traction and again at 2 minutes of traction. Two weeks later, the subjects underwent the same procedure with the rope angle set at 30 degrees . A 0 degrees rope angle produced a significant mean difference in anterior IVS at all cervical segments as compared to a 30 degrees rope angle. Traction measurements comparing posterior IVS at 0 degrees and 30 degrees were not statistically significant. However, the posterior IVS increased significantly at a 0 degrees rope angle, with the exception of C2-C3. The research findings may have treatment implications when applying cervical traction with the SCTD. Further research using subjects with cervical nerve root compression will need to be conducted to substantiate clinical outcomes.