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Traction: Static vs Intermittent
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Traction: Static vs Intermittent - November 19, 2002 5:40:00 PM
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chipomalley
Posts: 156
Joined: January 7, 2002
From: Baltimore, MD
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I would like to discuss rationales for use of mechanical traction, hold time in particular. Feel free to discuss cervical, lumbar or both. I have some thoughts on my own rationale that I would like to share along the way. If you are using this for treatment what are your indications and timing cycles and why?
Chip
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Re: Traction: Static vs Intermittent - November 19, 2002 5:59:00 PM
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Andrew M. Ball PT PhD
Posts: 855
Joined: July 28, 2002
From: Charlotte, NC
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Most PT's I know aren't much fans of lumbar traction, but from what I've seen, many don't donn the harness correctly --- leaving it to slide on clothes instead of catching on skin. Cervical traction seem to have a bit more support among PT's.
Of the PT's I know that still buy into traction, they seem to dig intermit. for disc problems in particular.
As for me, lumbar traction, done correctly, is about the best thing going for my back. I usually dig 50% to 75% body weight consistent pull. It feels GREAT for about 24 hours or so, then getting out of bed hurts - - - but WELL WORTH the pain the next day for a completely pain free 24 hours.
Drew
[This message has been edited by Andrew M. Ball PT PhD (edited November 19, 2002).]
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Re: Traction: Static vs Intermittent - November 20, 2002 6:08:00 AM
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PTupdate.com
Posts: 1478
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
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I use cervical and lumbar traction quite commonly, and LOVE the results. I will perform intermittent traction for most patients, as it decreases the irritation around the mastoid process. For those acute disc patients, I find the "vacuum" effect of the intermittent release kills them, so I stick with the constant.
Drew, you are right about the harnesses...done right lumbar traction has good results. I recently purchsed an inversion table, available mail order or in sporting goods stores for less than $200US, and some patients prefer this to the traction. It gives me another alternative for those with pot bellies or phobias about being strapped in.
The protocol I use is similar to the one proposed by Erhardt DC in the cervical PT home study course.
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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