Initial treatment times of three to five minutes may be required for acute or irritable conditions. Verify that the head of the bed hob is adjusted per physicians order. A clinical prediction rule for classifying patients with low back pain who demonstrate shortterm improvement with mechanical lumbar traction. The word traction is a derivative of the latin word tractico, which means a process of drawing or pulling, and various forms of spinal traction have been described, since the time of hippocrates, for the relief. Saunders lumbar traction device provides clinical quality lumbar traction for home use. Self traction unloading quality health care provider. Listing a study does not mean it has been evaluated by the u. Samuel varco offered a criticism pertaining to my paper lumbar tractionelimination of physical factors that prevent lumbar stretch, published in the journal, oct. Researchers say lumbar traction with exercise didnt improve outcomes compared to physical therapy pt exercises alone. The padded belts and treatment surface enhance user comfort. The lumbar disc is a fascinating structure that serves two purposes simultaneously.
For the purpose of this policy, traction is the use of a pulling force to treat muscle and or skeletal disorders of the spine. Nov 29, 2007 lumbar traction was used initially with these patients but the therapist could also select to use mobilization techniques in conjunction with traction, or to exchange traction for mobilization techniques as the patient improved therapists clinical judgment. The purpose of this case report was to investigate the effects of a combined therapy approach of manual lumbar traction and therapeutic exercise as part of a compressive physical therapy plan of care for treatment of low back pain. Read these instructions completely before proceeding. Hailicare airbelt is a convenient way to lt yourself, which helps. The effectiveness of motorised lumbar traction in the.
Home cervical andor lumbar traction devices, including gravityassisted traction devices, are considered experimental, investigational or unproven for any indication. Congratulations on your purchase of a saunders lumbar traction device. Lumbar traction, often combined with exercise, is a physical therapy treatment that is sometimes used for low back pain or sciatica. If you have questions regarding its use or to report any problems, contact your authorized empi traction dealer or empi at 18008622343. Cleaning all surfaces of your saunders lumbar traction device may be cleaned with a mild detergent or disinfectant. Gerry catapang pt, dpt, mgs, in pain procedures in clinical practice third edition, 2011. Mechanical lumbar traction, which is one of the previously mentioned modalities, has been used to treat spinal disorders and lbp for centuries, since hippocrates 5th4th century bc. If your pain gets worse, stop the exercises and talk to your doctor or physical therapist.
Effectiveness of lumbar traction in lumbar disk herniation. Sixtythree 78% of 81 patients responded to therapeutic traction. If you have questions regarding its use or to report any problems, contact. Aacn procedure manual for high acuity, progressive and. Saunders traction device is used in its carry case on a bed or floor.
Lumbar spinal stenosis physical therapy management case type diagnosis. Carey ts, freburger jk, holmes gm, castel l, darter j, agans r, et al. However, traction is another treatment option, particularly if the patient cannot tolerate manual techniques because of increased pain or sensitivity. First, it may be done to gently stretch the neck muscles so muscle spasms can be relieved or prevented. Using a manual hands only or mechanical technique, a steady or intermittent force is applied to the neck to stretch the muscles and soft tissue and open up the spaces between the upper vertebrae. Cervical traction is designed in a way to relieve cervical nerve root compression and muscle spasms. The goal of spinal traction is to pull the vertebrae apart from each other. Cervical traction is a type of spinal traction that is done as a shortterm treatment for neck pain. Cervical range of motion and isometrics home exercise. At lower intensities, it can also be used to stretch small spinal muscles. Care rehab care lumbar traction device demo youtube. It is also used to treat degenerative disc disease, herniated or protruding discs and osteoarthritis. Nursing care of patient on traction linkedin slideshare. Traction used to be considered a stateoftheart treatment.
