In a message dated 12/9/98, [log in to unmask] writes:
>How much force is a safe starting point for administering mechanical lumbar
traction (prone, supine, unilateral)?
Do you select the force based on patients body mass; characteristics such as
body type, patients percieved tolerance, gender, symptomology - or utilize
other criteria?
***First of all, it is a good idea to establish if traction is the best course
of action, since the location of any herniation or swelling relative to the
spinal nerves will determine whether or not the traction will exacerbate the
pressure and strain exerted on the nerves or other soft tissues. Only then
can we start to tak about magnitude, pattern and duration of tractional force
(e.g. see Calliett "Low Back Pain Syndrome" for more information on this
issue).
Dr Mel C Siff
Littleton, CO, USA
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