๐Ÿ“Spinal Traction:

ู‡ูˆ ุชูƒู†ูŠูƒ ุนู„ุงุฌูŠ ุจูŠุชู… ููŠู‡ ุชุทุจูŠู‚ longitudinal force ุนู„ู‰ ุงู„ุนู…ูˆุฏ ุงู„ูู‚ุฑูŠ ุจู‡ุฏู ุฅู†ู‡ ูŠุนู…ู„ stretching ู„ู„ุฃู†ุณุฌุฉ ูˆูŠู‚ู„ู„ ุงู„ุถุบุท ุนู„ู‰ ุงู„ูู‚ุฑุงุช ูˆุงู„ู€ soft tissues ุญูˆุงู„ูŠู‡ุง.


ุงู„ู€ Spinal traction ุจูŠุณุชุฎุฏู… ุบุงู„ุจุงู‹ ู…ุน ุงู„ู€ cervical ูˆุงู„ู€ lumbar spineุŒ ูˆู…ู…ูƒู† ูƒู…ุงู† ูŠุชุทุจู‚ ุนู„ู‰ ุงู„ู€ thoracic spine ุญุณุจ ุงู„ุญุงู„ุฉ.

ุงู„ู€ traction ุจูŠุชุญุฏุฏ ุนู„ู‰ ุญุณุจ ุงู„ุญุงู„ุฉ ู…ู† ุญูŠุซ:
ุงู„ู€ force ุฃูˆ ุงู„ูˆุฒู† ุงู„ู…ุณุชุฎุฏู…ุŒ ูˆู…ุฏุฉ ุงู„ุชุทุจูŠู‚ุŒ ูˆุฏู‡ ุจูŠูƒูˆู† based on patient assessment ูˆ signs and symptoms.
ู…ู…ูƒู† ูŠุชุทุจู‚ ู…ู† ุซูˆุงู†ูŠ ู„ุญุฏ 30 ุฏู‚ูŠู‚ุฉุŒ ูˆุบุงู„ุจุงู‹ ุงู„ู‚ูˆุฉ ุจุชูƒูˆู† low ูˆcomfortable ู„ู„ู…ุฑูŠุถ.
ูˆู…ู…ูƒู† ูŠูƒูˆู† continuous ุฃูˆ intermittent ุญุณุจ ุงู„ู‡ุฏู ู…ู† ุงู„ุนู„ุงุฌ.

Traction ุจูŠุชุทุจู‚ ุจุทุฑูŠู‚ุชูŠู†:

1. Manual traction โœ‹
ูˆุฏู‡ ุจูŠุชู… ุนู† ุทุฑูŠู‚ ุงู„ู€ physiotherapist ุจุงุณุชุฎุฏุงู… ุฅูŠุฏู‡ ุนุดุงู† ูŠุทุจู‚ ุงู„ู‚ูˆุฉ ุนู„ู‰ ุงู„ูู‚ุฑุงุชุŒ ูˆุฏู‡ ุจูŠุฏูŠู†ุง ุชุญูƒู… ุฃูƒุจุฑ ูˆfeedback ู…ุจุงุดุฑ ู…ู† ุงู„ู…ุฑูŠุถ.


2. Mechanical traction โš™๏ธ
ูˆุฏู‡ ุจูŠุชู… ุจุงุณุชุฎุฏุงู… ุฃุฌู‡ุฒุฉ traction ุฃูˆ decompression machinesุŒ ูˆุจูŠูƒูˆู† ู…ู†ุงุณุจ ุฃูƒุชุฑ ููŠ ุงู„ุญุงู„ุงุช ุงู„ู„ูŠ ู…ุญุชุงุฌุฉ force ู…ุนูŠู† ูˆู…ุฏุฉ ุฃุทูˆู„.

๐Ÿ“Œ Spinal traction can have several effects.

ุจูŠุณุงุนุฏ ููŠ ุชู‚ู„ูŠู„ ุงู„ุถุบุท ุนู„ู‰ ุงู„ู€ intervertebral discsุŒ ูˆูƒู…ุงู† ุจูŠู‚ู„ู„ ุงู„ู€ nerve root compressionุŒ ูˆุฏู‡ ุจูŠุคุฏูŠ ุฅู„ู‰ pain relief.
ูƒู…ุงู† ุจูŠุณุงุนุฏ ุนู„ู‰ muscle relaxation ูˆูŠู‚ู„ู„ ุงู„ู€ spasmุŒ ูˆุจูŠุญุณู† ุงู„ู€ blood circulation ููŠ ุงู„ู…ู†ุทู‚ุฉ.

โ€ข Indications:

Disc prolapse ุฃูˆ herniation

Nerve root compression

Neck pain ูˆ Low back pain

Muscle spasm

ุจุนุถ ุญุงู„ุงุช facet joint dysfunction


โ€ข Contraindications:

Fractures ููŠ ุงู„ุนู…ูˆุฏ ุงู„ูู‚ุฑูŠ

Spinal instability

Severe osteoporosis

Malignancy ููŠ ุงู„ุนู…ูˆุฏ ุงู„ูู‚ุฑูŠ

Acute inflammation ุฃูˆ infection

ุงู„ู€ traction ุจูŠุณุชุฎุฏู… ูƒุฌุฒุก ู…ู† treatment plan ู…ุชูƒุงู…ู„ุฉุŒ ูˆู…ุด ุจูŠูƒูˆู† ู…ู†ุงุณุจ ู„ูƒู„ ุงู„ุญุงู„ุงุชุŒ ูˆู„ุง ูŠูุนุชุจุฑ ุฏุงูŠู…ุงู‹ first line treatment.

ููŠ ุงู„ู†ู‡ุงูŠุฉุŒ ุงู„ู‡ุฏู ู…ู† ุงู„ู€ traction ู…ุด ุจุณ ุชู‚ู„ูŠู„ ุงู„ุฃู„ู…ุŒ ู„ูƒู† ูƒู…ุงู† ุชุญุณูŠู† ุงู„ู€ mobility ูˆุฑุฌูˆุน ุงู„ู…ุฑูŠุถ ู„ุญูŠุงุชู‡ ุงู„ุทุจูŠุนูŠุฉ ุจุดูƒู„ ุฃูุถู„.
#clinical_note

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