Manual Lumbar Traction

Moderators: kwyss, Sillevis

Manual Lumbar Traction

Postby Paula » Mon Oct 03, 2011 8:08 pm

Is manual lumbar traction an effective treatment for patients with LBP with and without a hx of lumbar spine surgery?
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Re: Manual Lumbar Traction

Postby Jbeas » Tue Oct 04, 2011 5:03 pm

In my experience I would think that the similar precautions for mechanical traction can apply here as well.

Some Precautions: Anxiety, pregnancy, obesity.

CONTRAINDICATIONS: Known joint instability
Recent fusion
Unstable spondylolisthesis
Any systemic didease affecting ligament laxity
Spinal infection
Recent bowel/bladder changes
Acute inflamation

Mind that these are for MECHANICAL traction.
It depends on what is causing the LBP too.
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Re: Manual Lumbar Traction

Postby Sillevis » Wed Oct 12, 2011 4:22 pm

The question should be is lumbar traction an effective treatment? There is not much evidence supporting the use of it, having said that if you use manual distraction and get some relief I think this is direct evidence that you can justify using it in the clinic. I think that the above contraindications are to abstract. I would feel comfortable doing this on almost all patients as long as there is no increase in symptoms (peripheralization). I would be looking for the centralization effect. If this is effective I would give an instruction for carry over in the home environment.
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