Effect of Manual Cervical Distraction for Cervical pain relief

In this article, we will discuss about the Effect of Manual Cervical Distraction for Cervical pain relief. So, let’s get started.

Effect of Manual Cervical Distraction for Cervical pain relief

Manual cervical distraction is a low-velocity variable amplitude spinal manipulation technique, for this technique the patient lies in the prone position on a load instrumented table with a moveable headpiece and the clinician places his one hand and grabs the posterior part of the cervical spine making a wider base of support between the base of thumb and index finger (contact hand) at specific/affected vertebral level and controls his contact hand with the other hand (control hand). Then with the contact hand, the clinician applies superior traction at the single/affected vertebral level along with gentle movement using the contact and control hand. The goal of this technique is to create a slow rhythmic axial distractive motion/movement.

Four types of traction forces are applied neutral, moving flexion and traction, fixed flexion and traction, and generalized traction.

The resulting traction-induced intersegmental motion of the cervical vertebrae opens the intervertebral foramen and decreases the intradiscal pressure thus helps in relieving cervical pain.

Studies show that moving flexion and traction reduces more intradiscal pressure followed by neutral, fixed flexion and traction, and generalized traction.

The amount of tractional force required is determined by body weight. Distraction/Traction force intensity should be greater than 50N in high force (weight) group of individuals, 20N-50N in medium force (weight) group of individuals, and less than 20N in low force (weight) group of individuals and dosing should be 3 sets of 5 repetitions with contact hand on the affected cervical vertebral level and 3 sets of 5 repetitions with contact hand on the occiput.

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SNAG (Sustained Natural Apophyseal Glide)

It is one of the most effective technique for spinal pain relief and gaining good spinal range of motion . It’s a very tricky technique requiring ample amount of practice, efficiency and precautions.

SNAG’s work directly on the facet joint that can help a disc lesion and assist McKenzie response.

SNAGs can be applied to all the spinal joints, the rib cage and the sacroiliac joint.

The therapist applies the appropriate accessory zygapophyseal glide while the patient performs the symptomatic movement.

It must result in full range of pain free movement.

SNAGs are most successful when symptoms are provoked by a movement .

Cervical SNAG’S

Cervical Flexion SNAG,Extension SNAG and Rotation SNAG Techniques are described in the given below video link

LUMBAR SNAG’S

Lumbar Flexion SNAG and Extension SNAG Techniques are given in the below video link

Practice this excellent technique for spinal pain relief and for good range of spinal motion.