3D ActiveTrac
®
39
ANNEx
ExAmpLE OF TrEATmENT (CONTiNuEd)
These are general treatment principles and should be adjusted individually for each patient as needed. Monitor the patient closely on
the first treatment and on all subsequent treatments.
Begin the treatment. After the ramp up phase, and about three minutes into treatment at the maximum treatment force, gently and
gradually try to rotate and side bend the table toward neutral to correct the lateral shift. Do this in stages, gradually, making sure the
patient has no increase in peripheral symptoms. Correct some or all of the shift, depending on patient tolerance.
After a couple more minutes, gently and gradually try to move the lumbar section of the table upward to correct the flexed posture.
Do this in stages, gradually, making sure the patient has no increase in peripheral symptoms. Correct some or all of the flexed posture.
At the end of the treatment session, the patient should be in a position closer to neutral than when he or she began. Let the patient
relax in this prone, comfortable position for awhile. Have the patient gently move hips from side to side before getting up.
It is not uncommon to experience a TEMPORARY increase in symptoms after the treatment. This effect is lessened with shorter
treatment times and more gradual changes in position. Experiment with positions and times. It may be helpful to try a lumbosacral
corset after treatment. Apply while the patient is still lying down.
It is possible for patients to experience complete centralization in one or two treatment sessions. Patients could begin applying
lumbar extension principles immediately. Make sure the patient understands that the symptom relief provided by traction is theorized
to be temporary, and they must maintain good body mechanics and posture and follow through with a proper exercise regime while
healing continues. Each patient is different.
SPECIAL PRECAUTION FOR SUPINE TREATMENT:
If you follow the above protocol in the supine position, you should NOT
move the lumbar section of the table downward during treatment without first stopping traction, then restarting it after you have
repositioned the table. When you move the lumbar section of the table downward, the force increases, and it is possible to exceed the
desired force.