Key Words: Cervical traction
, Cervical spine, Reduction, Neurological improvement.INTRODUCTION
This system has been shown to be at least as effective as other cervical traction
systems, and possibly even superior.
The conservative management includes immobilization by cervical collar, Pharmacotherapy by using Non steroidal anti inflammatory drugs, Physical therapy and manipulation and cervical traction
. Home unit's cervical traction
may reduce symptoms of cervical radiculopathy.7 Cervical traction
can be applied in either supine position 8,9 or by placing a patient in a halo vest in sitting position.10,11 The mode of cervical traction
can be either continuous or intermittent.12
Of these, cervical traction
has been considered as the therapy of choice.
Comparison between the effects of Chuna manipulation therapy and cervical traction
treatment on pain in patients with herniated cervical disc: a randomized clinical pilot trial.
Prolonged preoperative cervical traction
in bed was applied first in order to obtain the local stability through soft tissue healing around the injured level, because anterior surgery destroyed the anterior stabilizers, and at that time the anterior cervical plate and halo skeletal fixator were not available in Korea.
The patient was admitted to the intensive care unit after surgery and placed on a rotating bed with ten pounds of cervical traction
. The intensive care nurses carefully monitored the irrigation system and assured that the hourly input and output of the system were equal.
The objective was to investigate the effectiveness of cervical traction
along with exercise for targeted subgroups of patients with neck pain.
However, a case series of patients treated specifically for cervical radiculopathy found that 10 of 11 patients who underwent physical therapy (including manual therapy, cervical traction
, and strengthening exercises) were improved--defined as a self-report of being "quite a bit better"--at 6-month follow-up.
For example, Browder and collegues (5) recently reported using intermittent cervical traction
and manipulation of the thoracic spine, to manage 7 (acute and chronic) cervical pain patients with grade 1 cervical compressive myelopathy attributed to a herniated disc; treatment showed benefit with no adverse events.