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Cervical and lumbar traction
First, cervical traction method

1. Sitting traction: It is adjusted according to the patient's specific conditions (age, sex, physique, lesion site, severity of illness, treatment response, etc.). ) during treatment. ① Traction angle: forward flexion position (cervical flexion 10 ~ 30), neutral position (forward flexion 0) and backward extension position (5 ~ 10) ② Traction weight: when the head weight exceeds, the traction weight is the best, which is about 10% of the total weight of normal adults and 5% of the weight of the elderly and infirm. Each traction time 10 ~ 30 minutes.

2. Recumbent traction: The weight of continuous traction is 5% ~ 10% of the body weight, 20 ~ 30 minutes each time, and the weight of continuous traction (also called continuous traction) starts from 2 ~ 3 kg and gradually increases to 4 ~ 5 kg. Traction time exceeds 6 hours /d, and rest is required every 2 hours 10 ~ 15 minutes. After traction treatment for 2 ~ 3 days or symptoms are relieved, the weight can be gradually reduced to 2 ~ 3 kg and the traction time can be shortened to maintain traction to consolidate the curative effect.

3. Electric cervical traction: The principle of setting the patient's sitting or supine position refers to the heavy hammer traction of sitting and lying position. The traction weight is equivalent to 10% of the patient's body weight, and the time of continuous traction or intermittent traction is within 10 ~ 30 minutes. Generally 15 ~ 20 minutes. The weight of intermittent traction can be slightly increased from 10kg, and the maximum can not exceed 20kg. After the symptoms are relieved, the weight is maintained or gradually reduced. Traction time and interval shall be set according to the principle of 3: 1 or 4: 1. The traction treatment lasts for 15 ~ 20 minutes, and 10 day is a course of treatment, generally.

In addition, you can also do freehand sitting traction and freehand lying traction.

You can buy cervical traction devices on the market at home, which is suitable for patients with mild cervical spondylosis.

Second, lumbar traction (pelvic weight traction)

Let the patient lie on his back on the treatment bed, with his legs raised and his hips and knees bent about 90 degrees. Pelvic traction belt fixes his hip (above iliac crest), and both ends of the traction belt are connected by traction rope. The height of the two pulleys is about 15 ~ 20 cm from the bed surface, and the spacing is close to the width of the human body.

Generally, the traction weight of each side is 7 ~ 15 kg. The first traction starts from 7 kg on each side and gradually increases to a suitable weight. Traction rest for 20 minutes every 1 hour. After the patient gets used to it, gradually extend the traction duration and stop traction at night to facilitate sleep. Press the spinous process vertically, push the spinous process laterally, press the transverse process vertically, and rotate and swing in coordination with the upper joint mobilization (lumbar joint).