If you believe your saunders lumbar traction device requires maintenance, contact your authorized empi traction dealer or contact empi at 18008622343. Effectiveness of manual therapy for cervical radiculopathy. Pdf the use of manual lumbar traction and therapeutic. Hailicare decompression back belt applies lumbar traction lt, which is one technique for reducing pinched nerve due to lumbar disk trouble. It is most commonly caused by a cervical disc herniation or spondylotic changes such as bone spurs, resulting in nerve root compression.
Pdf loads in the lumbar spine during traction therapy. Care lumbar traction is the most advanced home lumbar traction system available. Place your hands on the table and keep your arms straight. Application for use in cervical traction assist 102. Additional flexion can be achieved by placing pillows or bolsters under the knees. Remove the hand pump from the mesh storage compartment. Nursing care planning and goals for patients with spinal cord injuries include. Your pain should not get worse during or after traction. Can accomplish full and pain free lumbar flexion and lateral flexion range of motion ability to hold bridge and side plank for 30 seconds without pain ability to maintain neutral spine posture during dynamic arm or leg rom. Choose only those positions that decrease your pain.
A steady or intermittent force is applied to the neck in order to stretch the cervical muscles and soft tissues along with widening the spaces between the upper vertebrae. They are stacked in a column with an intervertebral disc sandwiched between each set of vertebrae. Sustained lumbar traction using a load of 9 kg for 30 min was applied to each specimen. We offer quality overdoor traction kits, cervical traction kits and easytouse pneumatic traction devices which include a carrying case and instruction manual.
In the course of your treatment it is normal for a. Lumbar traction in combination with a physical therapy program also gives a decrease in the size of herniated disc material. Similarly, lumbar traction is the continuous or intermittent application of force to the spine either manually or mechanically. Low back pain clinical practice guidelines linked to the. Care rehab care lumbar traction device demo curtis zeisler. If you have questions regarding its use or to report any. For many years, i have been interested in pelvic traction therapy for low back disorders, and my method was published in. The patient was a 48yearold female with low back pain. Sustained lumbar traction an experimental study of long spin. The use of manual lumbar traction and therapeutic exercise in the treatment of a patient with low back pain. Low back pain lbp is a leading cause of disability and work loss in the united states. Self traction unloading s e l f t r a c t i o n u n l o a d i n g backlying mattress pull lie on your back in bed with your knees bent. The word traction is a derivative of the latin word tractico, which means a process of drawing or pulling, and various forms of spinal traction have been described, since the time of hippocrates, for.
All patients had low back pain with evidence of a degenerative andor herniated intervertebral disk at one or more levels of the lumbar spine. It was with more than casual interest that i read the article on lumbar traction therapy by dr. The use of manual lumbar traction and therapeutic exercise. Cervical spinal traction is used for the shortterm treatment of neck pain. Spinal traction is used to treat herniated discs, sciatica. It is designed to relieve muscle spasms and nerve root compression. Axialspinal decompression therapymechanical traction provided in a clinic setting cpg 275 page 3 of 11.
A new method of motorized intermittent lumbar traction is presented in which resistance is eliminated and unlimited. Spinal traction is a form of decompression therapy that relieves pressure on the spine. Saunders lumbar traction treatment guidelines gradually work up to recommended treatment times and force. Duane saunders, bs, pt the aim of this article is to present and discuss. Home lumbar traction devices description lumbar traction is widely used to treat low back pain in conjunction with other treatment modalities in an outpatient setting facility as part of a directly supervised physical therapy regimen. Motorized spinal traction devices are unproven and not medically necessary for treating neck and low back disorders due to insufficient evidence of efficacy. The amount of initial distraction and traction creep recorded. Your traction device requires minimal assembly and is nearly ready to use out of the case. Ambulatory traction devices e0856 describes a cervical traction device that can be used with ambulation. The lumbar spine is made up of 5 load transferring bones called vertebrae.
