The Effect of Traction Position in Cervical Traction Therapy Based on Dynamic Simulation Models
- 1 Graduate School of System Informatics, Kobe University, Kobe, Japan
- 2 Graduate School of System Informatics, Kobe University, Kobe, Japan
- 3 Kobe Factory of Minato Medical Science Co., LTD., Kobe, Japan
Abstract
This study describes the development of a cervical traction therapy simulation model that evaluates two types of the traction positions, namely the sitting position and the inclined position. An anatomically correct human skeleton model and two mechanical traction device models were constructed in simulations using a physics engine. The anterior and posterior intervertebral separations were measured at both positions with a series of traction forces (60N to 200N) and traction angles (10 ° to 40 ° ). The result suggested that the sitting position caused the subject to lean forward and as a result led to excessive anterior compression when traction angle is over 20 degrees. The inclined position creates greater intervertebral separations on both the anterior and posterior sides than the sitting position. This suggests that the inclined position may be more effective in increasing intervertebral separation than the sitting position.
- Haldeman, S., Carroll, L. and Cassidy, J. (2008) The Empowerment of People with Neck Pain: Introduction: The Bone and Joint Decade 20002010 Task Force on Neck Pain and Its Associated Disorders. Spine, 33, S8-S13. https://doi.org/10.1097/brs.0b013e3181643f51
- Judovich, B. and Nobel, G.R. (1957) Traction Therapy, a Study Resistance Forces. The American Journal of Surgery, 93, 108-114. https://doi.org/10.1016/0002-9610(57)90748-1
- Hogg-Johnson, S., Van Der Velde, G., et al. (2008) The Burden and Determinants of Neck Pain in the General Population: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. European Spine Journal, 33, S39-S51. https://doi.org/10.1097/BRS.0b013e31816454c8
- Savva, C. and Giakas, G. (2013) The Effect of Cervical Traction Combined with Neural Mobilization on Pain and Disability in Cervical Radiculopathy. A Case Report. Manual Therapy, 18, 443-446. https://doi.org/10.1016/j.math.2012.06.012
- Zylbergold, R. and Piper, M. (1985) Cervical Spine Disorders: A Comparison of Three Types of Traction. Spine, 10, 867-871. https://doi.org/10.1097/00007632-198512000-00001
- Jellad, A., Ben Salah, Z., Boudokhane, S., Migaou, H., Bahri, I. and Rejeb, N. (2009) The Value of Intermittent Cervical Traction in Recent Cervical Radiculopathy. Annals of Physical and Rehabilitation Medicine, 52, 638-652. https://doi.org/10.1016/j.rehab.2009.07.035
- van der Heijden, G.J., Beurskens, A.J., Koes, B.W., Assendelft, W.J., de Vet, H.C. and Bouter, L.M. (1995) The Efficacy of Traction for Back and Neck Pain: A Systematic, Blinded Review of Randomized Clinical Trial Methods. Physical Therapy, 75, 93-104. https://doi.org/10.1093/ptj/75.2.93
- Harte, A., Baxter, G. and Gracey, J. (2003) The Efficacy of Traction for Back Pain: A Systematic Review of Randomized Controlled Trials. Archives of Physical Medicine and Rehabilitation, 84, 1542-1553. https://doi.org/10.1016/S0003-9993(03)00294-6
- Daniel, D.M. (2007) Non-Surgical Spinal Decompression Therapy: Does the Scientific Literature Support Efficacy Claims Made in the Advertising Media? Chiropractic & Osteopathy, 15, 7. https://doi.org/10.1186/1746-1340-15-7
- Coutinho, M.G. (2001) Dynamic Simulations of Multibody Systems. Springer, New York. https://doi.org/10.1007/978-1-4757-3476-8
- Merrill, T., Goldsmith, W. and Deng, Y.C. (1984) Three-Dimensional Response of a Lumped Parameter Head-Neck Model Due to Impact and Impulsive Loading. Journal of Biomechanics, 17, 81-95. https://doi.org/10.1016/0021-9290(84)90126-X