Non-Systems: Therapeutic Modalities: Mechanical Spinal Traction: Procedure: Intermittent Traction to the Cervical Spine

Question 1

Cervical Halter: Head Halter

Answer 1

• Placed under the occiput and the mandible

Question 2

Cervical Halter: Head angle

Answer 2

• Should be maintained at 20-30 degrees of flexion

Question 3

Cervical Halter: Angle of Pull

Answer 3

• C1-C5=0-5 degrees joint angle variation
• C5-C7=25-30 degrees joint angle variation
• Neutral 20 degrees flexion for dis dysfunction

Question 4

Cervical Halter: Force Application

Answer 4

• Should be through the occiput NOT the mandible

Question 5

Cervical Sliding Device

Answer 5

• Padded head rest with neck in 20-30 degrees of flexion

Question 6

Cervical Sliding Device

Answer 6

• Grabs at the mastoid process with a forehead strap

Question 7

Traction Force: Acute Phase

Answer 7

Disc protrusion, Elongation of soft tissue, Muscle spasm
- 10-15lbs
- 7 to 10% body weight
Joint Distraction
- 20-30lbs

Question 8

Traction Force: Acute Phase: Treatment Time

Answer 8

• Acute conditions and disc protrusion=5-10 minutes

- All other conditions=15-30 minutes

Question 9

Duty Cycle: Static

Answer 9

• Disc protrusion

- Symptoms aggravated by motion

Question 10

Duty Cycle: Intermittent

Answer 10

• 3:1 hold rest ratio recommended

- 1:1 recommended for when joint mobilization/mobility is desired