Hailicare airbelt is a convenient way to lt yourself, which helps you decide to move on with your pain free life. Axial spinal decompression therapymechanical traction provided in a clinic setting cpg 275 page 3 of 11. Place the saunders lumbar traction device in its case on a firm surface or bed with the wheels facing up. In the lumbar spine, 50 to 100 pounds or more is the most effective range. Lumbar traction is the process of applying a stretching force to the lumbar vertebrae. Cervical radiculopathy cr is a term used to describe radiating pain in the arm with motor, reflex andor sensory changes such as paraesthesiae or numbness, provoked by neck postures andor movements 1, 2.
Stand leaning on a table a or countertop b table a stand facing the table. If you have questions regarding its use or to report any problems. The purpose is generally to create more space for nerves where they exit the spinal column or to relieve pressure on the cartilage disks between the bones or on the small spinal joints themselves. Axialspinal decompression therapymechanical traction. Cervical traction an overview sciencedirect topics. In recent years, however, other surgical techniques have become more advanced and more effective in correcting fractures, damaged. Lumbar disc herniationbulge protocol south shore orthopedics. Keep your arms straight as you bend your knees to unload your back. Lumbar traction is the process of applying a stretching force to the lumbar vertebrae through body weight, weights, andor pulleys to distract individual joints of the lumbar spine. Effective treatment for lumbar pain and dysfunction.
Rehabilitation guidelines for lumbar spondylolysis. The use of home lumbar traction devices have not been. Notes on lumbar traction and the comfortrac device. Lumbar traction and decompression traction for the low back when performed carefully, regularly over time, and when indicated can be profoundly helpful for chronic low back pain and help prevent and improve any lumbar disc degeneration. The goal of lumbar traction is to reduce the pain associated with nerve root impingement and muscle spasms.
Using light pressure with your fingers against your forehead, resist. Lumbar spondylolisthesis or anterolisthesis patient. Duration of cervical traction can range from a few minutes to 20 to 30 minutes, one to three times weekly. Saunders home lumbar traction devices offer a variety of patient positioning options.
Verify that suction is available at the patients bedside. For patients in cervical traction, the nurse shall do the following. Pdf lumbar traction in the management of low back pain. Open the case lid toward the head of the bed or treatment surface. Cervicallumbar traction physical therapist olean, ny. A portion of this article deals with the rationaleof using lumbar traction for the treatment of herniated disc and other lumbar spinal nerve root. Self traction unloading stand between 2 chairs stand between two chairs and place your hands on the back of the chairs. Jun 08, 2016 effectiveness of lumbar traction in lumbar disk herniation the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Comparison 7 lowback pain with radiation, traction versus other treatment, outcome 3 global. Therefore, it will be denied as not reasonable and necessary.
The purpose of spinal traction is to pull the vertebrae apart from each other to relieve pressure. Lumbar vertebral columns, removed from 23 male cadavers aged from 18 to 84 years, were tested for their reaction to a longitudinal traction load. Hooklying leg press lie on your back with your knees bent. A cost effective option to continuous clinical care. Cervical and lumbar traction by brina kitts, spta 2. Cervical traction is used for a number of cervical spine injuries including cervical herniated nucleus pulposus, radiculopathy, strains, zygapophyseal joint syndromes and myofascial pain fig. Practice patterns and evidence in chronic low back pain. Cervical traction might be used in two different situations. For traction equipment and supplies you can depend on, trust the superior performance and durability of our line of traction products. Oct 10, 2010 care rehab care lumbar traction device demo curtis zeisler. Lumbar traction requires a significantly greater force to create distraction of the vertebral segments than cervical traction.
Contact your health care provider if you believe you have a health problem. Blinding of participants and care providers to treatment alloca. Your new traction device is designed to provide safe and effective traction stretching to the lumbar region low back. The saunders lumbar traction device will return to the starting position once you have gotten off the device. Applicable codes the following lists of procedure andor diagnosis codes is provided for. Your traction device requires minimal setup and is ready to use out of the box.