Autotraction tables allow both segments of the table to move and are controlled by the patient. The patient assumes the most pain-free position and performs active traction by pulling on an overhead bar. The patient then uses his or her feet to activate a bar, which alternates compressive and distracting forces. Physiologic effects of traction have been extensively evaluated and reported.
Traction can stretch muscles and ligaments, tighten the posterior longitudinal ligament to exert a centripetal force on the annulus fibrosis, enlarge the intervertebral space, enlarge the intervertebral foramina, and separate apophyseal joints. There is no consensus on the definitive indications for traction, but the condition with the most support for its use is cervical radiculopathy. The use of traction for lumbar radiculopathy, neck pain, and low back pain is more controversial, with contradictions existing in the literature.
In the absence of contraindications, traction can be used to treat any condition in which the physiologic effects of traction would be theoretically beneficial. Absolute contraindications to traction include malignancy, infection such as osteomyelitis or diskitis , osteoporosis, inflammatory arthritis, fracture, pregnancy, cord compression, uncontrolled hypertension or cardiovascular disease, and in the setting of a carotid or vertebral artery disease. Caution should also be exercised in the elderly, in the setting of midline disk herniations and in the lumbar region when abdominal problems are present.
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Inversion traction involves more risks because increases in blood pressure and decreases in heart rate are known to occur, leading to headaches and periorbital petechiae. Marc F. Traction treatment is appropriate only for acetabular fractures that are reducible to less than 1 to 2 mm of displacement.
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Because of the elastic nature of skeletal tissue in children, however, such is rarely the case. A traction pin should be inserted in the distal end of the femur under fluoroscopic control and with the patient under anesthesia so that physeal injury is avoided. The fracture must be demonstrated to be reducible with follow-up AP and obturator and iliac oblique radiographs with gonadal shielding within the first 5 days.
Traction Therapy Traction therapy is a broad term used to refer to any method of separating the lumbar vertebrae along the inferosuperior axis of the spine by using mechanical force. Download as PDF. Set alert. About this page. Learn more about Traction Therapy. Traction Therapy Ralph E. Brault, in Evidence-Based Management of Low Back Pain , Summary Description Traction therapy is a broad term used to refer to several methods of using mechanical force to separate the lumbar vertebrae along the inferosuperior axis of the spine.
Theory Several theories have been proposed to explain the possible clinical benefit of lumbar traction for CLBP. Safety Contraindications to traction therapy include spinal malignancy, spinal cord compression, spinal infection osteomyelitis, discitis , osteoporosis, inflammatory spondyloarthritis, acute fracture, aortic or iliac aneurysm, abdominal hernia, pregnancy, severe hemorrhoids, uncontrolled hypertension, and severe cardiovascular or respiratory disease. Imaging of Idiopathic Pulmonary Fibrosis J. Caleb Richards MD, Tilman Koelsch MD, in Idiopathic Pulmonary Fibrosis , Traction Bronchiectasis Traction bronchiectasis or bronchiolectasis represents bronchial or bronchiolar irregularity and dilation due to adjacent fibrotic and distorted lung parenchyma 11 Fig.
Physical Agent Modalities Chueh-Hung Wu, in Braddom's Rehabilitation Care: A Clinical Handbook , Techniques When considering mechanical traction, several important parameters need to be set, including traction equipment, body position, force used, traction pattern intermittent vs. Spinal Traction D.
Spinal Traction H. Kwai-Tung Chan, in Practical Management of Pain Fifth Edition , Traction Traction is the application of forces in direct opposition to each other to produce a separation of two body parts or stretching of soft tissues. Figure Lumbar traction.
Box Manipulation, Traction, and Massage Reynaldo R. Rey-Matias, in Braddom's Rehabilitation Care: A Clinical Handbook , Traction Traction is a technique used to stretch soft tissues and separate joint surfaces or bone fragments using a pulling force.
Types of Traction Traction can be delivered by several different methods, including manual, mechanized, motorized, hydraulic, or inversion which uses gravity methods. Physiologic Effects Physiologic effects of traction have been extensively evaluated and reported. Indications, Goals of Treatment, and Efficacy There is no consensus on the definitive indications for traction, but the condition with the most support for its use is cervical radiculopathy.
Contraindications Absolute contraindications to traction include malignancy, infection such as osteomyelitis or diskitis , osteoporosis, inflammatory arthritis, fracture, pregnancy, cord compression, uncontrolled hypertension or cardiovascular disease, and in the setting of a carotid or vertebral artery disease. Swiontkowski, Mengnai Li, in Green's Skeletal Trauma in Children Fifth Edition , Skeletal Traction Traction treatment is appropriate only for acetabular fractures that are reducible to less than 1 to 2 mm of displacement.
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Traction fields, moments, and strain energy that cells exert on their surroundings.
Taken out of context, the Virginia bill appears attractive, which is why such bills can get traction so quickly. I had moved to L. What a critic feels has no traction at all—what matters is what the critic thinks in relation to what the writer intends.
The matter of traction power for these gun and armament trains near the front set a problem for the Ordnance Department to solve. In either case, the bending may be increased by the traction of muscles, and sometimes by the occurrence of greenstick fracture. A serious inconvenience to the use of batteries in traction work is the necessary presence of the liquid in the jars. He would tell this traction baron what manner of man he, Basine, was.
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The Minneapolis traction engine is built both simple and compound. Content related to traction The Curious Chronicle Of The Letter C The English language is infamously difficult in part because its spelling befuddles even native speakers as letters take on different sounds depending on what letters surround it. Few letters exemplify this trouble more than the third letter of the English alphabet: C.